Groundwork Clinical Counselling Services

Informed Consent Agreement for Gambling Support BC Counselling Services

Please correct the errors described below.

Thank you for getting in contact with us. In order to ensure that we're a good working team, and that your needs will be met, please fill out the form below and we'll respond as soon as we're able to.

We want you to know why we are collecting your personal information. Under section 26(c) and 26(e) of the Freedom on Information and Protection of Privacy Act the collection of your information is authorized so that we can confirm that you are eligible to receive the free services delivered by Gambling Support BC (GSBC, the “Program) and that you are a resident of British Columbia.


If you have questions about the collection of your personal information, please contact:

  • Gambling Support BC
    Gaming Policy and Enforcement Branch
    Phone: 1-778-698-2777
    Email: Gambling.Support@gov.bc.ca

Your Information

What you can expect from GSBC Counselling

The Program offers free outreach support, outpatient counselling, and treatment groups to all residents of British Columbia. As a resident of British Columbia, you are eligible to receive these free services by telephone, online or in person. You have read the Virtual Health consent form and understand the benefits and risks of using telephone or video for counselling.

The Program aims to make sure that you benefit from counselling. Overall, GSBC has very good outcomes and our counselling makes a real difference to our clients. Overall, 77% of our clients achieve reliable, significant improvement in their well-being within an average of 8 sessions. Clients can typically expect significant improvement in their well-being after 3 to 5 visits.

Your feedback at each visit helps your counsellor understand whether counselling is making a difference, and if changes of approach are needed, in order that you can feel better sooner than later.

You can end counselling services at any time, and we cannot guarantee that attending counselling will prevent further relapses or significant gambling losses.

The Program has a zero-tolerance policy regarding threats, aggression, or violence. You, and your counsellor, each have the right to terminate services.

Feedback

Your feedback helps us improve how services are delivered. You can provide feedback to management at
gambling.support@gov.bc.ca If you are not getting what you need, please talk with your counsellor. If you don’t feel comfortable talking to your counsellor, please contact the Clinical Director, Doung Koo at gambling.support@gov.bc.ca.

Cancellations

You agree to give 24 hours’ notice for cancelled or rescheduled appointments. After 2 late cancellations, your counsellor will discuss the appropriateness of continuing counselling.

Confidentiality of Personal Information & Limits to Confidentiality

All treatment and support services are confidential. No information is disclosed outside the Program without your informed consent except in accordance with the Freedom of Information and Protection of Privacy Act. Circumstances in which your information could be disclosed include:

  • When there is a clear and present risk of imminent harm to you or another person;
  • When there is suspicion of neglect or harm to a minor or vulnerable adult;
  • When legally ordered to do so by court subpoena;
  • When case consultations and confidential audits are required within the program.

For Program administration purposes, you will be assigned an anonymous client ID to track your time in the Program. Your counsellor may consult about your progress with the Clinical Director, other Program counsellors, Gambling Support outreach providers, or a Program-approved clinical consultant to help you get results. Your information will only be released, outside of the above noted circumstances, when you have signed a “Release of Information Consent Form” noting to whom particular information may be released.

Gambling Support BC Counselling Program Virtual Health Client Consent

Gambling Support BC (GSBC) is pleased to offer you virtual health services, using technology to promote wellness.

This Virtual Health Client Consent is in addition to the GSBC informed consent form. Please take the time to carefully read the following information and ask any questions you may have about virtual counselling. Your informed consent is needed before participation in virtual health counselling services.

Gambling Support BC and its contractors, collect, use, and disclose personal information under section 26(c), 33.2(c) of the Freedom of Information and Protection of Privacy Act (FOIPPA). For the purposes of scheduling and taking part in virtual health counselling services, you are asked to supply your email address or cell phone number.

What you need to know and do:

  • For video counselling, you need a smart phone, computer or tablet with a camera and microphone, and stable internet access. We recommend devices newer than 2013.
  • We recommend you turn off any cloud-based and voice-recognition services on your computer or electronic device before and during the session. This helps protect privacy and security. We ask that you learn to do this before the start of your first video session.
  • Recording of virtual sessions is not allowed.

Virtual counselling considerations:

Research shows that virtual counselling may be a useful and effective form of treatment. If you or your counsellor feel that this service does not meet or address your needs, we will work to find a better fit for you.

Technology limitations may also affect service (e.g., time delays, equipment failure).

Confidentiality:

Internet-based treatment offers benefits, including being more accessible and convenient, but it also has risks, including the rare possibility that third parties may access your information.

  • Video conferencing platforms: Personal information may be stored outside of Canada.
  • Telephone counselling: The most secure choice is with a corded landline.
  • Email message: Emails are not a secure form of communication.
  • SMS text messages: May not be secure form of communication depending on your cell phone provider.

Safety and Emergency Situations:

Do not use this service if you are in crisis or suicidal.Your doctor, local emergency department, the 24/7 Gambling Support Line 1.888.795.6111, or the BC Crisis Line 1-800-SUICIDE (1-800-784-2433) can help if you are in crisis.

Your counsellor may not check emails or texts daily.

Information will be gathered at each session to support your safety, including a safety contact and your exact location during sessions.

If your counsellor believes you are at risk of harming yourself or others, they will contact you by phone. If your counsellor is unable to contact you directly, and a significant concern exists about your well-being, your counsellor will call your safety contact to check in. If your counsellor thinks that you are at high risk, they may call your safety contact and/or 911 as needed. Text and email should not be used in an emergency. If you have an emergency, call 911.

Quality of Service

The mission of GSBC is to connect the people of BC with counsellors who provide effective support for
gambling concerns. The Director of GSBC counselling services, Doung Koo, welcomes your feedback,
questions, or concerns and can be reached at gambling.support@gov.bc.ca.

Consent to Share Personal Information

Emails and text messages may hold personal and/or sensitive information; therefore, the Freedom of Information and Protection of Privacy Act requires that we obtain your consent before we continue.

Consent to Participate in Virtual Health:

Your information will be encrypted.

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