​​​​​Mid-Ohio Behavioral Health LLC.


​"The People You Know and Trust"

​Mid-Ohio Behavior Health, LLC

Consumer Handbook

 

Philosophy of Treatment


 

Our Treatment Philosophy is based on our premise that a range of reliable, evidence based, treatment approaches exist which can reduce or remedying the majority of issues identified by an individual referred to our agency. We require our staff to be adequately trained and supervised in those approaches specific to their area of service. It is our policy that all services begin with a thorough evaluation of the problem presented, to determine the most appropriate level and range of care. In cases where the determination is made that all or some of the presenting problem resides outside our discipline or capability, every effort will be made to both clarify this issue to the Consumers and arrange a referral to an alternative provider.

 

We believe that the initial assessment should designate the intent of treatment in expected outcomes which can be measured and clearly defined to the Consumer. In general, such outcomes will constitute (in order of priority) improvements in: safety, functioning and/or behavior. In the event that treatment is compulsory, required by an outside entity such as the court, it is our philosophy that we remain agents of the Consumer, will provide services only with their agreement and will communicate information to any outside agent only with their permission, except in certain predefined areas required by law. We believe it is of crucial importance that the Consumer helps develop and is in agreement with the goals of treatment and that appropriate attention is paid to the process of planning and communication throughout.

 

Our treatment philosophy is additionally based on our conviction that mental health is relational especially in respect to one’s immediate home environment. The relationship between Consumer and therapist is professional, but also relational, and we believe treatment is optimized by developing interpersonal security and trust. We recognize that any relationship is potentially subject to intangible processes and misunderstanding. It is our policy therefore that the therapy relationship be protected through stringent confidentiality and that there is recourse for the consumer if they have a complaint or feel their rights are at any time violated. Consumers are informed of these rights and recourse at point of intake.

 

We believe that our services should be available to all persons in our designated region free of any discrimination. Where money is an issue, we only accept Medicaid consumers and do not accept or charge consumers for services. We believe that services should be minimal as possible to meet the required goals and at all times within the least restrictive setting. We believe in accurate record keeping and lawful protection and disposal of records as required.

 

Finally, we value and actively seek, utilize and respond to consumer and community feedback from several sources and venues. We systematically collect and analyze data related to treatment process and outcomes as a means of overseeing and improving services.

 

Outpatient Services

 

Outpatient services include the areas of Diagnostic Services, Care Coordination Services, Counseling, and Psychotherapy Services.

 

Admission Criteria:

1.      Children, Adolescents and Adults

2.      Manifest emotional, psychological, behavioral, developmental, and/or social problems that are preventing the Consumer from maximizing their full potential.

3.      Consumer meets DSM5 diagnostic criteria (for those with Developmental Disability diagnosis must have an additional mental health diagnosis).

 

Diagnostic Services - This service offers a comprehensive Clinical Assessment including recommendations.

 

Care Coordination Program - This service offers case coordination through our Care Coordination Staff. These services may include assisting in developing treatment plans, working on goals, and linking the Consumer with other available and appropriate community resources.

 

Psychotherapy Services - Individual Psychotherapy is provided by trained, licensed clinical staff at scheduled times in private, confidential settings. This is an essential service and often includes in-home counseling and specialized group counseling depending on the individual needs of the Consumer.

 

Locations

Muskingum County                                                                            Licking County

930 Bethesda Drive                                                                            2112 Cherry Valley Rd.

Building 4, Suite 4                                                                              Newark, Ohio 43055                                     

Zanesville, Ohio 43701                                                                     

 

Coshocton County                                                                              Guernsey County

1501 Chestnut Street                                                                          2090 North Ave         

Coshocton, Ohio 43812                                                                      Cambridge, Ohio 43725                       

                                                                                                           

For additional information please visit www.midohiobh.com

 

Consumer Rights and Grievances


Purpose:

To protect and ensure the rights of persons seeking or receiving mental health services by guaranteeing specific rights of Consumers, with procedures for responsive and impartial resolution for all grievances either from the Consumer themselves or on behalf of the Consumer by the guardian, next-of-kin, or special representative.  The overall purpose is to ensure Consumers are free from abuse, financial or other exploitation, humiliation, and neglect and ensure that there is no retaliation for exercising any of the rights or for filing a grievance.

