Ethics Flashcards by Rachael Tedeschi

What legal conduct do psychs need to follow?

Health Practitioner Regulation National Law + standards and policies of the Board

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What are the 3 established regulation professions?

Psych Board of Aus, AHPRA, National Law

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What is the role of the psych board?

o Registers psychs
o Develops standards, codes, guidelines, assesses overseas practitioners for Aust. practice, handles notifications, complaints, investigations, disciplinary hearings, approves accreditation standards and courses for study.

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What is the role of AHPRA?

o Supports board in its functions

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What is the role of national law?

o sets out regulations concerning use of specialist titles, eligibility for registration and notification processes.
o Psychs need to know which National Law they operate under

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What are the CPD req of reg psychs?

30 hours - includes 10 hours of peer consultation. 10 hours must be active (written/oral activities to enhance and test learning)

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What are the pro rata CPD rates of reg psychs?

2.5/10 hr for each full month of registration.
(1/3 pro rata) for peer consultation

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What is req in the up to date portfolio?

CPD log, learning plan (needs/activities), reflections, receipts (for 5 years)

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What are the Board’s standards? (8)

CPD
Criminal History
English language
General
Profession indemnity insurance
Provisional
Recency of Practice
Area of practice endorsements standards

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What is the min amount for Professional indemnity insurance?

$2 mill
Run off/retroactive cover needed when not practicing but have previously

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What is the board policies for social media?

No unsubstantiated claims regarding services.
No testimonies allowed.

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What are the board’s policies/guidelines? (10)

Social media
Court proceedings
Place of practice removal
Recency of practice
Exemptions from CPD
Overseas qualified applicants
Qualifications more than 10 years old
Limited work role / 4+2 internship
Higher degree student related policies
Supervision related policies

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What are ethics?

basic rules that govern professional behaviour

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What is the code of ethics for?

consistency in professional behaviour
avoids situations individual psychs relying on their own judgement of what is right and wrong

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How many ethical guidelines in APS code of ethics?

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What are the 3 main principles of the code of ethics?

o respect for the rights and dignity of people and peoples
o propriety
o integrity

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What does the principle ‘respect for the rights and dignity of people and peoples’ include?

the right to autonomy and justice
o Justice,
o respect,
o informed consent,
o privacy, confidentiality,
o access to one’s personal information

What does the principle ‘propriety’ incorporate?

principles of beneficence, non-maleficence, competence, and responsibility to clients, the profession, and greater society.

What does the principle ‘integrity’ include?

o need for good character,
o trust in psychological practice,
o impact of professional conduct on the overall profession

What does justice and respect entail?

 all clients are to be treated with respect
 Culturally appropriate and individualised services
 unfair discrimination avoided
 reparation of relationships between non-indigenous and indigenous
 sensitivity for different ages
 Sexual presentation not mental illness
 psychologists aware of unfair discrimination or prejudice against a client should assist their clients to address and react appropriately
 awareness of vulnerabilities (cultural, learning issues, disabilities etc)

What does informed consent involve?

disclosure of information relating to a proposed treatment, comprehension/understanding regarding the proposed treatment, voluntariness, competence, and consent.

What do psychs need to ensure in regards to informed consent for therapeutic aversive procedures or those with unpleasant consequences?

goals
participation is voluntary,
informed consent
treatment is efficacious,
client confidentiality,
trained provider,
exit plan

What do clients need to know to give informed consent?

Role of psych
Volunteer or paid service
Court /legal reporting responsibilities, cost and payment provider

Can psychs judge to proceed without informed consent in disaster situations?

Yes

What needs to be highlighted for consent in forensic settings?

purpose and nature of services offered, use of findings, access to info, limitations and voluntary or not nature, consequences of not participating

What is confidentiality?

Safe guarding of information which protects the trust a person places in having private information kept private

When is it required to disclose information/ break confidentiality?

* when legally required to disclose the information * when consent is provided, * to safeguard an identifiable person from a specified risk of harm.

What Act is confidentiality impacted by?

1988 Commonwealth Privacy Act

What should a psych know in regards to reported offences?

 Simply having knowledge about an offence does not require a psychologist to report an offence if that offence is not itself subject to mandated reporting

What must psychs do when working with young people for confidentiality?

1. determine clients capacity to provide informed consent 2. make clear limits to confidentiality (including to the parents)

How long do records need to be kept?

7 years (after 18yrs) unless legally req for different. To the age of 25 if under 18.

What needs to be done with ending or suspending services?

 Psychologists make arrangements for the care of their clients when they are absent.  When a client is not benefiting from service, they end same with said client.  Psychologists make arrangement for continuity of service when they can no longer consult and provide referrals

What are most misconduct complaints due to?

Poor communication

What should psychs do when faced with ethical dilemmas?

Consult with senior colleagues, indemnity insurers, professional bodies, and engage in thoughtful, ethical decision-making and document same. And use ethical decision making model

What is the ethical decision making model?

Stage 1: Define the Problem: Step 1 - identify those involved Step 2 - Identify problem (including relevant ethical and legal issues and clinical practices) Step 3 - Consider significance of context and settings Step 4 - Identify and use relevant legal, ethical and professional resources Stage 2: Considering options: Step 5: Develop and consider alt solutions to the problem (analyses risks/benefits and consider how personal beliefs impacting decision making) Stage 3: Monitoring and Actions: Step 6: Choose and implement more appropriate course of action Step 7: Monitor and assess outcome chosen Stage 4: Resolving the problem: Ask - was the problem solved? Step 8a YES - consider need for ethical action plan/practice modification. Step 8b NO - repeat steps 5-7.

o Burnout signs and symptoms:

 Feelings (anger and resentment)  Thoughts related to failure (I cant do enough or it right)  Behaviours (isolation, withdrawal, clock watching)

o 5 common therapy scenarios that lead to fear and indecision:

 Danger of harm/great pain  Difficult/recalcitrant clients  Position of danger from clients  Clients questioning practitioner competence  Having to make difficult ethical decisions

What principle notes things on if the client is capable of informed consent?

- Principle A – Respect - Need to consider age and disabilities

What is the role of a senior colleague when I am struggling with a professional dilemma?

- Required to help with working through professional dilemma and offer advice/direction

Where ethics and common law conflict, which overrides the other?

Common Law overrides ethical guidelines

What are the stages of decision making model?

Stage 1: Define the Problem Stage 2: Considering options Stage 3: Monitoring and Actions Stage 4: Resolving the problem