Client Rights: I understand my basic rights as a client. These rights include:
Clients participating in any of KBR Counseling and Services, PLLC has the following rights:
a. Confidentiality of all information, personal and treatment/service related.
b. The right to privacy, security, and respect of the property.
c. The right to protection from abuse, neglect, retaliation, humiliation, and exploitation.
d. The rights to have access to, review, and obtain copies of the pertinent information needed to make decisions regarding treatment/services in a timely manner.
e. The rights to informed consent or refusal or expression of choice regarding participation in all aspects of care/services and planning of care/services to the extent permitted by law, including an understanding that refusal of aspects of the program may result in a referral to a program that can accommodate request:
1. Service delivery
2. Release of information
3. Concurrent services
4. Composition of the service team
5. I understand my refusal of aspects of the program at KBR Counseling and Services may result in a referral that can better serve and accommodate your request.
f. The right to access or referral to legal entities for appropriate representation.
g. The right to access self-help and advocacy support services.
h. The right to investigation and resolution of alleged infringements of rights.
i. The right to know her/his diagnosis, if any, and the information used to form any such diagnosis.
j. The right to quality care is provided by qualified clinicians.
k. The right to evidence-based information about alternative treatments/services, medications, and modalities.
l. The right to know the cost of services that will be billed to his/her insurance(s) and/or self (verbally and in writing).
m. The right to know the treatment or education recommended by her/his assessor, including a copy of the E508 that indicates that it was "sent to the state office."
n. The right to a list of authorized NC DWI Services providers in his/her community and a referral to another provider, if requested.
o. The right to 24-hour crisis intervention. The crisis number is 919-410-6348
p. The right to equal access to treatment/services for all persons in need regardless of race, ethnicity, gender, age, sexual orientation, or sources of payment.
q. The right to a grievance procedure includes the following rights:
1. be informed of appeal procedures
2. initiate appeals
3. have access to the grievance procedures posted in a conspicuous place
4. receive a decision in writing
5. appeal to an unbiased source
Grievance Policy: I understand that if I have a complaint/grievance, I should:
Contact Administrative Staff at KBR Counseling and Services when any client has a "Grievance" is defined as; "any circumstance for which there is just cause for protest", such as issues that are interfering in the recovery process or which the client may feel are violations of his/her rights. It is imperative that clients have a means to openly discuss and document their grievances. KBR Counseling wants to be informed of any client grievances and will resolve all issues to the best of its ability. The client's actions will not result in retaliation or barriers to services.
Procedure: The grievance procedure at KBR Counseling and Services, PLLC are as follows:
a. The agency shall provide the client with a written statement on the "grievance procedure," which is included in this document.
b. The client will sign the Client Rights / Grievance Policy form to document receipt and understanding of the rights and responsibilities of all clients.
c. Client Grievance forms are readily available upon request.
d. All grievances shall be made to the Owner. The Owner will document the complaint either by phone or at a scheduled meeting to assure an understanding of the nature of the grievance. If the grievance involves the Owner, clients have access to the individuals listed below.
e. The Owner is required to investigate, review, and make a written determination of his/her findings, including any action(s) taken to address the complaint within forty-eight hours of the completion of the written report. A status report and any policy changes that were implemented as a result of the complaint will be made available to the client at their request. In all cases, every attempt will be made by all parties to resolve grievances informally within thirty (30) working days.
f. The client has a right at any step of the grievance review process to take his/her grievance directly to any of the following agencies:
DWI Services, Justice Systems Innovations
NC Mental Health/Developmental Disabilities/Substance Abuse Services
Donna Brown donna.m.brown@dhhs.nc.gov
3008 Mail Service Center Raleigh, NC 27699-3008
Phone: (919) 733-0566
Fax: (919) 508-0963
North Carolina Substance Abuse Professional Practice Board
http://www.ncsappb.org/
http://www.ncsappb.org/wp-content/uploads/2012/11/complaints.pdf
Katie Gilmore, Associate Executive Director
katie@recanc.com
P.O. Box 10126 Raleigh, NC 27605
Disability Rights NC
http://www.disabilityrightsnc.org/ info@disabilityrightsnc.org
3724 National Drive, Suite 100
Raleigh, NC 27612
(877) 235-4210 or (919) 856-2195