Definitions:

1.      Consumer - an individual applying for or receiving mental health services from a qualified person from this agency.

2.      Consumer Advocate - the person designated by Mid-Ohio Behavioral Health, LLC’s with responsibility for assuring compliance with the Consumer Rights and Grievance Procedure rule as implemented.

3.      Grievance - a written complaint initiated, either verbally or in writing, by the Consumer or any other person or agency on behalf of the Consumer regarding denial or abuse of the Consumer's rights.

4.      Mental Health Services - any of the services, programs, or activities listed/defined in Rule 5122:2-1-02 of the Administrative Code. Mental health services include both direct Consumer services and community services. Direct Consumer services are listed and defined in paragraph (D)(1) to (D) (10) of Rule 5122:2-1-02. Community services are listed and defined in paragraph (D) (11) to (D) (15) of the same rule. 

Consumer Rights:

1.      The right to be treated with kindness, consideration, respect for personal dignity, autonomy, and privacy.

2.      The right to receive service in a humane setting which is the least restrictive possible, as defined in the treatment plan.

3.      The right to be told of one's own condition, of planned or present services, treatment or therapies, and of the alternative of requesting and evaluation by an independent professional.

4.      The right to agree to or refuse any service, treatment, or therapy upon full explanation of the expected consequences.

5.      The right to a current, written treatment plan that addresses one's own mental and physical health, social and economic needs, and that specifies the provision of appropriate and adequate services as available, either directly or indirectly.

6.      The right to active, informed participation in the development and periodic review of the treatment plan.

7.      The right to freedom from unnecessary or excessive medication.

8.      The right to freedom from unnecessary restraint or seclusion.

9.      The right to participate in any appropriate and available Agency service regardless of refusal of one or more other services, treatment or therapies, or regardless of relapse from earlier treatment, unless there is a valid and specific necessity which precludes and/or requires the Consumer's participation in the other services. This will be explained to the Consumer and recorded in the Consumer's treatment plan.

10.  The right to be informed of, and to refuse, any unusual or hazardous treatment procedure.

11.  The right to be told of and to refuse observation techniques such as one-way mirrors, tape-recording, television, movies, or photographs.

12.  The right to request and can consult with independent treatment specialists or legal counsel at one's own expense.

13.  The right to confidentiality of communications and of all personally identifying data within the limitations and requirements for disclosure of various and/or certifying sources, State or federal statutes, unless release of information is specifically authorized by the Consumer, parent, or legal guardian of a minor Consumer or court appointed guardian of the person of an adult Consumer in accordance with Rule 5122:2-3-11 of the Administrative Code.

14.  The right to have access to one's own psychiatric, medical or other treatment records, unless access to identified items of information is specifically restricted for that individual Consumer for clear treatment reasons, as cited in the service plan. "Clear Treatment Reasons" shall be understood to mean only severe emotional damage to the Consumer and/or if dangerous or self-injurious actions are an imminent risk. This action must be explained in detail to the Consumer and other persons authorized by the Consumer. The restriction must be renewed at least annually to remain valid. Any person authorized by the Consumer has unrestricted access to all information. Consumers will be informed in writing of Agency policies and procedures for reviewing or obtaining copies of all personal records.

15.  The right to be told in advance of the reason(s) for termination of services and to be involved in planning for the consequences of that event.

16.  The right to receive an explanation of the reason for denial of service.

17.  The right not to be discriminated against in the delivery of services based on religion, race, color, creed, sex, national origin, age, lifestyle, sexual orientation, physical or mental handicap, developmental disability, or inability to pay.

18.  The right to know the cost of the services.

19.  The right to be fully informed of all rights.

20.  The right to exercise all rights without reprisal in any form, including continued, uncompromised access to services.

