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NPE > Ethics > Flashcards

Ethics Flashcards

1
Q

Common principles (5)

A
  1. Autonomy: take responsibility for own behaviours
  2. Non-maleficence: do no harm intentionally, prevent and minimise harm
  3. Beneficence: do good, promote wellbeing
  4. Justice: fairness and equality
  5. Fidelity: honesty and integrity
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2
Q

General professional conduct

A

Continuing education: 30 PD hour per year, including at least 10 peer consultation focused on own practice

Professional self management: self reflection, self assessment, self care

Supervision and peer consultation: minimum 10 hours supervision per year

Professional indemnity insurance - 2M single claim

Recency of practice
- minimum 250 hours of practice within 5 years
- complete program within 5 years

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3
Q

Principle A: respects

A

Repects for the rights and dignity of people

  • Justice
  • Informed consent
  • Privacy
  • Confidentiality
  • Release of information
  • collection of information
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4
Q

A Respects: justice

A

Avoid discrimination and prejudice

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5
Q

A respects: inform consent

A

Nature and purpose of procedures being explained

Clarifying risks
Clarifying frequency, costs and expectations
Termination of services

No need consent when:
- permitted by laws
- national health and medical research council (NHMRC) or others waived requirement in respect to research

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6
Q

A respect: confidentiality

A

Limits:
- client consented, legal guardian consented
- legal obligation
- immediate and specified risk of harm to IDENTIFIABLE person
- consulting supervision either de-identify or get consent

ONLY disclose info necessary to achieve purpose of disclosure

DO NOT refuse reasonable requests for client to access their files

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7
Q

Principle B: Propierty

A

Welfare of client and public over personal interest
Services that beneficial to clients

  • Competence
  • Record keeping
  • Professional responsibility
  • Provision of psych services as request by third party, to multiple clients, delegation of tasks
  • Use of interpreter
  • Collab w others
  • Accepting clients from others
  • Suspension of services, termination
  • Conflicting DEMANDS ————-
  • Assessment and reserach
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8
Q

B propriety: competence

A

Skills
Knowledge
Physically and mentally fit

Supervision
PD

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9
Q

B Propriety: record keeping

A

Minimum 7 years
Under 18, keep till when they turn 25

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10
Q

B propriety: provisional of service requested by third party, multiple clients

A

Explain:
- nature of relationship
- roles eg facilitator, case manager, counsellor, teacher
- probable uses of info obtained
- limits to confidentiality
- financial arrangements

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11
Q

B propriety: use of interpreter

A

Take reasonable steps to ensure:
- aware of code relevant
- not in multiple relationships (impair judgement)
- not placing client at risk of harm, exploitation
- ensure competence

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12
Q

B propriety: collab w others

A

To provide effective services

Accepting client from others:
- implications of becoming involved
- welfare of the person
- act with caution and sensitivity

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13
Q

B propriety: termination of service

A

Not competence
Not benefit
Not necessary
Need to terminate due to health etc

Take responsible steps to safeguard ongoing welfare, locate alternative sources

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14
Q

B propriety: conflicting demands

A

Clarifying nature of the conflict
Inform all parties of ethical responsibilities
Seek constructive solution that upholds the code
Consulting a senior psych

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15
Q

B propriety: assessment and research

A

Assessment: use most updated version of assessment

Research: no harm, de-identify participants

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16
Q

Principle C: intergrity

A

Honour the position
Act with decency and honesty

  • Reputable behaviour
  • Communication
  • Conflict of INTERESTS ————
  • Non-exploitation
  • Authorship
  • Financial arrangements
  • Ethics investigation and concerns
17
Q

C integrity: non exploitation

A

No sexual activity w client until after 2 years of termination

18
Q

C integrity: financial

A

Honest in dealings
Making proper arrangements
NOT receiving remuneration for referring or accepting clients

19
Q

C integrity: ethics investigations and concerns

A

Comply w ethics investigation if reasonably suspect another psych
- draw their attention through senior psych
- encourage people directly affected to report
- dont lodge, endorse lodging or trival, vexatious or unsubstantiated claims against colleagues

20
Q

Mandatory reporting children

A

Reasonable belief or suspicion:
- child states they have been abused
- relatives, friends, states they have been abused
- professional observation
- physically injured or abused
- belief there has been failure to provide shelter, safety, supervision, nutritional needs

