Ethics Flashcards
Keep it to self
Privacy
limited sharing
Confidentiality
not share in court
Privileged
Balancing act between protecting _____ and ____.
the public and psychologist
Bersoff proposes 4 Basic Areas:
○Breaches of confidence
○Multiple (dual) relationships
○Payment sources, plans, settings, and methods
○Academic settings, teaching and training concerns
Special vulnerabilities include:
- _________ disputes
- ________ Evals
- ________ Evals
- ________ for services
● Special Vulnerabilities ○ Domestic disputes ○ Forensic Evals ○ Disability evals ○ Old bills for services
General Principles-aspirational
Principle A:
Beneficence and Non-maleficence
Do good and not harm
General Principles-aspirational
Principle B:
Fidelity and responsibility
General Principles-aspirational
Principle C:
integrity
General Principles-aspirational
Principle D:
Justice
General Principles-aspirational
Principle E:
Respect for peoples rights and dignities
Ethical standards- the 10 domains
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
HIPAA standards for record keeping include :
○ 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.
What is HIPAA?
the federal Health Insurance Portability and Accountability Act of 1996
3 Goals for HIPAA:
- Increased efficiency - standardized format for electronic data (aka “transactions”)
- Improved privacy - minimum standards
- Better security - minimum standards
The HIPAA provisions apply to anyone who provides health care and does electronic transmission of healthcare information, including:
●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?)
“Red Flag” Rule:
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
NPI
National Provider Identification
Key areas of compliance for HIPAA (4)?
Privacy
Security
NPI:
“Red Flag” Rule
OAR
The records shall include:
a. The ____ of the ____ and other _____ information;
Oregon Administrative Rules – BPE, Psychological Records 858-010-0060
The records shall include:
a. The name of the client and other identifying information;
OAR:
b. The ________ or _______ or _______;
b. The presenting problem(s) or purpose or diagnosis;
OAR:
c. The ____ arrangement
C. The fee arrangement
OAR: D. d. The ____ and _______ of each billed or service-count contact or service;
d. The date and substance of each billed or service-count contact or service;
OAR: E: Any _____ or other _______ obtained and any basic __________ from which they were derived;
e.. Any test results or other evaluative results obtained and any basic test data from which they were derived;
OAR: f. ______ and ______ of formal consults with other _________;
f. Notation and results of formal consults with other providers;
OAR: g. A copy of all ____ or other ______ ______ prepared as part of the _________ relationship;
g. A copy of all test or other evaluative reports prepared as part of the professional relationship;
OAR: h. Any _______ executed by the client
h. Any releases executed by the client;
OAR: i. Any signed _____ _______ .
i. Any signed informed consent.
OAR
Oregon Administrative Rules –
Privacy of Records: Authorization
Obtain authorization to share information with anyone outside TPO.
To be valid, an authorization must contain the following elements:
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
Child Abuse Reporting: ORS 419b.005 - 419b.950
1. Reporting is mandatory for :
public officials, including psychologists and counselors
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).
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).
Report is to _ ____ ______ ____ or ___ ______ in the ______ where the reporter was at the time of contact (17, 29). **
Report is to a law enforcement agency or SCF worker in the county where the reporter was
at the time of contact (17, 29). **
Exception: psychologist shall not be required to report if the communication is ________
Exception: psychologist shall not be required to report if the communication is privileged
Are we required to report animal abuse in OR?
yes
In child and adolescent therapy who is the client?
Child and parent
When a child witnesses ____ it is reportable.
DV
When outside the office and as a civilian is a psychologist required to report child abuse?
yes
What is an ethical dilemma?
Two or more ethical principles in tension with respect to the decision
Bennet et. Al. Four D’s of malpractice:
- Duty
- Damage
- Deviation
- Direct link
Risk Management Formula (Bennett et al, 2006): Clinical risk = P = C = D = TF =
Risk Management Formula (Bennett et al, 2006): Clinical risk = P = patient risk C = context D = disciplinary consequences TF = therapist factors
Two main goals of 2002 code: #1) Educational emphasis on 5 moral principles to guide the ethical decision-making of psychologists
- Promote welfare
- Do no harm
- Autonomy
- Fairness
- Faithfulness
Two main goals of 2002 code: #2) Create ___________ _________ separate from ___________
Create enforceable standards separate from principles (which are too vague or too aspirational to be enforceable)
For psychological assessment tests need to be:
- Reliable
- Valid
- Practical utility
- Suitable to age, gender, culture, purpose
- Informed consent
- Competence
