Chapters 5 Flashcards
What are the elements of informed consent?
The therapeutic process Background assessment Costs involved in therapy The length of therapy and termination Consultation with colleagues Interruptions in therapy
What aspects should the clients be aware of in informed consent
Client rights of access to their files Rights pertaining to diagnostic labeling The nature and purpose of confidentiality Benefits and risks of treatment Alternative to traditional therapy Tape-recording or videotaping
Record keeping
Record keeping provides a history that a therapist can use in reviewing the course of treatment
From ethical perspective: records can assist practitioners in providing quality care to their clients
From a legal perspective: state or federal law may required recording keeping
-many practitioners believe that accurate and detailed clinical records can provides as excellent defense against malpractice claims
Risk management
-keeping adequate records is the standard of care
How could records be recorded
In third person and objective as if someone else was reading it
What do you include in your Records
Identifying data
Fees and billing information
Documentation of informed consent
Documentation of waivers of confidentiality
Presenting complaint and diagnosis
Plan for services
Client reactions to professional interventions (progress notes)
Current risk factors pertaining to danger to self or others
Plans for future interventions
Assessment or summary information
Consultations with or referrals to other professionals
Relevant cultural and sociopolitical factors
Ethical issues in online counseling
Counselors responsibility to examine the ethical, legal, and clinical issues related to online counseling
Basic issues such as self-disclosure, confidentiality, boundaries, and dual relationships and take on unexpected shapes in online counseling
Potential legal issues about online counseling
Competence of practitioner in proving online counseling
-informing clients of limits and expectations
Advantages of online counseling
Improving access in rural areas
Greater potential for greater number of services for people
Ethical issues when working with children or adolescence
Minors rights regarding informed consent
Parental rights to information about their minors treatment
Mines assent vs. consent
Involving parents in the counseling process with minors
Limits of confidentiality
Dealing with reluctance
Need for supervisors clinical experience in play therapy, art and music therapy, and recreational therapy.
Unethical behavior of colleagues
Talking to the person, but if left un-delt with, you report to the next POC contact
Elements of malpractice
To succeed in a malpractice claim, four elements must be present
What are the elements of malpractice
Clients must have suffered harm or in urge
There must be legally suffered
Reasons for malpractice
Failure to get informed consent
Results all to council client to to value differences
Repressed or false memory
Unhealthy transference relationships
Failure to assess and manage a dangerous client
Risk management
Practice of focusing on the identification, evaluation, and treatment of problems that may injure clients and lead to filing an ethics complaint or a malpractice action
One of the best precautions against malpractice is personal and professional honesty and openness with clients
Know your limitations and seek consultation
What is informed consent?
Involves the rights of the clients to be informed about their therapy a d to make autonomous decisions pertaining to it.
A powerful clinical, legal, and ethical tool
Voluntary, presented to people, its gone over.
