An Action Research Project

“Doesn’t the TOP invade clients’ privacy?”

Client Questions about TOP

1. Doesn’t the TOP invade clients’ privacy?

2. Aren’t most of the TOP questions irrelevant to any given individual’s treatment?

3. Doesn’t the TOP violate the client’s right to stipulate the focus of treatment?

4. Won’t the TOP discourage clients who wish to protect their own privacy?

5. Won’t some clients comply because they are afraid not to?

6. Doesn’t the data become part of client’s medical and mental health record?

7. Aren’t TOP reports expected to be filed in the provider client record?

8. Isn’t it true that BHL and BCBSMA cannot guarantee the privacy of the data?

9. If BCBSMA decides a client needs “case management”, what will they actually do?

10. Couldn’t TOP data be used in the future to discriminate against clients seeking insurance?

11. Couldn’t report of illegal client activity in the TOP be subpoenaed by a court?

12. Why would a client need the TOP to “know if they were making progress”? (BHL claim)

13. Does a client need the TOP to “play a more active role in their own treatment”? (BHL claim)

14. To what future uses might BCBSMA, BHA, other insurers or other entities put this data?