STATEMENT OF PATIENT RIGHTS
Just 1 Life Services LLC supports and protects the fundamental human, civil, constitutional, and statutory rights of each patient it serves. In recognition of this belief, the following patient rights are affirmed. You have the right.
1. To be treated with dignity, respect, and consideration;
2. Not to be discriminated against based on race, national origin, religion, gender, sexual orientation, age, disability, marital status, diagnosis, or source of payment;
3. To receive treatment that; Supports and respects your individuality, choices, strengths, and abilities.b. Supports your personal liberty and only restricts your personal liberty according to a court order; by your consent; or as permitted in A.A.C. R9-20 to comply with treatment needs; and c. c. Is provided in the least restrictive environment that meets your treatment needs;
4. Not to be prevented or impeded from exercising your civil rights unless you have been adjudicated incompetent or a court of competent jurisdiction has found that you are unable to exercise a specific right or category of rights;
5. To submit grievances to agency staff members and complaints to outside entities and other individuals without constraint or retaliation;
6. To seek, speak to, and be assisted by legal counsel of your choice, at your expense;
7. To receive assistance from a family member, designated representative, or other individuals in understanding, protecting, or exercising your rights;
8. If enrolled by ADHS/DBHS, Mercy Maricopa Integrated Care, or Just I Life Services LLC as an individual who is seriously mentally ill, to receive assistance from human rights advocates provided by ADHS/DBHS or the ADHS/DBHS's designee in understanding, protecting, or exercising your rights;
9. To have your information and records kept confidential and released only as permitted under A.A.C R9 20-211 (A) (3) and (B)
10. To privacy in treatment, including the right not to be fingerprinted, photographed, or recorded without consent, except for photographing for identification and administrative purposes; b. For a patient receiving treatment according to A.R.S.§36, Chapter 37;
11. To review, upon written request, your own record during the agency's hours of operation or at a time.
12. To review the following at the agency or at ADHS/DBHS: a. A.A.C. R9-20; b. The report of the most recent inspection of the premises conducted by ADHS/DBHS; c. A plan of correction in effect as required by ADHS/DBHS; d. If the licensee has submitted a report of inspection by a nationally recognized accreditation agency in lieu of having an inspection conducted by ADHS/DBHS, the most recent report of an inspection conducted by the nationally recognized accreditation agency; e. If the licensee has submitted a report of inspection by a nationally recognized accreditation agency in lieu of having an inspection conducted by the ADHS/DBHS, a plan of correction in effect as required by the nationally recognized accreditation agency;
13. To be informed of all fees that you are required to pay and of the agency's refund policies and procedures before receiving behavioral health service except for crisis services.
14. To receive a verbal explanation of the patient's condition and a proposed treatment, including the intended outcome, the nature of the proposed treatment, procedures involved in the proposed treatment, risks or side effects from the proposed treatment, and alternatives to the proposed treatment;
15. To be offered or referred for the treatment specified in your treatment plan;
16. To receive a referral to another agency if the agency is unable to provide a behavioral health service that you request or that is indicated in your treatment plan;
17. To give general consent and, if applicable, informed consent to treatment, refuse treatment or withdraw general or informed consent to treatment, unless the treatment is ordered by a court according to A .R.S. Title 36, Chapter 5, is necessary to save the patient's life or physical health, or is provided according to A.R.S. § 36-512;
18. To be free from; a. Abuse; b. Neglect; c. Exploitation; Coercion; e. Manipulation; f. Retaliation for submitting a complaint to ADHS/DBHS or another entity. Discharge or transfer, or threat of discharge or transfer, for reasons unrelated to your treatment needs. h. Treatment that involves the denial of 1. Food, 2. The opportunity to sleep, or 3. The opportunity to use the toilet: and restraint or seclusion, of any form used as a means of coercion, discipline, convenience, or retaliation.
19. To participate or, if applicable, to have your parent, guardian, custodian or agent participate in treatment decisions and in the development and periodic review and revision of your, written treatment plan;
20. To control your own finances except, when: You are under guardianship or conservatorship or have a representative payee; or b. Otherwise ordered by a court of competent jurisdiction;
21. To participate or refuse to participate in religious activities;
22. To refuse to perform labor for an agency, except for housekeeping activities and activities to maintain health and personal hygiene;
23. To be compensated according to state and federal law for labor that primarily benefits the agency and that is not part of your treatment plan;
24. To participate or refuse to participate in research or experimental treatment;
25. To give informed consent in writing, refuse to give informed consent, or withdraw informed consent to participate in research or in treatment that is not professionally recognized treatment:
26. To refuse to acknowledge gratitude to the agency through, written statements, other media, or speaking engagements al public gatherings;
27. To receive behavioral health services in a smoke-free facility, although smoking may be permitted outside the facility, according to the agency's policies and procedures;
28. If receiving treatment in a residential agency or an inpatient treatment program: If assigned to share a bedroom, and to assigned after considering your: 1. Age 2. Gender 3. Development Level 4. Behavioral health issue 5. Treatment needs. Need for group support, independence, and privacy; To associate with individuals of your choice, receive visitors, and take telephone calls during the hours established by the licensee and conspicuously posted in the facility. unless. The medical director or clinical director determines and documents a specific treatment purpose that justifies waiving this right; and 2. You are informed of the reasons why this right is being waived and our right to submit a grievance regarding this treatment decision. To privacy in correspondence, communication, visitation. financial affairs, and personal hygiene. unless; 1. The medical director or clinical director determines and documents a specific treatment purpose that justifies, waiving this right; and, you are informed of the reason, why this right is being waived and your right to submit a grievance regarding this treatment decision. To send and receive uncensored and unopened mail, unless restricted by Court Order. To maintain, display, and use personal belongings, including clothing unless restricted by court order or to protect the safety of the patient and/or others according to A .R.S.§36-507 (5) and as documented in the patient medical record. To be provided storage space, capable of being locked, on the premises while you receive treatment. To be provided with meals to meet your nutritional needs, with consideration for your preferences. To be assisted in obtaining clean, seasonably appropriate clothing that is good repair and selected and owned by you; To be provided Access to medical services, including family planning to maintain your health safety or welfare. To have opportunities for social contact and daily social, recreational. or rehabilitative activities; To be informed of the requirements necessary for your discharge or transfer to a less restrictive physical environment; To receive, at the time of discharge or transfer, recommendations for any treatment needed.