BERGMANN CENTER, INC.

CLIENT HANDBOOK

P.O. BOX 236 / 08855 MARTIN ROAD

CHARLEVOIX, MICHIGAN 49720

PHONE: (231) 547-2979 FAX: (231) 547-1321

VIDEO PHONE (231)-237-4477 ORTOLL FREE 877-526-4445)

WEBSITE:

HOURS:

STAFF HOURS 8:15 AM – 4:15PM

CLIENT HOURS 8:30-3:30

MONDAY - FRIDAY

“A COMMUNITY LIFE SKILLS BUILDING CENTER”

BERGMANN CENTER RESALE SHOP

HOURS: 9:00 AM- 4:00 PM

TUESDAY-SATURDAY

OPEN MONDAYS June, July, August

231-547-9624

BERGMANN CENTER IS BARRIER FREE AND COMPLIES WITH

THE AMERICAN WITH DISABILITY ACT.

The Bergmann Center Board of Directors reserves the right to make modifications at any time and has approved all contents contained in this handbook.

WELCOME TO BERGMANN CENTER

WE ARE LOOKING FORWARD TO WORKING WITH YOU AND HOPE THIS WILL BE A WONDERFUL EXPERIENCE FOR YOU AND YOUR FAMILY AND SUPPORT PERSONS. WE HOPE THAT OUR TIME TOGETHER WILL BE BOTH REWARDING AND FULFILLING.

THESTAFF ARE HERE TO PROVIDE YOU WITH QUALITY SERVICES OF YOUR CHOICE.WE HOPE YOU WILL ENJOY PARTICIPATING IN A VARIETY OF COMMUNITY, PROGRAM AND EMPLOYMENT OPPORTUNITIES.

ALL STAFF HAVE RECEIVED TRAINING IN FIRST AID/CPR, MEDICATION ADMINISTRATION, GENTLE TEACHING, RECIPIENT RIGHTS, ENVIRONMENTAL EMERGENCIES AND ALL OTHER TRAINING THAT IS REQUIRED BY C.M.H. SEVERAL STAFF ARE FAMILIAR WITH AMERICAN SIGN LANGUAGE.

WE ENCOURAGE YOU TO SHARE YOUR IDEAS, ASK QUESTIONS, AND VOICE CONCERNS YOU MAY HAVE AT ANY TIME.

PLEASE TAKE TIME TO BECOME FAMILIAR WITH THE INFORMATION ENCLOSED IN THIS HANDBOOK AND BE SURE TO RETURN THE ENCLOSED HANDBOOK ACKNOWLEDGEMENT SHEET AS SOON AS POSSIBLE.

IF YOU NEED ASSISTANCE WITH READING OR UNDERSTANDING ANY OF THE INFORMATION IN THIS HANDBOOK, OR HAVE ANY QUESTIONS PLEASE LET ONE OF THE STAFF KNOW. WE WOULD BE HAPPY TO READ THE HANDBOOK OR PROVIDE A QUALIFIED INTERPRETER FORYOU.

SINCERELY,

BERGMANN CENTER STAFF MEMBERS

(231)-547-2979

EXECUTIVE DIRECTOR - SUZANNE A. MUMA - EXT #18

PROGRAM COORDINATOR-DEBI HOEKSEMA - EXT #19

FINANCIAL OFFICER-AIMEE VANDERARK-EXT #10

RECORDS MANAGER- SALLY RUEHLE 547-2979 EXT. #12

FUNDRAISING/VOLUNTEER/MARKETING COORDINATOR-EXT #11

RESALE SHOP COORDINATOR – KIM BROCK (231) 547-9624

RESALE SHOP ASSISTANT COORDINATOR-DIANE HESS (231)547-9624

RESALE SHOP SALES ASSOCIATE- EMILY HAVENS (231)547-9624

COMMUNITY LIVING SUPPORT COORDINATOR- TRACY EDGER (231)459-8963

COMMUNITY CONNECTIONS COORDINATOR/JOB COACH - KRIS MIHELICHEXT #16

EMPLOYMENT/SAFETY COORDINATOR-CHUCK BILLINGSEXT #15

COMMUNITY CONNECTIONS SUPPORT STAFF- SHELBY THRUSH- EXT#14, ANN PARKS, KRISTY WEBB, LILLY

DONALDSON 547-2979 EXT #13

AKTION CLUB COORDINATOR-JULIE DOWNING EXT #22

OFFICE SUPPORT STAFF-MELANIE LUDY EXT#17

BERGMANN CENTER, INC.

