OBOT Service Recipient Rights, Confidentiality Responsibility

To be fully informed/presented before the initiation of service about your rights and responsibilities in a manner/format that promotes understanding – including any limitation imposed by the rules of the licensee
To be treated with consideration, respect and full recognition of their dignity and individuality, and have courteous compassionate care
To be protected by the licensee from neglect, physical, verbal and emotional abuse (including corporal punishment), and from of misappropriation and/or exploitation
To have reasonable personal privacy when you receive care
To receive a list of available advocacy services upon admission
To have your records kept confidential and private – to ask the facility to correct information in the records
To be informed about your care and involved in your care planning in a language of your understanding
To submit complaints without fear of retaliation and have them addressed timely
To refuse services and be informed of the impact toward your care
To be informed of any changes in your care, including the type, amount, and frequency
To participate fully, or to refuse to participate, in community activities
Not to be required to make public statements with acknowledge gratitude to the agency
Not required to perform in public gatherings
Identifiable photographs will not be used without written and signed consent by the patient or guardian
To voice grievances to the licensee and to outside representatives of their choice with freedom from restraint, interference, coercion, discrimination or reprisal
Clients have the right to participate in the development of the client’s individual program or treatment plans and to receive sufficient information about proposed and alternative interventions and program goals to enable them to participate effectively.
To be assisted the exercise of their civil rights
To have all application, certificates, records, reports, and all legal documents, petitions, and records made or information received pursuant to treatment in a Facility directly, or indirectly identifying a patient to be kept confidential in accordance with T.C.A. 33-3-103; Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulation at 45 Code of Regulations (CFR) Parts 160 and 164, Subparts A and E; and Confidentiality of Alcohol and Drug Abuse Patient Records regulation at 42 CFR Part 2

Responsibilities – The Patient Agrees…

To keep and be on time for scheduled appts. or make reasonable notifications; not arrive intoxicated
That the medication is my responsibility and to keep it in a safe place; not to sell or share my medication; and to take my medication 21`as instructed
To notify staff of any additions/changes in meds from other providers or any conditions which affects my care
That medication alone is not sufficient treatment; the patient agrees to participate in Relapse Prevention, Group and Individual Counseling Sessions

Grievance Procedures

You have the rights to voice grievances to the staff of the agency, to the owner of the agency, and to outside representatives of our choice with freedom from restraint, interference, coercion, discrimination or reprisal.

Any question or specific concerns regarding patient’s rights or to report a complaint may be directed to any of the following:

Facility’s Contact Person: Sam Chan Phone: 615-375-1188

TN Dept. of Mental Health & Substance Abuse Services Phone: 1-866-777-1250

Disability Law and Advocacy Center of TN Phone: 1-800-342-1660

TN Department of Human Services – Adult Protection Services Phone: 1-888-277-8366