Introduction 

A Curiae’s services are intended to support you, the client, in identifying needs and addressing them through an individualized plan of care. These services attempt to respond to the broad range of physical, emotional, and social needs that justice-involved individuals with complex care needs may encounter as they reenter the community. Our services promote dignity and self-affirming choices of individuals through advocacy and support for personal, familial, and community goals. We can assist with gathering and coordinating the variety of medical, financial, social and personal services required. You have been offered these services to assist you in meeting your reentry/recovery needs. You are eligible to participate because you meet the criteria needed for A Curiae program services. 

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Data Privacy/Confidentiality  

By consenting to participate in A Curiae’s services, you agree to provide information at the time of intake and periodically thereafter which will assist in data collection, assessment, and the determination of an individualized plan of care. Your progress in meeting your goals in your plan of care will be discussed with your case manager/care coordinator. Any information compiled about you will be maintained in a confidential manner, with access limited to others who are involved in your care, and to others for whom you have provided consent for sharing information.  Any identifiable information obtained in connection with your participation with this program will be disclosed only with your consent. In order to comply with court ordered treatment, information may be shared with the Court and Pretrial/Probation officers or other alternative court staff. Conversations with A Curiae staff does not fall under legally privileged conversations so discussions about facts related to your case should not occur and are not confidential. 

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Description of Services 

You will be assigned a Case Manager or Care Coordinator who will assist you with identifying and meeting your service needs. There are requirements for meeting with and communicating with your case manager or care coordinator, depending on the level or type of service you may need. A Curiae services include Resource Referral, Professional Mentorship, and Financial Assistance. You may request any of these services, at any time. A Curiae staff will determine the applicability of each of these services at the time of request. 

 

Duration of Services  

A Curiae Program Services will end when:  

• Your stated agreed-upon goals and needs have been met and services are no longer needed.  

• You do not wish to participate in the program regardless of progress on stated goals.  

• You rescind consent to participate. 

• You have moved to another region and a case management program hand off has been performed.   

• When the contact between you and your case manager has either ceased after one (1) year of no contact or has been determined by either party to be ineffective. 

• You have been physically threatening or verbally abusive toward A Curiae staff.   ​

 

Benefits/Compensation  

A Curiae services are provided free of charge to you and no form of compensation will be accepted. 

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Rights and Responsibilities 

As a recipient of A Curiae Program services you have the right to:  

• Respectful treatment.  

• Recognition of your dignity and right to privacy.  

• Information about the program and the reason for your selection in it. 

• Confidential treatment of your protected health information (PHI).*

  • Protected health information is information, including demographic information, which relates to:

    • the individual’s past, present, or future physical or mental health or condition,

    • the provision of health care to the individual, or

    • the past, present, or future payment for the provision of health care to the individual, and that identifies the individual or for which there is a reasonable basis to believe can be used to identify the individual. Protected health information includes many common identifiers (e.g., name, address, birth date, Social Security Number) when they can be associated with the health information listed above.

• Upon request, an explanation of how the program may share your PHI with other entities. 

• Input to decisions about your case management plan. Means to voice complaints and appeals about case management or program decisions. 

• A timely response to questions or complaints.  

• To refuse A Curiae Program services and to be told the implications of such refusal. 

• To obtain notification and a rationale when A Curiae Program services are terminated, upon request.   

 

As a client of A Curiae, it is important to: 

• Notify your case manager of any changes in address and/or telephone number to achieve regular and effective communication. 

• Give your case manager as much information as possible to help them care for you.  

• Participate in setting appropriate goals with your case manager. 

• Follow the plans and instructions for care that you agree to. 

• Review all service materials carefully and consider possible consequences of not complying with recommended services.  

• Ask questions to be sure you understand your case manager’s explanations and instructions. 

• Treat others with the same respect and courtesy expected. 

• Keep appointments or give adequate notice if you must delay or cancel them.  

• Notify your case manager, if you choose to not participate in program services.     

 

Questions about Case Management  

You are free to ask whatever questions you have at any time. You may contact your assigned case manager with questions you may have regarding the program.   

 

Grievance Procedure  

If, at any time during the course of your involvement with A Curiae services, you experience concerns that warrant formal attention, you are encouraged to resolve the concern with your assigned case manager. If this process proves unsatisfactory, if you determine that doing so would jeopardize your relationship with this program, or if there are concerns for personal safety, you may contact Wyatt Lim-Tepper at wyatt@acuriae.org.                                                                                           

Acceptance of A Curiae Program Services 

I acknowledge that I have read and understand the above information and agree to receive A Curiae Program services. 

 

I further authorize the authorized case manager or care coordinator to communicate with me in writing, electronically, or by telephone, as may be necessary for the purpose of my care coordination and management.

 

I may, without consequence, withdraw my participation from the program at any time.

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* Under HIPAA (Health Insurance Portability and Accountability Act), protected health information (PHI) is is any information in the medical record or designated record set that can be used to identify an individual and that was created, used, or disclosed in the course of providing a health care service such as diagnosis or treatment.