This notice describes how personal/private information (PPI) about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Your Rights
When it comes to your personal information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your Case Management file
• You can ask to see or get a copy of your Case Management file and other personal information we have about you.
• We will provide a copy or a summary of your personal information, usually within 30 days of your written request.
Ask us to correct your Case Management file
•You can ask us to correct personal information about you that you think is incorrect or incomplete.
Request confidential communications
• You can ask us to contact you in a specific way (for example, home or office phone). We will say “yes” to all reasonable requests.
Ask us to limit what we use or share
• All information will remain confidential except in the following circumstances: danger of one acting on suicidal or homicidal thoughts, suspected child or vulnerable adult abuse or neglect, or court subpoena.
•You can ask us not to use or share certain personal information for our referral services or our operations.
•JJAB is required to share specific information with organizations, grantors, and contractors that provide funding for our programs. You will be provided the choice as to data that is shared and to which agency it is provided.
Choose someone to act for you
•If you have given someone power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your service referral.
•We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you feel your rights are violated
•If you feel your rights have been violated, you can make a complaint by contacting us directly.
•You may file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/.
•We will not retaliate against you for filing a complaint.
Your Choices
You have a right and a choice regarding the sharing of any of your information. For certain information, you can tell us your choices about what we may share. If you have a clear preference for how we share your information in the situations described below, talk to us.
Sharing Information
•For JJAB to share any information with any person or organization, except in the circumstances defined above, you must sign a Consent of Service and/or a Release of Information.
•A Release of Information is a document signed by you, where you explicitly state with whom we can share case related information about you. This may allow us to share case information with your family, close friends, your school, or others involved in your care.
Our Uses and Disclosures
How do we typically use or share your personal information?
Referral Services
We can use your personal information and share it with other professionals for referral purposes. Example: A Resource Specialist may refer you to a medical provider if you identify a need for services.
Run our organization
We can use and share your personal information to improve your care and contact you when necessary.
•The organization is the owner of all official JJAB documents which are kept confidential as directed by privacy rules.
Obtain funding for the programs used to aid and support you
With your permission, JJAB may share your information with Los Alamos County and the administrative grant unit of the New Mexico Children, Youth, and Families Department (CYFD) to provide funding to our programs.
•This information can include full name, full address, date of birth, gender, ethnicity, race, and tribal affiliation.
JJAB shares de-identified information with other organizations/grantors that provide funding for our programs.
•This can include aggregate information by age, gender, ethnicity, race, tribal affiliation and/or zip code/city of residence.
Safety issues
We can share personal information about you under certain situations such as:
•Reporting suspected abuse or neglect.
•Preventing or reducing a serious threat to health or safety.
Do research or for program development
We can use or share de-identified information for program development.
Example: The JJAB coordinator may report compiled data such as - 24 Youth expressed a need for walk-in mental health services.
Comply with the law
We will share information about you if state or federal laws requires this. It may include, but not be limited to:
•Sharing information with the Department of Health and Human Services in order for the agency to verify that we are compliant with federal privacy law.
•For law enforcement purposes or with a law enforcement official.
•With oversight agencies for activities authorized by law.
Respond to lawsuits and legal actions
We can share information about you in response to a court or administrative order, or in response to a subpoena.
Our Responsibilities
• We are required by law to maintain the privacy and security of your protected personal information.
•We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
•We must follow the duties and privacy practices described in this notice and give you a copy of the Privacy Policy. We will not use or share your information other than as described here unless we inform you in writing. If you give us permission to share your information, this permission may be revoked at any time. This revocation must be put in writing and provided to JJAB.