TERMS OF SERVICE
STANDARDS OF PROFESSIONAL CONDUCT RELATED TO SERVICES
Policy: It is the policy of CSEUC that all full-time and part-time employees, contractors, students, volunteers (collectively referred to as “staff”), will be expected to perform their designated functions in a manner that reflects the highest standards of ethical behavior. The ethical standards contained in this policy shape the culture and values of CSEUC’s administrative, operations, and clinical practices. All employees will be held fully accountable to these standards. In addition to the specific guidelines contained in the policy, professionals are expected to follow the ethical standards required by their specific licensing and certification boards. The Code of Conduct Policy is in place to ensure that all employees’ actions reflect a competent, respectful, and professional approach when delivering services to individuals, their families and/or representatives, working with other service providers, and interacting within the communities we serve. It is expected that employees will perform their assigned duties in compliance with all federal, state, and local regulations in accordance with guidelines set forth in this policy. Violation of guidelines within the Code of Conduct Policy will lead to disciplinary actions, up to and including termination of employment.
REQUIREMENT FOR REPORTING AND/OR FOLLOW-UP FOR THE MANDATED PERSON SERVED, REGARDLESS OF HIS OR HER DISCHARGE OUTCOME
Please refer to Discharge Policy.
ANY AND ALL FINANCIAL OBLIGATIONS, FEES, AND FINANCIAL ARRANGEMENTS FOR SERVICES PROVIDED BY COASTAL SOUTHEASTERN UNITED CARE
When a recipient has been determined to be eligible for services in the program, a financial assessment is made on recipient’s ability to pay. Coastal Southeastern United Care does not deny services due to the inability to pay.
THE USE OF SECLUSION OR RESTRAINT
Policy: Coastal Southeastern United Care does not utilize seclusions, restraints, emergency interventions or therapeutic holds. Coastal Southeastern United Care’s staff will be trained by a North Carolina Intervention certified trainer in Prevention Techniques, which would assist in decreasing aggressive behavior. If behavior escalates beyond staff’s members control local law enforcement will be contacted. Staff is to examine contributing environmental factors that may promote maladaptive behaviors and take actions to minimize these factors.
USE OF TOBACCO PRODUCTS
Policy: In keeping with Coastal Southeastern United Care intent to provide a safe and healthful work environment, smoking or tobacco use in the workplace is prohibited except in those locations that have been specifically designated as smoking/tobacco areas. In situations where the preferences of tobacco users and non-tobacco user are in direct conflict, the preferences of non-tobacco users will prevail. This policy applies equally to all employees, customers, and visitors.
ILLEGAL/ LEGAL SUBSTANCE , PRESCRIPTION MEDICATIONS, OR WEAPONS BROUGHT INTO THE PROGRAM
Policy: Coastal Southeastern United Care will assure the safety and well-being of people and staff personnel in regards to dangerous weapons, legal, illegal, and prescription drugs. Coastal Southeastern United Care has the right and responsibility to remove and confiscate any items deemed to be dangerous or illegal.
RESTRICTION OF SERVICES
Coastal Southeastern United Care reserves the right to restrict services in the event that the person served demonstrates behaviors or attitudes that are detrimental to the therapeutic process for themselves or others seeking services. Aggressive or extreme defiance, refusal to participate in treatment, denial of access to the person served, or hostile or threatening gestures to Coastal Southeastern United Care personnel or people will result in the removal of the person served from some or all of the therapeutic services available. Coastal Southeastern United Care will attempt to continue delivering services to the person served in an environment that is more restrictive. When the clinical supervisor determines that the behaviors or attitudes that cause restrictions have been resolved, the person served will be allowed to return to the previous level of services. If the behaviors or attitudes continue or worsen, the clinical supervisor will determine if the person served is in need of discharge or transition.
FIRE AND SAFETY NOTIFICATION
All recipients accepted into the program are oriented to all emergency exits, fire suppressant equipment locations, and how to access first aid supplies prior to beginning services.
EDUCATION REGARDING ADVANCE DIRECTIVES
All recipients accepted into the program will be provided education regarding advance directives.
