SUMMARY OF INDIVIDUAL RIGHTS
Your rights while receiving services at Maine Center are protected by Illinois and Federal laws including the Mental Health and Developmental Disabilities Code and the MHDD Confidentiality Act, the Federal Health Insurance Portability and Accountability Act (HIPAA) and various other Federal laws and regulations. You may request a complete copy of your rights statement from your therapist or counselor. In order to be in compliance with the above rules and regulations, Maine Center is providing you with this summary of your individual rights.
1. You will not be discriminated against of any rights, benefits, and privileges guaranteed by the Illinois and Federal Constitutions solely because you use Maine Center services. Services will not be denied, reduced, suspended, or terminated if you exercise any of these rights. If you have a guardian, Maine Center will cooperate with your guardian.
2. You will not be denied services because of age, gender or sexual orientation, race, religious belief, ethnic origin, marital status, disability, or a criminal record that is unrelated to your current service needs.
3. You have a right to be treated in an ethical and professional manner (please review our Code of Ethics). You have the right to treatment in the least restrictive manner. You have the right to have an interpreter present when you receive services at Maine Center if English is not your primary language, or if you are hearing impaired. For TTY access Maine Center utilizes the Illinois Relay Service @ 711. You have the right to be free from abuse, neglect and exploitation. You have the right to be free from the use of restraint and seclusion; Maine Center does not use them.
4. You have the right to an individual and ongoing service plan which will be developed within 30 days of starting services at Maine Center. A qualified behavioral health professional shall be responsible for overseeing the implementation of your service plan.
5. You have the right to refuse treatment. You have the right to be informed verbally and in writing of the possible side effects of your medication. You are expected to take medications as they are prescribed by your doctor. However, if you don=t, the appropriateness of our services may need to be reevaluated.
6. You have the right to have and use personal property. Maine Center sites are smoke-free. Alcohol, illicit drugs, and weapons are prohibited on agency premises. Any criminal activity on Maine Center property or in its programs will be reported to the local police.
7. You have a right to privacy. No information about you will be disclosed to others without your informed verbal and written consent. These rights are covered in our Privacy Practices Statement.
8. You have the right to purchase and use the services of your choice. While you are served at Maine Center you are free to use spiritual means, private physicians, other professionals, and other programs and services of your choosing at Maine Center or elsewhere.
9. You have the right to access a subsidized service fee based upon your income and health coverage plan. Documentation of your financial need and health benefits must be presented and verified. Fees must be paid at the time of service. You will be charged a fee for cancelations with less than 24 hours notice or if you do not keep a scheduled appointment.
10. You or your guardian have the right to access Maine Center's grievance procedure. You may present your grievance to your clinician and, if necessary, appeal the decision up to the CEO. The CEO's decision on the grievance shall constitute a final administrative decision and shall be only subject to review in accordance with administrative review law. You also have the right to contact the agencies listed below to report abuse and neglect or file a grievance or complaint:
Illinois Guardianship and Advocacy Commission - 9511 Harrison Ave., FA101, Des Plaines, IL 60016, (847) 294-4264
Equip for Equality - 11 E. Adams, Suite 1200, Chicago, IL 60603, (312) 341-0022, (800) 537-2632
DHS - Office of Inspector General (OIG) - Madden MHC, 1200 S. 1st Avenue, Pavilion 12, Hines, IL 60141, (708) 338-7415
DHS - Office of Alcoholism & Substance Abuse -1-312-814-3840
Maine Center's Client Care Committee - 819 Busse Highway, Park Ridge, IL 60068, (847) 696-1570 x 307
DHS - OIG Hotline - 1-800-368-1463
Elder Abuse Hotline - 1-800-252-8966 Mon. through Fri. 8:30 a.m. to 5:00 p.m.; After hours, weekends and holidays: 1-800-279-0400
Department of Children and Family Services (DCFS) Hotline - 1-800-252-2873