Identify Partner Advocates
HOW TO
For my patient who has received a denial
If your patient has been denied access to a behavioral health facility, you may be be wondering how to proceed. The following resources will help you identify partner advocates who can help advocate on behalf of your patient. The BD SUMHAC recommends these actions be taken as soon as possible to increase your patient’s chances of receiving care.
Contact your state’s Ombudsman or Office of the Inspector General
BD SUMHAC recommends making a complaint to the ombudsman’s office as soon as possible after the denial so that the ombudsman can help the facility ensure that the facility’s admissions decisions are consistent with state regulations.
All states have an office of the ombudsman for behavioral health or its equivalent (it may also be called the state office of the inspector general). These offices are independent governmental offices that receive complaints against government and government-regulated agencies. They investigate and take action to remedy the complaints. They provide assistance in the following areas:
Concerns or complaints about services
Questions about rights
Grievances
Access to appropriate services
Ideas for making services better
The ombudsman offices regularly work with behavioral health programs. They are typically known partners, and outreach from the ombudsman’s office is generally taken very seriously by local facilities/programs.
A person who has been denied access, their family, or a member of their BD treatment team may contact the office of the ombudsman to make a verbal complaint. Most state ombudsman offices also provide the option to make an electronic complaint.