Community Grievance Decision Digest
TREATMENT, RIGHT TO PROMPT AND ADEQUATE
THE LAW:
Each patient shall...
"Have a right to receive prompt
and adequate treatment, rehabilitation
and educational services
appropriate for his or her condition..."
§
51.61(1)(f), Wis. Stats. [Emphasis added.]
“All patients shall be
provided prompt and adequate
treatment, habilitation or rehabilitation, supports,
community services and educational
services as required under s. 51.61(1)(f), Stats., and copies of
applicable licensing and certification rules and program manuals and
guidelines.”
HFS 94.08, Wis. Admin. Code
[Emphasis added.]
DECISIONS 1-15:
Decisions 16-30
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The
alcohol treatment program
did not require the
individuals to attend
Alcoholics Anonymous (AA) or the steps that have religious
aspects. Thus, his right
to be freedom of religious worship was not violated. (Level III
decision in Case No. 98-SGE-02 on 10/13/98, upheld at Level IV.)
-
A
county found a 17-year old ineligible
for developmental disabilities services.
She had been diagnosed as having a developmental disability at
the age of 6 months. At the age of 12, she was diagnosed as autistic
by a multi-disciplinary team of professionals.
Autism is developmental
disability that is a life-long
condition. The
question was whether or not she met the eligibility threshold of a 30%
or more functional limitation in at least two of five areas of skills.
The county conceded she met that threshold in the area of
“self-direction and independence”.
The records indicate that she also meets the threshold in the
area of “self care”. Thus, she should have been eligible for the
county’s programs. Her right
to prompt and adequate treatment was
violated by the county’s denial of her eligibility.
(Level III decision in Case No. 98-SGE-03 on 11/10/98.)
-
A
complainant claimed on appeal that “alcoholism
is not a disease and that there is not treatment for it.”
The Level IV decision pointed out that the state Bureau of
Substance Abuse Services developed a paper titled, “Disease
concept of Alcoholism” and that numerous national and
international organizations and associations define and classify
alcoholism as a disease. The
decision also pointed to statistics showing that, although no form of
treatment can guarantee 100% success, there is a high
rate of success for post-treatment abstinence with post-discharge support group
utilization. (Level IV decision in Case No. 98-SGE-02 on 1/22/99.)
-
A
client was deprived of one of her medications just prior to taking a long trip,
due to a series of errors and
omissions on the service provider’s part.
This was a violation
of her right to prompt and adequate treatment. (Level III decision in
Case No. 00-SGE-02 on 6/17/00, upheld at Level IV.)
-
A
mother complained that her son’s
condition was worsening since his medications were discontinued.
Her son’s doctor was
on maternity leave and the service provider would not temporarily
assign him to another doctor. She was instructed to call back the next
month when the doctor was scheduled to return. The desperate mother
put her son back on the discontinued medication, without any medical
assistance. The service
provider violated the
son’s right to prompt and
adequate treatment. (Level III decision in Case No. 00-SGE-08 on
7/28/00, upheld at Level IV.)
-
Where
a developmentally disabled young woman ended up in an acute inpatient
mental health setting, it was appropriate
for the Level I Client Rights Specialist to recommend
a potential “crisis
intervention plan” for her in case the situation arose again.
Such an approach is an element of ongoing quality assurance on the
part of the County program, too. (Level
III decision in Case No. 99-SGE-07 on 1/3/01.)
-
When
a patient raises treatment issues, it is not
sufficient for the Client Rights Specialist to simply
note the response of
the patient’s attending physician.
Further investigation may be required. (Level III decision in
Case No. 99-SGE-12 on 1/3/01.)
-
A
client’s mother filed a written complaint on his behalf about the treatment he was receiving
from his doctor. She was referred
to the doctor, instead of the Client Rights Specialist.
Since this was a formal complaint, the doctor
had a conflict of interest and it was inappropriate to refer the
matter to him. (Level IV decision in Case No. 00-SGE-08 on 2/21/01.)
-
A
client complained that a Community Service Provider (CSP) had not done
enough to get him re-involved
in a local community center.
This was considered part of his right to reasonable access to
community activities. The grievance was resolved by an agreement
between the CSP and the client that the CSP would assist him with an
inter-personal problem-solving protocol that would hopefully enable
him to return to the community center.
(Level III decision in Case No. 00-SGE-12 on 8/6/01.)
-
A
woman complained about her therapist and the quality of services she received. The allegations included concerns
about the therapist’s professionalism, timeliness, and the large
amount of personal information and opinions that were communicated to
her during therapy sessions. In a non-secure treatment setting, a
therapist’s sharing personal information with the client can help to
build the relationship by allowing the therapist and client to relate
to one another. However,
the therapist and patient here seemed to have divergent opinions on
social, political, and religious issues. Thus, in this case the sharing
of personal information may have compromised
the quality of the therapeutic
relationship. It seems to have detracted from the client’s
ability to relate to her therapist or discuss details of her treatment
issues with the therapist. This
seems to have occurred both because of the content of the information
and the frequency with which it was shared, leaving the client less
time to address treatment needs during the therapy sessions. The
client did not verbally express her disagreeable response to the
sharing of this information to the therapist during sessions. This is
unfortunate because the nature of their dialog may have changed if
this concern had been clearly stated early in the relationship.
However, this is more of a personality
conflict rather than a patient rights issue.
Thus, this does not rise to the level of a patient rights violation. (Level III
decision in Case No. 00-SGE-03 on 9/12/01.)
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A
woman complained about her therapist because of cancelled appointments. The Level I decision found that her right to
receive prompt treatment was violated by the high number of
cancellations. The service
provider implemented a formal plan and consistently followed up on it
to reduce the number of cancellations.
It was found at Level III that the frequency of cancellations
did rise to the level of a patient rights violation and the Level I
finding was upheld. The actions
taken by the service provider remedied the rights violation.
(Level III decision in Case No. 00-SGE-03 on 9/12/01.)
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A
patient wanted to bring a
friend to her therapy
sessions. The service
provider agreed that there are times that it may be appropriate,
especially if the person is a primary support person for the client.
Bringing another person to a therapy session requires
a signed release from the patient.
Since the requested remedy was provided, this issue was
considered resolved. (Level III decision in Case No. 00-SGE-03 on
9/12/01.)
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A
patient threatened to kill
his wife, her boyfriend and his therapist.
The transitional living facility he was in was justified in not
allowing him to be re-admitted. (Level III decision in Case No.
01-SGE-06 on 10/18/01.)
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A
patient wanted to continue the individual therapy she had received for
9 years, but the service provider shifted to only doing group therapy with her. She
had been made aware months in advance of the upcoming change in
services. The treatment
team agreed that this change was appropriate for her treatment needs.
Thus, her right to treatment and her right to be free from arbitrary
decision-making were not violated.
(Level III decision in Case No. 01-SGE-09 on 3/27/02.)
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A
patient’s treatment plan focused on the patient’s
suicidal ideation and safety. His doctor developed the plan based
on the information he had at the time.
Where the patient claimed, at a much later dated, that he lied
to the doctor, his right to prompt and adequate treatment was not
violated. (Level IV
decision in Case No. 99-SGE-05 on 3/29/02, upholding the Level III.)
Next
Set of Decisions
Last Updated: November 13, 2006 |