Privacy Policy

FAMILIES ON THE LINE, LLC

NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

I. OUR PLEDGE REGARDING HEALTH INFORMATION:

We understand that health information about you and your health care is personal. We are committed to protecting health information about you. We create a record of the care and services you receive from us. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this mental health care practice. This notice will tell you about the ways in which we may use and disclose health information about you. We also describe your rights to the health information we keep about you, and describe certain obligations we have regarding the use and disclosure of your health information. We are required by law to:

  • Make sure that protected health information (“PHI”) that identifies you is kept private.
  • Give you this notice of our legal duties and privacy practices with respect to health information.
  • Follow the terms of the notice that is currently in effect.
  • We can change the terms of this Notice, and such changes will apply to all information we have about you. The new Notice will be available upon request, in our office, and on our website.

 

I. HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU:

The following categories describe different ways that we use and disclose health information. For each category of uses or disclosures we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.
For Treatment Payment, or Health Care Operations: Federal privacy rules (regulations) allow health care providers who have direct treatment relationship with the patient/client to use or disclose the patient/client’s personal health information without the patient’s written authorization, to carry out the health care provider’s own treatment, payment or health care operations. We may also disclose your protected health information for the treatment activities of any health care provider. This too can be done without your written authorization. For example, if a clinician were to consult with another licensed health care provider about your condition, we would be permitted to use and disclose your personal health information, which is otherwise confidential, in order to assist the clinician in diagnosis and treatment of your mental health condition.
Disclosures for treatment purposes are not limited to the minimum necessary standard because therapists and other health care providers need access to the full record and/or full and complete information in order to provide quality care. The word “treatment” includes, among other things, the coordination and management of health care providers with a third party, consultations between health care providers and referrals of a patient for health care from one health care provider to another.

Lawsuits and Disputes: If you are involved in a lawsuit, we may have to disclose health information in response to a court or administrative order. We may also have to disclose health information about your child in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

 

III. CERTAIN USES AND DISCLOSURES REQUIRE YOUR AUTHORIZATION:

  1. Psychotherapy Notes. We do keep “psychotherapy notes” as that term is defined in 45 CFR § 164.501, and any use or disclosure of such notes requires your Authorization unless the use or disclosure is:
    1. For our use in treating you.
    2. For our use in training or supervising mental health practitioners to help them improve their skills in group, joint, family, or individual counseling or therapy.
    3. For our use in defending ourselves in any legal proceedings instituted by you.
    4. For use by the Secretary of Health and Human Services to investigate my compliance with HIPAA.
    5. Required by law and the use or disclosure is limited to the requirements of such law.
    6. Required by law for certain health oversight activities pertaining to the originator of the psychotherapy notes.
    7. Required by a coroner who is performing duties authorized by law.
    8. Required to help avert a serious threat to the health and safety of others
  2. Marketing Purposes. As psychotherapists, we will not use or disclose your PHI for marketing purposes.
  3. Sale of PHI. As psychotherapists, we will not sell your PHI in the regular course of business.

 

IV. CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AUTHORIZATION.

Subject to certain limitations in the law, I can use and disclose your PHI without your Authorization for the following reason:

  1. When disclosure is required by state or federal law, and the use or disclosure complies with and is limited to the relevant requirements of such law.
  2. For public health activities, including reporting suspected child, elder, or dependent adult abuse, or preventing or reducing a serious threat to anyone’s health or safety.
  3. For health oversight activities, including audits and investigations.
  4. For judicial and administrative proceedings, including responding to a court or administrative order, although my preference is to obtain an Authorization from you before doing so.
  5. For law enforcement purposes, including reporting crimes occurring on my premises.
  6. To coroners or medical examiners, when such individuals are performing duties authorized by law.
  7. For research purposes, including studying and comparing the mental health of patients who received one form of therapy versus those who received another form of therapy for the same condition.
  8. Specialized government functions, including, ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counter-intelligence operations; or, helping to ensure the safety of those working within or housed in correctional institutions.
  9. For workers’ compensation purposes. Although our preference is to obtain an Authorization from you, we may provide your PHI in order to comply with workers’ compensation laws.
  10. Appointment reminders and health related benefits or services. We may use and disclose your PHI to contact you to remind you that you have an appointment with us. We may also use and disclose your PHI to tell you about treatment alternatives, or other health care services or benefits that we offer.

 

V. CERTAIN USES AND DISCLOSURES REQUIRE YOU TO HAVE THE OPPORTUNITY TO OBJECT.

Disclosures to family, friends, or others. We may provide your PHI to a family member, friend, or other person that you indicate is involved in your care or the payment for your health care, unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations.

