INDIVIDUAL RIGHTS AND RESPONSIBILITIES
It shall be the policy of Sycamore Services, Inc. to have a statement of individuals’ rights to preserve the human rights, dignity, and safety of individuals receiving services through Sycamore Services, Inc. These rights will be made available to all individuals and shall be explained to all individuals in their mode of communication or, when appropriate, their parents/guardians/provider.
All individuals receiving services through Sycamore Services, Inc. shall have the following rights:
A. To be informed, in writing, before or at admission and on an annual basis of
his/her rights and responsibilities while receiving services through Sycamore
Services. If the individual is unable to read the document, the document shall
be interpreted to him/her and/or parent/guardian/advocate in a manner that is
understandable to the individual. A written acknowledgment must be witnessed by
a third person. If an individual has a guardian, the guardian shall also be
required to sign the form to indicate his/her receipt, review and understanding
of the information. When changes or additions are made to the above rights and
responsibilities, the participant shall be likewise informed.
B. To active and ongoing participation in the selection of relevant services
available through Sycamore Services that are habilitative and supportive toward
his/her chosen lifestyle and projected level of independence as documented in
his/her Individual Service Plan. Each individual shall be given the opportunity
to participate in planning his/her individual services, including program goals
and objectives. Each individual and/or guardian has a right to a copy of that
plan and any subsequent documentation of changes to that plan.
C. To advance notification prior to the transfer to any other program within
D. To refuse treatment and services, and be informed of all risks of treatment and
E. To be encouraged and assisted throughout receipt of any services to exercise
his/her rights as a citizen including being free from discrimination in the
provision of services. Right to have alleged violations of rights investigated,
to voice grievance and recommend changes in policies, procedures, and services
to facility staff and/or outside representatives of his/her choice free from
restraint, interference, coercion, discrimination or reprisal. (See Grievance
and Appeal policy and Investigation Policy).
F. To regularly see a doctor, at their own expense, and to proper medical care
including but not limited to reduction of individual’s dependence on
medications and restraints as agreed by physician and/or (Individual Support
G. To be free from abuse, neglect and exploitation. (See Abuse & Neglect policy).
H. To be free from any restrictive behavioral procedures including physical,
medical and chemical restraints, removal of personal property, or seclusion.
(See HRC, Restrictive Interventions, and Behavioral Emergency – Imminent Danger
I. To be free from exclusion of services except:
a. When authorized by the IST as described in an approved
intervention strategy with the informed consent of the individual and/or
his/her guardian or in accordance with Sycamore Services’ suspension policy.
b. When necessary in an emergency to protect the individual from injury to
himself/herself or to others. The agency shall not use any restraint as
punishment or for the convenience of staff.
J. Ensured confidential treatment of all information contained in his/her records.
His/her written consent shall be required for the release of information to
persons not otherwise authorized to receive it.
K. To be treated with consideration, respect, and full recognition of his/her
dignity and individuality.
L. To communicate, associate, and meet privately with persons of his/her choice
unless to do so would infringe upon the rights of other individuals. (Including
sending and receiving unopened mail, access to a telephone with privacy).
M. To participate in activities of social, religious, and community groups at
N. To achieve full community inclusion within every aspect of daily living to
include the activities associated with work, leisure, and home environment.
O. To retain and use appropriate personal possessions and clothing.
P. To terminate his/her involvement with services provided by Sycamore Services.
If the individual has a legal guardian, the authorization to terminate services
must be obtained from that guardian. To petition the committing court for
consideration of any services you are being involuntarily committed to.
Q. To advocate for themselves and/or to a qualified advocate and/or guardian
when this is required to protect his/her personal well being and interest.
Right to contact and consult privately with an attorney of their choice,
at their own expense.
R. To the respect of all who work, advocate, or associate with him/her.
S. Not to participate in experimental research or treatment without your
informed, voluntary written consent. Individuals have the right to
withdraw consent at any time.
T. Not to complete work or chores benefiting others without pay unless:
a. Provider has obtained a certificate from the United States Department of
Labor authorizing the employment of workers with a disability at special
minimum wage rates and the individual works voluntarily for a provider
with compensation at the prevailing wage and commensurate with the
b. Services are being performed by an Individual in the Individual’s own
residence as a normal and customary part of housekeeping and maintenance
c. Individual desires to perform volunteer work in the community.
U. To regular developmental and behavioral assessments. To be informed on a
regular basis as specified by the individual’s plan of their Medical
condition, Developmental status and Behavioral status. (See Individual
Service Plan Policy, Individual Support Plan and Individual Support Team
V. The opportunity for personal privacy.
A. To participate in planning of your services.
B. To choose the provider of your services.
C. To work toward achieving your goals and objectives.
D. To keep your appointments.
E. To inform your identified team members about changes that are pertinent to
your plan of care and your participation in your program.
F. To advocate for yourself or designate someone to advocate for you.
G. See also “Code of Conduct”.
These rights will be reviewed with you when you enroll in a Sycamore program. You will be asked to sign a page that documents that you received and understand your rights and responsibilities. If you have any questions, please ask the Sycamore representative assisting you.