WHAT WE EXPECT FROM YOU IN ADDICTION TREATMENT

As a participant in BrightView’s addiction treatment program, I freely and voluntarily agree to accept the terms and conditions of this agreement:

Subject to applicable State and Federal law, BrightView will comply with the following Patient rights established by the Ohio Department of Mental Health and the State of Ohio Department of Alcohol and Drug Addiction Services to the extent applicable to our program:

• The right to be treated with consideration and respect for personal dignity, autonomy, and privacy;
• The right to service in a humane setting, which is the least restrictively feasible as defined in the treatment plan;
  The right to be informed of one’s own condition, of proposed or current services, treatment or therapies, and of the alternatives and of available prevention services;
• The right to consent to or refuse any service, treatment, or therapy upon a full explanation of the expected consequences of such consent or refusal. A parent or legal guardian may consent to or refuse any service, treatment, or therapy on behalf of a minor Patient;
• The right to a current, written, individualized service plan that addresses one’s own mental health, physical health, social and economic needs, and that specifies the provision of appropriate and adequate services, as available, either directly or by referral;
• The right to active and informed participation in the establishment, periodic review, and reassessment of the service plan;
• The right to freedom from unnecessary or excessive medication;
• The right to freedom from unnecessary physical restraint or seclusion;
• The right to participate in any appropriate and available agency service, regardless of refusal of one or more other services, treatments, or therapies, or regardless of relapse from earlier treatment in that or another service, unless there is a valid and specific reason which precludes and/or requires that Patient’s participation in other services. This necessity shall be explained to the Patient and written in the Patient’s current service plan;
• The right to be informed of and refuse any unusual or hazardous treatment procedures;
• The right to be advised of and refuse any observation by techniques such as one-way vision mirrors, tape recorders, televisions, movies or photographs;
• The right to have the opportunity to consult with independent treatment specialists or legal counsel, at one’s own expense;
• The right to confidentiality of communications and of all personally identifying information within the limitations and requirements for disclosure of various funding and/or certifying sources, state or federal statutes, unless release of information is specifically authorized by the Patient or parent or legal guardian of a minor Patient or court-appointed guardian of the person of an adult Patient in accordance with rule 3793:2-1-07 of the Ohio Administrative Code;
• The right to have access to one’s own psychiatric, medical or other treatment records, unless access to particular identified items of information is specifically restricted for that individual Patient for clear treatment reasons in the Patient’s treatment plan. “Clear treatment reasons” shall be understood to mean only severe emotional damage to the Patient such that dangerous or self-injurious behavior is an imminent risk. The person restricting the information shall explain to the Patient and other persons authorized by the Patient the factual information about the individual Patient that necessitates the restriction. The restriction must be renewed at least annually to retain validity. Any person authorized by the Patient has unrestricted access to all information. Patients shall be informed in writing of agency policies and procedures for viewing or obtaining copies of personal records;
• The right to be informed in advance of the reason(s) for discontinuance of service provision, and to be involved in planning for the consequences of that event;
• The right to receive an explanation of the reasons for denial of services;
• The right not to be discriminated against in the provision of service on the basis of religion, race, color, creed, sex, national origin, age, lifestyle, physical or mental handicap, developmental disability, sexual orientation, disability or HIV infection, whether symptomatic or asymptomatic of AIDS
• The right to know the cost of services;
• The right to be fully informed of all consumer rights;
• The right to exercise any and all rights without reprisal in any form including continued and uncompromised access to service;
• The right to file a grievance; and
• The right to have oral and written instructions for filing a grievance.