CLIENT HANDBOOK

INDEX

SECTION 1 – INTRODUCTION

MISSION STATEMENT...... PAGE 6

VALUE STATEMENT...... PAGE6-7

PURPOSE OF FACILITY...... PAGE 8

NON-DISCRIMINATION POLICY...... PAGE 8

ENTRANCE CRITERIA...... PAGE 9-10

EXIT CRITERIA...... PAGE 10

POLICY FOR PERSONS INELIGIBLE TO

RECEIVE SERVICES...... PAGE 11

WAITING LIST POLICY……………………………………...PAGE 11

INTERPRETATION OF SERVICE...... PAGE 11-12

REDUCTION/MODIFICATION/ELIMINATION OF

SERVICES…………….……………………………………….PAGE 12

POLICY FOR RE-ENTRY / LOSS OF PLACEMENT…..PAGE 13

NON-OPERATION OF FACILITY...... PAGE 13

SECTION 2 – GENERAL AND TREATMENT RIGHTS

(FOR TREATMENT RIGHTS SEE YOUR RIGHTS HANDBOOK)

RIGHTS INFORMATION...... PAGE 15

WHISTLEBLOWERS………………………………………...PAGE 16

GENERAL RIGHTS INFORMATION...... PAGE 16

INFORMED CONSENT POLICY...... PAGE 16-17

DIGNITY AND RESPECT POLICY...... PAGE 17

FREEDOM FROM ABUSE,NEGLECT

AND EXPLOITATION...... PAGE 17-18

CONFIDENTIALITY POLICY...... PAGE 18

SURVEILLANCE CAMERAS……………………………….PAGE 18

ACCESS TO YOU R RECORDS...... PAGE 18-19

ANNUAL RELEASES, PHYSICALS...... PAGE 19

PHOTOS, AUDIO TAPES, AND VIDEO
TAPE POLICY...... PAGE 19

ENVIRONMENTAL RIGHTS...... PAGE 19

PRIVACY ……………………………………………………...PAGE 19-20

CIVIL RIGHTS...... PAGE 20

PERSON CENTERED PLANNING...... PAGE 21

SECTION 2 – GENERAL AND TREATMENT RIGHTS…Continued

(FOR TREATMENT RIGHTS SEE YOUR RIGHTS HANDBOOK)

