can family members call a mental health facility and get a patient report

by Mr. Brian Strosin II 7 min read

For Friends and Family Members - Mental Health

11 hours ago  · Seek immediate assistance if you think your friend or family member is in danger of harming themselves. You can call a crisis line or the National Suicide Prevention Line. (link is external) at 1-800-273-TALK (8255). If you think your friend or family member is in need of community mental health services you can find help in your area. >> Go To The Portal


So long as the patient does not object, HIPAA allows the provider to share or discuss a patient's mental health information with the patient's family members. See 45 CFR 164.510(b).

Do I have to inform the patient of my report?

You must inform the patient of your report unless you believe that informing the patient would increase the risk of further abuse. Question: I am a therapist for someone who I believe poses a threat of harm to himself or to others – do I have any leeway about talking to law enforcement or the family without the patient’s permission? Answer: Yes.

Can a hospital share patient information with a family member?

The HIPAA Privacy Rule does not prevent hospitals from communicating information about patients to their loved ones. The first set of questions and answers address circumstances when your family member, friend, or other person is a patient at a medical facility. They are: When my loved one is a patient at a medical facility...

Can my medical facility list my information in its directory?

Under the HIPAA Privacy Rule, your medical facility can list your information in its directory without your permission, unless you expressly request to be excluded from the directory.

What is the mental health guidance for family and friends?

The mental health guidance addresses three core areas: When information related to mental health may be shared with family and friends of an individual with mental illness, including parents of minors; and The circumstances in which information related to mental health may be disclosed for health and safety purposes.

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Can you call a hospital and ask about a patient?

A hospital may notify a patient's personal representative about their admission or discharge and share other PHI with the personal representative without limitation.

Does HIPAA laws apply to family members?

In general, HIPAA does not give family members the right to access patient records, even if that family member is paying for healthcare premiums, unless the patient is a minor, a spouse, or has designated them as a personal representative.

Can a doctor discuss a patient with a family member?

Answer: Yes. The HIPAA Privacy Rule at 45 CFR 164.510(b) specifically permits covered entities to share information that is directly relevant to the involvement of a spouse, family members, friends, or other persons identified by a patient, in the patient's care or payment for health care.

What information can be shared without violating HIPAA?

Health information such as diagnoses, treatment information, medical test results, and prescription information are considered protected health information under HIPAA, as are national identification numbers and demographic information such as birth dates, gender, ethnicity, and contact and emergency contact ...

In which cases can a facility legally share patient information?

Health care providers may disclose the necessary protected health information to anyone who is in a position to prevent or lessen the threatened harm, including family, friends, caregivers, and law enforcement, without a patient's permission.

Can family members break HIPAA?

Her scenario isn't common among healthcare organizations. Yet, I retold her story to show you that, although rare, family members can violate HIPAA.

Can you share protected health information with a client's family members and friends?

HIPAA permits you to share “minimum necessary” information with family and friends involved in the individual's care.

Can a hospital withhold information from family members?

Confidentiality laws are the same, even if you are the NR. This means that you can't get information if your relative doesn't give consent. Your relative can decide what information they would like their NR and relatives to know. Patients are encouraged to agree to their information being shared.

Do privacy and confidentiality exist within a family?

Privacy is important because of its functional benefits. However, confidentiality does not exist when it comes to children, which are generally dependent, count on their parent for everything.

What are the 3 types of HIPAA violations?

Top 10 Most Common HIPAA ViolationsKeeping Unsecured Records. ... Unencrypted Data. ... Hacking. ... Loss or Theft of Devices. ... Lack of Employee Training. ... Gossiping / Sharing PHI. ... Employee Dishonesty. ... Improper Disposal of Records.More items...•

What qualifies as a HIPAA violation?

What is a HIPAA Violation? The Health Insurance Portability and Accountability, or HIPAA, violations happen when the acquisition, access, use or disclosure of Protected Health Information (PHI) is done in a way that results in a significant personal risk of the patient.

What are the 3 rules of HIPAA?

The three HIPAA rulesThe Privacy Rule.Thee Security Rule.The Breach Notification Rule.

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Get Help For Your Friend Or Family Member

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Who can give information to a patient under HIPAA?

Furthermore, the HIPAA Privacy Rule allows health care providers to give family members, close personal friends, or any person who the patient identifies, information relevant to that patient's medical care, such as that person's condition after surgery. [v]

What is the privacy rule for hospitals?

