Parkhurst Associates
Mental Health Services
Help is in the neighborhood
Policies

The following information is provided in order that therapists and clients have a clear, mutual understanding of the business side of their work together. Of course, these policies are subject to some negotiation in hardship cases, and every attempt at flexibility will be made when they present a problem for a client. Please feel free to ask about anything that is unclear, and one is encouraged to ask for additional information and/or share any questions and concerns about these issues.

Confidentiality

All client information is confidential, and will not be released to any third party except at the specific written request of the client. This includes release of the information that a particular person is, or is not, a client. The only exception to this policy would occur if nondisclosure would directly jeopardize the life or safety of the client or others

Informed Consent

Parkhurst Associates acknowledges the financial benefit of continued practice with a client, and of inter-agency referrals for psychiatric or other modes of treatment, such as group, couples, or family counseling. It is understood that a client has a right to self-determination in the continuation of treatment and/or the acceptance of referrals. We are ethically and personally committed to our clients’ well-being, and would welcome discussion of any appearances to the contrary.

Forensic and Litigation Services

It is the stated philosophy of this practice that we do not participate in lawsuits of any type on a plaintiff’s behalf, unless compelled to do so by subpoena or court order, or in the obvious cases of forensic evaluation/assessment in which it is understood from the onset of counseling that there is a psycholegal context for the work. We will, however, cooperate as necessary, when our services can help to defend a client in a criminal or civil action.  This policy is seen as consistent with the ethical standards of all mental health professions, in that we are charged with protecting client confidentiality, and with protecting the client from harm.  As a rule, it is never in a client’s best interest to waive their right to the confidentiality of their mental health records in a dispute, as the opposing side also may use the released information.  Civil lawsuits, by design, penalize one party while rewarding another, and thus, do not conform to our ethical standards.  This prohibition to which we adhere includes, but is not limited to, seeking compensation for damages suffered from injury, negligence, or malpractice, settlements in dissolving relationships, child custody, grievances against employers, and any other civil litigation in which we are asked to support claims against another person or entity.

This policy does not in any way intend to discount the rightfulness of a client’s seeking the support of the courts in settling disputes.  We simply find that it blurs our professional roles to involve ourselves in anything other than defending a client.

When compelled into litigation, supporting the defense against criminal charges, or assessing mental status for the courts, the following fee structure applies:

$235 per hour, per associate, billed in one-tenth of the hour (6 minute) increments.  This rate applies to absolutely
all activity surrounding our involvement in the case: telephone time, travel, preparation, deposition, court
appearance, report writing, consultation and supervision, etc.  Reimbursement for lodging, meals,
transportation, parking, and our own, independent counsel if necessary, and any other expense incurred is
required.  Our regular, hourly fee applies to face-to-face consultation, with a 50-minute minimum charge for
each and every in-office appointment, which is also subject to our practice’s cancellation policy and charges.

Please note that in some instances, clinical supervision is required of a practitioner, in which case, you will be
incurring charges from the clinical supervisor of record, as well as your therapist.

It is also strongly advised that you inquire as to expenses that could possibly be incurred, as not all associates
in this practice live locally, and travel time and lodging could escalate costs tremendously.  We will attempt to
provide a fair estimate of what expenses you might expect to incur, but in no way imply that we will be bound
to that estimate.

Hospitalization, Emergencies, and Crisis Management

Parkhurst Associates Mental Health Services, as a private practice group, is not equipped to handle
acute-care, psychiatric needs. Clients are expected to be able to function between weekly or
twice-weekly sessions without supervision. We are not associated with a particular hospital, and
we cannot function as an emergency services agency.  However, in the rare instance that a client
experiences a mental health emergency and/or needs hospitalizing, we maintain a network of
referrals and connections, through whom we can expedite an admission to a mental health
treatment facility that is appropriately equipped to handle such an emergency.