Informed Consent / Notice of Privacy Practice
TENNESSEE TECH UNIVERSITY COUNSELING CENTER
INFORMED CONSENT /NOTICE OF PRIVACY PRACTICE
Welcome to the Counseling Center
- The TN Tech Counseling Center is dedicated to serving you by providing counseling services that foster your academic and personal development. This handout is prepared to give you some basic information regarding our counseling services. Please read and discuss any questions or areas of concern with your counselor.
- Members of the TN Tech Counseling Center clinical staff are Licensed Professional Counselor Mental Health Service Providers and Licensed Clinical Social Workers. Graduate Clinicians are also available to see clients under the supervision of a licensed clinician.
Counseling Center Hours:
Monday – Friday: 8:00 a.m. to 12 noon and 1:00 p.m. to 4:30 p.m.
Mental Health Emergencies & Crisis
- For daytime emergencies or crisis, call or come to the Counseling Center. If an emergency
should occur after hours, you may contact The Tennessee Tech University Eagle Eye
After Hours Crisis Hotline at 931-372-3331 or 855-206-8997 and a counselor will be
able to assist you.
You may go to the emergency room of the Cookeville Regional Medical Center. Other after-hours options include contacting Volunteer Behavioral Health Crisis Services Hotline at 1-800-704-2651 or going to their Walk-In Center at 1200 S. Willow Ave in Cookeville just south of I-40.
- Please be aware that TN Tech Counseling Center will be closed at times when the University is closed for reasons such as holidays or inclement weather.
- Counseling is not easily described in general statements. It is a joint effort between the therapist and client to address the concerns of the client. Counseling varies depending on a variety of factors such as the personalities of the counselor and client, the particular problems being addressed, the therapeutic approach and methods used by the counselor, and the motivation of the client.
The Counseling Process
- At your first visit, which is typically a 15-20 minute triage session, you will complete a client questionnaire and meet with a counselor who will help you determine what services you may need. The counselor will share with you what you can reasonably expect regarding the counseling process and will describe some of the benefits as well as some of the risks of counseling. Feel free to ask any questions that you may have. Clear communication and understanding are the cornerstones of a good counseling relationship.
- The first session often ends with you and the counselor agreeing on a plan regarding your concerns and scheduling a time for an intake appointment which includes gathering additional information to assist in your care. If it is determined that your needs will be better served by another counselor or agency, we will assist you with an appropriate referral. An evaluation by a psychiatrist or other medical professional may be recommended if your counselor suspects that medical factors may be contributing to your problem or that medication may be helpful.
Fees and Eligibility
- Currently registered students and TN Tech employees are eligible for any of the Center’s counseling, consulting, workshops, or outreach services at no cost to them unless otherwise stated.
- Appointments generally last 30 – 45 minutes with follow up appointments scheduled as appropriate. Regular and consistent attendance plays an important role in making progress towards your treatment goals.
- Please call to cancel an appointment if you know that you have a conflict so that we can reschedule another appointment as quickly as possible. If you miss an appointment and have not cancelled it in advance, you are responsible for calling to reschedule, or to inform the counselor you are no longer interested in receiving counseling services. If we do not hear from you within a few days of your missed appointment, we may be unable to continue providing services to you. Additionally, services may be discontinued as a result of consecutively missed appointments and/or generally poor attendance.
- We value our clients, but please understand that poor attendance hurts your ability to reach your treatment goals, and limits our ability to see others who need to meet with our Counseling Center staff members.
- All information shared by you is strictly confidential. Any disclosure outside of the Counseling Center mental health staff will be done only with your prior written permission.
- The legal exceptions to your right to confidentiality are:
- to protect you or others from imminent serious harm;
- to protect children and impaired adults from abuse;
- court ordered testimony or release of records;
- to parents of minors (under age 18).
- As noted above, when a situation arises in which there is an imminent threat of serious harm to you or others, Tennessee Tech University Counseling Center staff may share information with others (i.e. Crisis Intervention, Law Enforcement, Dean of Students, Associate VP of Student Affairs, Behavioral Intervention Team) without your consent as the circumstances dictate. Additionally, there may be other situations, as determined by the Counseling Center staff that is of such a serious or emergency nature that the staff will determine they must contact the individual you have indicated as your crisis/emergency contact. By voluntarily providing us with the information for this emergency contact you should understand that doing so will allow the staff to make such contact at their discretion under situations they deem to be of a serious or emergency nature.
- The Counseling Center staff works as a team. Your counselor may consult with other members of the Counseling Center staff to provide the best care for you.
- Because confidentiality and prompt response of e-mail communications CANNOT be guaranteed, we ask that you NOT contact us via e-mail. If you do decide to contact us by email, please use your TN Tech email and only for cancelling appointments or in response to an email that one of the clinical staff may have sent to you.
- The Eagle Wellness Portal allows you to send secure messages to the TN Tech Counseling Center. Again, please keep in mind that these messages can only be accessed from the computers on-site during office hours.
Benefits and risks
- Counseling can have both benefits and risks, which you are encouraged to discuss with your counselor. Since counseling and psychotherapy often involve discussing unpleasant aspects of your life, you may for a time experience uncomfortable feelings like sadness, loneliness, frustration and anger. On the other hand, counseling has been shown to have benefits for people. It often leads to better relationships, solutions to specific problems, and significant reductions in distress. However, there are no guarantees of what you will experience.
- You have the right to be treated with dignity and respect.
- You have the right to know the qualifications and professional experience of your therapist.
- You have the right to expect professional and competent counseling help.
- You have the right to ask questions about anything related to your treatment.
- You have the right to know information concerning diagnosis, treatment philosophy, method, and prognosis. You have the right to participate in decisions related to your treatment. You have the right to refuse treatment methods or recommendations.
- You have the right to request a second opinion and referral to another counselor or agency.
- You have the right to end therapy at any time. Please discuss your reasons for wanting to stop therapy with your counselor.
- You have the responsibility of taking an active role in the counseling process. Participation involves honestly sharing your thoughts, feelings, and concerns. It also may involve following through on assignments or reflecting upon new ideas which may have arisen during your sessions.
- You have the responsibility of providing information about past and present physical and psychological problems, including hospitalization, medication, and previous treatment.
- You have the responsibility of keeping your appointments. The time is reserved especially for you. If you are unable to keep your appointment, give 24 hour notice so that the time can be given to another student.
- You have the responsibility of arriving on time for your appointment. If you are going
to be more than 15 minutes late, call to inform the Counseling Center. Otherwise,
you may be required to reschedule.
- ADDITIONAL IMPORTANT PHONE NUMBERS
TN Tech Police 911 or 931-372-3234
TN Tech Counseling Center 931-372-3331
TN Tech Eagle Eye After Hours Crisis Hotline 931-372-3331 or 855-206-8997
TN Tech Health Services 931-372-3320
TN Tech Dean of Students 931-372-3123
Genesis House Rape and Sexual Assault Center 800-707-5197 or 931-526-5197
Genesis House Domestic Violence and Crisis 800-707-5197 or 931-526-5197
Volunteer Behavioral Health Crisis Hotline 1-800-704-2651