A: Under the Privacy Rule, a hospital or other health care provider "must inform the individual and provide an opportunity to object to uses or disclosures for directory purposes when it becomes practicable to do so.".

What is the HIPAA Privacy Rule?

The HIPAA Privacy Rule permits hospitals and medical facilities to disclose certain information about you to members of the clergy, including religious affiliation, room number, and general medical condition.

Can you tell if a hospital is a patient?

A: Generally, yes. Under the HIPAA Privacy Rule, if you ask for a loved one by name, a hospital or medical facility can usually tell you if he or she is a patient at its facility. [iii] There are instances, however, when a hospital or medical facility will not be able to tell you if your loved one is a patient at its facility, ...

Does HIPAA prevent hospitals from communicating information about patients to their loved ones?

The HIPAA Privacy Rule does not prevent hospitals from communicating information about patients to their loved ones. The first set of questions and answers address circumstances when your family member, friend, or other person is a patient at a medical facility. They are:

Can you opt out of a hospital directory?

A: Yes. As some people prefer to keep their medical conditions private - even from their closest family members - the Privacy Rule requires that hospitals and medical facilities provide patients with an opportunity to object to, or "opt out" of, including their information in their respective directories. [ix] Therefore, if you want to exclude your information from your hospital's directory, you should "opt out.""

Can a family member pick up a prescription?

A: Yes. The Privacy Rule allows a family member or other individual to "pick up filled prescriptions, medical supplies, X-rays, or other similar forms of protected health information" on a patient's behalf. [xiii] Under the Privacy Rule, a pharmacy or other health care provider, in accordance with professional judgment and common practice, may reasonably infer that it is in the patient's best interest to allow someone other than the patient to pick up filled prescriptions. [xiv]

How is information related to mental health treated under HIPAA?

How information related to mental health is treated under HIPAA; When information related to mental health may be shared with family and friends of an individual with mental illness, including parents of minors; and. The circumstances in which information related to mental health may be disclosed for health and safety purposes.

Why do we need to share information about mental health?

At times, health care providers need to share mental and behavioral health information to enhance patient treatment and to ensure the health and safety of the patient or others.

What is HIPAA for mental health?

HIPAA recognizes that some patients (including those with a mental illness or substance use disorder) may be unable to make their own health care decisions, including decisions related to health information privacy. HIPAA provides personal representatives of a patient with the same rights to request and obtain health information as the individual, ...

What is HIPAA law?

The HIPAA Rules are designed to protect the privacy of all of an individuals’ identifiable health information and to ensure that health information is available when needed for treatment and other appropriate purposes. Given the sensitive nature of mental health and substance use disorder treatment information, ...

What is the role of parents in mental health?

Parents, friends, and other caregivers of individuals with a mental health condition or substance use disorder play an important role in supporting the patient’s treatment, care coordination, and recovery.

What age can a minor be a representative?

Parents of minor children (typically under age 18) are generally the personal representatives of their children. State law addresses the age at which a minor child may consent to certain types of health care and may contain additional requirements related to disclosing a minor’s health information to parents (or withholding it).

Can a healthcare provider refuse to treat a patient as a personal representative?

HIPAA also allows a health care provider to determine, based on professional judgment, that treating someone as a patient’s personal representative for HIPAA purposes would endanger the patient, and to refuse to treat the person as a personal representative under those circumstances.

Who is the personal representative of a deceased person?

With respect to deceased individuals, the individual’s personal representative is an executor, administrator, or other person who has authority under State or other law to act on behalf of the deceased individual or the individual’s estate.

What is the HIPAA Privacy Rule?

The HIPAA Privacy Rule provides individuals with the right to access their medical and other health records from their health care providers and health plans, upon request. The Privacy Rule generally also gives the right to access the individual’s health records to a personal representative of the individual.

Can a covered entity share information with a family member?

In cases where the individual is incapacitated, a covered entity may share the individual’s information with the family member or other person if the covered entity determines, based on professional judgment, that the disclosure is in the best interest of the individual . If the individual is deceased, a covered entity may make ...

Can a family member be a personal representative?

In cases where a family member may not have the requisite authority to be a personal representative, an individual still has the ability, under the HIPAA right of access, to direct a covered entity to transmit a copy of the individual’s PHI to the family member, and the covered entity must comply with the request, except in limited circumstances.

Can a deceased person make a disclosure?

