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Help client understand the limits of confidentiality |
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Obtain signed releases for consultations |
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Are you required to give copies of informed consent statement and fees? |
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Assist client in obtaining alternative treatment |
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Parent receiving info about their child |
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Everyone involved in therapy should give permission when info is sought by a 3rd party. |
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Emergency contacts between sessions |
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Disclose fees and basis upon which they are computed |
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At the commencement of therapy, define the unit of treatment and the nature of the relationships the therapist will have with others involved in treatment. |
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Paying for therapy does not grant access to records |
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Consent from both parents |
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Inform about experience, education, and specialties (doesn't have to be at the beginning) |
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Address client expectations about therapy to promote understanding of the therapeutic process |
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Doesn't take a position about client decisions. |
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Charging more than standard fee |
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Per se, nothing unethical about it but you need to be providing something more than your standard service (or perhaps a longer session) |
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Therapy and a legal proceeding |
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Could be considered an ethical dual relationship |
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Coordinate services to insure treatment compatibility |
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Keeping minor files 7 to 10 years after their 18th birthday. |
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Improve and protect the health and welfare of the patient |
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so that they can make an informed decision |
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Helping them understand the consequences of their decisions. |
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Refer if outside your scope of competence |
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Strive to understand the diverse cultural background of your clients |
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Referring to a doctor to rule out medical problem |
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Caregiver Authorization Affidavit |
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Can kids may have releases signed in room versus informed consent if they are not going to be part of the unit of treatment |
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Comply with client request for records |
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Involuntary hospitalization |
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How she handles people in her life |
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When can access to records be denied by therapist for youth? |
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1. Detrimental effect on on the provider's professional relationship with the minor patient. 2. Minor's physical safety or psychological well-being |
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Psychotherapy never includes sex brochure |
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Foster child's legal guardian? |
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The court -- social worker or case worker may be empowered |
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Foster parents and mental health care |
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Yes for medical care but it does not include mental health care |
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If client is ward of court, can he consent to his own treatment if over 12 and it is necessary? |
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Elder abuse and domestic violence |
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Then you would need to report |
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Are you required to assess for abuse? |
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No, but ethically might be good |
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Would you hospitalize someone for fire setting? |
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Obligation to report grave disability? |
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What does court do when privilege becomes an issue for minors? |
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What if ex is unavailable or his whereabouts unknown? |
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Have client sign a declaration to that effect for your records (and parent) |
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What if legal custody and father objects? |
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Have mother get a court order requiring therapy. |
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Do you report people not in the session? |
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Are we required to assess if someone is dangerous? |
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Legally, No, Ethically, Yes |
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Breaking confidence in order to prevent a threatened danger. |
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Permitted legally but NOT an obligation |
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Legal issue. Have both parties sign or otherwise it is an ethical issue about breaking confidentiality |
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Do you legally need to explain confidentiality? |
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No, but ethically a good idea |
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Written authorization to release or obtain confidential information |
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Is written consent legally required for adults? |
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No, but ethically good idea and for protection |
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When can client lose privilege |
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1. Suing employer for emotional duress 2. Suing for harassment and discrimination 3. Client plans a violent crime against employer |
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Protecting client records |
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Legal; could include secure location and password-protected on computer |
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Keeping files conjointly or separately |
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What if you deny records to parent? |
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Generally a summary is given. |
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If the family is using health insurance? |
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Make sure at least 1 family member has a diagnosis from the DSM and that your therapy is designed to treat that disorder. |
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Therapy without patient present |
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Yes, there is a code (like family therapy, etc.) |
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