It is the policy of the Mid-Ohio
Psychological Services, Inc. that each client has the following rights:
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 restrictive
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.
The right to consent to or refuse any service, treatment, or therapy upon
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 client.
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.
8. The right to freedom from unnecessary restraint or seclusion.
9. The right to freedom from abuse, financial or other exploitation, retaliation, humiliation, and neglect.
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 necessity which precludes and/or requires
the client's participation in other services.
This necessity shall be explained to the client and written in the
client's current service plan;
11. The right to be informed of any unusual or hazardous treatment
12. The right to be advised of and refuse observation by techniques such as
one-way vision mirrors, tape recorders, televisions, movies, or photographs.
13. The right to have the opportunity to consult with independent
treatment specialists or legal counsel, at one's own expense.
14. 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
client or parent or legal guardian of a minor client or court appointed guardian
of the person of an adult client in accordance with rule 5122:2-3-11 of the
15. 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 client for clear treatment
reasons in the client's treatment plan. "Clear
Treatment Reasons" shall be understood to mean only severe
emotional damage to the client such that dangerous or self-injurious
behavior is an eminent risk. The
person restricting the information shall explain to the client and other persons
authorized by the client the factual information about the individual client
that necessitates restriction. The
restriction must be renewed at least annually to retain validity.
Any person authorized by the
client has unrestricted access to all information.
Client shall be informed in writing of agency policies and procedures for
viewing or obtaining copies of personal records.
16. 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
17. The right to receive an explanation of the reasons for denial of service.
18. 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, or inability to pay.
19. The right to know the cost of services.
The right to be fully informed of all rights.
21. The right to exercise any and all rights without reprisal in any form
including continued and uncompromised access to service.
22. The right to file a grievance.
23. The right to have oral and written instructions for filing a grievance.
These rights are also listed on the
"Client Rights Statement," and each client shall be informed of these
rights and the grievance procedures. To
obtain this end, the role of the Client Rights Officer has been established.
This person shall be appointed by the Executive Director.
The Client Rights Officer is the Administrative
A copy of the "Client Rights
Statement" shall be distributed to each applicant or client at the intake
or next subsequent appointment. Copies
of the policy will also be provided upon request. Staff members shall insure the client or applicant is at
least verbally advised of the most immediate pertinent rights and a written copy
and full verbal explanation of the client rights and grievance procedures may be
delayed to the next subsequent meeting.
In the event of a crisis or an
emergency situation, the client will be verbally advised of those rights
immediately pertinent, such as the right to consent to or refuse the offered
treatment and the consequences of that agreement or refusal.
Written and full verbal explanation of the client rights policy will be
provided at the next subsequent meeting.
Clients or recipients of Education and
Prevention Services shall receive a copy and explanation of the Client Rights
Policy and a copy upon request.
All staff, including administrative and
support, will receive instruction and training in all specific client rights and
the grievance process at least annually. All
new employees will be given instruction upon employment and annually thereafter.
The Client Rights Officer shall insure agency
compliance with the Ohio Department of Mental Health Client Rights and Grievance
The Client Rights Officer shall inform staff of client rights and
grievance procedures. Other
responsibilities shall include: explaining rights and grievance procedures to
clients who make inquires; establishing hours of availability for helping
clients with grievances filed by clients or on behalf of clients by other
persons or agencies.
Client Rights Statement
posted in a conspicuous location in each building operated by Mid-Ohio
Psychological Services, Inc.
Mid-Ohio Psychological Services, Inc.