21.  The right to have oral and written instruction for filing a grievance. 

Consumer Rights Policy:

It is the policy of Mid-Ohio Behavioral Health, LLC’s to ensure that the program participants have the right to file grievances concerning the services they receive while a program participant. It shall further be the policy of Mid-Ohio Behavioral Health, LLC’s Inc. to fully support the appointed Consumer Advocate to take all necessary steps to assure compliance with the following policy: 

1.      All Consumers will receive a copy of the Consumer Rights Grievance procedure at intake and a copy of the policy will be posted in a conspicuous location at each building operated by Mid-Ohio Behavioral Health, LLC’s. The procedure will be explained by a staff member and upon acceptance of the procedure will the sign the form to verify understanding of and receipt of the Consumer Grievance Procedure. If the Consumer continues to receive services beyond one year, the Consumer rights policy will be reviewed with the Consumer by a staff person on an annual basis. 

2.      If a program participant has a grievance they shall be provided with a formal grievance form on which the nature of the complaint, all individuals involved, and the date(s) of the occurrences shall be documented. This form shall be signed and dated by the participant and submitted to the Consumer Advocate. This may be done verbally with the Consumer; it is not mandated that the Consumer complete a written form to file a grievance.  If the Consumer Advocate is away from the office for more than a one-week period, the Consumer Advocate will designate another qualified agency staff person to serve in this capacity in their absence.

3.      In a crisis or emergency situation, the Consumers Rights Officer shall advise the Consumer of at least the immediate pertinent rights to consent to, or to refuse, the offered treatment and the consequences of that agreement or refusal. Under these circumstances, the written copy and full verbal explanation of the Consumer’s rights policy may be delayed to a subsequent meeting.

4.      The Consumer Advocate will provide assistance in filing the grievance, investigate the grievance on behalf of the griever, and will represent the griever at the hearing on the grievance at all levels, if requested to do so by the griever.

5.      Upon receipt of the grievance, the Consumer Advocate shall collect pertinent information and document the information on the Consumer Rights Grievance Log. The Consumer Advocate shall serve as representative for the griever. If resolved at this time, a written statement of results will be given to the Consumer and the procedure shall end. The Consumer Advocate will respond to the grievance within five (5) working days.

6.      The Consumer Advocate will present to the griever the option to initiate a complaint with outside entities, if a satisfactory resolution cannot be reached at the Board level. Specifically, the Ohio Department of Mental Health & Addiction Services, the Ohio Legal Rights Services, the U.S. Department of Health and Human Services and/or appropriate professional licensing or regulatory associations. The Consumer's relevant address, telephone number, copies of the presenting grievances and resolutions to any or all of the above agencies, if requested to do so, in writing by the griever. 

7.      All Consumers or recipients of the type of mental health services specified as "Community Services" (Information and referral, consultation services, mental health education service, training) may have a copy and explanation of the Consumer rights policy upon request. 

8.      All staff persons at the Board, including both administrative and support staff, will be familiarized with all specific Consumer rights and grievance policies and procedures. 

If a grievance is filed against the Consumer Advocate, the Consumer will then be assisted through the entire grievance procedure by the CEO. All written documents relating to the grievance itself will remain confidential at the administrative level and the resolution of the grievance will only be shared with the Consumer Advocate with permission of the Consumer. 

Betsy Thornabar

930 Bethesda Drive, Suite 4

Zanesville, Ohio 43701

(740) 569-5737

bthornabar@midohiobh.com

 

The Consumer Advocate can be reached on Monday through Friday by calling the above number, if not available they or their designee will return call within 1 business day. Additional resources include:

·         U.S. Department of Human Services, Office of Civil Rights, Washington, D.C. (202) 727-5940 

·         Disability Rights Ohio, 50 W. Broad St., Suite 1400, Columbus, OH 43215 (800) 282-9181

·         Ohio Department of Mental Health & Addiction Services, 30 E. Broad St., Columbus, OH  43215 (614) 466-2596

·         Muskingum Area Mental Health & Recovery Services Board, 1205 Newark Rd., Zanesville, OH 43701         (740) 454-8557

This agency shall keep records of grievances it receives, the subject of the grievances, the resolution of each and shall ensure the availability of these records for review by the Department of Mental Health & Addiction Services upon request. The agency will also summarize annually its records to include the number of grievances received, types of grievances and resolution status for each.  The summary will include an analysis of trends, areas needing improvement, and actions to be taken.

