Client Rights and Responsibilities
Privacy Practices & Client Rights and Responsibilities
Information on this page is designed to help clients understand what can be expected while in therapy through the Megan Meier Foundation Resource Center (MMFRC). We ask that individuals receiving services utilize this page to better understand what we provide and how client health information may be used, disclosed, and accessed. Any concerns may be addressed with the on-site therapist.
Notice of Privacy Practices
It is a client’s right to understand privacy practices of mental health care providers. Policies and procedures through MMFRC therapy services protect the privacy of all children to the greatest possible extent. Discussions between a therapist and a client is confidential and protected under MO RS 337.636. No information will be released without the client's written consent unless mandated or permitted by law. This confidentiality is protected under the provisions of the federal Health Insurance Portability and Accountability Act (HIPAA).
The Megan Meier Foundation Resource Center is a “covered entity” under HIPPA and has policies and procedures in place to ensure our operations are HIPPA compliant. These procedures address client rights in accessing records. Client must be the age of majority in Missouri (age 18) to request and receive information from records.
For clients receiving counseling services, both progress notes and psychotherapy notes may be maintained. Under federal law, you may not inspect or receive a copy of psychotherapy notes and information that is compiled in reasonable anticipation of, or use in, criminal or administrative action or proceeding. Additional information can be found in the Notice of Privacy Practices which can assist you if you have questions about access to records.
There may be instances when the undersigned therapist may release information concerning client care, including copies of records to certain individuals and other activities related to client care. This includes the ability of funding sources to review individual client records for purposes of quality enhancement, monitoring, and evaluation.
Read the Megan Meier Foundation Notice of Privacy Practices supplied by Resource Center clinicians for more details regarding individual health information rights below.
It is a client’s right to understand confidentiality policies and practice. Discussions between a therapist and a client is confidential and protected under Missouri law. The MMFRC is required by law to disclose or report certain information that the therapist may have received in the course of providing services. Such disclosures include, but are not limited to:
1. Disclosures mandated by federal, state, or local law (i.e., suspicion or knowledge of child abuse or neglect or abuse, proceedings to terminate parental rights).
2. Disclosures specifically ordered by a court of law or suits in which the mental health of a party is in issue or negligence suit brought by the client against the therapist.
3. Disclosures to prevent a serious threat to health or safety (ex. when there is imminent risk or serious threat of physical harm to self or others, including suicidal or homicidal thoughts).
4. Disclosures with other mental health professionals for professional treatment consultations when deemed necessary by the therapist.
5. For counseling services provided in a group session, the MMFRC will inform participants of the need to respect the privacy rights of all other participants and will stress that there should be no disclosure to others of information learned or acquired during group. MMFRC cannot control the conduct or actions of other group members; thus makes no representation or agreement concerning their conduct.
6. For confidentiality as it relates to client assessment and evaluation, the MMFRC utilizes a client database (TherapyNotes), questionnaires (Quality of Life Index), and surveys. Results and reports from these activities are used to continuously monitor progress, to assess areas of risk, and to ensure clients are receiving the greatest possible benefit from services. All data collected is maintained in a secure, confidential manner. Summarized information and statistical data are used for reports to Megan Meier Foundation stakeholders, grant writing, and training purposes.
7. Because the MMFRC therapy services are funded primarily through the Community and Children’s Resource Board (CCRB), client data may be released and used by these funders and/or their subcontractors for the purposes of measuring client outcomes and satisfaction with services. In such cases, no client records or case documentation will be released without written consent.
It is a client’s right to know the goals and treatment plan for therapy. Counseling through the MMFRC is designed to specifically help youth struggling with the repercussions of bullying-related situations. Negative effects of bullying can impact individual self-esteem and self-worth leading to behaviors including depression, anxiety, self-injury/harm, suicidal ideation, attempts, and even completion. The Megan Meier Foundation believes in the innate strength and value of each individual who seeks our services and explores individual abilities and skills allowing for one to cope with adversity and crisis. Additional resources and information are presented to struggling youth and their families as means of increasing knowledge on the issues and strategies to appropriately manage such issues. The Resource Center’s collaborative nature incorporates aspects of external support influences including parents/caregivers, school faculty/staff, and other pertinent community members and agencies. We firmly believe that through our counseling services youth will experience meaningful psychosocial and academic improvements, thereby reducing the long-term, detrimental effects of bullying.
Services through the MMFRC are short-term, solution-focused, and strength-based. Length of therapy will depend on many factors and will be discussed by the therapist, but generally will not exceed fifteen (15) sessions in total for each client. In general, sessions will last fifty (50) minutes total, unless circumstances require variation. Clients will work together with their therapist to clarify goals and establish treatment plans. Clients will review their progress with the therapist periodically.
Risks and Benefits
It is a client’s right to understand the risk and benefits associated with counseling services. Counseling involves sharing personal information with one’s counselor, which at times may be sensitive, very private, or even uncomfortable. For this reason, it is not uncommon for clients to feel somewhat anxious or upset for a period of time, however, therapy also has great benefits. Counseling often leads to better relationships, solutions to specific problems, and significant reductions in feelings of distress.
It is a client’s right to know the educational and experiential background of the therapist. The MMFRC therapist is a licensed mental health professional in the state of Missouri. To read more about our therapist, click HERE.
It is a client’s right to know how to express dissatisfaction with services received. First, please contact the therapist directly. Second, you may contact Megan Meier Foundation administrative staff. Clients have the right to terminate services at any time.
It is a client’s right to be made aware of crisis information and resources. The MMFRC does not provide twenty-four (24) hour crisis or emergency therapy services. Should a client experience an emergency necessitating immediate mental health attention, immediately call 911, the 24-hour Emergency Service Crisis Line (1-888-279-8188), or if possible, safely transport oneself to the nearest hospital emergency room for assistance.
It is a client’s right to understand fees associated with therapy. Therapy through the MMFRC is free of charge to clients, youth ages 19 years and younger, who reside in St. Charles County.