treatment planning compiled by ce-classes.com. learning objectives after completing this course,...

Treatment PlanningTreatment PlanningCompiled by Compiled by

Ce-Classes.comCe-Classes.com

Learning ObjectivesLearning Objectives

After completing this course, After completing this course, participants will be able to:participants will be able to:

Identify categories of Treatment Identify categories of Treatment Planning Planning

Describe specific client rightsDescribe specific client rights Identify limits of confidentiality in Identify limits of confidentiality in

treatmenttreatment

Treatment PlanningTreatment Planning

Counselors are ethically responsible Counselors are ethically responsible for providing the best treatment for providing the best treatment possible while protecting their possible while protecting their clients’ well-being.clients’ well-being.

(Corey, Corey, & Callanan, 2003).


In March 1998, the Advisory In March 1998, the Advisory Commission on Consumer Protection Commission on Consumer Protection and Quality in the Health Care and Quality in the Health Care Industry issued its final report, which Industry issued its final report, which included the Consumer Bill of Rights included the Consumer Bill of Rights and Responsibilities. and Responsibilities.


The Commission was appointed by The Commission was appointed by President Bill Clinton, and co-chaired President Bill Clinton, and co-chaired by the Secretary of the Department by the Secretary of the Department of Health and Human Services.of Health and Human Services.


The purpose of the Bill of Rights is:The purpose of the Bill of Rights is:– To build up consumer confidence in the To build up consumer confidence in the

health care system, by making it easy health care system, by making it easy for consumers to participate actively in for consumers to participate actively in their own health care.their own health care.


The purpose of the Bill of Rights is:The purpose of the Bill of Rights is:– To strongly support the importance of a To strongly support the importance of a

good healthcare provider and that of a good healthcare provider and that of a good provider-patient relationship.good provider-patient relationship.


The purpose of the Bill of Rights is:The purpose of the Bill of Rights is:– To emphasize and support the To emphasize and support the

importance of the consumers' role in importance of the consumers' role in making sure they have rights and making sure they have rights and responsibilities with regard to health responsibilities with regard to health improvement.improvement.

Consumer Bill of RightsConsumer Bill of Rights

The following section, Consumer Bill The following section, Consumer Bill of Rights, was developed by the of Rights, was developed by the federal government. federal government.

This has been used as a foundation This has been used as a foundation for many health plans, including the for many health plans, including the federal-government-sponsored federal-government-sponsored health plans.health plans.

Consumer Bill of RightsConsumer Bill of Rights

It includes the following categories of It includes the following categories of client rights:client rights:– Information DisclosureInformation Disclosure– Choice of Providers and PlansChoice of Providers and Plans– Access to Emergency ServicesAccess to Emergency Services– Participation in Treatment DecisionsParticipation in Treatment Decisions– Respect and NondiscriminationRespect and Nondiscrimination– Confidentiality of Health InformationConfidentiality of Health Information– Complaints and AppealsComplaints and Appeals

Information Disclosure

Clients have the right to receive accurate and easily understood information about their health plan, health care professionals, and health care facilities. If clients speak another language, have a physical or mental disability, or just don't understand something, assistance will be provided so clients can make informed health care decisions.

Choice of Providers and Plans

Clients have the right to a choice of health care providers that is sufficient to provide them with access to appropriate high-quality health care.

Access to Emergency Services

If clients have severe pain, an injury, or sudden illness that convinces them that their health is in serious jeopardy, the client has the right to receive screening and stabilization emergency services whenever and wherever needed, without prior authorization or financial penalty.

Participation in Treatment Decisions

Clients have the right to know all their treatment options and to participate in decisions about their own care. Parents, guardians, family members, or other individuals that Clients designate can represent them if the client cannot make their own decisions.

Respect and Nondiscrimination

Clients have the right to considerate, respectful and nondiscriminatory care from their doctors, health plan representatives, and other health care providers.

Confidentiality of Health Information

Clients have the right to talk in confidence with health care providers and to have their health care information protected. Clients also have the right to review and copy their own medical record and request that their physician amend their record if it is not accurate, relevant, or complete.

