Client Rights


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Client Rights

  1. 1. WELCOME! Press the space bar or “enter” key to start Turning Point Services says
  2. 2. TPS Core Competency Training Revised 07/2007
  3. 3. TPS Competency <ul><li>All persons providing services at TPS must demonstrate an understanding of the following key concepts: </li></ul><ul><li>Knowledge of CAP & other services: definitions and documentation </li></ul><ul><li>Understanding of the philosophy of positive interventions </li></ul>
  4. 4. TPS Competency <ul><li>Philosophy and process of person-centered planning </li></ul><ul><li>Basic communication skills: for people with developmental disabilities and with support teams </li></ul><ul><li>Characteristics of mental retardation and other disabilities </li></ul>
  5. 5. TPS Competency <ul><li>Positive training and behavioral support techniques </li></ul><ul><li>Specific knowledge of the service plan: desired outcomes, services, individual needs </li></ul><ul><li>Rights, confidentiality, abuse and neglect </li></ul><ul><li>Prevention of crises; early crisis intervention </li></ul>
  6. 6. TPS Competency <ul><li>Incident/accident reporting </li></ul><ul><li>Decision-making, methods to inspire informed decisions and consents </li></ul><ul><li>Restrictive Interventions </li></ul><ul><li>Avoiding the use of restrictive interventions </li></ul><ul><li>Contract Services </li></ul>
  7. 7. TPS Competency <ul><li>This package is designed to guide you through most of the required competency areas. Read through each section, discuss any questions with your Qualified Professional (QP), then complete the short quiz. When you have completed all sections, sit down with your QP to finish the training and complete the competency checklists. </li></ul>
  8. 8. Client Rights TPS Core Competency Training
  9. 9. Key Concepts <ul><li>Rights </li></ul><ul><li>Abuse, Neglect, Exploitation </li></ul><ul><li>Privacy </li></ul><ul><li>Decision-making, Choices </li></ul><ul><li>Guardians </li></ul><ul><li>Confidentiality </li></ul>
  10. 10. Constitutional Rights for All <ul><li>Freedom of speech </li></ul><ul><li>Right to due process </li></ul><ul><li>Freedom of religion </li></ul><ul><li>Freedom of association </li></ul><ul><li>Freedom of assembly </li></ul><ul><li>Equal protection of the law </li></ul><ul><li>Right to privacy </li></ul>
  11. 11. Other Rights for People in Residences <ul><li>Wear own clothes </li></ul><ul><li>Keep and use personal possessions </li></ul><ul><li>Keep and spend own money </li></ul><ul><li>Access to storage space </li></ul><ul><li>See visitors everyday </li></ul><ul><li>Reasonable access to telephone </li></ul><ul><li>Freedom from searches if no due cause </li></ul>
  12. 12. Decisions and Choices <ul><li>Everyone, including people with guardians, has the right to make decisions concerning: </li></ul><ul><li>Daily routine </li></ul><ul><li>Clothes, food, & recreation </li></ul><ul><li>Friends and relationships, even marriage </li></ul><ul><li>Personal money </li></ul><ul><li>Work </li></ul>
  13. 13. Decisions and Choices <ul><li>Some adults may not be competent to make all life decisions, and a judge may name a guardian for that person . </li></ul><ul><li>Even so, our job is to help people make decisions and choices to the best of each person’s ability. </li></ul>
  14. 14. Decisions and Choices <ul><li>Some adults may have a guardian named by the courts to help make major decisions regarding residence, work, health care, and money. </li></ul><ul><li>There are only three types of guardians in North Carolina. </li></ul><ul><li>Three guardian types: </li></ul><ul><li>General , for both financial and life decisions </li></ul><ul><li>Guardian of the Person , for life decisions </li></ul><ul><li>Guardian of the Estate , financial </li></ul>
  15. 15. Decisions and Choices <ul><li>A “legally responsible person” makes decisions for minors if he/she is: </li></ul><ul><li>A parent </li></ul><ul><li>Guardian ad litem </li></ul><ul><li>Parent by adoption </li></ul><ul><li>Or otherwise appointed by the court </li></ul>
  16. 16. Rights: Privacy Means <ul><li>Personal hygiene </li></ul><ul><li>Personal space </li></ul><ul><li>Personal conversations </li></ul><ul><li>Personal possessions </li></ul>
  17. 17. Rights: Privacy Means <ul><li>Time to be alone </li></ul><ul><li>Personal information </li></ul><ul><li>Sexual expression </li></ul><ul><li>Friends and family </li></ul>
