Title: Consumer Rights and Responsibilities Presented by, Trillium Services Inc.
1Consumer Rights and ResponsibilitiesPresented
by, Trillium Services Inc.
2Rights and Responsibilities
- What is a right?
- Something I am allowed to do or have all of the
time. - ? ? ? ? ? ? ? ? ?
- What is a responsibility?
- Something I agree to do to the best of my ability.
3Service Related RightsI HAVE THE RIGHT TO
TERMINATE (STOP) OR REFUSE SERVICES.
- I understand that I need to do the following as I
exercise this right. - To go to the boss and explain why I want to
stop or refuse services. - Remember that people may not agree with me
because by doing so I may get sick or harmed. - Remember that I could lose my services and not
get them back easily
4I HAVE THE RIGHT TO KNOW, IN ADVANCE, SERVICE
LIMITS.
-
- I understand that I need to do the following as I
exercise this right. - To learn about what services I can and cannot get
. . . - To be willing to check out all of my options for
services. - To try to use the services I have to get the
things I need. - The service limits that I have are
- _________________________________________________
_______________________________________
Or
5I HAVE THE RIGHT TO KNOW INITIATION (START) AND
DISCHARGE (STOP) TERMS.
- I understand that I need to do the following as I
exercise this right. - Remember that initiation means start and
discharge means stop. - To know the policies and routines.
- That you cant be kicked out without explanations
being given and understood. - Need to listen to the reasons why services are
being stopped. - Need to learn about my appeal rights. I can
question what they said or did.
6I HAVE THE RIGHT TO KNOW, IN ADVANCE, SERVICE
CHARGES, WHETHER INSURANCE, GOVERNMENT FUNDING,
OR OTHER SOURCES COVER SERVICES. I HAVE THE
RIGHT TO BE NOTIFIED UPON REQUEST OF CHANGES IN
THOSE CHARGES AND BE TOLD OF ANY CHARGES I OR
OTHER PRIVATE PARTIES MAY HAVE TO PAY.
- I understand that I need to do the following as I
exercise this right. - To understand that means what the services cost
and who pays. - To know what Im paying for.
- To ask for help with budgeting and knowing what I
am receiving. - Remember I should not request services I dont
need. - Service payment is covered by
- __________________________________
- The amount my family or I have to pay is
- __________________________________
7I HAVE THE RIGHT TO RECEIVE LICENSED SERVICES
FROM INDIVIDUALS WHO ARE TRAINED AND COMPETENT,
WHO HAVE PROFESSIONAL CERTIFICATION OR LICENSURE,
AS REQUIRED, AND WHO MEET ADDITIONAL
QUALIFICATIONS IDENTIFIED IN MY INDIVIDUAL
SERVICE PLAN.
- I understand that I need to do/have the following
as I exercise this right. - To know that staff are trained to help and
support me. - To have understanding and helpful staff.
8Protection Related Rights
I HAVE THE RIGHT TO PRIVATE RECORDS (PERSONAL,
FINANCIAL, SERVICES, AND MEDICAL INFORMATION) AND
KNOW THE LICENSE HOLDERS POLICIES AND PROCEDURES
REGARDING DISCLOSURE OF SUCH INFORMATION. I HAVE
A RIGHT TO SEE MY RECORDS.
- I understand that I need to do the following as I
exercise this right. - I need to know what staff writes or puts in my
records. - I need to remember to return the records, after
reading them, in the same shape that I got them
in. I cant tear them up if I dont like what
they say.
9I HAVE THE RIGHT TO BE FREE FROM MALTREATMENT.
- I understand that I need to do the following as I
exercise this right. - I need to know that maltreatment means bad
treatment. - I will treat people how I want them to treat me.
10I HAVE THE RIGHT TO BE TREATED WITH RESPECT AND
COURTESY FOR MY OWN INDIVIDUALITY, THE WAY I
COMMUNICATE, CULTURE AND RECEIVE RESPECTFUL
TREATMENT OF MY PROPERTY.
- I understand that I need to do the following as I
exercise this right. - I understand that people should treat me with
respect. - I think that people should respect my own
personal property. - I understand that people should respect my
culture/heritage as well as the way I
communicate. - I dont think that people should talk about me
without my permission.