offers its services, financial aid, and any other benefits herein provided on a
non-discriminatory basis, as required by the Civil Rights Act of 1964, and is to
be in compliance with ODMH Administrative Rule 5122:2-1-02, Client Rights and
Grievance Procedure. All persons
applying for services have the right to file a complaint with the agency by
writing or contacting the Executive Director of Mid-Ohio Psychological Services,
Inc. and/or the ADAMH Board if any person believes that discrimination on the
grounds of race, color, religion, sex, national origin, handicap, or ancestry is
being practiced. If a person is
denied services or otherwise would like to complain about the services rendered
at Mid-Ohio Psychological Services, Inc., the following agencies may be contact:
1. Fairfield County Mental Health & Recovery Services Board (Fairfield County Residents)
108 W. Main Street, Suite A
Lancaster, Ohio 43130
(740) 654-0829 Fax (740) 654-7621
2. Franklin County ADAMH Board (Franklin County Residents)
447 East Broad Street
Columbus, Ohio 43215
(614) 224-1057 Fax (614) 224-0991
3. Mental Health and Recovery for Licking and Knox Counties (Licking County Residents)
1435-B West Main Street
Newark, Ohio 43055
(740) 522-1234 Fax (740) 522-3502
4. Delaware-Morrow MHRS Board (Delaware County Residents)
40 North Sandusky Street, Suite 301
Delaware, Ohio 43015
(740) 368-1740 Fax (740) 368-1744
5. Paint Valley ADAMH Board (Ross County Residents)
394 Chestnut Street
Chillicothe, Ohio 45601-2305
(740) 773-2283 Fax (740)773-2770
6. Ohio Department of Mental Health
Client Advocacy Coordinator
30 East Board Street, 8th Floor
Columbus, Ohio 43266-0414
(614) 466-2333 Fax (614) 466-1571
7. State of Ohio Psychology Board
77 South High Street, Suite 1830
Columbus, Ohio 43215-6108
(614) 466-8808 Fax (614) 728-7081
(877) 779-7446 Toll Free
(877) 779-7446 Toll Free
8. Ohio Legal Rights Service
50 West Broad Street, Suite 1400
Columbus, Ohio 43215-5923
(800) 282-9181 Toll Free
TTY (614) 728-2553 or (800 858-3542
9. State of Ohio Counselor and Social Worker and Marriage and Family Therapist Board
50 West Broad Street, Suite 1075
Columbus, Ohio 43215-5919
(614) 466-0912 Fax (614) 728-7790
10. Valerie Morgan-Alston, Regional Manager
Office for Civil Rights
U.S. Department of Health & Human Services
233 N. Michigan Ave., Suite 240
Chicago, Illinois 60601
(312) 886-2359 Fax (312) 886-1807
TDD (312) 353-5693
11. State Medical Board of Ohio
30 East Broad Street, 3rd Floor
Columbus, Ohio 43215-6127
(614) 466-3934 Fax (614) 728-5946
(800) 554-7717 Toll Free
12. Attorney Generalís Office
Health Care Fraud Unit
400 E. Town Street, 5th Floor
Columbus, Ohio 43215
(614) 466-0722 Fax (614) 644-9973
13. Nursing Education & Nurse Registration Board
17 South High Street, Suite 400
Columbus, Ohio 43215-7410
(614) 466-3947 Fax (614) 466-0388
14. Client Assistance Program
Govenor's Office of Advocacy for People with Disabilities
35 East Chestnut Street, 5th Floor
Columbus, Ohio 43215-0400
(800) 228-5405 Fax (614) 752-4197
D. The complaint shall be signed by the person making the allegation.
Client Rights Procedure
Client Rights Procedure
In order to implement the policy on
client rights and the role of the Client Rights Officer, the following
procedures will be followed:
A copy of the "Client Rights Statement" detailing the rights
she/he has will be given to each applicant or client at the intake or next
subsequent appointment and will also be explained verbally by the treatment
Clients will be asked to sign the "Client Rights Statement"
documenting that the rights and grievance procedure are understood and accepted.
*If a client is under the age of 18,
both the client and his/her parent, legal guardian, or other authorized person
will be asked to read and sign the same Client Rights Statement acknowledging
understanding of their rights.
*If a client (under 18 years of age) is
under the custody (temporary or permanent) of a child-serving agency, the legal
guardian signature will not be required on the
Client Rights Statement.
Instead, those child-serving agencies staff will be educated regarding
client rights and the grievance procedure.
If a client or applicant does not understand any aspect of the client
rights form or grievance procedure, any staff member has the responsibility of
explaining this to the client. Further
inquiries or explanations may be re-offered by the Client Rights Officer.
Treatment providers at intake or the next subsequent appointment will
verbally review some of the most pertinent rights to insure client
In crisis or emergency situations, the client or applicant will be
verbally advised of the most immediately pertinent rights, such as the right to
consent to or to refuse the offered treatment and the consequences of that
agreement or refusal. A written
copy and verbal explanation of the client rights policy will be delayed to the
next subsequent meeting.
All clients and recipients of education services, prevention services,
consultation services, or training services will be given a copy and explanation
of the client rights policy if they so request, by any staff member.
The Client Rights Policy will be posted in a conspicuous location in each
building operated by Mid-Ohio Psychological Services, Inc.
A copy of the "Client Rights Statement,
Client Rights Policy and/or Client Rights Procedure will be provided to clients
or other interested persons upon request.
All staff members will be familiar with client rights and grievance
The Client Rights Officer is responsible for educating and training staff
regarding client rights and grievance procedures.
This person will also be responsible for educating other community
agencies on client rights and grievances.