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SFE > Ethics > Flashcards

Ethics Flashcards

1
Q

Keep it to self

A

Privacy

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2
Q

limited sharing

A

Confidentiality

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3
Q

not share in court

A

Privileged

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4
Q

Balancing act between protecting _____ and ____.

A

the public and psychologist

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5
Q

Bersoff proposes 4 Basic Areas:

A

○Breaches of confidence
○Multiple (dual) relationships
○Payment sources, plans, settings, and methods
○Academic settings, teaching and training concerns

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6
Q

Special vulnerabilities include:

  • _________ disputes
  • ________ Evals
  • ________ Evals
  • ________ for services
A 
●	Special Vulnerabilities
○	Domestic disputes
○	Forensic Evals
○	Disability evals
○	Old bills for services
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7
Q

General Principles-aspirational

Principle A:

A

Beneficence and Non-maleficence

Do good and not harm

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8
Q

General Principles-aspirational

Principle B:

A

Fidelity and responsibility

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9
Q

General Principles-aspirational

Principle C:

A

integrity

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10
Q

General Principles-aspirational

Principle D:

A

Justice

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11
Q

General Principles-aspirational

Principle E:

A

Respect for peoples rights and dignities

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12
Q

Ethical standards- the 10 domains

A 
Resolving Ethical Issues
Competence
Human relations
Privacy and Confidentiality
Advertising and Other Public Statements
Record keeping and fees
Education and training
Research and publication
Assessment
Therapy
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13
Q

HIPAA standards for record keeping include :

A 
○	Rx monitoring
○	Start/stop times
■	to the minute
○	Type of therapy
○	Frequency, # of sessions
○	Results of clinical tests
○	Summary of Dx, functional status, treatment plans, symptoms, prognosis, & progress to date.
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14
Q

What is HIPAA?

A

the federal Health Insurance Portability and Accountability Act of 1996

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15
Q

3 Goals for HIPAA:

A
  • Increased efficiency - standardized format for electronic data (aka “transactions”)
  • Improved privacy - minimum standards
  • Better security - minimum standards
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16
Q

The HIPAA provisions apply to anyone who provides health care and does electronic transmission of healthcare information, including:

A

●Electronic claims
●Electronic transmission or storage of patient information, including transmission or reception of patient information by fax, or internet transmissions; (should cellular phones be added?)

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17
Q

“Red Flag” Rule:

A

requires certain businesses and organizations — including many doctors’ offices, hospitals, and other health care providers — to develop a written program to spot the warning signs — or “red flags” — of identity theft

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18
Q

NPI

A

National Provider Identification

19
Q

Key areas of compliance for HIPAA (4)?

A

Privacy
Security
NPI:
“Red Flag” Rule

20
Q

OAR
The records shall include:
a. The ____ of the ____ and other _____ information;

A

Oregon Administrative Rules – BPE, Psychological Records 858-010-0060
The records shall include:
a. The name of the client and other identifying information;

21
Q

OAR:

b. The ________ or _______ or _______;

A

b. The presenting problem(s) or purpose or diagnosis;

22
Q

OAR:

c. The ____ arrangement

A

C. The fee arrangement

23
Q

OAR: D. d. The ____ and _______ of each billed or service-count contact or service;

A

d. The date and substance of each billed or service-count contact or service;

24
Q

OAR: E: Any _____ or other _______ obtained and any basic __________ from which they were derived;

A

e.. Any test results or other evaluative results obtained and any basic test data from which they were derived;

25
Q

OAR: f. ______ and ______ of formal consults with other _________;

A

f. Notation and results of formal consults with other providers;

26
Q

OAR: g. A copy of all ____ or other ______ ______ prepared as part of the _________ relationship;

A

g. A copy of all test or other evaluative reports prepared as part of the professional relationship;

27
Q

OAR: h. Any _______ executed by the client

A

h. Any releases executed by the client;

28
Q

OAR: i. Any signed _____ _______ .

A

i. Any signed informed consent.

29
Q

OAR

A

Oregon Administrative Rules –

30
Q

Privacy of Records: Authorization
Obtain authorization to share information with anyone outside TPO.
To be valid, an authorization must contain the following elements:

A

1) The name/identification of the person making the disclosure
2) Name or title of the person or organization to which disclosure is to be made
3) pt name
4) specific type of info to be released
5) Specific purpose of the disclosure

31
Q

Child Abuse Reporting: ORS 419b.005 - 419b.950

1. Reporting is mandatory for :

A

public officials, including psychologists and counselors

32
Q

Officials with “_______ _____” to believe that child has suffered abuse or person has abused a child “shall report or cause a report to be made . . .” (15, 28).

A

Officials with “reasonable cause” to believe that child has suffered abuse or person has
abused a child “shall report or cause a report to be made . . .” (15, 28).

33
Q

Report is to _ ____ ______ ____ or ___ ______ in the ______ where the reporter was at the time of contact (17, 29). **

A

Report is to a law enforcement agency or SCF worker in the county where the reporter was
at the time of contact (17, 29). **

34
Q

Exception: psychologist shall not be required to report if the communication is ________

A

Exception: psychologist shall not be required to report if the communication is privileged

35
Q

Are we required to report animal abuse in OR?

A

yes

36
Q

In child and adolescent therapy who is the client?

A

Child and parent

37
Q

When a child witnesses ____ it is reportable.

A

DV

38
Q

When outside the office and as a civilian is a psychologist required to report child abuse?

A

yes

39
Q

What is an ethical dilemma?

A

Two or more ethical principles in tension with respect to the decision

40
Q

Bennet et. Al. Four D’s of malpractice:

A
  1. Duty
  2. Damage
  3. Deviation
  4. Direct link
41
Q 
Risk Management Formula (Bennett et al, 2006): Clinical risk =
P = 
C = 
D = 
TF =
A 
Risk Management Formula (Bennett et al, 2006): Clinical risk =
P = patient risk
C = context
D = disciplinary consequences
TF = therapist factors
42
Q

Two main goals of 2002 code: #1) Educational emphasis on 5 moral principles to guide the ethical decision-making of psychologists

A
  1. Promote welfare
  2. Do no harm
  3. Autonomy
  4. Fairness
  5. Faithfulness
43
Q

Two main goals of 2002 code: #2) Create ___________ _________ separate from ___________

A

Create enforceable standards separate from principles (which are too vague or too aspirational to be enforceable)

44
Q

For psychological assessment tests need to be:

A
  1. Reliable
  2. Valid
  3. Practical utility
  4. Suitable to age, gender, culture, purpose
  5. Informed consent
  6. Competence

SFE (3 decks)

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