 

VI. YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR PHI:

  1. The Right to Request Limits on Uses and Disclosures of Your PHI. You have the right to ask us not to use or disclose certain PHI for treatment, payment, or health care operations purposes. We are not required to agree to your request, and we may say “no” if we believe it would affect your health care.
  2. The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full. You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full.
  3. The Right to Choose How I Send PHI to You. You have the right to ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and we will agree to all reasonable requests.
  4. The Right to See and Get Copies of Your PHI. Other than “therapy notes,” you have the right to get an electronic or paper copy of your medical record and other information that we have about you. We will provide you with a copy of your record, or a summary of it, if you agree to receive a summary, within 30 days of receiving your written request, and we may charge a reasonable, cost based fee for doing so.
  5. The Right to Get a List of the Disclosures I have made. You have the right to request a list of instances in which we have disclosed your PHI for purposes other than treatment, payment, or health care operations, or for which you provided us with an Authorization. We will respond to your request for an accounting of disclosures within 60 days of receiving your request. The list we will give you will include disclosures made in the last six years unless you request a shorter time. We will provide the list to you at no charge, but if you make more than one request in the same year, we will charge you a reasonable cost based fee for each additional request.
  6. The Right to Correct or Update Your PHI. If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request that we correct the existing information or add the missing information. We may say “no” to your request, but we will tell you why in writing within 60 days of receiving your request.
  7. The Right to Get a Paper or Electronic Copy of this Notice. You have the right to get a copy of this notice by e-mail.

Marie-Paule De Valdivia, Founder & Clinician Families On The Line

My experience is unique and multi-faceted. I am the relative of a family member who manages her BPD symptoms and with whom I enjoy a loving relationship.

As part of my MSW curriculum, I trained extensively in the DBT program of Yale New Haven Psychiatric Hospital. I have worked extensively with family members via phone or Skype; as well as in-person with clients who suffer from the symptoms of BPD and their families.

I have volunteered on the board of the National Education Alliance for Borderline Personality Disorder for 10 years, believing passionately in that mission and developing the Family Connections program in the US and around the world, as well as teaching it at home and overseas to hundreds of families and colleagues.

I am frequently invited to speak on the topic of families’ experience and treatment at conferences in the US and worldwide.

My Journey

When our child’s illness became evident a decade ago, we, her family, were very much overwhelmed and had no sense of where to turn. Despite the fact that they had been in intensive therapy; for about a year we floundered about, while their life which had been full of promise came to an abrupt stop, filled as it was with impulsive and dangerous behaviors. Yet no one brought up with us the diagnosis of BPD. And when they turned 18, of course no one discussed anything with us at all anymore. It is only when I discovered the description of BPD symptoms on the website of a well known psychiatric hospital, that all became clear.

Our child went into treatment. We took the NEABPD Family Connections class. Things improved vastly, both at home and for them. There were bumps in the road, but the progress was marked.

I started teaching Family Connections, I could see the profound effect on families and loved it. So I went back to school and earned an MSW. I was given the extraordinary opportunity to complete my second year practicum in the DBT program of the Yale-New Haven Psychiatric Hospital. This gave me a well-rounded view of BPD, from a parent’s as well as from a clinician’s perspective.

I have helped patients and continue to do so; I have been helping families for many years; and perhaps most importantly, our family is solid and our adult child has a kind of hope and a life journey we could not have imagined.

My DBT Experience

Founder & Therapist
Families On The Line

Assistant Clinical Professor of Social Work in Psychiatry (2015-present)
Yale University, School of Medicine
Along with supervising doctoral students in psychology, I also co-directed the Annual Yale –NEABPD conference in 2015 and 2016.

DBT Clinician
Yale-New Haven Psychiatric Intensive Outpatient Hospital
During my tenure at YNHH, I delivered group and DBT therapy to adults, adolescents and their families. During a part of that time I also co-directed the DBT program of the Yale New Haven Psychiatric Day Hospital.

Board member and (c) Family Connections Leader (2009-2018)
Executive Vice President (2017-2018)

National Education Alliance for Borderline Personalitydisorder
As part of this all-volunteer organization, I helped grow the Family Connections program from serving a few hundred families annually to serving thousands of families in over 20 countries. I facilitated classes for about 400 families; and trained class leaders internationally. I chaired the Family Connections committee on the board from its inception and for 7 years.

Julia Cardone M.ed, LMSW

Julia is a Licensed Master of Social Work who enjoys working with children, adolescents, and adults. She has extensive training in Dialectical Behavior Therapy and brings her experience in Motivational Interviewing and Cognitive Behavior Therapy to her work with individuals and families.