11I HAVE THE RIGHT TO HAVE COMPLAINTS HEARD. I
HAVE THE RIGHT TO ANY OF THE LICENSE HOLDERS
PROCEDURES FOR GRIEVANCE OR COMPLAINT RESOLUTION
AND THE RIGHT TO APPEAL UNDER SECTION 256.045. I
HAVE THE RIGHT TO KNOW THE NAME AND ADDRESS OF
THE STATE, COUNTY, OR ADVOCACY AGENCY TO CONTACT
FOR ADDITIONAL INFORMATION OR ASSISTANCE.
- I understand that I need to do the following as I
exercise this right. - I need to know who to tell, how to reach them and
how to ask for help. - I understand that no one will hurt me if I tell
on him or her.
12I HAVE THE RIGHT TO HAVE MY PROBLEMS RESOLVED.
- I understand that I need to do the following as I
exercise this right. - I understand that I can call my parents and ask
for help. - I can go to my social worker.
- I can talk to the staff.
- I can call an advocate.
13I HAVE THE RIGHT TO ASSERT THESE RIGHTS
PERSONALLY OR HAVE THEM ASSERTED BY MY FAMILY OR
LEGAL REPRESENATIVE, WITH OUT RETALIATION. I HAVE
THE RIGHT TO ADDITIONAL ASSISTANCE.
- I understand that I need to do the following as I
exercise this right. - I can call my social worker.
- I can call 911.
- I can take it to the court and appeal what they
said or did. - I can talk to another staff member.
- I can talk to the boss or the supervisor.
14I HAVE THE RIGHT TO STAND UP FOR MY RIGHTS.
- I understand that I need to do the following as I
exercise this right. - I can join a self-advocacy group.
- I can learn about my rights from another
self-advocate. - I understand that people should not retaliate
against me for standing up for my rights. - I can talk to an advocate, professional, friend
or family member.
15I HAVE THE RIGHT TO GIVE OR WITHOLD WRITTEN
CONSENT TO PARTICIPATE IN ANY RESEARCH OR AN
EXPERIMENTAL TREATMENT.
- I understand that I need to do the following as I
exercise this right. - I have the right to just say no.
- Ask staff to inform me and define for me all the
terms and conditions before I agree. - Get good information before making a decision.
16I HAVE THE RIGHT TO HAVE DAILY, PRIVATE ACCESS TO
AND USE OF A NON-COIN OPERATED TELEPHONE FOR
LOCAL CALLS AND LONG-DISTANCE CALLS MADE COLLECT
OR PAID FOR BY ME.
- I understand that I need to do the following as
I exercise this right. - Remember that sometimes I need to wait until a
person is done before I can use the phone. - Remember that I may have to share the phone if
necessary. - Remember that I need to pay my phone bill
(including any long distance charges).
17I HAVE THE RIGHT TO RECEIVE AND SEND, UNSENSORED,
UNOPENED MAIL.
- I understand that I need to do the following as I
exercise this right. - Give permission for anyone else to read my mail
but me.
18I HAVE THE RIGHT TO PRIVACY WHEN MARRIED.
- I understand that I need to do the following as I
exercise this right. - I have the right to share my bed and bedroom with
my spouse. - Respect other peoples privacy and not barge in.
- Realize that married people usually share things.
19I HAVE THE RIGHT TO FRIENDS OR TO ASSOCIATE WITH
WHOM I CHOOSE.
- I understand that I need to do the following as I
exercise this right. - Learn best ways to have a friend and be a friend.
- Know that staff cant tell me who my friends are
or who I can be friends with. - Remember that I have to be nice and flexible.
- I should reschedule if I forgot to go somewhere
with someone.
20I HAVE THE RIGHT TO PERSONAL PRIVACY.
- I understand that I need to do the following as I
exercise this right. - I should tell people when I want to be alone.
- Close the door for privacy when I want to be
alone. - I can tell people to go away if I want to be
alone.
21I HAVE THE RIGHT TO PLAN AND ENGAGE INACTIVITIES
OF MY CHOOSING.
- I understand that I need to do the following as I
exercise this right. - I have to let people know what I want to do.
- I have to save my money so I can afford to do
things. - I may have to ask people to help make
arrangements for tickets and transportation.
22I have received a copy of these rights.These
rights were explained to me.
- ___________________________________
- Consumer Date
- ________________________________________
- Legal Representative Date
- ________________________________________
- Individual Explaining Rights Date