How Are Privacy And Confidentiality Protected In Luxury Rehab?
Privacy, confidentiality, and safety are necessary considerations for individuals seeking treatment and looking to recover from drug or alcohol use disorders (AUD). For reasons like maintaining privacy of treatment participation to protect reputation or as a means to honor basic privacy rights of each patient, everyone attending rehab has a right to confidentiality. Fortunately, individuals who attend luxury rehab for drug and alcohol abuse are granted privacy to protect their health information, participation in treatment, and identity.
If someone has chosen to travel for rehab just to keep their recovery activity safe, or if the individual does not want people to know what is their primary drug of choice, there are options to ensure they can heal confidentially. After he or she is picked up and dropped off to rehab, individuals fill out paperwork that help facility staff gain awareness of their history, their medical needs, and financial standing (e.g. insurance, self-pay, need for scholarship etc.).
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Paperwork And Confidentiality In Luxury Rehab
Upon entry to treatment, individuals may have to sign a Release of Information (ROI) for their medical records (e.g. physical exam results, medications, substance use history, mental health concerns, and other details). Individuals attending luxury rehab typically request that rehab staff and any person that may encounter them sign non-disclosure agreements (NDA) to ensure privacy as celebrities, professional athletes, or high profile executives want to protect their identity while getting treatment. This is taken into consideration especially in luxury rehabs where celebrities, business executives, CEOs, and other types of patients are. Once the patient receives and provides the required information, they can take comfort knowing the following content is safe in rehab:
- The past, present, and the future of the physicality of the patient.
- The mental health of the patient (past, present, or future).
- Provision of the patient’s health care.
- The past, present, or future methods of payment of the patient.
Some facilities allow family members to visit their loved ones. This allows them to provide support during recovery and sometimes attend 12-Step programs for family members. The identity of each individual and what was shared in process groups and meetings is protected.
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Privacy And Confidentiality Practiced In Luxury Rehab: Privacy Policies
Around the 1970s, Congress realized there was a stigma surrounding patients getting substance abuse treatment. In order to protect their privacy and shield them from the stigmas that may follow them, Congress enacted the Confidentiality of Alcohol and Drug Abuse Patient Records in 1971 (the “42 Code of Federal Regulations (CFR) Part 2”, also called “Part 2”) and in 2001, the “Privacy Rule” (also called the Standards for Privacy of Individually Identifiable Health Information”). Previous to that was the HIPAA Act, or the Health Insurance Portability and Accountability Act of 1996. According to SAMHSA, with the 42 CFR Part 2, facilities or programs are not allowed to disclose patient information unless the patient has consented via writing. Any disclosures have to be limited in accordance with what is necessary, “to carry out the purpose of the disclosure.”
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The Privacy Rule does not allow, “uses and disclosures for treatment, payment, and healthcare as well as other disclosures without the individual’s prior written consent.” As a note, disclosures not required by the Privacy Rule must have permission with the set criteria met. Recently, there have been updates made to the 42 CFR Part 2. The original policy protected the privacy of each patient. Recent changes have clarified for unclear elements of Part 2, to address law enforcement concerns which, “are covered by the audit and evaluation provision.” While there are few exceptions where medical records may be disclosed without the consent of the patient in the case of crimes, child abuse, court orders, medical emergencies, or a cause of death reporting. These scenarios are emergency based or more serious instances; however, celebrities and business executives, CEOs, or other patients in luxury rehab can ensure their privacy is kept within those limitations.
Privacy And Confidentiality Practiced In Luxury Rehab: The HIPAA Act
The HIPAA Act protects the medical records and health information of each patient and relates to treatment plans, clinical progress notes, health plans, pharmacies, and health clearing houses. Additionally, medical staff are well aware and taught to protect patients’ privacy and guard the confidentiality of each patient through training. According to SAMSHA, disclosure programs in substance abuse facilities involve the following themes to ensure patient protection. Furthermore, disclosure protections like HIPAA may include but are not limited to:
- Safeguarding documents that can identify patients.
- The submitting of claims to health plans.
- Coordinating benefits with health plans.
- Transmitting of health care and treatment plans.
- Not revealing patient demographic information without consent of the patient.
- Not disclosing patient progress and participation in treatment.
Patients who are concerned with their privacy policies can always inquire about privacy policies in rehab before attending. Moreover, patients can always inquire for more details with medical and clinical staff at facilities or conduct research to ensure their privacy is properly protected. They can do this by contacting the facility to inquire about ways they protect the privacy of each patient.
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Fortunately, individuals with substance use disorders can get the help they need while their privacy is protected. If you or a loved one is concerned with privacy and is not seeking treatment because of the concerns, it is understandable; however, don’t let it hold you back. Contact a treatment provider today for more information on accommodations, treatments, privacy, and financial plans available. Start your healing journey today.
Ashish Bhatt, MD, MRO
Doctor of Addiction Medicine
Learn about Dr. Ashish Bhatt
Dr. Bhatt has been Addiction Center's Medical Content Director for more than three years, providing his expertise to ensure quality and accuracy.
Doctor of Addiction Medicine
Expert in adult and child psychiatry
Over 20 years of professional experience