SATISFACTION WITH SERVICES………………….…….PAGE 22

GRIEVANCE (COMPLAINT) PROCEDURE...... PAGE 22-23

SECTION 3 – SAFETY, HEALTH, AND CONDUCT

BERGMANN CENTER RULES...... PAGE 25-29

LOSS OF PERSONAL PROPERTY………………………..PAGE 27

STAFF/CLIENT BOUNDARIES……………………………PAGE 27

DISCIPLINARY POLICY...... PAGE 30

DISRUPTIVE VIOLATION...... PAGE 31

INFECTION CONTROL POLICY...... PAGE 31-32

MEDICATION PROCEDURE...... PAGE 33-34 FIRST AID/EMERGENCY PROCEDURE………………..PAGE 35

HOSPITAL REFERRAL PROCEDURE...... PAGE 36

SECTION 4 – EMPLOYMENT SERVICES

BERGMANN CENTER REQUIREMENTS FOR
WORK SERVICE CLASSIFICATIONS...... PAGE 38

INSURANCE...... PAGE 38

RETENTION OF BENEFITS..……………………………….PAGE 38

WAGES...... PAGE 39

BREAKS AND LUNCH...... PAGE 39

ABSENTEEISM...... PAGE 39-40

SECTION 5 – COMMUNICATION AND TRANSPORTATION

TELEPHONE/VIDEO PHONE...... PAGE 42

TRANSPORTATION...... PAGE 42

VISITORS...... PAGE 42

SECTION 6 – PROGRAMS OFFERED

A BRIEF DESCRIPTION OF SERVICES OFFERED
AT BERGMANN CENTER...... PAGE 44

REQUIREMENTS FOR CLASSIFICATION

AS A REGULAR EMPLOYEE...... PAGE 44

COMMUNITY INTEGRATION SERVICES...... PAGE 45

DAILY ACTIVITIES...... PAGE 46-48

VOLUNTEER OPPORTUNITIES……………………………PAGE 46

TRAINING /COMMITTEES/MEMBERSHIP …...... PAGE 49

RESOURCES

COMMUNITY RESOURCES……………………………………PAGE 50-52

YOUR RIGHTS HANDBOOK

SECTION 1

INTRODUCTION

MISSION STATEMENT

“THE MISSION OF BERGMANN CENTER, INC. IS TO PROVIDE SERVICES THAT ENABLE INDIVIDUALS WITH MENTAL AND PHYSICAL CHALLENGES THE OPPORTUNITY TO BECOME ACTIVE, INVOLVED MEMBERS OF THE COMMUNITY.”

VISION STATEMENT

“DEDICATED TO MAKING A DIFFERENCE IN THE LIVES OF THOSE WE SERVE”

VALUE STATEMENT

DIGNITY AND RESPECT

EVERYONE SERVED BY BERGMANN CENTER SHALL BE TREATED WITH DIGNITY AND RESPECT. SERVICES SHALL BE DELIVERED IN AN INDIVIDUALIZED, PERSON CENTERED MANNER. GOALS OF SERVICE SHALL INCLUDE IMPROVED SOCIALIZATION, SELF-HELP, EMPLOYMENT SKILLS, INDEPENDENCE, AND EMPOWERING PERSONS SERVED TO BE THEIR OWN BEST ADVOCATE.

QUALITY OF SERVICE

THE COMMITMENT TO QUALITY IS INTEGRAL TO SERVICES PROVIDED AND WILL BE EVIDENCED BY MAINTAINING HIGH PROFESSIONAL STANDARDS, A DEVOTION TO CONTINUOUS QUALITY IMPROVEMENT AND PERSON CENTERED FOCUSED SERVICES.

MAINTAIN INTEGRITY OF THE FAMILY

FAMILY INTEGRITY IS KEY TO WELLNESS.

IMPROVING FAMILY VALUES AND PARTICIPATION AS A

FOCUS OF TREATMENT.

ACCESSIBILITY

SERVICES WILL BE PROVIDED IN A NON-DISCRIMINATORY MANNER WITH KEY CONSIDERATIONS GIVEN TO THOSE WITH THE GREATEST NEEDS THAT MEET BERGMANN CENTER CRITERIA. SERVICES SHALL BE PROVIDED IN A “USER FRIENDLY” MANNER IN ORDER TO MAXIMIZE PERSONS SERVED PARTICIPATION. SERVICES ARE BEST RENDERED WITHIN THE CONTEXT OF THE LOCAL COMMUNITY.

RESPONSIBLE MANAGEMENT

MANAGEMENT PRACTICES SHALL PROMOTE EFFICIENCY AND RECOGNIZE OVERALL ACCOUNTABILITY TO THE LOCAL COMMUNITY. WE BELIEVE BY STRIVING TO MAKE THE BEST USE OF AVAILABLE RESOURCES IS PIVOTAL TO RESPONSIBLE MANAGEMENT. MANAGEMENT REALIZES THE IMPORTANCE OF CREATING OPPORTUNITIES FOR STAFF TO DEVELOP AND USE THEIR TALENTS AND TO PARTICIPATE IN POLICY DEVELOPMENT THAT ENHANCES THE QUALITY OF SERVICES FOR PERSONS SERVED.

PROMOTE KNOWLEDGE AND AWARENESS

BERGMANNCENTER WILL STRIVE TO EDUCATE THE COMMUNITY IN ORDER TO INCREASE THE EFFICIENT COORDINATION OF SERVICES, BOOST OPPORTUNITIES FOR INCLUSION, AND DECREASE STIGMA THAT OFTEN ACCOMPANIES A DISABILITY.

