The Patients’ Bill of Rights is a section of the Connecticut state statutes (Sec. 17a-540 et seq.) that establishes specific rights for persons with mental health conditions receiving services from an inpatient or outpatient hospital, clinic, or other facility for the diagnosis, observation, or treatment of persons with mental health conditions.
NO. The Patients’ Bill of Rights is clear that people hospitalized or being treated in any public or private facility keep all of their rights, including the right to vote, the right to own or sell property, and the right to make contracts, except if they have been found, through a legal process, to be incapable of exercising any one of those rights.
The law specifically requires that every patient receive humane and dignified treatment AT ALL TIMES, with full respect for his or her personal dignity and right to privacy. Staff and providers do not have the right to order people around, treat them like they are “second class citizens” or use coercion to limit choice or self-determination. For example, an individual cannot be forced to take medication in order to keep his or her housing.
Every patient has the right to be actively involved in developing his or her own recovery plan and to get services that provide specialized treatment suited to his or her disorder. This means that the person has the right to attend (and to bring a chosen advocate to) treatment team meetings and to ask questions about the different types of treatment available.
Every person has the right to have a discharge plan and the right to be involved in developing the discharge plan which must specify the treatment approach, goals and projected time frame for discharging the individual to the least restrictive community setting possible. The treatment team must work with community providers to identify the most appropriate services for the individual, and to work with clinical and non-clinical providers to assure that there is appropriate aftercare for the patient upon his discharge. The patient must be provided with reasonable notice of the discharge. In addition, the Department of Mental Health and Addiction Services (Policy #33) states that an emergency shelter shall not be considered to be an acceptable permanent housing disposition.
Often patients have discharge plans on paper, but in reality they seem to be going nowhere because there are not enough community services, or the region where the person wants to live has refused to accept him or her. The lack of resources is no excuse for keeping a person in the hospital, or in a nursing home or other restrictive setting indefinitely with no real plan for community integration. Unnecessary institutionalization of this kind may violate the American with Disabilities Act (ADA).
There are steps the hospital must take before communication can be restricted. In general, every patient is permitted to communicate by sealed mail, and the hospital is required to furnish writing materials and postage to any patient. However, the hospital is allowed to restrict this right if the patient has sent threatening or harassing mail, or if the hospital determines that it is medically harmful to the person to receive mail.
There are steps the hospital must take before communication can be restricted. In general, every patient has the right to make and receive telephone calls, and public telephones must be made available. However, this right may be restricted if the hospital determines that the patient has made obscene or threatening calls or it is medically harmful for the patient to receive calls.
The law specifically prohibits psychosurgery and shock therapy without an individual’s WRITTEN, INFORMED CONSENT, and that consent is good for only 30 days and may be revoked at any time. A court may order shock treatment only if it finds that the individual is incapable of giving informed consent and there is no reasonable alternative procedure. That order is effective for no more than 45 days.
The law specifically prohibits the use of restraints or seclusion unless there is imminent physical danger to the patient or others and their use is ordered by a physician. The Department of Mental Health and Addiction Services (DMHAS) has written detailed procedures governing the use of restraints. These are summarized in a separate flyer. It is important to know that less restrictive alternatives must be tried first.
In general, a person has the right to refuse medications. In fact, no medical or surgical procedures may be performed without the individual’s informed, voluntary, written consent. This means that the medications or procedures must be fully explained and all questions answered, and that no pressure or punishment is applied to the individual to influence the decision. A hospital can medicate a person without consent if there is an emergency. In addition, there are two different procedures that the hospital can use to medicate a person without consent. The first is an internal hearing process that is limited to ordering medication for 30 days. The other is a Probate Court procedure.
The Patients’ Bill of Rights prohibits the denial of employment, housing, civil service rank, license or permit, including professional license, or any other civil or legal right, solely because of a present or past history of psychiatric disability.
DMHAS has established an internal grievance procedure to review and resolve violations of the Patients’ Bill of Rights. This process is described in a separate flyer. In addition, the statute allows a person to file a law suit in Superior Court to enforce provisions in the Patients’ Bill of Rights.
Persons protected by the Patients’ Bill of Rights have the right to advocacy to assist them in enforcing their rights. These advocates must be allowed to participate in treatment team meetings as well as other meetings and proceedings to enforce the Patients’ Bill of Rights.
If you have questions about the Patients’ Bill of Rights or other rights of persons with psychiatric disabilities related to their treatment or civil rights, please call the Connecticut Legal Rights Project.
Connecticut Legal Rights Project, Inc.
P.O. Box 351, Silver Street
Middletown, CT 06457
(877) 402-2299 - Toll Free
(860) 262-5030 - Outside CT
(860) 262-5035 - Fax
Connecticut Legal Rights Project, Inc., (CLRP) is a statewide non-profit agency which provides legal services to low income individuals with mental health conditions, who reside in hospitals or the community, on matters related to their treatment, recovery, and civil rights.
all materials copyright ©2020
Connecticut Legal Rights Project, Inc.