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Consent for Caregiver Training and Other Participation Terms

Welcome!

We are excited to welcome you to Lyra Caregiver Training. Please review the information below that provides an overview of the program and guidelines for how to make the best use of it.

DO NOT USE OUR SERVICE IF YOU MAY BE EXPERIENCING A MEDICAL OR MENTAL HEALTH EMERGENCY. In an emergent situation, you can: (i) call 911; (ii) go to the nearest emergency room; (iii) contact your local crisis center; (iv) if applicable, call the National Suicide Prevention Lifeline (988) or (v) if applicable, contact the Crisis Text Line (text “GO” to 741-741).

Lyra Caregiver Training

Lyra Clinical Associates P.C. (“LCA”) and/or Lyra Health (“LH”) is making Lyra Caregiver Training (“Caregiver Training” in the following) available to you. Caregiver Training is a non-therapeutic, active and present focused educational training program that helps equip caregivers with helpful skills and strategies for supporting children and teens with neurodiverse needs. Caregiver Training is driven by your goals, or what you want to achieve. By partnering with your trainer you can strengthen and build skills to help your child with emotional regulation, impulse control, cognitive and behavioral strategies, social skills, relationship building, and other skills. 

Teamwork

Caregiver Training will be most effective if you work with your trainer as a team. As with any team, each partner needs to contribute in order for the effort to be successful. Below are descriptions of these contributions.

Your contribution:

  • Attend Caregiver Training sessions as agreed, except when you’re ill or during emergencies.
  • Minimize rescheduling and cancellations of sessions and give 24 hours notice for any rescheduling or cancellation of sessions.
  • Actively participate in sessions.
  • Understand that you are free to reject any advice, suggestions, or skills from the trainer. (In cases where our clinical policies require a transition to another form of care, your trainer will communicate this to you and help you connect to a new trainer.)
  • Do your best to follow-up on and implement any plans you develop in collaboration with your trainer.
  • Understand that the trainer is not a psychotherapist and is not providing clinical care.

Trainer contribution:

  • Attend all sessions on time and be well prepared to work with you.
  • Collaborate with you in the development of Caregiver Training goals and a Caregiver Training plan.
  • Be a good listener to your situation and concern.
  • Present core skills for addressing your situation and collaborate on creating an action plan.
  • Check in with you on the action plan and your progress on building skills.
  • Help problem solve any barriers to applying the skills in your life.
  • Maintain confidentiality as described below.
  • Seek supervision or consultation as appropriate.

Length of Caregiver Training

The Caregiver Training program is based upon evidence-based practices that have been proven to help clients navigate caring for and supporting individuals with neurodiverse needs. Each Caregiver Training session is 45 minutes in length. Most clients notice an initial positive impact of Caregiver Training within the first few sessions, and feel ready to complete within a few months. Your trainer will support you to determine the length of Caregiver Training that will best meet your needs, with most programs being completed in 6-10 sessions.

Caregiver Training is Different from Therapy

Your trainer is not trained as a psychotherapist. Caregiver Training is not a substitute for any form of medically prescribed or therapeutic services (including psychiatric services, psychotherapy, or counseling). Caregiver Training does not involve the diagnosis or treatment of mental health disorders as defined by the American Psychiatric Association. If, during the course of Caregiver Training, psychotherapy is preferred or necessary to address your needs, your trainer will connect you with the Lyra Care Navigator Team to identify an appropriate trainer.

Though you may participate in Caregiver Training if you are currently receiving individual therapy or treatment for mental health concerns, you are responsible for scheduling regular appointments with your mental health and/or medication trainer and directing questions regarding your mental health treatment to that trainer.

The Lyra Platform

As part of Caregiver Training you will need to access the Lyra Platform to: a) participate in the video Caregiver Training sessions, b) submit assessments and practices in between sessions, and c) connect with your trainer via secure messaging. Your trainer will orient you to using the Lyra Platform during your first session.

You can decide to have your Caregiver Training sessions by phone rather than by video. In this circumstance your trainer will call you for the session at the number you provided at registration. You will still need to use the Lyra Platform to complete assessments, Caregiver Training learning activities, and practices. Your use of Lyra’s website is subject to our Privacy Policy and HIPAA Notice (U.S.).

Caregiver Training Assessments

Before your first session, a member of the Neurodiversity Care Advocacy team and/or your trainer will ask you to answer some questions that will help them better understand your situation and how Caregiver Training may be most helpful. Throughout Caregiver Training, you will be encouraged to complete additional assessments between sessions to inform the work that you and your trainer do together and track progress.

Open Communication

It is important for your trainer that your needs are being met in the program and that you are getting the most out of your Caregiver Training experience. If for any reason you consider this is not happening, please let the trainer or the Neurodiversity Care Advocacy team know immediately so we can make adjustments or consider alternative ways to improve your care experience.

In-Between Session Communication

If you need to contact your trainer between sessions, please message them within the Lyra Platform and they will address them as soon as possible. Your trainer checks their messages in the Lyra Website regularly during business hours and will make every effort to return your message within 2 business days. These messages will remain available for thirteen (13) months and then will be deleted.

Emergency Procedures

In a crisis, please call 911, go to the local emergency room. Please do not use the Lyra Platform or email if you are experiencing an emergency.