PURPOSE OF FACILITY

THE PRIMARY PURPOSE OF OUR ORGANIZATION IS TO PROVIDE A VOCATIONAL SETTING; WHERE MEANINGFUL EMPLOYMENT AND THERAPEUTIC ACTIVITIES ARE PROVIDED FOR ALL CLIENTS ATTENDING BERGMANN CENTERS PROGRAM. THE GOAL OF THESE SERVICES IS 1) TO MAXIMIZE EACH CLIENT’S EMPLOYABILITY IN THE COMPETITIVE LABOR MARKET. 2) TEACH LIFE SKILLS NECESSARY TO BECOME AS INDEPENDENT AS POSSIBLE BOTH, WITHIN THE COMMUNITY AS WELL AS THE WORK PLACE.

THE SECONDARY AND HISTORICAL PURPOSE IS TO PROMOTE THE GENERAL WELFARE OFPEOPLE WITH MENTAL AND PHYSICAL CHALLENGES.WE DO THIS TO:

IMPROVE THE LIVES OF PERSONS WITH DISABILITIES.

IMPROVE PUBLIC UNDERSTANDING OF MENTAL AND PHYSICAL DISABILITIES.

ENCOURAGE LEGISLATION BENEFICIAL TO PERSONS WITH DISABILITIES.

SOLICIT AND RECEIVE FUNDS TO ACCOMPLISH THESE PURPOSES.

NON-DISCRIMINATION POLICY

“IT SHALL BE THEPOLICY OF BERGMANN CENTER, INC TO PROVIDE EQUAL MEMBERSHIP/EMPLOYMENT/SERVICE OPPORTUNITIESTO ALL ELIGIBLE PERSONS WITHOUT REGARD TO RACE, RELIGION, COLOR, NATIONAL ORIGIN, CITIZENSHIP, AGE, SEX, MARTIAL STATUS, PARENTAL STATUS, DISABILITY, MEMBERSHIP IN ANY LABOR ORGANIZATION, POLITICAL AFFILIATION, AND, FOR EMPLOYMENT ONLY, HEIGHT, WEIGHT, AND RECORD OF ARREST WITHOUT CONVICTION”.

ENTRANCE CRITERIA:

YOU MUST BE 18 YEARS OF AGE OR OLDER, AND MUST BE REFERRED BY ONE OF THE FOLLOWING SOURCES TO THE BERGMANN CENTER.

-SELF

-PARENT, TEACHER OR GUARDIAN (IF APPLICABLE)

-SUPPORTED EMPLOYMENT SERVICES

-COMMUNITY MENTAL HEALTH BOARD

-INTERMEDIATE SCHOOL DISTRICT

-OTHER HUMAN SERVICES AGENCIES

TO BE ELIGIBLE, YOU SHOULD MEET THE FOLLOWING CRITERIA:

-DISABILITY DOCUMENTED BY REFERRING SOURCE.

-AT LEAST 18 YEARS OF AGE

-RESIDES IN OUR SERVICE AREA.

-REFERRED BY AN APPROPRIATE SOURCE OF FUNDING AGENCY.

-MUST NOT BE HARMFUL TO SELF AND OTHERS.

-MUST BE WILLING AND ABLE TO BENEFIT FROM OUR SERVICES.

-MUST HAVE A PHYSICAL EXAMINATION WITHIN THE LAST YEAR AND TB TEST WITHIN THE LAST 90 DAYS.

-CURRENT ANNUAL ASSESSMENT, MOST RECENT PERSON CENTERED PLAN AND PSYCHOLOGICAL EVALUATION IF AVAILABLE. THESE MUST BE SUBMITTED AT TIME OF REFERRAL.

-YOU AND YOUR GUARDIAN (IF APPLICABLE)HAVE HAD THE OPPORTUNITY TO MEET WITH BERGMANN CENTER STAFF TO ASK QUESTIONS AND DISCUSS SERVICES, INTEREST, AND ANY ACCOMMODATION REQUEST YOU MAY HAVE.

-PROVIDE ALL DOCUMENTATION REQUIRED BY THE

STATE AND FEDERAL GOVERNMENT, COMMUNITY MENTAL HEALTH AND BERGMANN CENTER.

