1. If a client currently in care asks to see his/her
record, the request will be referred to the Case Coordinator. The Case
Coordinator, in conjunction with the Team Clinical Supervisor, will then do one
of two things within three working days of the client's request:
a. Enter a note in the record indicating that there is no
clear indication that such examination by the client would be harmful.
b. Enter a note in the record that there are clear
reasons that such an examination would be harmful to the client at that
particular time. These reasons will be documented and entered into the record. This
decision will be made known to the client, the client's guardian, and the of
Maine Development Executive Director. If the client persists in his/her desire
to review the record, (s)he may do so, under the close supervision of the Team
Clinical Supervisor.
2. If a former client asks to see his/her record, the
Operations Manager will determine the Case Coordinator and/or the Team Clinical
Supervisor who formerly provided service to that client, and refer the request
to him/her(them). The Case Coordinator and/or the Team Clinical Supervisor will
then take action as described for current clients above.
3. If a former client is not known by any current Case Coordinator
or Team Clinical Supervisor and a decision cannot be appropriately made
regarding the potential harm to the former client reviewing his/her record,
arrangements will be made for the former client to be seen and evaluated by a
qualified clinician for the express purpose of determining whether the former
client should have access to his/her record.
4. If a client or former client requests a copy of case
record material, it will be the responsibility of the Case Coordinator or Team
Clinical Supervisor to provide such copies. There will be no charge for this
service.
5. The client or former client will be notified regarding
any material in their record that has been obtained from other (non-
Development of Maine) sources and will be directed to obtain copies of this
material from the other sources.