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Say NO to Family Violence
Saturday, 9 September 2006
BIPP (non-CJAD funded)

Group Counseling for adult male family violence offenders

SATURDAY GROUP SESSIONS

Call 254 698-2222 or email elkeland@intergate.com for more information










Elke Landau, MS, LPC, LBSW



is a Licensed Professional Counselor (LPC) and a Licensed Baccalaureate Social Worker (LBSW).

Ms. Landau's clinical background includes extensive work in a group format. She has worked as a social worker and as a psychotherapist in a correctional setting for a total of 10 years.

Ms Landau has counseled family violence offenders since 2002.



THIS WEBSITE IS UNDER CONSTRUCTION AND DESCRIBED SERVICES ARE TENTATIVELY SCHEDULED TO START ON NOVEMBER 18TH 2006


Services provided:

BIPP Family violence offender groups (Non-CJAD funded)

Group meetings are held in Killeen, Bell County, TX

Eligible are: Adult Males (can be court mandated or voluntary)

The process starts with a phone interview screening and an orientation/intake procedure.

A minimum of 18 and a maximum of 36 group sessions.

Groups will generally have between 10 and
12 clients (maximum 14).

Fees will be assessed on a sliding scale based on the gross income of the client.

There will be considerations for indigent clients upon request by the referral source and documentation by the client.

It should be noted that such a program has limitations and there is no implied guarantee that clients will remain non-violent.


NOTICE OF PRIVACY PRACTICES
(Effective Date November 15th, 2006)
 
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY!

This Notice of Privacy Practices describes my privacy practices, legal obligations, and your rights with respect to your health information.

Throughout this Notice, I use the term “protected health information” (PHI).  PHI is information about you that may identify you and that relates to your past, present or future physical or mental health or condition and related services provided by Elke Landau.

If you have any questions about this Notice of Privacy Practices, or if you wish to exercise any of your rights, please contact:

Privacy Officer
Elke Landau.
POB 2493
Harker Heights, Texas 76548
(254) 698-2222

MY RESPONSIBILITIES:

I am required by law to protect the privacy of your health information and will not use or disclose your health information without your written permission, except as described in this Notice.  

I must provide you with this Notice about my privacy practices.  It explains how, when, and why I may use and disclose your health information. You may request a copy of my Notice of Privacy Practices at any time. I reserve the right to change the terms of my Notice of Privacy Practices.  I will post a copy of the current Notice at each site where I provide services and at my web site.

YOU HAVE A RIGHT TO:

Request that I limit certain uses and disclosures of your information.  You have the right to request a restriction on the health information I use or disclose about you for treatment, payment, or health care operations. You must request such restrictions in writing addressed to Privacy Officer as indicated above. I am not required to agree to your request.  If I do agree, I will honor your request unless the PHI is needed to provide you with emergency care.

See or get a copy of your information.  You have the right to request access to your records or get a copy of your health information.  All requests have to be made in writing. If you request a copy of the information, I may charge you a fee for the costs of the copying, mailing and supplies that are needed to grant your request.  I may deny your request in certain limited circumstances. 

Correct or amend your information.  If you believe that there is a mistake in your health information or that a piece of important information is missing, you have a right to request in writing that I correct or update your information. In certain cases, I may deny your request for amendment, and if this occurs, you will be notified of the reasons that your request was denied. 

Receive a list of certain disclosures of your information.  You have the right to get a list (“accounting”) of disclosures that I have made of your PHI for most purposes other than treatment, payment, or health care operations.  The list does not include: disclosures I have made directly to you or with your written authorization, to friends or family members involved in your care, for national security purposes, to corrections or law enforcement authorities while you were in custody, or disclosures made prior to April 14, 2003. The first accounting you request within a 12 month period will be provided free of charge, but you may be charged for the cost of providing additional accountings.  I will notify you of the cost involved and you may choose to withdraw or modify your request at that time.

Request confidential communications.  You may ask that I contact you in a certain way or at a certain location, such as only at work or by U.S. Mail.  I will accommodate all reasonable requests made in writing.  Please realize, I reserve the right to contact you by other means and at other locations if you fail to respond to any communication from me that requires a response. 