RESPONSIBILITY IS ON THE PERSON, not organisation they work

21
Q

Mandatory reporting colleagues

A

4 concerns:
- impairment
- intoxication while practising
- significant departure from acceptable standards
- sexual misconduct

MUST form reasonable belief eg direct knowledge

Not same for practitioner treating practitioner

22
Q

Reasonable belief

A

Direct knowledge
Reliable source (encourage the one with most direct knowledge to report)

23
Q

Impairment

A

Detrimentally affects person’s capacity to practise

  • treatment
  • break from practice
  • modified scope of practice
  • strategies used to manage impacts
  • compliance w monitoring and supervision
  • reasonable belief that AHPRA has been notified
24
Q

Advertising health service

A

Not false, misleading, deceptive claims
Sell personal services on their merits
Honest about what you do
Regular check and maintain compliance to ads
Impacts on audience
Not ad about Offering service for free when it is covered under medicare
Not allowed to use reviews and testimonials

25
Q

Communication

A

Keep adequate records
Sufficient details to
- permit planning
- continuity in delivery if psych services when someone takes over
- allow review of service delivery

Stored safely

26
Q

Writing reports

A

Mindful of who is the recipient
Not comment beyond expertise and knowledge of the clients
All written forms are considered report
Next of kin informant name on intake where possible
Keep recording dates/ times, treatment notes fee charged
Override of confidentiality need to be well documented
Discussing clients in peer consultation need to have all info de-identified

27
Q

Recovered memories

A

Accept what the client tells
Respect reported experience
Avoid drawing premature conclusions about the accuracy of memory
Strong therapeutic relationships
Working toward acceptance of incomplete memories
Convey info about the nature of memory
Explore potential impact of provision of psych services as consequences of legal actions
Respect and accept the client decision on how to proceed

Unreported traumatic memory: appraise it as beyond competence and provide referral to appropriate agency

Do not have goal to treat recovery memories
NOT design, propose or implement and intervention to recover memories
Do NOT dismiss references to previously unreported memories

Avoid case formulation based on unknown events

Based in cognitive interview rather than leading questions, hypnosis, guided images, dream interpretation

Accurately record the sessions

Welfare of client is primary concerns
Not possible to distinguish a valid retrieved memory from a false one

28
Q

Hypnosis

A

Focused attention
Reduced awareness
Enhance capacity for response to suggestions

Complement to therapy

Explain fully what is involved
Allow client clarifying aspects of the process
Explain:
- nature and purpose
- limitations and risks
- qualifications and experiences
- risks, adverse effects, disadvantages
- option to participate, decline or withdraw

29
Q

Working w aboriginal

A

Mindful of peer relationships problems for adolescent aboriginal

Consult aboriginal liaison officers and district education officers

Use language medium
No known formal tests are developed for aboriginal

Have knowledge about the contexts of test taker
Do not rely solely in results - caution needed
Combined w other forms of assessment

Great risk of suicide
Sensitive to client’s responsibilities to kin, elders and community
Use local services where appropriate

30
Q

Sex and gender diversity

A

Sex: at birth, physical
Gender: attitudes, feelings, behavioura

Terms: gender-diverse, intersex, gender-variant, transgender, transexual, genderqueer - always consult w clients before using a term

Ensure clients are treated fairly

Assist client to seek for undertaking surgical, hormonal etc interventions

Avoid assumptions about clients

31
Q

Privacy Act

A

13 aus privacy principles by OAIC:
- open and transparent management of personal info
- anonymity and pseudonymity - treat the person anonymously unless there is legal or practical reason
- collection of solicited personal info
- dealing w unsolicited personal info
- notification if the collection of personal info
- use or disclosure of personal info
- direct marketing - dont do
- cross-boarder disclosure of personal info
- adoption use of disclose of government related identifiers (not using client medicare number as unique identifier
- quality of personal info (info is up to date)
- security of info
- access to info - respond within 30 days
- correction of info

32
Q

Confidentiality extra

A

0-8: parents are clients
8-14: parents are clients - encourage negotiation
14+: can make inform consent, clinical judgement to decide if they can give consent

Separated family: implications of this

Focus on welfare of the child
Best interest of clients rather than guardian

NPE (5 decks)

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