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Statement of Understanding & Consent for The Able Mind (TAM) Services
Consent to TAM Services:
I consent to receive mental health services (which can include assessment, consultation, referral and other services as recommended and considered necessary) for myself from TAM. I understand that all TAM consultants will use their professional discretion to provide required recommendations about the type of professional services that may be required at any given point of time.
Limitations of TAM Services:
I understand that chat sessions (text-based counselling conversations) have its own limitations as compared to in-person sessions and that some details could potentially be missed out despite the TAM consultant’s best efforts. I understand that these sessions are not suitable for help during a crisis or emergency. I understand that text-based counselling within a limited time period is not a therapy session, hence its scope is limited. I do not hold TAM responsible should any adverse events, such as lack of improvement, deterioration or situations of potential risk of harm to self or others occur during consultation. I understand that in such circumstances, I may be advised to obtain treatment at the nearest available mental health center or emergency service.
Mutual Confidentiality Clause and Legal Disclaimer:
I understand that all chat sessions with TAM- which includes sharing of personal data, scheduling of or attendance of sessions, content, progress, and records- will be kept strictly confidential. I understand that all employees and consultants of TAM have signed a strict non-disclosure clause and for reasons of collaborative care, supervision and client-safety alone will the TAM consultants have access to privileged information or chat history. I agree to use a secure connection in a private space for these sessions. I also agree to not share or disseminate these sessions in any form to any person or through social media. Without my written consent, no one outside of TAM can have access to the information I share. I understand the exception to this includes mandates by a court of law and planned and intentional risk of harm to self and/ or others (such as suicidal attempts, child and elder abuse, acts of violence, etc). In such exceptional circumstances, the confidentiality of services clause will be over-ridden, and any information thus disclosed will be within the context of facilitating assessment, planning, and care of self and/ or others.
Commitment to TAM Services:
I agree to play an active role in planning and meeting the goals, and understand that no promises have been made to me as to the results of the services provided. I understand and consent that for the purpose of providing the best possible care to me, the TAM consultant may consult with other mental health professionals (who are bound to keep the information confidential) on a particular aspect of my care; and that in such events, no identifying information will be released.
Duration & Payment of TAM Services:
I understand that I am entitled to use up to 2 free Feel Better in 15 (Live chat) and 4 Leave it with us (Asynchronous chat) sessions for a period of one year from the date of registration. Should I require more than the free sessions I am entitled to, I understand that I will need to pay for them. Should my company/college be sponsoring the cost of these sessions, then I understand that the sponsorship will be valid only for the length of my company’s/ college’s contract period with TAM, or the length of my employment/enrollment, whichever terminates first; following which I will need to pay for further services.
Termination or Discontinuation of TAM Services:
I understand that I have the right to discontinue or terminate the services at any time. I understand that TAM may terminate or discontinue the services under the following situations: if I request for services outside the scope, if I attend services under the influence of alcohol/ drugs, if I regularly become enraged or threatening or behave inappropriately towards my TAM consultant during sessions. If for any other reason, services are terminated, I will be informed of the reason for termination.
Evaluation of TAM Services:
I understand that after my chat session has ended, I will be requested to give feedback on the services received. I understand that my feedback will only be used for improving TAM services.
Consent for Release of Information:
I understand my service records are kept at TAM’s secured databases in Bangalore, India. Without my written consent, my service records will not be released to my employer or any third party (if applicable). I understand that I will be required to sign a Release of Information form should I wish to have any information released. I understand my privacy will still be protected and my records will only be seen by TAM and not disclosed to my employer or any other person (subject to point 3).
In every mind lies the ability to become something more...
The Able Mind
Sigma Soft Tech Park, Gamma Block, Unit R-008, Varthur Kodi, Varthur Road, Whitefield, Bengaluru-560066
:[email protected] :+91 9035300736
The Able Mind and its employees are not medical / psychiatric emergency service providers. We are also NOT A 24/7 HELPLINE. If you or someone you know requires immediate Medical or Psychological/Psychiatric attention, please reach out to the nearest nearest medical centre/hospital. You can also access this resource list to get immediate help.