If you experience an emergency during your sessions with your trainer, or if your trainer becomes concerned about your personal safety, the possibility of you injuring someone else, or about you receiving proper psychiatric care, your trainer and LCA/LH will do whatever possible within the limits of the law to prevent you from injuring yourself or others and to ensure that you receive the proper medical care. For this purpose, LCA/LH or your trainer may contact the person whose name you have provided as your emergency contact.

Billing and Payments

The fees for your sessions may be partially or fully paid for by your, or your eligible sponsor’s, employer or Health Plan, with or without any cost share to you, as long as you are eligible, and as long as further sessions are considered clinically appropriate. If you are participating in self-pay care, you are fully responsible for all session costs and any other fees. Lyra’s services are not covered by Medicare. If you have insurance coverage through Medicare, you are financially responsible for any costs that are not covered by your employer or another Health Plan in which you are enrolled. Please check with Lyra at 1-(877)505-7147 prior to your session if you have any questions about how your session will be covered. Please note that certain professional services outside of the presenting problems, such as chart preparation requests and participation in legal proceedings, may be outside the services paid for by your employer or Health Plan and may incur additional fees. Any additional fees will be discussed and agreed upon when they are requested. Fees for services may be subject to change in the future. If you have questions about the full cost of a session prior to any health plan cost coverage, you may contact the Neurodiversity Care Advocacy team.

Rescheduling/Cancellations

Rescheduling and cancellations of existing sessions negatively impact our trainers’ availability to book new sessions and help clients. To minimize this impact we ask you to please keep rescheduling and cancellations to a minimum. Your trainer also requires 24 hours notice to cancel or reschedule sessions.

If you cancel or reschedule within 24 hours of a scheduled session, or you do not attend a scheduled session, you may be charged a $90 Late Cancellation Payment.

Confidentiality

Your privacy and confidentiality is important to us. We want to let you know that when care transitions are indicated, information regarding your care needs (e.g. difficulty sleeping, high stress) may be shared with other members of the Lyra Care Navigator Team in order to help coordinate care. Trainers on the team also consult with one another in their peer consultation group and/or with the clinical team to make your care even more effective. During consultations trainers make every effort to protect the identity of their clients.

In certain instances your trainer may disclose information about your sessions without requiring your consent.

These instances include:

  • When there is suspected abuse or neglect of an elder, dependent adult, or child.
  • When, in the trainer’s judgment, you are in danger of harming yourself or another person, or are unable to care for yourself.
  • If you communicate to the trainer a serious threat of physical violence against another person, the trainer is required by law to inform both potential victims and legal authorities.
  • If the trainer is ordered by a court to release information as part of a legal proceeding.
  • As otherwise required by law.

If you experience an emergency during your sessions with your trainer, your trainer will take appropriate steps to ensure your safety and help get you to the appropriate care. In the cases where your trainer becomes concerned about your personal safety or the possibility of you injuring someone else, the trainer may need to disclose information to a third party in order to prevent you from injuring yourself or others and/or to refer you to appropriate medical care.

Given data security guidelines, you will not be eligible to have Caregiver Training sessions or message with your trainer when you are outside of US territories. You will, however, still be able to access the platform to complete activities and assessments if that could be supportive for you.

For more information, see Lyra’s Privacy Policy and Lyra Clinical Associate P.C.’s HIPAA Notice. If you have additional questions about how Lyra protects your privacy, you can also email [email protected].

Video Caregiver Training Technology

We make every effort to ensure a seamless and secure experience for your sessions, however there are potential risks to this video technology, including interruptions, unauthorized access, and technical difficulties. If you experience a situation where you are not confident of the continued security or quality of your session, such as interference with your signal, poor quality of the video, or continued interruptions, you or your trainer can discontinue the session. In order to have the best results for Caregiver Training sessions, you should be in a quiet place with limited interruptions when you start the session.

Video Recording

Your trainer will ask you at the start of each session if you consent to the session being recorded. If you consent, your trainer will record the session to enable preparation of a draft summary note of the session, using our artificial intelligence tools, and for the purposes of quality assurance, training, and the development and improvement of our services and artificial intelligence tools. The draft note will be reviewed by your trainer prior to inclusion in the clinical record.

Video recordings are kept securely for 2 weeks and then deleted. No one other than the trainer (including you) has permission to record sessions.

Content of the session may be retained indefinitely in a de-identified and/or aggregated format, and used for quality assurance, training, and the development and improvement of our services and artificial intelligence tools.

Your participation in video recording is voluntary. You have the right to refuse to be recorded and to withdraw your consent at any time. Choosing not to be recorded will not affect the availability or quality of the care you receive.

Research, Writing, Teaching

Your trainer and others at Lyra conduct internal research to improve our services, training, and supervision. Your trainer may use de-identified information about you and your care in any of these ways. Your trainer or others at Lyra may also prepare publications for professional and/or lay audiences; any information about your care would be used only in an anonymized and/or de-identified way for these publications.

Social Media

Lyra believes that adding clients as friends or contacts on any social networking sites (e.g., Facebook, LinkedIn, etc.) can compromise your confidentiality and you and your trainer’s respective privacy. As such trainers do not accept friend or contact requests from current or former clients on any social networking site (e.g., Facebook, LinkedIn, etc.). If you have questions about this, please discuss them with your trainer.

By accepting, you are confirming that you have read and understood this agreement and have had your questions answered to your satisfaction. You accept, understand, and agree to abide by the contents and terms of this agreement and consent to participate.