What Do These Services Cost?
What are my Client Rights?
What If I Have Concerns About My Treatment?

What Do These Services Cost?
Fees are based on the ability to pay. Your income will be analyzed to determine your eligibility for a subsidy. The Clermont County Mental Health and Recovery Board provides a subsidy with state, local and federal funds for your treatment if you cannot pay.

Some insurance companies will pay for services. We can help you determine which ones will pay for services.
Medicare will pay for your visits with the Psychiatrist.
Medicaid (if eligible) will pay for most services if you are uninsured or unable to pay.

What Are My Client’s Rights?
You have the right:

• to be treated with consideration and respect for personal dignity, autonomy and privacy.
• to service in a humane setting which is responsive to your needs as defined in the treatment plan.
• to be informed of your condition, proposed or current services, treatment, therapies, and any alternatives.
• to consent to or refuse any service, treatment, or therapy upon full explanation of the expected consequences of such consent or refusal. A parent or legal guardian may consent to or refuse any service, treatment, or therapy on behalf of a minor client.
• to current, written, individualized service plan that addresses your mental health, physical health, social and economic needs, and that specifies the provision or appropriate and adequate services, as available, either directly or by referral.
• to active and informed participation in the establishment, periodic review and reassessment of the service plan.
• to freedom from unnecessary or excessive medication.
• to freedom from unnecessary restraint or seclusion.
• to participation in any appropriate and available agency service, regardless of refusal of one or more other services, treatments, or therapies, or regardless of relapse from earlier treatment in that or another service, unless there is a valid and specific necessity which precludes and/or requires the client’s participation in other services. This necessity shall be explained to you and written in your current service plan.
• to be advised of and refuse observation by techniques such as one-way vision mirrors, tape recorders, televisions, movies, or photographs.
• to have the opportunity to consult with independent treatment specialists or legal counsel, at your own expense.
• to confidentiality of communications and of all personal identifying information, within the limitations and requirements for disclosure of various funding and/or certifying sources, state or federal statutes, unless release of information is specifically authorized by you or parent or legal guardian of a minor client or court-appointed Guardian of the Person of an adult clients in accordance with Rule 5122:2-3-11 of the Administrative Code.
• to have access to your psychiatric, medical, or other treatment records, unless access to particular identified items of information is specifically restricted for you for clear treatment reasons in your treatment plan. “Clear treatment reasons” shall be understood to mean only severe emotional damage to you such that dangerous or self-injurious behavior is an imminent risk. The person restricting the information shall explain to you and other persons authorized by you the factual information that necessitates the restriction. The restriction must be renewed at least annually to retain validity. Any person authorized by you has unrestricted access to all information. You shall be informed in writing of agency policies and procedures for viewing or obtaining copies of personal records.
• to be informed in advance of the reason(s) for discontinuance of service provision and to be involved in planning for the consequences of that event.
• to receive an explanation of the reasons for denial of service.
• not to be discriminated against in the provision of service on the basis of religion, race, color, creed, sex, national origin, age, lifestyle, physical or mental handicap (including persons with HIV virus), developmental disability, or inability to pay.
• to know the cost of service.
• to be fully informed of all rights.
• to exercise any and all rights without reprisal in any form including continued uncompromising access to service.
• to file a grievance.
• to have oral and written instructions for filing a grievance.

What If I Have Concerns About My Treatment?

• Discuss your concerns with your case manger or therapist.
• Get information on filing a complaint or grievance.

The Client’s Rights Officer at the agency can help you with your complaint or grievance about the agency, services or staff.

The Client’s Rights Officer for Clermont Counseling Center is:
Penny Middaugh
Quality Assurance Director
Client’s Rights Officer
43 E. Main St.
Amelia, Ohio 45102
(513) 947-7011

You may also express concerns, complaints or grievances to:
John Kies
Executive Director
Client’s Rights Officer
Clermont County Mental Health and Recovery Board
1088 Wasserman Way, Suite B
Batavia, Ohio 45103
(513) 732-5400

Use the following addresses and telephone numbers to file complaints or grievances about licensed professionals or unlicensed practitioners.

The licensing boards are as follows: