Non-Massachusetts Residents Policy Statement

 

Policy Statement

This CREARTH creative arts therapy Policy Statement for non-Massachusetts residents provides important information for clients. If you decide you would like to work with us, you will be provided with a copy of the Policy Statement to sign and keep for your records.

 

Confidentiality

The information shared in creative arts therapy sessions, and the written records of the sessions, are confidential. This means they cannot be shared with anyone without your permission. However, there are certain situations when it is required by law to disclose information.

 

Disclosure is required by law when there is a reasonable suspicion of abuse or neglect of a child, of a disabled person, of the elderly, of animals; when a client presents a danger to him or herself (for example, is suicidal); when a client presents a danger to others; when there is prenatal exposure to controlled substances; when a client is contemplating it and there is the possible future commission of a crime or harmful act. In these situations, counselors are professionally required to notify the legal authorities and to make reasonable attempts to notify the client’s family.

In some states, when a client presents as a danger to others, the counselor is required by law to notify the person who is in possible danger of being harmed by the client.

Disclosure may be required if a client is involved in a legal proceeding and has put his or her mental status at issue in a litigation initiated by the client, the defendant may have the right to obtain therapy records and/or testimony from Creative Arts Therapy & Integrative Care (CREARTH) and the treating expressive/creative arts therapist.

Disclosure may be required in certain emergency situations, either while a person is a current client of Creative Arts Therapy & Integrative Care (CREARTH) or after termination, when the creative arts therapist becomes concerned about a client’s safety, or about a client possibly injuring someone else, or about a client receiving proper psychiatric care. In these situations, the creative arts therapist will do whatever possible within the limits of the law to prevent a client from injuring themselves or others, and to ensure that the client receives proper medical care. The counselor may also contact the person(s) whose name was provided by the client as an emergency contact and/or a client’s family.

Disclosure may be required by health insurance companies in order to process claims and authorize treatment. In these situations, only the minimum of information necessary will be shared with the insurance company. Please note that Creative Arts Therapy & Integrative Care (CREARTH) and its counselors have no control over what insurance companies do with the information submitted as required, or who has access to the information.

Counselors at Creative Arts Therapy & Integrative Care (CREARTH) often consult with other professionals in order to provide the highest quality care and services. We strive to fully maintain client confidentiality, therefore client names and other identifying information are never shared during consultative conversations.

Creative Arts Therapy & Integrative Care (CREARTH), its counselors, and its clients agree that should there be any legal proceedings including but not limited to divorce disputes, custody disputes, lawsuits, injuries, neither the client, the client’s attorneys, nor any other person or agency acting on behalf of the client will call on CREARTH and/or treating counselors UNLESS ABSOLUTELY NECESSARY to testify in court or at any other type of proceeding, nor will a disclosure of session records be requested for these purposes.

CREARTH and its counselors will, if it is still appropriate after the above exclusions, release protected information to you or to a person or agency you specify upon your written request. Please note: Creative Arts Therapy & Integrative Care (CREARTH) and its counselors may assess that a release of information may be harmful to a client. If such an assessment is made, information will not be released.

 

Records Management

CREARTH and its counselors keep and maintain client creative arts therapy session records. These records may include communications between sessions and information provided by other professionals in addition to client and session documentation.

Should a counselor be away for an extended period of time, for example on vacation, CREARTH’s Custodian of Records will have access to client records in case of emergency.

Records are kept under two locks and are available to others only with the client’s written permission to release and according to the conditions detailed above. Records are kept for ten years (or ten years after a client’s date of majority) or more. CREARTH will attempt to notify clients when their records are to be destroyed.

Clients have the right to review or receive a summary of their records at any time except in limited legal or emergency situations or when CREARTH and/or its counselors have assessed that releasing such information may be harmful in some way. In these cases, CREARTH will provide and/or its counselors will provide the records to an appropriate and legitimate mental health professional.

 

Emergency Procedures

If you are experiencing a crisis or emergency call 911 immediately.
Creative Arts Therapy & Integrative Care (CREARTH) does not provide crisis and/or emergency services.

 

Between-Session Contacting

Should you need to contact CREARTH or its counselors between scheduled sessions, please call 617-329-9553 between 10AM and 6PM (ET), Tuesday through Saturday. Do not leave confidential information in these voicemail messages. Calls are returned as soon as possible, typically within two to three CREARTH regular business days.