At all times, the grievance process shall operate in accordance with Title VI. No person in the agency shall on the grounds of RACE, COLOR, RELIGION, SEX, AGE, NATIONAL ORIGIN, OR HANDICAP be excluded from participation in, be denied the benefits of, or otherwise be subject to discrimination under any program or activity for which the applicant received federal financial assistance.

Code of Ethics

Mid-Ohio Behavioral Health, LLC is dedicated to the individual employee and the organization to adhere to sound ethical practices in all aspects of administration, business, marketing, direct service delivery, and fiscal management. It is the policy of Mid-Ohio Behavioral Health, LLC’s that procedures be in place for reporting any unethical behaviors, including but not limited to, waste, fraud, abuse, and other questionable activities, with no reprisals against staff which may so report. Such reports will be communicated to the CEO or his designee (Chief Compliance Officer) and a timely response and action will be taken regarding such reports with the consent and involvement of the CEO.

The Mid-Ohio Behavioral Health Employees will adhere to the following Code of Ethics: 

1.      I will not discriminate against or refuse professional services to anyone on the basis of race, color, creed, age, sex, religion, nationality, or sexual orientation.

2.      I will not use my professional or contractual relationships to further my own interests.

3.      I will evidence a genuine interest in all persons served and do hereby dedicate myself to their best interests and helping them help themselves.  I will  set appropriate boundaries between myself and my consumer.

4.      I will respect the privacy of persons served and hold in confidence all information obtained in the course of professional service.

5.      I will maintain confidentiality when storing or disposing of consumer records.

6.      I will maintain a professional attitude which upholds confidentiality toward individuals served, colleagues, applicants and the Mid-Ohio Behavioral Health, LLC’s

7.      I, upon termination, will maintain consumer and co-worker confidentiality, and I will hold as confidential any information I obtained concerning the Mid-Ohio Behavioral Health, LLC’s

8.      I will respect the rights and views of my colleagues, and treat them with fairness, courtesy, and good faith.

9.      I will not exploit the trust of the public or my co-workers. I will make every effort to avoid relationships that could impair my professional judgment and or be considered a conflict of interest.

10.  I will not engage in or condone any form of harassment or discrimination.

11.  I will not permit fellow employees to present themselves as competent or perform services beyond their training and/or level of experience.

12.  I will respect the confidences of my co-workers.

13.  When I replace a colleague or am replaced I will act with consideration for the interest, character, and reputation of the other professional.

14.  I will extend respect and cooperation to colleagues of all professions.

15.  I will not assume professional responsibility for the consumers of a colleague without appropriate consultation with that colleague.

16.  If I see that the consumer of a colleague during a temporary absence or emergency, I will serve that consumer with the same consideration afforded any consumer.

17.  If I have the responsibility for employing and evaluating staff performance I will do so in a responsible, fair, considerate, and equitable manner.

18.  If I know that a colleague has violated ethical standards I will bring this to my colleagues’ attention. If this fails I will report the activity to my supervisor.

19.  I will accurately represent my education, training, experience, and competencies as they relate to my profession.

20.  I will correct, when possible, misleading or inaccurate information and representations made by others concerning my qualifications or services.

21.  If serving as a supervisor I will make certain that the qualifications of persons, I supervise are honestly represented.

22.  I will abide by Mid-Ohio Behavioral Health, LLC’s policies related to public statements.

23.  I have total commitment to provide the highest quality of service to those who seek my professional assistance.

24.  I will continually assess my personal strengths, limitations, biases, and effectiveness.

25.  I will strive to become and remain proficient in professional practice and the performance of professional functions.

26.  I will act in accordance with standards of professional integrity including not witnessing documents for consumers.

27.  I will not advise on problems outside the bounds of my competence.

28.  I will seek assistance for any problem that impairs my performance.

29.  I will not perform personal fundraising on company time and my personal property secured at all times.

30.  I will not accept money and gratuities from consumers.  I can accept gifts from consumers in the amount of $5 dollars or less.

