- To be informed and provided with a copy of my rights.
- To refuse care, treatment, or services in accordance with law and regulation.
- To be informed at the time of admission, in writing, of the criteria for involuntary termination from Mountainside.
- To be provided information in a manner tailored to my language and ability to understand.
- If I am disoriented or lack capacity to understand my rights at the time of admission, I will be informed again when I am able to understand them.
- For my cultural and personal values, beliefs and preferences to be respected by Mountainside.
- To have my right to pastoral and other spiritual services accommodated.
- To privacy:
- To be provided with privacy for dressing.
- To have a sleeping area assigned based on privacy and security needs.
- To access and request amendment to my health information and obtain information on disclosures of this information.
- To be informed of the name of the staff member who has primary responsibility for my care, treatment, or service. If staff is under the supervision of a clinician, that clinician will be identified.
- To be protected from abuse by staff at all times, or from other clients who are on premises including:
- abuse or harassment, financial or other exploitation, retaliation, humiliation, neglect
- To have Mountainside report allegations, observations, and suspected cases of neglect, exploitation, and abuse to appropriate authorities based on evaluation of suspected events and in accordance with law and regulation.
- To be treated in a manner sensitive to my individual needs and which promotes dignity and self-respect.
- To an environment that preserves dignity and contributes to a positive self-image including:
- To keep and use personal clothing and possession, unless this infringes on others’ rights or is therapeutically contraindicated.
- If clothing is provided to me by Mountainside, it will be suitable to the season, age appropriate, and socially appropriate, and sufficient to permit laundering, cleaning and repair.
- To be in an environment that promotes awareness of day, time, and season.
- To have use of personal displays and written rules that govern personal displays.
- To be offered telephone and mail services based on setting and population.
- To be provided the ability to have private telephone conversations with access to telephones in a private space based on the population served.
- For restrictions to visitors, mail, telephone calls, or other forms of communication be determined with the participation of me and my family, if that participation is deemed beneficial.
- If there are restrictions to visitors, mail, telephone calls, or other forms of communication beyond established program rules, the restrictions are evaluated for clinical necessity in a time frame defined in the Wellness Plan, or more frequently.
- To have restrictions to communication reduced or eliminated as soon as they are no longer therapeutically indicated.
- To exercise citizenship privileges including voting.
- To be informed of the complaint resolution process. If I have a surrogate decision maker, they will be informed of and involved in the complaint resolution process.
- To have any of my or my family’s complaints reviewed, and when possible, resolved.
- To be informed of policies and procedures regarding the handling of medical emergencies.
- To be involved in making decisions about my care, treatment, or services.
- If I am unable to make decisions about my care, treatment, or services, or I choose to delegate decision making to another, for Mountainside to involve my surrogate decision maker in making these decisions.
- To involve my family in decisions about care, treatment, or services.
- To request the opinion of a consultant and to have that request accommodated.
- To be accommodated should I request an internal review of my plan of care, treatment, or services.
- To be provided with information about the outcomes of care, treatment, or services that I need in order to participate in current and future behavioral health care decisions.
- To give or withhold consent to produce or use recordings, films, or other images of me for the purposes other than my care.
Grievance and Appeals:
Any client or client’s family dissatisfied with services is expected and encouraged to convey specific concerns to the appropriate staff member. If, after doing so, the issue remains unresolved:
- You have the right to the client advocate of your choice to help you with formally lodging a complaint.
- You have the right to a list of advocacy groups/networks
- You will be offered a Client Grievance Form for completion. Completion of a grievance form will not result in coercion, discrimination, or reprisals, or to interruptions of care, treatment, or services that could adversely affect you.
- You will receive a written acknowledgement of your complaint within seven (7) days of receipt of the completed form.
- The Performance Improvement Committee and/or the Executive Director or designee will thoroughly investigate the complaint
- The Performance Improvement Committee and/or Executive Director of Mountainside will have the final decision-making power regarding a resolution to the grievance. Copies of the final response will be forwarded to you and/or your family.
- If you do not believe the issue has been resolved in a satisfactory manner, you will be given the contact information for the Connecticut Department of Public Health for an external review process.
For more information, please contact Mountainside’s Client Rights Officer:
Marie Lanier, LCSW
PO Box 717, South Canaan Road
Canaan, CT 06018