If it is earlier than 10AM, later than 6PM, or on Sunday or Monday, please send an email message to our office at crearth@crearthcare.com. Do not put confidential information in these messages. Messages are responded to as soon as possible, typically within two to three business days.

If you are experiencing a crisis or emergency call 911 immediately.
Creative Arts Therapy & Integrative Care (CREARTH) does not provide crisis and/or emergency services.

 

Email

CREARTH uses HIPAA-compliant emailing through specific online providers for all of its client emailing of in-session communications which involve disclosure(s) of confidential protected health information.

CREARTH will provide its clients with the name of the HIPAA-compliant email provider, as well as with instructions for how to register and login, in a separate document.

All clients agree to use the specified HIPAA-compliant email provider for their in-session communications which involve disclosure(s) of confidential protected health information.

CREARTH and its counselors may use other email providers for communications outside of sessions and/or for communications which do not involve disclosure(s) of confidential protected health information. CREARTH and its counselors cannot guarantee the confidentiality of these communications and have no control over who may see them when in electronic transit, therefore at no time will personal, medical, or identifying client information be mentioned in any non-HIPAA compliant email communication.

CREARTH and its counselors cannot be held responsible for the privacy, security, encryption, or choice of any email provider that is made by a client for their use when sending and receiving email communications with Creative Arts Therapy & Integrative Care and its counselors.

CREARTH and its counselors do not use instant messaging with clients.

CREARTH and its counselors do not use instant messaging with other professionals or agencies. Communications with other professionals and agencies are conducted in person, over the telephone, by email, and/or via virtual conferencing  using HIPAA-compliant providers of these services as warrented.

CREARTH and its counselors cannot be held responsible for the encryption, privacy, and/or security of messages, messaging, and communications should a client sync their emails to a device or use an app with a device such as a cell phone, android device, notepad, iPad, tablet, etc.

 

Telephone

If you are experiencing a crisis or emergency call 911 immediately.

The telephone number to contact CREARTH is 617-329-9553. Messages can be left on the voicemail. Calls will be returned as soon as possible, typically within two to three business days. Please do not leave detailed or private health information in the voicemail message.

CREARTH and its counselors will have occasions to leave voicemail messages for clients. These messages will not disclose any of the client’s protected health information. Should a client not wish CREARTH and its counselors to leave voicemail messages, or has specific requests regarding the phrasing of messages and/or specific requests as to where to leave voicemail messages (phone number to use or not to use), this will be discussed during initial sessions.

Telephone conversations between CREARTH, its counselors, and clients, whether in-session or outside of sessions, are not recorded.

CREARTH and its counselors respect their clients’ confidentiality and fully comply with HIPAA regulations regarding protected health information and privacy.

CREARTH and its counselors cannot be held responsible for the encryption, privacy, and/or security of communications should a client sync their emails to a device or use an app with a device such as a cell phone, android device, notepad, iPad, tablet, etc.

 

Texting

CREARTH and its counselors do not use texting with clients because texting is not HIPAA-compliant. Texts received from current or former clients will not be responded to or answered by CREARTH or its counselors.

 

Video Conferencing

CREARTH offers creative arts therapy and support sessions via video conferencing as an option for receiving services. Video sessions are conducted between the client, Creative Arts Therapy & Integrative Care, and its counselors.

CREARTH does everything in its power to support HIPAA compliance regarding clients’ protected health information and privacy.

 

Social Networking Media and Search Engines

CREARTH and its counselors do not follow current or former clients on any social networking website or on blogs.

CREARTH and its counselors do not accept friend requests, requests to join, or any other requests from current or former clients for any social networking website.

CREARTH and its counselors do not “follow” and/or “fan” and/or “friend” and/or “like” and/or “don’t like” and/or communicate with current or former clients on any social networking website.

If a client needs to contact their counselor or contact CREARTH, the accepted communication methods are listed above under the headings “Emergency Procedures,” “Email and Instant Messaging,” “Telephone,” and “Virtual Conferencing.”