Prior to joining Families on the Line, Julia served as a practicum clinician within the Yale New Haven Hospital Intensive Outpatient Program, leading DBT skills groups, conducting mindfulness practices with groups, and providing therapy targeting emotional dysregulation. Julia also has experience working with children and adolescents and their families as a behavioral health clinician at Wellmore Behavioral Health in Waterbury, CT, where she engaged in both individual and family work. In addition, Julia has a strong interest in supporting those who grieve, and has received advanced training in providing Complicated Grief Treatment.

She is a Family Connections leader for the National Education Alliance for Borderline Personality Disorder and is passionate about bringing skills and support to families via NEA-BPD weekend intensive workshops and classes for family members of those with emotional dysregulation difficulties.

Julia received her undergraduate degree in Psychology from Brown University, followed by a Master’s in Counseling and Consulting Psychology from Harvard University’s Graduate School of Education. She received her Masters of Science in Social Work from Columbia University.

Alli Kalpakci, PhD

Alli has an expertise in working with individuals who experience intense emotions that often lead to problems in interpersonal relationships, risky or impulsive behaviors, self-harm and suicide, and intense self-criticism and hopelessness. She is passionate about working with individuals who have not previously found therapy helpful, and she is committed to genuinely and radically accepting her clients in order to help them experience real and measurable changes in their life.

Alli received her Ph.D. in Clinical Psychology at the University of Houston and completed pre- and post-doctoral fellowships at Yale University School of Medicine, specializing in using Dialectical Behavior Therapy (DBT) in her work with adults and adolescents with borderline personality disorder and their families. Her relevant clinical training includes intensive fellowships at Yale New Haven Hospital Intensive Outpatient DBT Program, The Menninger Clinic, The DBT Center of Houston, the Adolescent Diagnosis Assessment Prevention Treatment Center, and the West Haven VA Outpatient Addiction and Recovery Services program. Alli also has an extensive research background and is a published author in peer-reviewed journals and books on borderline personality disorder, social cognition, emotional sensitivity, and the development of personality disorders.

In addition to DBT, Alli is trained in multiple therapeutic interventions including Cognitive Behavioral Therapy, Prolonged Exposure [PE], DBT-PE, Cognitive Processing Therapy, Motivational Interviewing, CBT-SUD, and Mentalization-Based Therapy.

Kelly Workman, PsyD, BCBA

Kelly completed her doctoral degree in clinical psychology at the University of La Verne, where her research focused on the role of parental distress, psychological flexibility, and treatment adherence to child behavior intervention programs. Kelly specializes in working with individuals who experience pervasive emotion dysregulation, including those with personality disorders, suicidal and non-suicidal self-injurious behaviors, trauma, anxiety disorders, mood disorders, and substance abuse. She has worked with children, adolescents, adults, and their families.

Through intensive training and supervision, Kelly developed expertise in a variety of evidence-based and principal-driven cognitive-behavioral treatments including Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Analysis System of Psychotherapy (CBASP, a treatment for chronic depression), Prolonged Exposure (PE), Cognitive Processing Therapy (CPT), Exposure and Response Prevention (EPR), and Cognitive Behavior Therapy (CBT).

During her pre-doctoral clinical training, Kelly provided treatment to adolescent and adult populations with severe mental illness in an acute inpatient and PHP/IOP hospital setting. Kelly served as chief extern at Harbor-UCLA Medical Center’s Adult CBT/DBT Clinic where she primarily worked with individuals with Borderline Personality Disorder (BPD) and conducted research on treatment-interfering behaviors. She worked with Veterans with PTSD and other mental health issues at the Loma Linda VAMC. Kelly continued to implement DBT and led a CBT for insomnia group at CBT California. She completed an APA accredited doctoral internship through Yale School of Medicine at the Yale New Haven Hospital DBT Intensive Outpatient Program, gaining further expertise in implementing DBT, working with individuals with BPD, and providing DBT-informed supervision and training to practicum students, medical residents, and providers at local community agencies. Kelly is completing a post-doctoral fellowship at the Yale Mental Health and Counseling Clinic. She is also involved with the Yale Instruction/Investigation/Intervention in Emotional Lability and Dysregulation (YIELD) Program and serves as Lead Coordinator for the annual Yale NEA-BPD Conference.

Prior to returning to school to pursue a doctoral degree, Kelly earned a Master of Arts in Special Education with an emphasis in Applied Behavior Analysis (ABA) from the University of West Florida. Kelly has been a Board Certified Behavior Analyst (BCBA) since 2010. Her work in ABA focused on conducting assessments and developing intervention programs for individuals with disruptive behavioral problems and developmental disabilities across the lifespan and in multiple settings. She also provided ABA supervision, training, and consultation for several years. Kelly has extensive experience in social skills and organizational skills training for children, adolescents, and adults as well as parent behavior management training.

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