Dialectical Behaviour Therapy (DBT) Skills Training Group Consent Agreement
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Please download a copy of this information for your records
We are asking that you consent to receive services from McMan Calgary & Area’s DBT Skills Training group. It is important for you to know that involvement in the DBT Skills Training group is voluntary and your consent can be revoked at any time.
Please note, McMan Calgary & Area’s DBT Skills Training group facilitators are governed by a Code of Ethics and Standard of Practice from the Alberta College of Social Workers.
It is important for participants to understand and commit to the following expectations upon agreeing to attend the DBT Skills Training group
Information you provide as part of our enrollment process, during group, or in individual sessions with the DBT Skills Training group facilitator will not be disclosed to anyone without your written consent (or your parent/guardians if applicable).
However, situations may arise where the DBT Skills Training group facilitator would legally be required to share your information and break confidentiality. These situations include:
McMan Calgary & Area collects information that is necessary for the evaluation of the services provided.
The DBT Skills Training group facilitators will ask you to complete short survey at the first and last group session, and to identify two personal goals to work on during group. You will also be asked to complete a satisfaction survey at the final group session and three or more months post completion of the groups.Caregivers of teens will also be asked to complete a satisfaction survey. These surveys allow us to evaluate services and collect information required to report to our community supporters.
Your feedback helps make our services better. If you have feedback for the DBT Skills Training group facilitators at any time, please do not hesitate to contact them at dbt@mcmancalgary.ca.
McMan Calgary & Area takes precautions to ensure your privacy and the safety of all personal and electronic information. We take reasonable measures to ensure that our computers, servers and software are protected from breaches of information and viruses.
The use of video chat or conferencing software such as Zoom will allow us to meet face to face and as a group online. Zoom will not access, record, or store any video data.
With all software, there is a risk that the data could be accessed and recorded without our knowledge by someone else. Should the software’s security measures fail, there is also a risk that data you store on these types of software (such as your username and password) could be collected by someone else.
Zoom allows any user to record the video chat and will let the other user if it is being recorded. For the purpose of DBT Skills Training groups, and individual meetings, we will not be recording them and ask that you do not either.
The grievance procedure is the process followed when individual concerns or issues related to services received during the DBT Skills Training group arise.
Cost is $995.00 per group. Program fees are non-refundable. Cancellations or withdrawals from the program will be refunded, on a pro-rated scale for the 12-week program, in the event of unforeseen circumstances preventing an individual from completing the program. Please note that there will be a non-refundable administration fee of $75.00 in addition to per session costs associated with any withdrawal from the program. Options to transfer to future groups or different platforms (in person or virtual) may be considered with regards to best fit and/or emergency circumstances and evaluated on a per case basis.
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