AFTER ALL CRITERIA FOR ENTRANCE IS MET, REFERRAL PACKET WILL BE REVIEWED BY THE REFERRAL REVIEW COMMITTEE FOR APPROVAL.

ONCE APPROVED THE PROGRAM COORDINATOR DETERMINES WHAT SERVICES ARE AVAILABLE IN ACCORDANCE WITHWHAT

SERVICES ARE AUTHORIZED, DETERMINING THE NEEDS OF THE INDIVIDUAL AND AVAILABLE STAFFING.

AN INTAKE MEETING IS SCHEDULED TO INCLUDE BUT NOT LIMITED TO THEYOU AND YOURGUARDIAN (IF APPLICABLE), C.M.H. SUPPORT COORDINATOR AND BERGMANN CENTER PROGRAM COORDINATOR.

INTAKE MEETING AGENDA:

-COMPLETE BERGMANN CENTER INTAKE DOCUMENTATION.

-REVIEW BERGMANN CENTER SERVICE PROGRAMS.

-YOU CHOOSESERVICES YOU WOULD LIKE TO RECEIVE.

-YOUR SCHEDULE IS AGREED UPON AND REVIEWED WITH ALL PRESENT.

- TRANSPORTATION NEEDS ARE EXPLORED.

-SUPPORT COORDINATOR, YOU ORYOUR GUARDIAN (IF APPLICABLE)OR YOUR HOME STAFF IS RESPONSIBLE FOR SETTING UP TRANSPORTATION ARRANGEMENTS WITH TRANSIT.

-ANSWER QUESTIONS.

-VERIFY INTAKE PACKET IS COMPLETE (SEE CHECKLIST).

-VERIFY PHYSICAL & TB TEST IS CURRENT.

-SET YOUR START DATE.

EXIT CRITERIA:

TRANSFERRING TO ANOTHER PROGRAM

MOVING FROM SERVICE AREA

RETIREMENT

ILLNESS

DEATH

NO LONGER BENEFITS FROM SERVICES

THREAT TO SELF OR OTHERS

STOPPED ATTENDING

POOR ATTENDANCE

C.M.H. DISCHARGE OR WITHDRAWAL

NO LONGER MEETS CRITERIA

WHEN IT IS DETERMINED THAT YOU ARE GOING TO EXIT THE PROGRAMS THE C.M.H. SUPPORT COORDINATOR IS CONTACTED. AN EXIT INTERVIEW/DISCHARGE PLAN IS COMPLETED. THIS DESCRIBES YOUR STATUS AT THE TIME OF EXIT AS WELL AS EXPECTED OUTCOMES. YOU AND YOUR GUARDIAN (IF APPLICABLE), EXECUTIVE DIRECTOR, PROGRAM COORDINATORAND C.M.H. SUPPORT COORDINATOR COMPLETE THIS FORM.

POLICY FOR PERSONS INELIGIBLE TO RECEIVE SERVICES

IT IS THE POLICY OF BERGMANN CENTER TO INFORM YOU IFYOU ARE INELIGIBLE FOR SERVICES.YOU, YOURGUARDIAN (IF APPLICABLE),AND THE C.M.H.SUPPORT COORDINATOR WILL RECEIVE, BOTH VERBALLY AND IN WRITING THE REASON(s) YOU ARE NOT ELIGIBLE FOR SERVICES AND YOU WILL BE INFORMED OF ANY OTHER POTENTIAL ALTERNATIVE SERVICES THAT MAY BE AVAILABLE.

WAITING LIST POLICY

IT IS THE POLICY OF BERGMANN CENTER TO INFORM YOU AND YOUR GUARDIAN (IF APPLICABLE), VERBALLY AND IN WRITING IN THE EVENT,YOU ARE PUT ON A WAITING LIST AT THE TIME YOU APPLY FOR SERVICES, DUE TO BERGMANN CENTER BEING AT FULL CAPACITY. ONCE OPENING ISAVAILABLE,YOU AND YOUR GUARDIAN (IF APPLICABLE) WILL BE NOTIFIED OF AVAILABILITY OF SERVICES VERBALLY AND/OR IN WRITING.