  18. 18. Confidential Means to NOT <ul><li>Talk about consumers with your friends </li></ul><ul><li>Let other people read files/notes </li></ul><ul><li>Give information without signed consent </li></ul><ul><li>Discuss situations at work with others </li></ul>
  19. 19. Informed Consent <ul><li>Information about someone we work with cannot be shared without written consent. Consent has 4 parts: </li></ul><ul><li>What information will be shared </li></ul><ul><li>Who will receive the information </li></ul><ul><li>The reason for sharing the information </li></ul><ul><li>How long the consent lasts </li></ul>
  20. 20. Informed Consent <ul><li>Using the 4 parts of informed consent, a written consent example might contain: </li></ul><ul><li>Current medications Bob takes will be shared with… </li></ul><ul><li>Dr. D Smith, MD… </li></ul><ul><li>To help with Bob’s next examination. </li></ul><ul><li>This consent is valid for 6 months. </li></ul>
  21. 21. Informed Consent <ul><li>Penalties for releasing confidential information without proper consent: </li></ul><ul><li>Fines up to $500.00 </li></ul><ul><li>Disciplinary action or dismissal from job </li></ul><ul><li>Misdemeanor conviction </li></ul><ul><li>You will learn more about privacy protections from the HIPAA training in your Employee Handbook. </li></ul>
  22. 22. Abuse, Neglect, Exploitation <ul><li>Abuse is: </li></ul><ul><li>Deliberate infliction of mental or physical pain </li></ul><ul><li>Unreasonable confinement </li></ul><ul><li>Not providing services important to health and safety </li></ul>
  23. 23. Abuse, Neglect, Exploitation <ul><li>Neglect is failing to provide care or services necessary to maintain: </li></ul><ul><li>Mental health </li></ul><ul><li>Physical health </li></ul><ul><li>General well-being </li></ul>
  24. 24. Abuse, Neglect, Exploitation <ul><li>For professionals like us, poor quality care and service can be considered neglectful, even abusive. </li></ul>
  25. 25. Abuse, Neglect, Exploitation <ul><li>Exploitation is illegal and unauthorized use of a consumer or a consumer’s resources for another person’s: </li></ul><ul><li>Profit </li></ul><ul><li>Advantage </li></ul><ul><li>Business </li></ul>
  26. 26. Abuse, Neglect, Exploitation <ul><li>Child abuse is the abuse of a person under 18 years of age which may include: </li></ul><ul><li>Physical, sexual, or emotional abuse </li></ul><ul><li>Neglect </li></ul><ul><li>Exploitation </li></ul><ul><li>Abandonment </li></ul>
  27. 27. Abuse, Neglect, Exploitation <ul><li>Elder or dependent adult abuse is the abuse neglect, or exploitation of elderly persons or other adults who have disabling conditions that create some dependency on others </li></ul><ul><li>Adult abuse includes: </li></ul><ul><li>Physical abuse </li></ul><ul><li>Psychological abuse </li></ul><ul><li>Financial exploitation </li></ul>
  28. 28. Abuse, Neglect, Exploitation <ul><li>If you suspect or have any questions about possible abuse, neglect, or exploitation of consumers, you MUST report this immediately. </li></ul><ul><li>Make your report to: </li></ul><ul><li>Your assigned QP, or </li></ul><ul><li>Any other available QP in the local office, or </li></ul><ul><li>the Clinical Director at (828-433-4719) </li></ul>
  29. 29. Abuse, Neglect, Exploitation <ul><li>Ultimately, anyone who has knowledge of abuse, neglect or exploitation must report this to the local Department of Social Services. Get help from your local QPs, or from the CQI or Clinical Directors. </li></ul>
  30. 30. Abuse, Neglect, Exploitation <ul><li>Failure to report possible instances of abuse, neglect, or exploitation is a punishable offense and may result in: </li></ul><ul><li>Loss of job </li></ul><ul><li>Conviction of a misdemeanor </li></ul><ul><li>Fine </li></ul>
  31. 31. Abuse, Neglect, Exploitation <ul><li>Any Turning Point employee who abuses, neglects, or exploits a consumer will: </li></ul><ul><li>Lose his/her job </li></ul><ul><li>Appear on a state-wide registry of violators </li></ul><ul><li>And may be prosecuted, fined, and/or jailed </li></ul>
  32. 32. Abuse , Neglect, and Exploitation <ul><li>Every employee has the responsibility to interrupt and report the behavior of a colleague that is neglectful, disrespectful, or abusive. </li></ul><ul><li>Such behavior can lead to great distress in person with limited coping skills. </li></ul><ul><li>Intervene quickly to stop the exchange between the colleague and consumer. </li></ul><ul><li>Consult with colleague and a supervisor the same day. </li></ul>
  33. 33. Please move on to Interaction & Communication End Show