31.  I understand that violation of this code may be grounds for dismissal.

 The Mid-Ohio Behavioral Health, LLC’s will adhere to the following Code of Ethics: 

1.      Will not represent to the public or referring sources services that are not or cannot be provided.

2.      Will handle employees in a fair and consistent manner.

3.      Will use accepted and standard practices of the accrual accounting method in reporting and maintaining fiscal records and budgets.

4.      Will not use deceptive practices in marketing its services.

5.      Will use the guiding principle of "Doing unto others as you would have them do unto you" in conducting its business and marketing strategies.

No Show/Cancellation Policy


 

Policy: It is the policy of Mid-Ohio Behavioral Health that the following will occur when a Consumer fails to attend scheduled appointments:

1.      Two “no shows” in a row: OR Three missed appointments in a row (any combination of “no shows”, same-day cancellations, or same-day rescheduling): OR Five failed appointments in ONE year, will result in placement on same-day scheduling. If there is no participation in any of our Mid-Ohio’s programs for 365 days from the last date of services, you will be discharged.

 

2.      If you are late for a scheduled appointment by at least half the time (i.e. 15 minutes late for a 30-minute appointment), it is at the provider's discretion if you will be seen at that time or rescheduled.

Cancellations and rescheduling with at least twenty-four hours’ notice are not considered failed appointments. This policy includes all types of service appointments.

 

After Hours Information


If there is an EMERGENCY, call 9-1-1 or go to the nearest Hospital with an Emergency Room.

For non-emergency after-hour care call Genesis Behavior Health at (740) 454-4615.

If there is an urgent need to contact your therapist or during the hours that we are closed, you may call (740) 454-4615 for assistance. If this is not an urgent need, you may also leave a message at our office and we will get back with you on the next business day.

Notice of Privacy Practices


This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

I. Our Duty to Safeguard Your Protected Health Information.

Individually identifiable information about your past, present, or future health or condition, the provision of health care to you, or payment for the health care is considered "Protected Health Information" ("PHI"). We are required to extend certain protections to your PHI, and to give you this Notice about our privacy practices that explains how, when and why we may use or disclose your PHI. Except in specified circumstances, we must use or disclose only the minimum necessary PHI to accomplish the intended purpose of the use or disclosure.

We are required to follow the privacy practices described in this Notice, though we reserve the right to change our privacy practices and the terms of this Notice at any time. If we do so, we will post a new Notice in the lobby. You may request a copy of the new notice from Mid-Ohio Behavioral Healthcare, LLC. 930 Bethesda Drive, Suite 4, Zanesville, Ohio 43701.

II. How We May Use and Disclose Your Protected Health Information.

We use and disclose PHI for a variety of reasons. We have a limited right to use and/or disclosure your PHI for purposes of treatment, payment or our health care operations. For uses beyond that, we must have your written authorization unless the law permits or requires us to make the use or disclosure without your authorization. If we disclose your PHI to an outside entity for that entity to perform a function on our behalf, we must have in place an agreement from the outside entity that it will extend the same degree of privacy protection to your information that we must apply to your PHI. However, the law provides that we are permitted to make some uses/disclosures without your consent or authorization. The following offers more description and some examples of our potential uses/disclosures of your PHI.

Uses and Disclosures Relating to Treatment, Payment, or Health Care Operations. Generally, we may use or disclose your PHI as follows:

For treatment: We may disclose your PHI to doctors, nurses, and other health care personnel who are involved in providing your health care. For example, your PHI will be shared among members of your treatment team, or with other agency staff on a need to know basis. Your PHI may also be shared with outside entities performing ancillary services relating to your treatment, such as lab work or for consultation purposes, or ADAMH/CMH Boards and/or community mental health agencies involved in provision or coordination of your care. 

To obtain payment: We may use/disclose your PHI to bill and collect payment for your health care services. For example, we may contact your employer to verify employment status, and/or release portions of your PHI to the Medicaid program, the ODMH central office, the local ADAMH/CMH Board and/or a private insurer to get paid for services that we delivered to you. 