Complaints and Appeals

Clients have the right to a fair, fast and objective review of any complaint they have against their health plan, doctors, hospitals or other health care personnel. This includes complaints about waiting times, operating hours, the conduct of health care personnel, and the adequacy of health care facilities.

Client Rights and Treatment Client Rights and Treatment PlanningPlanning

These are general categories of These are general categories of client rights and treatment planning client rights and treatment planning in health care and treatment in health care and treatment settings. settings.


For clinicians, staff support and other For clinicians, staff support and other health care workers, it may be easier health care workers, it may be easier to conceptualize the general client to conceptualize the general client rights into different categories – ones rights into different categories – ones that are a bit more descriptive.that are a bit more descriptive.


A treatment related perspective of A treatment related perspective of client rights might better be client rights might better be described in these categoriesdescribed in these categories– Treatment rightsTreatment rights– Record privacy and accessRecord privacy and access– Communication rightsCommunication rights– Personal rightsPersonal rights– Privacy rightsPrivacy rights– Miscellaneous rightsMiscellaneous rights

Complied from state rules in multiple states including but not limited to Wisconsin, Texas, Florida, Idaho - Specific laws vary from state to state – use the state guidelines for the location in which you practice

Treatment Rights

Clients have a right to:– Receive prompt and adequate treatment– Participate in their treatment planning– Be informed of their treatment and care– Refuse treatment and medications (unless

court-ordered)– Be free from unnecessary or excessive

medications


Record Privacy And Access

Clients have a right to:– Have their patient information confidential– Not have their records released without their

consent (with some exceptions)– See their records (during treatment, access may

be limited)– Challenge the accuracy, completeness,

timeliness or relevance of entries in their records


Communication Rights

Clients have a right to:– Have reasonable access to a telephone *– See (or refuse to see) visitors daily *– Send or receive mail– Contact public officials, lawyers or patient

advocates

*restrictions may apply based upon program rules and level of care


Personal Rights Clients have a right to:– Have the least restrictive environment given their history and

needs– Not be secluded or restrained except in an emergency when

necessary to prevent harm to self or others– Have regular and frequent exercise opportunities*– Have regular and frequent access to the outdoors*– Have staff make reasonable (non-arbitrary) decisions about

them– Refuse to work – except for personal housekeeping tasks– Be paid for work they agree to do that is of financial benefit to

the facility



Privacy Rights

Clients have a right to:– Not be filmed or taped without his or her

consent– Have privacy in toileting and bathing *– Have a reasonable amount of secure storage

space for his or her possessions *



Miscellaneous Rights

Clients have a right to:– Be treated with dignity and respect by all staff of

the provider– Be informed of his or her rights– Be informed of any costs of his or her care– File complaints about violations of his or her

rights– Be free from any retribution for filing complaints



Confidentiality is a basic client rightConfidentiality is a basic client right However it is not absoluteHowever it is not absolute There are both federal and state There are both federal and state

guidelines which dictate exceptions guidelines which dictate exceptions to client confidentiality.to client confidentiality.

Common Exceptions To Common Exceptions To ConfidentialityConfidentiality

When there is clear and present When there is clear and present danger or harm to self or another danger or harm to self or another identifiable person. identifiable person.


In case of apparent child abuse or In case of apparent child abuse or vulnerable adult. Licensed vulnerable adult. Licensed professionals in all states are professionals in all states are required by law to report instances of required by law to report instances of physical and sexual abuse of children physical and sexual abuse of children and vulnerable adults. and vulnerable adults.


In the event of a court order for In the event of a court order for information. information.

In the event a client reports sexual In the event a client reports sexual conduct with other licensed conduct with other licensed professionals. professionals.


In the event the parents or spouse of In the event the parents or spouse of a deceased patient seek to exercise a deceased patient seek to exercise legal right to access to their legal right to access to their deceased child’s or spouse’s health deceased child’s or spouse’s health care records. care records.

In the event an unpaid bill is turned In the event an unpaid bill is turned over to a collection agency. over to a collection agency.


Parents or legal guardians of non-Parents or legal guardians of non-emancipated minor clients have the emancipated minor clients have the right to access the client’s records. right to access the client’s records.