Withdraw your consent to use or disclose PHI, except to the extent that action has already been taken.  You may withdraw or “revoke” consent in writing at any time.  Upon receipt of the written revocation, I will stop using or disclosing your PHI, except to the extent that I have already taken action in reliance on the consent. I may refuse to continue to provide services to an individual that revokes his or her consent.

To exercise any of your above rights, please submit your request in writing to the Privacy Officer at the address on page 1 of this Notice. 

You also have the right to request a paper copy of this Notice.  You may request a paper copy of this Notice at any time by submitting a written request to the Privacy Officer or by asking for one before or after a counseling session. 

USING AND DISCLOSING YOUR HEALTH INFORMATION

The following categories describe different ways I may use and disclose PHI for treatment, payment or for my operations. The examples included with each category do not list every type of use or disclosure that may fall within that category.

For Treatment: I may use your PHI to provide treatment or services to you.  For example, information obtained by me or another service provider will be recorded in your record and used to determine your plan of care. I may also, with your authorization, disclose your medical information to another healthcare provider who is involved in your care. 

For Payment: I may use your PHI to secure payment for your treatment or services.  For example, the information on a bill sent to you, may include information that identifies you, as well as the treatment provided to you. 
Health Care Operations: Some uses and disclosures of your health information are needed to run my practice.  For example, I may use your health information to evaluate the quality of the services you have received, to maintain licensure, or accreditation status. 

I MAY USE AND DISCLOSE PHI ABOUT YOU IN THE FOLLOWING CIRCUMSTANCES WITHOUT YOUR AUTHORIZATION OR OPPORTUNITY TO AGREE OR OBJECT, PROVIDED THAT I COMPLY WITH CERTAIN CONDITIONS THAT MAY APPLY.

When a Disclosure is Required by Federal, State, or Local Law, Judicial or Administrative Proceedings, or by Law Enforcement.  I may disclose your protected health information if I am ordered by a court, or if a law requires that I report specific information to a government agency or law enforcement authorities, such as a serious threat to your health or safety, the health or safety of others, or suspected abuse/neglect of children, the elderly, or the disabled.. 

Specific Government Functions.   For example, if you are a member of the armed forces, I may release PHI about you as required by military command authorities.  I may also disclose your PHI for national security purposes, such as protecting government officials or performing intelligence investigations.  

Correctional Institutions.  If you are or become an inmate of a correctional institution, I may disclose to the institution or its agents PHI necessary for your health and the health and safety of other individuals. 

Public Health and Health Oversight Activities.  I may disclose your PHI to public health or legal authorities charged with preventing or controlling disease, injury, or disability. I am also permitted to provide some health information to a coroner, medical examiner or funeral director, as necessary for them to carry out their duties.  I may disclose your PHI to an oversight agency for activities authorized by law, including audits and inspections, as necessary for licensure and accreditation and for the government to monitor the health care system, government programs, and compliance with civil rights. 

Research.  I may use or disclose certain information that does not directly identify you for research, public health or healthcare operations if the recipient of that information agrees to protect that information.   

USES AND DISCLOSURES THAT REQUIRE YOUR WRITTEN AUTHORIZATION

Other uses and disclosures of PHI not covered by this Notice or the laws that apply to us will be made only with your written authorization.  You may revoke the authorization, in writing, at any time to stop further uses and disclosures that were covered by that written authorization.  You understand that I am unable to take back any disclosures I have already made with your permission, and that I am required to retain our records of the services that I provided to you. Certain consent/release authorizations may be necessary to provide specific services.
 
TO REPORT A PROBLEM 

If you believe your privacy rights have been violated, you may file a complaint with me or with the Secretary of the U.S. Department of Health and Human Services. I will not retaliate against you for filing a complaint.  All complaints to me must be submitted in writing to the Privacy Officer at the address on the first page of this notice.

FOR MORE INFORMATION: If you have questions about anything in this Notice or about any of our privacy practices, you may contact the Privacy Officer at the address on the first page of this notice.




Posted by planet/elkelandau at 3:01 AM CDT
Updated: Saturday, 9 December 2006 10:15 PM CST
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