For health care operations: We may use/disclose your PHI during operating our mental health services. For example, we may use your PHI in evaluating the quality of services provided, or disclose your PHI to our accountant or attorney for audit purposes. Since we are an integrated system, we may disclose your PHI to designated staff in our central office or our Office of Support Services for similar purposes. Release of your PHI to the Multi-Agency Community Services Information System [MACSIS] and/or state agencies might also be necessary to determine your eligibility for publicly funded services. These will be on a need to know basis.

Appointment reminders: Unless you provide us with alternative instructions, we may send appointment reminders, billings, and other similar materials to your home.

Uses and Disclosures Requiring Authorization: For uses and disclosures beyond treatment, payment and operations purposes we are required to have your written authorization, unless the use or disclosure falls within one of the exceptions described below. Authorizations can be revoked at any time to stop future uses/disclosures except to the extent that we have already undertaken an action in reliance upon your authorization.

Uses and Disclosures of PHI from Mental Health Records Not Requiring Consent or Authorization: The law provides that we may use/disclose your PHI from mental health records without consent or authorization in the following circumstances:

When required by law: We may disclose PHI when a law requires that we report information about suspected abuse, neglect or domestic violence, or relating to suspected criminal activity, or in response to a court order. We must also disclose PHI to authorities that monitor compliance with these privacy requirements. 

For public health activities: We may disclose PHI when we are required to collect information about disease or injury, or to report vital statistics to the public health authority.

For health oversight activities: We may disclose PHI to our central office, the protection and advocacy agency, or another agency responsible for monitoring the health care system for such purposes as reporting or investigation of unusual incidents.

Relating to decedents: We may disclose PHI relating to an individual's death to coroners, medical examiners, funeral directors, and organ procurement organizations relating to organ, eye, or tissue donations or transplants. 

For research purposes: In certain circumstances, and under supervision of a privacy board, we may disclose PHI to our central office research staff and their designees to assist medical/psychiatric research.

To avert threat to health or safety: To avoid a serious threat to health or safety, we may disclose PHI as necessary to law enforcement or other persons who can reasonably prevent or lessen the threat of harm.

For specific government functions: We may disclose PHI of military personnel and veterans in certain situations, to correctional facilities in certain situations, to government benefit programs relating to eligibility and enrollment, and for national security reasons, such as protection of the President.

Uses and Disclosures of PHI from Alcohol and Other Drug Records Not Requiring [Consent or] Authorization: The law provides that we may use/disclose your PHI from alcohol and other drug records without consent or authorization in the following circumstances:

When required by law: We may disclose PHI when a law requires that we report information about suspected child abuse and neglect, or when a crime has been committed on the program premises or against program personnel, or in response to a court order.

Relating to decedents: We may disclose PHI relating to an individual's death if state or federal law requires the information for collection of vital statistics or inquiry into cause of death.

For research, audit or evaluation purposes: In certain circumstances, we may disclose PHI for research, audit or evaluation purposes.

To avert threat to health or safety: To avoid a serious threat to health or safety, we may disclose PHI to law enforcement when a threat is made to commit a crime on the program premises or against program personnel.

Uses and Disclosures Requiring You to have an Opportunity to Object: In the following situations, we may disclose a limited amount of your PHI if we inform you about the disclosure in advance and you do not object, if the disclosure is not otherwise prohibited by law. However, if there is an emergency and you cannot be given your opportunity to object, disclosure may be made if it is consistent with any prior expressed wishes and disclosure is determined to be in your best interests. You must be informed and given an opportunity to object to further disclosure as soon as you can do so.

III. Your Rights Regarding Your Protected Health Information. You have the following rights relating to your protected health information:

To request restrictions on uses/disclosures: You have the right to ask that we limit how we use or disclose your PHI. We will consider your request but are not legally bound to agree to the restriction. To the extent that we do agree to any restrictions on our use/disclosure of your PHI, we will put the agreement in writing and abide by it except in emergency situations. We cannot agree to limit uses/disclosures that are required by law. Under most situations, we will expressly ask for your authorization in writing to release information outside our agency.

To choose how we contact you: You have the right to ask that we send you information at an alternative address or by an alternative means. We must agree to your request if it is reasonably easy for us to do so.