Client RightsClient Rights

Codes of ethics serve to guide Codes of ethics serve to guide practitioners toward responsible practice practitioners toward responsible practice while holding them accountable for their while holding them accountable for their professional behavior. professional behavior.

(Corey, 2003; Herlihy & Corey, 1996)


Codes of ethics are available from a variety of Codes of ethics are available from a variety of professional organizations- professional organizations- – National Association of Social Workers (NASW) National Association of Social Workers (NASW) – American Psychological Association (APA),American Psychological Association (APA),– American Counseling Association (ACA),American Counseling Association (ACA),– American Mental Health Counselors Association American Mental Health Counselors Association

(AMHCA),(AMHCA),– American Association for Marriage and Family American Association for Marriage and Family

Therapy (AAMFT), to name a few. Therapy (AAMFT), to name a few. Although the content of their respective Although the content of their respective

codes is similar, differences exist in their codes is similar, differences exist in their areas of emphasis and specializationareas of emphasis and specialization

(Corey, 2003)


Client rights are not absolutes, and there may be exceptions based upon:– The kind of treatment – Under what conditions the client entered

treatment (for example court order vs. voluntary)

– In what state the treatment is occurring


When in doubtWhen in doubt– Ask your supervisorAsk your supervisor

– Consult the policy and procedure Consult the policy and procedure manual for your agencymanual for your agency

References References Florida Laws and Rules Retrieved From: Florida Laws and Rules Retrieved From:

http://doh.state.fl.us/mqa/Profiling/billofrights.htm http://doh.state.fl.us/mqa/Profiling/billofrights.htm Grohol, J. (2013). Your Patient Rights in Therapy. Retrieved from: Grohol, J. (2013). Your Patient Rights in Therapy. Retrieved from:

http://psychcentral.com/blog/archives/2009/10/15/your-patient-rights-in-http://psychcentral.com/blog/archives/2009/10/15/your-patient-rights-in-therapy/ therapy/

National Institutes of Health (NIH) Bill of Rights Retrieved from: National Institutes of Health (NIH) Bill of Rights Retrieved from: http://www.cc.nih.gov/participate/patientinfo/legal/bill_of_rights.shtml http://www.cc.nih.gov/participate/patientinfo/legal/bill_of_rights.shtml

President's Advisory Commission on Consumer Protection and Quality in the President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry. Patients’ Rights and Responsibilities. Accessed August Health Care Industry. Patients’ Rights and Responsibilities. Accessed August 11, 2011. Retrieved from: 11, 2011. Retrieved from: http://www.nlm.nih.gov/medlineplus/ency/article/001947.htm http://www.nlm.nih.gov/medlineplus/ency/article/001947.htm

Texas Laws and Rules Retrieved from: http://www.google.com/url?Texas Laws and Rules Retrieved from: http://www.google.com/url?sa=t&rct=j&q=client%20rightssa=t&rct=j&q=client%20rights%20texas&source=web&cd=2&ved=0CDIQFjAB&url=http%3A%2F%20texas&source=web&cd=2&ved=0CDIQFjAB&url=http%3A%2F%2Fwww.hhs.state.tx.us%2FaboutHHS%2FCR_Brochures%2Fwww.hhs.state.tx.us%2FaboutHHS%2FCR_Brochures%2FClientBrochureEnglish.pdf&ei=WarxUauGMoHu9ATMo4DIAw&usg=AFQj%2FClientBrochureEnglish.pdf&ei=WarxUauGMoHu9ATMo4DIAw&usg=AFQjCNFH-XP6yCdBJZMn2yBEDQz0OE6YZw&bvm=bv.49784469,d.eWU&cad=rja CNFH-XP6yCdBJZMn2yBEDQz0OE6YZw&bvm=bv.49784469,d.eWU&cad=rja

Wisconsin Laws and Rules Retrieved from: Wisconsin Laws and Rules Retrieved from: http://www.dhs.wisconsin.gov/clientrights/intro.htm http://www.dhs.wisconsin.gov/clientrights/intro.htm

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