Ethics Flashcards
Termination
Ethically and clinically appropriate process by which a professional relationship is ended.
Risk Assessment
Assessment of risk including but not limited to:
Danger to self- suicidal ideation, self-injurious behaviors, inability to care for self
Danger to others- homicidal ideation, inability to care for those under care
Informed consent
Permission granted in the knowledge of the possible consequences, typically that which is given by a patient, to a doctor for treatment with full knowledge of the possible risks and benefits.
Ethics with diverse clients
Be mindful of diversity. Practice cultural humility, become informed about culture, APA’s “cultural competence”
APA Code of Conduct
The American Psychological Association (APA) Ethical Principles of Psychologists and Code of Conduct (for short, the Ethics Code, as referred to by the APA) includes an introduction, preamble, a list of five aspirational principles and a list of ten enforceable standards that psychologists use to guide ethical decisions in practice, research, and education. The principles and standards are written, revised, and enforced by the APA. The code of conduct is applicable to psychologists in a variety of areas across a variety of contexts. In the event of a violation of the code of conduct, the APA may take action ranging from termination of the APA membership to the loss of licensure, depending on the violation. Other professional organizations and licensing boards may adopt and enforce the code.
Legal Ethics
Laws and statutes, not guidelines. Guidelines are not legal, they are aspirations.
Multiple Relationships
In psychotherapy refers to any situation where multiple roles exist between a therapist and a client.
Examples?
Integrated Care- BHP working with clinic staff and their family.
HIPAA
Law for electronic exchange, privacy, and security of health information.
The HIPAA Privacy Rule establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically. The Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. The Rule also gives patients rights over their health information, including rights to examine and obtain a copy of their health records, and to request corrections.
Record Keeping
Behind double lock
Keep for 7 years and destroy
Psychotherapy notes kept separate from medical record.
Ethics in a professional setting
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Tarasoff
Supreme Court of California held that mental health professionals have a duty to protect individuals who are being threatened with bodily harm by a patient.
Duty to warn: therapist can break confidentiality to warn someone if their is believed to be an imminent risk a patient will harm them.
Court-ordered Evaluations and Assessments
If hired by court or legal counsel the court or legal counsel is the client not the person being evaluated.