To inspect and copy your PHI: Unless your access is restricted for clear and documented treatment reasons, you have a right to see your protected health information upon your written request. We will respond to your request within 30 days. If we deny your access, we will give you written reasons for the denial and explain any right to have the denial reviewed. If you want copies of your PHI, a charge for copying may be imposed, depending on your circumstances. You have a right to choose what portions of your information you want copied and to have prior information on the cost of copying.

To request amendment of your PHI: If you believe that there is a mistake or missing information in our record of your PHI, you may request, in writing, that we correct or add to the record. We will respond within 60 days of receiving your request. We may deny the request if we determine that the PHI is: (i) correct and complete; (ii) not created by us and/or not part of our records, or; (iii) not permitted to be disclosed. Any denial will state the reasons for denial and explain your rights to have the request and denial, along with any statement in response that you provide, appended to your PHI. If we approve the request for amendment, we will change the PHI and so inform you, and tell others that need to know about the change in the PHI.

To find out what disclosures have been made: You have a right to get a list of when, to whom, for what purpose, and what content of your PHI has been released other than instances of disclosure: for treatment, payment, and operations; to you, your family, or the facility directory; or pursuant to your written authorization. The list also will not include any disclosures made for national security purposes, to law enforcement officials or correctional facilities, or disclosures made before June 2014. We will respond to your written request for such a list within 60 days of receiving it. Your request can relate to disclosures going as far back as six years. There will be no charge for up to one such list each year. There may be a charge for more frequent requests.

To receive this notice: You have a right to receive a paper or electronic copy of this notice upon request.

IV. How to Complain about our Privacy Practices:

If you think we may have violated your privacy rights, or you disagree with a decision we made about access to your PHI, you may file a complaint with the Consumer Advocate in this handbook. You also may file a written complaint with the Secretary of the U.S. Department of Health and Human Services at 200 Independence Avenue, S.W., Washington, D.C. 20201 (202) 619-0257.

We will take no retaliatory action against you if you make such complaints.

Consumer Safety


At Mid-Ohio consumer safety comes first.  We have multiple lighted exit signs throughout all buildings along with fire extinguishers in hallways and first aid kits, if the need arises.  During an emergency or a drill, please follow the directions of any staff member.  If you have question, please ask the front desk or call the office.

Mid-Ohio Behavioral Health, LLC’s offers a tobacco-free work environment to all employees and consumers.  No tobacco use is allowed inside our offices or agency vehicles.  A designated smoking area on the grounds is located at each location.

Licit and illicit drug use policy states that consumers and employees must not share any prescription/non-prescription or illegal drugs with other consumers or staff.  Consumers may not receive services if under the influence of mood altering chemicals.  Upon discovery of violations of this policy, the consumer or employee may be asked to leave the premises and a report given to either the counselor or supervisor depending on whether the violator is a consumer or is a staff member.  If the person refuses to leave when asked, the police may be called to assist.  Violations of these may result in involuntary termination for both staff and involuntary discharge for consumers.

Consumers who violate this policy will be asked to leave the program at the time of occurrence and may be involuntarily terminated from the program.  In the case of illegal substances, consumers or staff may be reported to the proper law enforcement facility.  Consumers may be re-admitted to the program at such a time that it is felt that consumer safety and treatment is no longer jeopardized.

Aggressive consumer policy states that any consumers who threaten, harass, verbally abuse, or become physically aggressive to other consumers or staff may be involuntarily discharged.

Weapon control policy states that unless the person is an officer of the law or court, no person shall knowingly possess, have under the person’s control, convey a deadly weapon or dangerous ordinance onto the premises of Mid-Ohio Behavioral Health, LLC’s or when traveling with staff or other consumers within the agency.  If it is known that a person, consumer or staff person possess a weapon on the premises, they will be asked to remove the weapon to their vehicle or leave the premises.  Refusal to do so may result in law enforcement being called.  Staff who are suspected of violating this policy may be placed on immediate administrative leave and may be terminated from the agency.

 It is the policy of Mid-Ohio Behavioral Health to not engage in any negative sanctions towards consumers other than termination of services as it relates to the cancel/no show policy and or violence and safety concerns.​