PURPOSE AND PROCESS OF THE ASSESSMENT
The purpose of the assessment is to gather all need clinical data through interviews with the person, family members, essential others, and other stakeholders. The clinical supervisor will design a treatment plan that will address the identified clinical issues and develop therapeutic strategies to resolve each issue. This assessment is the original information that guides treatment. There is a consent effort to assess the needs and desires of the person throughout the individual’s time in treatment.
DEVELOPMENT OF INDIVIDUAL PLANS OF CARE
Coastal Southeastern United Care develops an individualized plan of care for each person served. Clinical staff uses the historical data collected at the time of evaluation and current information gathered during assessment to identify therapeutic issues and develop strategies to address these needs. The person served has input into this process from the beginning of treatment. The person served has the right to change or refuse any of the goals that are developed over the course of treatment.
Patients seeking readmission will follow the same protocol as new admission. Coastal Southeastern United Care does not maintain a waiting list. Individuals served are admitted to the program as availability warrants. The state entity or funding sources makes the determination as to which individuals served will be admitted at which time. Potential individuals served have the opportunity to learn about the agencies services prior to admission if desired.
Coastal Southeastern United Care at this time does not provide any services that it has been clinically proven that motivational incentives are effective in the treatment modality.
PERSON RESPONSBILE FOR SERVICE COORDINATION
The service coordinator for each recipient will be the Clinical Supervisor assigned to each case. The individual will be the person that is responsible for identifying clinical issues and designing a treatment plan that will meet the clinical needs of each recipient individually. All questions that arise regarding goals and objectives should be brought to the attention of the assigned Clinical Supervisor.
After evaluation is completed, if it is determined that further treatment/ habilitation is appropriate, I, herby consent treatment/habilitation as deemed necessary. I understand that goals of treatment will be discussed with me and I may refuse/withdraw from services at any time. I have been informed of the alleged benefits, potential risks, and possible alternative methods of treatment/ habilitation; and the length of time for which the consent is valid and the procedures that are to be followed if the choice is made to withdraw this consent.
NOTICE TO CLIENT REGARDING CONFIDENTIALITY
Coastal Southeastern United Care will maintain sufficient records to justify thorough and appropriate treatment. The information you give us is confidential and releases or disclosure of any identifiable information to any individual or agency is prohibited except under the following ethical and legal conditions:
Consumer/legal representative has signed a valid authorization for release of information to a third party. Consumer is seeking treatment at another facility within the NC Division of Mental Health and it has been determined to be in the consumer’s best interest to disclose information to the facility where consumer is requesting services. Information may be shared with service provider or agency that contracts with Coastal Southeastern United Care expect Substance Abuse Treatment. In the interest in public safety. In response to a court order and/or subpoena. In response to a medical emergency, disclosure may be made to medical personnel.
State and federal laws require reporting of child abuse, disabled adult abuse, and any threat to commit such a crime. Crimes committed at the program, Crimes against any employee of the program, and any threat to commit such a crime. In the investigation of life-threatening threats to an elected official. Disclosure may be made to qualified personnel for research, audit, or program evaluation.
TRANSPORTATION RELEASE AND INDEMNITY AGREEMENT
Coastal Southeastern United Care has contracted to provide services to client and, whereas, as a convenience to Client. Client has requested that CSEUC permit employees of CSEUC who are providing services to Client to provide transportation services to Client on an occasional basis, and CSEUC has agreed to do so provided Client assumes all responsibility for any property damage or personal injury suffered by any person in connection with the provision of the Transportation Services to Client.
1. CSEUC will permit only active employees to provide transportation to clients.
2. Either CSEUC or Client may terminate the provision of the Transportation Services to Client at any time upon written notice to the other.
3. In consideration of the Transportation Services being provided to Client releases CSEUC, its shareholders, directors officers, agents, and employees, and their respective successors, heirs, and assigns from all liability to Client for any and all loss, cost, claim suit, damage, expense, attorneys’ fees, or court costs arising from the provision to Client of the Transportation Services on account of damage to Clients property or injury to Client, even for or of any other person or entity. Further, Client agrees to indemnify the Releasers and to hold them harmless or alleged to arise from the provision to Client of the Transportation Services, whether caused by the negligent act, omission, or commission of Client of CSEUC of an Employee of CSEUC, or of any other person or entity.