INTERRUPTION OF SERVICE POLICY

IT IS THE POLICY OF BERGMANN CENTER TO INTERRUPT SERVICES PROVIDED TO YOU FOR THE FOLLOWING REASONS:

MEDICAL LEAVE OF ABSENCE. (REQUEST FOR LEAVE OF ABSENCE MUST BE COMPLETED).

 BERGMANN CENTER, INC ANNUAL RELEASES HAVE EXPIRED.

ANNUAL PHYSICAL ISOUTDATED.

INTERRUPTION OF SERVICE POLICY…..Continued

ANNUAL PLAN OF SERVICE OR COMPLETED DRAFT NOT ON FILE.

ANNUAL PLAN OR DRAFT NOT ON FILEMORE THAN 90 DAYS DATE OF MEETING.

EXTENDED VACATION. (REQUEST FOR LEAVE OF ABSENCE MUST BE COMPLETED).

FAILURE TO COMPLETE ANY OF THE ABOVE MENTIONED CRITERIA MAY RESULT IN TERMINATION OF SERVICES. YOU, YOURGUARDIAN (IF APPLICABLE)ANDC.M.H. SUPPORTCOORDINATOR WILL BE NOTIFIED IN WRITING PRIOR TO INTERRUPTION OF SERVICES AND THE NECESSARY DOCUMENTATION NEEDED TO REMAIN IN PROGRAM. YOU WILL BE GIVEN 30 DAYS FOR ALL NECESSARY FORMS, MEETINGS ETC., TO BE UPDATED PRIOR TO INTERRUPTION OF SERVICE AND/OR EXIT FROM PROGRAM.

REDUCTION/MODIFICATION/ELIMINATION OF SERVICES

THERE IS ALWAYS THE POTENTIAL YOUR SERVICES MAY BE MODIFIED, REDUCED, OR ELIMINATED AS A RESULT OF FUNDING CUTS, CHANGES IN YOUR ELGIBILITY FOR FUNDING, STATE AND FEDERAL MANDATES, OR OTHER RESOURCE ISSUES. BERGMANN CENTER WILL NOTIFY YOU AS SOON AS POSSIBLE IN THE EVENT THERE WILL BE CHANGES IN THE SERVICE WE PROVIDE TO YOU. WE WILL INFORM YOU OF OTHER SERVICE OPTIONS AND RESOURCES AVAILABLE.

POLICY FOR RE-ENTRY /LOSS OF PLACEMENT

IT IS THE POLICY OF BERGMANN CENTER TO ALLOW A YOU

TO RESUME ATTENDANCE WITHIN 60 DAYS OF LAST DATE OF SERVICE AS CAPACITY PERMITS.

IF YOU EXIT BERGMANN CENTER TO PURSUE COMPETITIVE EMPLOYMENT AND AFTER A 60 DAY PERIOD A REFERRAL IS MADE TO BERGMANN CENTER,FOR YOUTO RESUME SERVICES, YOUWILL BE GIVEN FIRST PRIORITY TO START SERVICES AGAIN WITH BERGMANN CENTER.

THE ABOVE ALSO APPLIES IF YOU MOVE FROM THE SERVICE AREA AND RETURN.

NON-OPERATION OF FACILITY

IN THE EVENT THAT BERGMANN CENTER CLOSES, YOUR SCHEDULE WILL RESUME WITH THE FIRST DAY BACK OF OPERATION. CLASSES, ACTIVITIES, MEETINGS, OUTINGS ETC. WILL NEED TO BE RE-SCHEDULED. SOME EXAMPLES OF NON-OPERATION WOULD BE:

POWER OUTAGE.

INCLEMENT WEATHER.(WHEN CHARLEVOIX PUBLIC SCHOOLS ARE CLOSED FOR SNOW DAYS BERGMANN CENTER IS CLOSED)

NATURAL DISASTERS.

STRUCTURAL DAMAGE TO THE FACILITY.

INFECTION CONTROL POLICY.

SECTION 2

GENERAL AND TREATMENT RIGHTS

RIGHTS INFORMATION

BERGMANN CENTER IS COMMITTED TO THE PHILOSOPHY OF SUPPORTING A PERSON’S LEGAL, CIVIL AND RECIPIENT RIGHTS.

