Community Services Programs

Mental Health Agency Licensing Standards; Clinical Management - Client Rights

CR.1
At the request of the client, or the legally responsible party, the agency will arrange for a second opinion to be offered by another practitioner from within the agency, who is mutually agreed upon by the client or legally responsible party and the agency.

  • CR.1.A.
    The agency has a documented policy and procedure describing the process for seeking second opinions that minimally addresses who notifies the client of this right and who documents the request and actions taken in the client record.
  • CR.1.B
    Second opinion requests and actions the agency takes as a result are documented in the client's record. Second opinion record entries minimally include:
    CR.1.B.1 the date of the request;
    CR.1.B.2 the reason for the request;
    CR.1.B.3 the actions taken by the agency as a result of the request.
  • CR.1.C.
    The practitioner(s) offering the second opinion document in the client record the date they conducted their assessment, their findings, conclusions, and recommendations.
  • Interpretive Guideline for CR.1.C
    It is expected that the practitioner(s) offering the second opinion will minimally see the client in person and review their record.

CR.2
When a client or legally responsible party requests and agrees to pay the cost of a second opinion, the agency does not impede the right to seek a second opinion from a practitioner of his/her choice and does not terminate the client solely because of seeking this second opinion.

  • CR.2.A.
    An agency will not impede the right of or terminate services to clients seeking a second opinion. All substantiated complaints will be assessed for the seriousness of the violation and actions taken to achieve compliance.

CR.4
Only staff who have completed training in physical intervention shall implement physical intervention techniques.