WA State Certified Domestic Violence Intervention Treatment Services
Direct Treatment Staff Disclosure Statement
Welcome
Welcome to Helping Professionals Wellness Center (HPWC) for Domestic Violence Intervention Treatment. My name is Laurie Ellett and I am designated as a supervisor by DSHS in the Domestic Violence Intervention Treatment program at HPWC. HPWC specializing in behavioral healthcare and our vision is to improve your human experience from where you are now to achieve goals you want to achieve. We look forward to working with you. The State of Washington requires that we provide you with certain information in order to allow you to make an informed decision about participating in our treatment program.
DOH Information
My Washington State Department of Health credential is: Licensed Independent Clinical Social Worker (LICSW) and my credential number is: LW60147004. I have been working in social services throughout my adult lifetime and have been a licensed social worker since 1996 (Oregon). I am licensed in Washington and Oregon as a Social Worker and as a Substance Use Counselor.
The purpose of this disclosure is to protect you by letting you know that I am licensed and to make you aware of the complaint process. You can contact the Department of Health to file a complaint by email at hsqacomplaintintake@doh.wa.gov or by phone at 360-236-4700. The DOH website has more information on the process: https://www.doh.wa.gov/LicensesPermitsandCertificates/FileComplaintAboutProviderorFacility/ HealthProfessionsComplaintProcess#1.
Education, Training and Experience:
I earned a Bachelor’s Degree in Sociology from the University of Oregon (yes, I am a DUCK) and a Masters in Social Work from Portland State University. I have had an active career, primarily working in non-profit organizations to address substance use and mental health problems for those involved in the criminal justice system. I have worked in a state prison for 7 years and have worked with people and programs who want to reduce incarceration and help individuals to live healthy and productive lifestyles. I have also had significant experience in working with children and families, primarily in an effort to keep families together and reduce the risk of out-of-home placement.
Fees and Payment:
There is a fee agreement that you will sign as part of your intake paperwork if you are accepted into the DVIT program. We have a Billing Specialist who can answer all your questions and discuss financial options for payment. HPWC charges $150 for a domestic violence assessment, $40 for weekly groups and $50 for individual sessions. Advanced payments for the DVIT program can be made with a 10% discount. Refunds are not available for advanced payments. A twenty-four (24) hour notice of cancellation is required. You may leave a voice mail message after regular business hours within the 24-hour period. It is not our intent to be punitive in any way, which is why we do not charge if a client is ill or if inclement weather prevents you from making it to your appointment. However, repeated absences will result in a conversation about your ability to continue with the program. We respect and value our clients and hope that you can appreciate that our time is valuable as well.
Confidentiality:
I am not permitted to share your information with any person or entity except:
1. With your written consent or, in the case of death or disability, your personal representative, other person authorized to sue, or the beneficiary of an insurance policy on your life, health, or physical condition;
2. By RCW 18.19.180 I am not required to treat your information as confidential if we have communication that reveals the contemplation or commission of a crime or harmful act;
3. If you were a minor, and the information acquired by the person registered under RCW 18.19.180 indicates that the minor was the victim or subject of a crime, the person registered may testify fully upon any examination, trial, or other proceeding in which the commission of the crime is the subject of the inquiry;
4. If you waive the privilege by bringing charges against me while I am registered under RCW 18.19.180;
5. In response to a subpoena from a court of law or the secretary. The secretary may subpoena only records related to a complaint or report under chapter 18.130 RCW; or
6. As required under chapter 26.44 RCW.
Required information about credentialed counselors:
- Counselors practicing counseling for a fee must be credentialed with the department of health for the protection of the public health and safety;
- Credentialing of an individual with the department of health does not include a recognition of any practice standards, nor necessarily imply the effectiveness of any treatment;
- The purpose of the Counselor Credentialing Act, chapter 18.19 RCW, is to:
- Provide protection for public health and safety; and
- Empower the citizens of the state of Washington by providing a complaint process against those counselors who would commit acts of unprofessional conduct.
Contacting me outside of appointment times:
If you wish to speak with me between appointments, you can reach me by leaving a message at HPWC, 360-687-0693. I will return your call as soon as I can. If you have a clinical emergency outside of regular business hours, please call the local crisis line 800-626-8137.