THE NORTH COUNTRY COMMUNITY MENTAL HEALTH OFFICER OF RECIPIENT RIGHTS CONTACT INFORMATION IS:

NORTH COUNTRY COMMUNITY MENTAL HEALTH

1420 PLAZA DRIVE

PETOSKEY, MICHIGAN49770

(231) 439-8752

EXTENSION: 3025

BERGMANN CENTER HAS A RIGHTS ADVISOR WHO HAS RECIPIENT RIGHTS INFORMATION, RIGHTS BROCHURES AND COMPLAINT FORMS. THIS PERSON IS:

AIMEE VANDERARK

BERGMANN CENTER, INC

08855 MARTIN ROAD

P.O. BOX 236

CHARLEVOIX, MICHIGAN49720

(231) 547-2979EXT. 10

SEE “YOUR RIGHTS” HANDBOOK

IF YOU HAVE ANY QUESTIONS ABOUT YOU R RECIPIENT RIGHTS OR WISH TO MAKE A RECIPIENT RIGHTS COMPLAINT, PLEASE CONTACTBERGMANNCENTER’S RIGHTS ADVISOR FOR INFORMATION AND OR REFERRAL. YOU MAY ALSO CONTACT YOU R RECIPIENT RIGHTS OFFICER FROM NORTH COUNTRY COMMUNITY MENTAL HEALTH AT THE ADDRESS AND PHONE NUMBER LISTED ABOVE.

WHISTLEBLOWERS

BERGMANN CENTER ANDNORTH COUNTRY COMMUNITY MENTAL HEALTH SERVICES ADHERES TO A POLICY OF NON-RETALIATION IN CONNECTION WITH THE FILING OF COMPLAINTS PURSUANT TO THE WHISTLES BLOWERS PROTECTION ACT (PA 469, 1980) AND AGENCY POLICY. THIS AGENCY IS COMMITTED TO THE FAIR RESOLUTION OF ALLCOMPLAINT MATTERS.

GENERAL RIGHTS INFORMATION

PLEASE SEE “YOUR RIGHTS” BOOKLET FOR FURTHER INFORMATION INCLUDING TREATMENT RIGHTS.

WHEN YOU RECEIVE MENTAL HEALTH SERVICES, MICHIGAN’S MENTAL HEALTH CODE AND OTHER LAWS SAFEGUARD YOUR RIGHTS. BERGMANN CENTER STAFF ARE RESPONSIBLE TO PROTECT YOUR RIGHTS WHEN THEY PROVIDE SERVICES TO YOU. YOU ARE ENCOURAGED TO ASK QUESTIONS ABOUT YOUR TREATMENT AND ABOUT YOUR RIGHTS. IF YOU BELIEVE YOUR RIGHTS HAVE BEEN VIOLATED, YOU SHOULD INFORM YOUR RIGHT’S OFFICER OR RIGHTS ADVISOR.

INFORMED CONSENT POLICY

BERGMANN CENTER WILL FOLLOW ALL GUIDELINES OF INFORMED CONSENT. INFORMED CONSENT MEANS MORE THAN A RECIPIENT AGREEING TO RELEASE INFORMATION ABOUT THEMSELVES OR THE SERVICES THEY ARE RECEIVING.

A RELEASE OF CONFIDENTIAL INFORMATION TO OTHERS IS GIVEN VOLUNTARILY, WITH FULL UNDERSTANDING AND KNOWLEDGE BY THE PERSON RECEIVING SERVICES OR THEIR GUARDIAN (IF APPLICABLE) IF APPLICABLE.

THIS MEANS:

YOU ARE NOT PRESSURED IN ANY WAY TO GIVE CONSENT.

YOU ARE ABLE TO UNDERSTAND WHAT INFORMATION YOU ARE AGREEING TO RELEASE.

YOU UNDERSTAND RISKS, BENEFITS, AVAILABLE OPTIONS OR ALTERNATIVES, AND OTHER CONSEQUENCES OF AGREEING, OR NOT AGREEING TO APPROVE THE RELEASE OF INFORMATION ABOUT YOURSELF OR THE SERVICES YOU ARE RECEIVING.