CREARTH and its counselors do not search for clients on search engines such as Google, Yahoo, Dogpile, Ixquick, etc. Exceptions to this are emergency situations where CREARTH and/or its counselors suspect a client is in danger and the client has not been in touch with his or her counselor or with CREARTH by way of the usual means, (telephone, session emails, session instant messaging, session virtual conferencing, etc.) In these instances, a social media networking website and/or a search engine may be used to find another person close to a client or in order to ascertain a client’s welfare. These are extremely rare instances. Should CREARTH or its counselors need to resort to such measures, it will be discussed with the client during the next session.

 

The Therapy Process

Taking part in the creative arts therapy therapeutic journey can have many positive results which may benefit and improve many areas of your life. The experience and the work of creative arts therapy can also bring forward painful events and memories requiring your dedication and effort, honesty and openness to move through. Remembering, talking about, and sharing unpleasant feelings, events, or thoughts can cause feelings of discomfort, anxiety, sleeplessness, depression, anger, sadness, disappointment. Emailm telephone, and video therapies can sometimes be limited by the lack of visual cues and/or lack of in-person cues. As with everything in life, there are no guarantees of positive results with creative arts therapy – or even intended results. Change and growth can be unpredictable. Every step along the way, the decision to continue is yours.

CREARTH and its counselors use creative arts therapy in their work with clients. Through music, the visual arts, language arts, psychology, journaling, shared stories, horticulture and permaculture, dance and movement, culinary arts, and more, we are able to examine ourselves, our lives, our goals, and our direction.

Our approach is holistic and integrative. We always consider the whole person. Plans for care and individual goals are developed with the client’s active participation in partnership with the counselor.

 

Treatment Process and Treatment Planning

Typical individual sessions run for either sixty minutes or ninety minutes, but this will vary depending upon which mode of service delivery a client is using and/or in what combination. The frequency and length of individual sessions are carefully planned to match each person’s needs and situation.

Typical group sessions run for either sixty minutes or ninety minutes, but this will vary depending upon which mode of service delivery is being used and/or in what combination. The frequency and length of group sessions are carefully planned to match the participants’  needs and situations.

Assessments are completed within a reasonable time-frame, typically about two weeks. Assessments and evaluations are usually completed before online counseling begins.

Information and history are gathered during the initial sessions. Many questions may be asked. You will need to complete various forms and questionnaires. You may need to request your medical records. The information gathered is used to help formulate the assessment.

All client questions are welcome. If you should have any unanswered questions about any of the approaches used in your sessions, about possible risks, or about your personalized plan, please ask. It is your right to know about treatment plans, risks, benefits. If you feel you might benefit from a treatment not provided by CREARTH and/or its counselors, please let us know. We are ethically obligated to help you to obtain those treatments.

 

Termination

An important part of the initial assessment process is determining if creative arts therapy and CREARTH are a right fit for you. CREARTH tries to not accept clients whom they feel they cannot best help. In these situations, you will be provided with referral information to more appropriate agencies and/or practitioners for you to contact.

There are other situations when a therapist can terminate services with a client. These situations include but are not limited to: (1) when a therapist determines that the client’s problem is beyond the therapist’s scope of license or outside the therapist’s scope or areas of specialization; (2) when the therapist determines that the client is not benefitting from the treatment; (3) when the course of treatment comes to an end because of the improvement of the client; (4) when a client can no longer pay for services; (5) when a therapist is unable or unwilling, for appropriate reasons, to continue to provide care.

If at any time you would like another professional’s opinion or want to consult with another counselor, CREARTH will provide you with names of other qualified professionals and/or agencies with whom you may prefer to work. Typically, there is a final exit session between client and counselor where this information can be shared.

 

Billing & Payment

Individual sessions, (in-person, video, telephone, synchronous email) are scheduled in advance and are either 60-minute or 90-minute sessions. Should a scheduled 60-minute session extend into a 90-minute session not scheduled in advance, clients may be billed the 90-minute session rate for that session in certain situations, at the therapist’s discretion.

The most current rates are reflected on the website. Amounts are U.S. dollars (USD). All payments are through PayPal.

We do not bill insurance companies.

Reduced rates are available including sliding fee scales, reduced rates, and limited availability pro bono (no charge) sessions. Please contact us to discuss our reduced, pro bono, and individualized payment options.

 

Cancellations

If you need to cancel a scheduled session, please notify us at least 24 hours in advance when possible. Clients may be charged a fee up to the full session price for a missed or cancelled session if less than 24 hours advance notice is provided.

 

 

 

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