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                         Behavioral Health Program for Outpatients
                                  
Client Rights/Grievances

Client Rights

All clients shall have the following rights:

1.  To be informed in advance about care and treatment and of any changes in care   and treatment
that may affect the client’s well being;

2.   To self-direct activities and participate in decisions regarding care and treatment;

3.  To confidentiality of all records, communications, and personal information;

4.   To voice complaints and file grievances without discrimination or reprisal and to have those
complaints and grievances addressed;

5.  To examine the results of the most recent survey conducted by representatives of the
Nebraska Department of Health and Human Services or any other compliance organization.

6.  To be free of restraints except as provided in 175 NAC 18-00006 14A – C2.

7.  To be free of seclusions in a locked room, except as provided in 175 NAC 18-006-14; NAC
19-006-14 and except in cases of civil protective custody.;

8.  To be free of physical punishment;

9.  To exercise his or her rights as a client of the Medical Center and as a citizen of the United States;

10. To be free from arbitrary transfer or discharge;

11. To be free from involuntary treatment, unless the client has been involuntarily committed by
appropriate court order and except in cases of civil protective custody;

12. To be free from abuse and neglect and misappropriation of their money and personal property; and

13. To be informed prior to or at a time of admission and during treatment of charges for care, treatment,
or related charges.
 

Abuse and Neglect Reporting Procedures

Pursuant to the laws of the State of Nebraska (Neb. Rev. Stat. Sections 28-732 and 28-711), it is the Coalition’s policy
to report suspected cases of abuse and neglect of behavioral health clients.  When any provider has reasonable cause
to believe that a client or client family member is being subjected to conditions or circumstances which reasonably
would result in abuse or neglect, the incident shall be reported to the appropriate agency.  

Abuse is generally described as:

bullet Physical abuse—an unexplainable, non-accidental injury
bullet Emotional abuse –continual scapegoating or rejection that results in disturbed behavior
bullet Sexual abuse—any sexually oriented act, practice, contact, or interaction in which the person has been used for sexual stimulation

Neglect is generally described as:

bullet Not providing adequate food, shelter or clothing
bullet  Not following medical recommendations
bullet Lack of supervision that places the adult or child at risk

The toll free number is 1-800-652-1999.  Incidents should not be reported by email. 

If a Coalition staff person is suspected of abusing a client, the incident is to be reported to the Executive Director and
the appropriate agency immediately.  Information should be in writing and includes details and observations. 
Employees found to be engaging in such behavior will be terminated immediately and may face prosecution. 

Complaints/Grievances

Any client or prospective client has the right to file a grievance if she or he:

a.      Sought services and were refused for any reason; or

b.      Currently receives services and is dissatisfied with the services; or

c.      Was receiving services that ended, or further help was denied, for reasons with which the client disagrees. 

Before treatment is begun, the provider must inform the client of his/her rights and how to use the grievance process. 
A copy of the Grievance procedure should be available upon request.  The process is as follows:

Informal Discussion (Optional)

The client is encouraged to talk with staff about any concerns. Ideally the conversation should be with the provider.  However, the client may ask to meet informally with the Clinic Manager. 

Grievance Investigation-Formal

The client has 45 calendar days from the time of the incident within which to file a formal grievance.  The
grievance should be filed directly to the following address:

                                    Executive Director

                                    Nebraska Urban Indian Health Coalition, Inc.

                                    2240 Landon Court

                                    Omaha, NE.  68102

                                    402.346.0902 

The Executive Director will respond in writing within 30 calendar days from the date the grievance was filed. 

Appeal Process

If the client does not agree with the decision of the Executive Director, a written appeal may be made to the Chair of
the Personnel Committee at the Landon Court Address in Omaha.  The appeal must be made within 30 calendar days
after the Executive Director’s decision is made.  The decision of the Personnel Chair is final.  However, the client has
the right to file a complaint with the Department of regulation and Licensure at the following address: 

 Credentialing Division
          P.O. Box 94986,  Lincoln, NE.  68509-4986,  402.471.2117

                                   

 

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