If the individual is deceased, a covered entity may make the disclosure unless doing so is inconsistent with any prior expressed preference of the individual. These disclosures are generally limited to the health information that is relevant to the person’s involvement in the individual’s care or payment for care. See 45 CFR 164.510 (b).

What is the professional staff of the facility that provides evaluation services?

The professional staff of the facility that provides evaluation services has analyzed the person’s condition and found that the person is a danger to himself/herself or others or is gravely disabled.

Who can represent you at a capacity hearing?

You have the right to be represented at the capacity hearing by an advocate or by an attorney. Your representative will help you prepare for the hearing and will answer questions or discuss concerns that you may have about the hearing process.

What is informed consent?

Informed Consent: A process by which a patient is informed of any antipsychotic medications that have been prescribed to him or her and the patient’s consent is obtained. The informed consent form states that the patient was informed about the prescribed medication(s), including the type of medication, the quantity, the benefits or side effects of the medication, and other forms of treatment that are available. The mental health facility is required to keep the signed consent form in the patient’s record.

What is patient rights law?

Patients’rights law is composed of a complex and evolving system of statutes, regulations, and court decisions. This handbook should be considered a guide, but it may not accurately reflect all the rights available to persons at all times.

Do mental health patients have the same rights?

Persons with mental illness have the same legal rights and responsibilities that are guaranteed all other persons by the federal and state constitution and laws unless specifically limited by federal or state laws and regulations (Welfare and Institutions Code Section 5325.1).

Can you refuse antipsychotics if you are detained?

If you are being detained against your will, you have the right to refuse treatment with antipsychotic medications unless the situation is an emergency or a hearing officer or a judge has determined that you are incapable of making this decision.

Can you refuse medical treatment?

You can refuse any type of medical or mental health treatment, including medications; unless the situation is an emergency (see finitions”the “De section of this handbook for emergency treatment).

What to do if a patient is unable to tell you?

Answer: If the patient is unable to tell you, use your experience and professional judgment to decide if it’s in the patient’s best interest to talk with them. Be sure to follow the “minimum necessary” rule – only discuss information relevant to that person’s involvement with the patient’s care.

What is it called when a patient has not named the person?

This is called an ‘Authorization.’. If they have not named the person, the HIPAA Privacy Rule requires that the patient have “the opportunity to agree or object” to sharing information.

What is the HIPAA Privacy Rule?

The HIPAA Privacy Rule allows you to provide necessary information about a patient to law enforcement, family members, school administrators or others if you believe the patient presents a serious and imminent threat to himself or others, and that a warning could help prevent or lessen the threat.

Can a parent be a personal representative under HIPAA?

HIPAA Family and Friends Exception – Safety. A parent also may not be a personal representative if there are safety concerns. If you believe that the minor is a victim of abuse or neglect by the parent or may be endangered if you treat the parent as the personal representative, then you do not need to treat them as such.

Do you need to talk to your mom?

Answer: You may talk to the mom if she is involved in your patient’s care, as long as you give your patient, the daughter, the opportunity to agree or object first. You do not need her written authorization but may call and get her verbal agreement.

Can you share minimal necessary information with family and friends?

HIPAA permits you to share “minimum necessary” information with family and friends involved in the individual’s care. So…. If you can verify with a reasonable degree of certainty that the person calling is involved in their care, whether in the family, or even a neighbor who is a caregiver, you may tell them the hospital destination.

Can you report a patient who is a victim of abuse?

Answer: Yes. If you believe the patient is a victim of abuse, you should alert a government agency authorized by law to receive such a report. You may obtain an adult patient’s agreement but are not required to in certain circumstances.

What is the phone number to call for mental health?

If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 1-800-273-8255 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.

Who can request short term detention?

A short-term emergency detention, such as detention immediately following a suicide attempt, can generally be requested by anyone who has witnessed the situation that you are in, including friends, family, or the police.

Can you be committed to a mental hospital?

The short answer is that you can be committed to a mental hospital against your will if you meet the criteria set forth by the state in which you live. 1 . The exact criteria vary, but often include the requirement that you must present a danger, either to yourself or others, before you can be committed. 1 .

Can you be forced to undergo mental health treatment?

Even if a person has been committed through emergency detention, they will not be forced to undergo treatment for their mental illness. The exception is treatments that are required on an emergency basis and are designed to calm a person or stabilize a medical condition.

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