CONSENT MUST BE GIVEN IN WRITING AND SIGNED BY YOU,YOUR GUARDIAN (IF APPLICABLE) OR BY VERBAL AGREEMENT TO SOMETHING THAT IS WITNESSED AND PUT IN WRITING BY SOMEONE WHO IS NOT PROVIDING TREATMENT TOYOU AT THE TIME. IF YOU HAVE A GUARDIAN (IF APPLICABLE),YOU WILL NEED THEIR CONSENT BEFORE ANY INFORMATION CAN BE RELEASED TO PERSONS OUTSIDE OF BERGMANN CENTER.

DIGNITY AND RESPECT POLICY

BERGMANN CENTER ASSURES THATYOU,YOUR FAMILY AND GUARDIAN (IF APPLICABLE) WILL BE TREATED WITH DIGNITY AND RESPECT AT ALL TIMES.

EXAMPLES OF STAFF NOT SHOWING YOU RESPECT INCLUDE CALLING YOU NAMES OTHER THAN YOUR OWN, MAKING FUN OF YOU, TEASING, OR HARASSING YOU.

FREEDOM FROM ABUSE, AND NEGLECT, AND EXPLOITATION

YOU HAVE THE RIGHT NOT TO BE PHYSICALLY, SEXUALLY, OR OTHERWISE ABUSED. (SEXUAL HARASSMENT IS ALSO CONSIDERED ABUSE).

YOU HAVE THE RIGHT NOT TO BE NEGLECTED.

YOU HAVE THE RIGHT NOT TO BE EXPLOITED.

(EXPLOITATION IS THE MISUSE OF YOUR PROPERTY OR MONEY)

IF YOU FEEL YOU HAVE BEEN ABUSED, NEGLECTED, OR EXPLOITED OR SUSPECT ANY ONE ELSEHAS, YOU SHOULD REPORT IT RIGHT AWAY TO A STAFF PERSON AND OR THE BERGMANN CENTER’S RIGHTS ADVISOR, WHO WILL IMMEDIATELY CONTACT THE PROPER AUTHORITIES.

CONFIDENTIALITY POLICY

YOU HAVE THE RIGHT TO HAVE ALL INFORMATION ABOUT YOU KEPT PRIVATE. BERGMANN CENTER STAFF WILL GIVE NO INFORMATION ABOUT YOU TO ANYONE, EXCEPT AS REQUIRED BY LAW OR YOUR RELEASES OF INFORMATION FORM WE HAVE ON FILE.

SURVEILLANCE CAMERAS

PLEASE NOTE: BERGMANN CENTER USES CLOSED CIRCUIT SECURITY CAMERAS IN ALL PUBLIC AREAS OF BERGMANN CENTER (NOT IN RESTROOMS). THIS IS TO CONTINUE OUR COMMITMENT TO MAKING BERGMANN CENTER A SAFE PLACE FOR ALL. BERGMANN CENTER ADMINISTRATIVE STAFF VIEW THE RECORDINGS ONLY. THE RECORDINGS WILL NOT LEAVE THE PREMISES UNLESS ORDERED SO BY A JUDGE.

ACCESS TO YOUR RECORDS

YOU HAVE THE RIGHT TO SEE YOUR RECORDS DURING OPEN HOURS OF BERGMANN CENTER.

PROCEDURE:

YOU ANDYOUR GUARDIAN (IF APPLICABLE) MAY MAKE A REQUEST TO THE EXECUTIVE DIRECTOR TO READ OR GET A COPY OF ALL OR PART OF YOU R RECORDS. THE EXECUTIVE DIRECTOR SHALL INFORM THE RECORD MANAGER, WHO SHALL OBTAIN YOUR RECORDS FROM THE SECURED FILE.

THE RECORD MANAGERIS PRESENT WHEN RECORDS ARE BEING REVIEWED AND WILL ASSIST YOU WITH READING IF NECESSARY AND OR ANSWERING QUESTIONS YOU MAY HAVE.

THE RECORD MANAGER WILL RETURN THE RECORDS TO THE SECURED FILE.