Statement of Client Rights

 

Centennial Counseling Center ("Centennial") is committed to providing you with competent and humane care in a manner that protects your dignity and promotes your self-worth.  To this end, the following Statement of Client Rights has been formulated:

 

1.  You and/or your family members have the right to receive services that are respectful, considerate and free of abuse, exploitation, and neglect.

 

2.  You have the right to know the qualifications of the staff that provides services to you.  Qualifications for each clinician are available for your inspection on the Centennial website.  

 

3.  You have the right to be treated in a professional, competent and ethical manner consistent with all applicable states laws and the following professional ethical standards:

a.  For clinical social workers, the National Association of Social Workers

b.  For clinical counselors, the American Mental Health Counselor Association

c.  For marriage and family therapists, the American Association for Marriage and Family Therapy

d.  For psychologists, the American Psychological Association

 

4.  You have the right to have the information you disclose to your mental health provider kept confidential with the state and federal laws of HIPPA (Health Information Portability and Accountability Act) and the Illinois Mental Health Code and Developmental Disabilities Confidentiality Act unless the law requires disclosure.  Examples of such exceptions include but are not limited to:  abuse of a child, abuse of an older adult, court orders, significant threat to self or others, and third party financial coverage.  

 

5.  You have the right to participate meaningfully in the planning, implementation, and termination or referral of your treatment.  

 

6.  You have the right to to review and, if you wish, receive a copy of those materials in your case record that pertain to the services you have received at Centennial Counseling Center within 30 days upon written request (except as otherwise provided by law.)  Centennial may assess a reasonable fee for copying services. 

 

7.  You have the right to documented informed consent:  to be informed of the risks and benefits of treatment, the risks and benefits of alternative treatments, and the risks and benefits of refusing treatment.  In addition, you have the right to be informed of your mental health provider's practice policies regarding office hours, fees, missed appointments, billing procedures, and other relevant matters except otherwise provided by law.  This information is available for your inspection at any time on the Centennial website. 

 

8.  You have the right to present grievances or to appeal adverse decisions related to your services.  You have the right to make such grievances or appeals up to the highest levels possible in the agency and may exercise this right through the procedure outlined below.  Your filing and pursuit of a grievance will not, by itself, preclude or limit your access to the services of this agency.  

 

Centennial Counseling Center provides internal procedures to address client complaints.  We encourage you to express any concern about the services you receive to your service provider as soon as they arise.  Your provider will issue a response within a reasonable period of time.  If your grievance could not be addressed by your provider, you may contact your provider's supervisor.  If the matter cannot be addressed by a supervisor, you may present your grievance to the then acting chief operating officer of Centennial.  

 

Access to Advocacy and Rights Organizations in order to safeguard your rights as a recipient of mental health services may be obtained by contacting any or all of the following agencies:

 

Equip for Equality, Inc.                                                        Guardianship and Advocacy Commission

11 East Adams Street, Suite 1200                                        160 North LaSalle Street

Chicago, Illinois 60604                                                        Chicago, Illinois 60601

312-341-0022                                                                    312-793-5900

 

Illinois Department of Children and Family Services                U.S. Department of Health and Human Services

100 West Randolph Street, 6th Floor                                     200 Independence Avenue, S.W.

Chicago, Illinois 60601                                                        Washington, D.C. 20201

312-814-4650                                                                    202-619-0257

                                                                                        Toll free: 877-696-6775

 

Illinois Department of Human Services/Office of Mental Health 

160 North LaSalle Street, 10th Floor

Chicago, Illinois 60601

312-814-4964