As a client of the Prince William County Community Services, you have certain rights.
I. RIGHT TO NOTIFICATION
You must be informed of your rights every year while in the program. You have the right to see and get a copy of the State Regulations and the Prince William County CSB policies and procedures upon request.
II. RIGHT TO TREATMENT
You have the right to participate in the development of the treatment plan designed especially for you. You cannot be denied services solely on the basis of your race, national origin, sex, sexual preference, age, religion, handicap, or ability to pay. If you think you have been discriminated against by this program, you can contact the Consumer Relations Coordinator at 703-792-7702 or Regional Advocate at 703-323-2098. Your ability to pay must be taken into account when fees for services are set. If you are unable to understand and make decisions about treatment, an "authorized representative" may be appointed to make decisions for you.
III. RIGHT TO CONFIDENTIALITY
Your records will be released only with your consent, the consent of your authorized representative, by court order, or as otherwise required or permitted by law. You have the right to inspect and to copy your records at your own expense, except where it would be harmful to you. In that situation, a lawyer, doctor or psychologist you choose can see the records on your behalf. If you feel there are mistakes in your record you can place your statement about the error in your record.
IV. RIGHT TO CONSENT
You or your authorized representative must give informed consent to a treatment or service which presents a "significant risk" - that is, one that might cause some injury or have a serious side effect.
V. RIGHT TO DIGNITY
You have the right to be called by your preferred or legal name, to be protected from abuse, and to request help in applying for services or benefits for which you are eligible. If you are in a residential program, you have the right to a safe, sanitary and humane environment; to the provision of suitable clothing if it is not otherwise available; to confidential mail and telephone communications; personal meetings with professionals or counselors assisting you; and to observe religious practices which do not conflict with the rights of others or with the law.
VI. RIGHT TO LEAST RESTRICTIVE ALTERNATIVE
Your personal or physical freedom can be limited when necessary for your safety, the safety of other clients, or for treatment. You will be involved in decisions to limit your freedom and you will be told what has to happen for the limits to be removed. Restrictions can be applied without notice in emergencies.
VII. RIGHT TO BE CONPENSATED FOR COMPENSABLE WORK
You have a right to be paid for work you do for the program which the law says is "compensable" work. Personal housekeeping and work which is done as part of treatment and is not done mainly for the purpose of making money for the program is not "compensable" work.
VIII. RIGHT TO RETAIN CERTAIN CIVIL AND LEGAL RIGHTS
You still keep your basic rights when you enter this program: including the right to enter into contracts; to register to vote; to marry or divorce; to make a will; to use the courts, etc.
IX. RIGHT TO HEARINGS AND APPEALS
You may file a complaint with any program supervisor if you believe any of your rights under the Community Regulations has been violated. You have the right to meet the program supervisor investigating the complaint, and you may appeal the decision of the program director to the Lo- cal Human Rights Committee (LHRC).
X. RIGHT TO ASSISTANCE BY REGIONAL ADVOCATE
You will be assisted in making, resolving or appealing complaints about rights violations by the local, and then the regional, state appointed advocate. You may call or write:
Sarah Burlar, MSW
Advocate - Northern VA
Office of Human Rights
Department of Behavioral Health & Developmental Services
P.O. Box 1797
Richmond, VA 23218
Phone: (434) 942-0030
(877) 600-7431 (toll free)
Fax: (540) 834-0309
PWC Community Services
8033 Ashton Avenue, Suite 103
Manassas, Virginia 20109
Phone: (703) 792-7702
Fax: (703) 792-7704