Policy Statement

 

This CREARTH Psychotherapy/Creative Arts Therapy Policy Statement provides important information for clients. If you decide you would like to work with us, you will be given a hardcopy of the Policy Statement.

 

Confidentiality

The information shared in 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 and the treating counselor.

Disclosure may be required in certain emergency situations, either while a person is a current client of Creative Arts Therapy & Integrative Care or after termination, when the counselor 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 counselor 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 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
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, 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 Creative Arts Therapy & Integrative Care 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.

Creative Arts Therapy & Integrative Care
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 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

Creative Arts Therapy & Integrative Care and its counselors keep and maintain client 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, Creative Arts Therapy & Integrative Care’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. Creative Arts Therapy & Integrative Care 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 Creative Arts Therapy & Integrative Care and/or its counselors have assessed that releasing such information may be harmful in some way. In these cases, Creative Arts Therapy & Integrative Care 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 does not provide crisis and/or emergency services.

 

Between-Session Contacting

Should you need to contact Creative Arts Therapy & Integrative Care or its counselors between scheduled sessions, please call 617-329-9553 between 10AM and 6PM ET, Monday through Friday. Do not leave confidential information in these voicemail messages. Calls are returned as soon as possible, typically within two to three business days.

If it is earlier than 10AM, later than 6PM, or the weekend (Saturday and Sunday) 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 does not provide crisis and/or emergency services.

 

Email

Creative Arts Therapy & Integrative Care 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.

Creative Arts Therapy & Integrative Care 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.

Creative Arts Therapy & Integrative Care 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. Creative Arts Therapy & Integrative Care 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.

Creative Arts Therapy & Integrative Care 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.

Creative Arts Therapy & Integrative Care and its counselors do not use instant messaging with clients.

Creative Arts Therapy & Integrative Care 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.

 

Telephone

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

The telephone number to contact Creative Arts Therapy & Integrative Care 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.

Creative Arts Therapy & Integrative Care 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 Creative Arts Therapy & Integrative Care 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 Creative Arts Therapy & Integrative Care, its counselors, and clients, whether in-session or outside of sessions, are not recorded.

Creative Arts Therapy & Integrative Care and its counselors respect their clients’ confidentiality and fully comply with HIPAA regulations regarding protected health information and privacy.

 

Texting

Creative Arts Therapy & Integrative Care 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 Creative Arts Therapy & Integrative Care or its counselors.

 

Virtual Conferencing

Creative Arts Therapy & Integrative Care offers counseling and support sessions via virtual conferencing as an option for receiving services. Virtual conferencing of sessions is conducted between the client, Creative Arts Therapy & Integrative Care, and its counselors.

Creative Arts Therapy & Integrative Care does everything in its power to support HIPAA compliance regarding clients’ protected health information and privacy.

 

Social Networking Media and Search Engines

Creative Arts Therapy & Integrative Care and its counselors do not follow current or former clients on any social networking website or on blogs.

Creative Arts Therapy & Integrative Care 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.

Creative Arts Therapy & Integrative Care 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 Creative Arts Therapy & Integrative Care, the accepted communication methods are listed above under the headings “Emergency Procedures,” “Email and Instant Messaging,” “Telephone,” and “Virtual Conferencing.”

Creative Arts Therapy & Integrative Care 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 Creative Arts Therapy & Integrative Care 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 Creative Arts Therapy & Integrative Care 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 Creative Arts Therapy & Integrative Care 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 therapeutic journey can have many positive results which may benefit and improve many areas of your life. The experience and the work of 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. Email and telephone therapies can be limited by the lack of visual cues. As with everything in life, there are no guarantees of positive results with therapy – or even intended results. Change and growth can be unpredictable. Every step along the way, the decision to continue is yours.

Creative Arts Therapy & Integrative Care 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 fifty minutes or eighty 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 a client is using 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. Evaluations include a written assessment based on client interviews; an individualized plan and recommendations; relevant resources list; outside referral suggestions, if necessary. 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 Creative Arts Therapy & Integrative Care 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 & Integrative Care is a right fit for you. Creative Arts Therapy & Integrative Care 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.

If at any time you would like another professional’s opinion or want to consult with another counselor, Creative Arts Therapy & Integrative Care 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, virtual, telephone) 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, however we can provide receipts for services for a client to submit to an insurance company for possible reimbursement. Some types of insurance plans do cover varying portions of treatment costs in this way. Creative Arts Therapy & Integrative Care (CREARTH) cannot guarantee that any client will be reimbursed by their insurance company for treatment costs.

Reduced rates are available including sliding fee scales, scholarships, and CREARTH limited availability pro bono (no charge) options. 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. 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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