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My EPPP > Ethics > Flashcards

Ethics Flashcards

1
Q

Fee splitting aka ___

A

referral fees

Permissible if it is based on services provided.

Prohibited bt professionals when based on referral only

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2
Q

preamble and general principles - aspirational or enforceable?

A

aspirational

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3
Q

ethical standards - aspirational or enforceable?

A

enforceable

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4
Q

membership to the APA

A

commits members to comply with the standards of the ethics code

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5
Q

Beneficence and nonmaleficence

A
  • do no harm
  • avoid misuse of influence
  • aware of own physical/mental health
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6
Q

fidelity and responsibility

A
  • establish relationships of trust
  • aware of professional and scientific responsibilities
  • accept responsibility for their behavior
  • consult and cooperate with other professionals
  • strive to contribute a portion of prof time for little or no compensation
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7
Q

Integrity

A

promote accuracy, honesty, and truthfulness

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8
Q

justice

A
  • all persons are entitled to access to and benefit from the contributions of psychology and to equal quality
  • practice within your scope;
  • beware of biases
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9
Q

Respect for ppl’s rights and dignity

A

respect rights of individuals to privacy, confidentiality, self-determination
-respect role differences based on age, gender, gender identity, race, ethnicity, culture, national origin

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10
Q

when psychologists believe another psychologist has violated the ethics code..

A

(informal) attempt to resolve the issue by bringing it the attention of that individual IF appropriate and IF confidentiality is not violated

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11
Q

when psychologists believe another psychologist has violated the ethics code.. AND there is substantial harm done…

A

action might include:

  • referral to state or national committees, state licensing boards, or to institutional authorities
  • still can not violate confidentiality
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12
Q

when you are the subject of an ethics complaint..

A

you can not be denied employment, advancement, admissions to academic programs.. etc.

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13
Q

providing services in an emergency

A

when other MH is not available, you may provide services even if you don’t have necessary training, but you must stop as soon as emergency has ended

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14
Q

delegation of work

A

1) avoid delegating work to persons with multiple relationships
2) authorize only responsibilities that they can perform competently
3) make sure they are competent

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15
Q

personal problems & conflicts

A

refrain from initiating an activity when there is a big likelihood that their personal prob will prevent them from performing competently

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16
Q

when psychologists become aware of personal problems that may interfere with work..

A

take measures to determine if they should limit, suspend, or terminate work related duties

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17
Q

multiple relationships are:

A

in professional role AND another role OR in a relationship with a person closely associated or related to the person OR promises to enter into another relationshp in the future with the person

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18
Q

avoid multiple relationshps when:

A

they could be expected to impair psychologist’s objectivity, competence or effectiveness or risk exploitation or harm to the person
otherwise, MR are not unethical..

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19
Q

when a multiple relationship is required by law

A

must clarify role expectations and the extent of confidentiality and provide updates as changes occur

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20
Q

guilty by reason of insanity

A

the person was insane at the time of the murder

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21
Q

guilty by reason of incompetence

A

the person is unable to defend himself during the court proceedings

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22
Q

the goals of the APA code of ethics, according to the preamble

A

the welfare and protection of consumers of psych services AND education regarding ethical standards of conduct

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23
Q

most costly and successful malpractice suits against psychologists

A

sexual misconduct

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24
Q

sex with a former client is permissible when

A

after 2 years and “in the most unusual circumstances”

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25
Q

if you are assisting with the defense, and are called upon by the prosecution to testify

A

you can, but only after clarifying role expectations and extent of confidentiality

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26
Q

can BARTER only if ___ and ___

A

it is not contraindicated (e.g., babysitting)
and
does not exploit pt

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27
Q

try to avoid testifying for child custody when

A

you have been a therapist to child or s/o in family

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28
Q

when testifying re: custody, you can serve as a ____ but not a ____

A

fact witness

not an expert witness

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29
Q

when testifying re: custody, and you have multiple roles, you ___ testify as long as you ___

A

CAN

clarify roles to all parties and list limits of confidentiality at outset and if they change

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30
Q

re: custody, if only 1 parent is participating you ___ make a recommendation as long as ___

A

you have multiple other sources of data AND you describe limits of recommendations

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31
Q

client access to records

A

psychologist is owner. client has access. complete access may be harmful

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32
Q

client testimonials

A

do not solicit from its vulnerable to undue influence

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33
Q

client welfare

A

1) patient 2)public 3)profession 4)psychologist as self

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34
Q

you __ treat clients receiving care elsewhere if you __

A

can

carefully consider; proceed with caution

35
Q

collection agencies

A

1)inform pt 2)give them a chance to pay 3)can submit

36
Q

competence to stand trial is associated with what case

A

Dusky v US

37
Q

exceptions to confidentiality

A

1) military bases “need to know”
2) evaluating competency to stand trial - still should make effort to maintain confidentiality with regard to any info that does not bear directly on legal purpose of eval
3) if lawsuit says “psychological distress” - whole file can be opened
4) if an employer hires you to provide a service to an employee

38
Q

conflict bt ethics and the law

A

adhere to the higher standard. make commitment to ethics code clear. attempt to resolve conflict. when conflict can’t be reconciled, adhere to the law

39
Q

consultation and confidentiality

A

can’t disclose confidential info. that could lead to pt identification unless:

1) you have a confidential relationship
2) have consent
3) disclosure can’t be avoided

disclose only what is necessary

40
Q

If you are summoned by APA ethics committee (EC)

A

must cooperate. have 30 days.

41
Q

Deception in research is acceptable only when

A

1) justified by study’s value and non deceptive procedures are not feasible
2) no deception about physical harm or psych. distress
3) debrief participants @ conclusion of study or no later than conclusion of study
4) OK to record without prior consent as long as you get permission for using the tape at debriefing

42
Q

Employee Assistance Programs (EAPs)

A

MH service program offered to employees by the employer

43
Q

confidentiality with EAPs

A

in most cases, has to be maintained. Exception: if employee has been referred for disciplinary axn. Therapist can disclose attendance, and whether pt has accepted recommendations of the therapist. *must make employee aware of limits to confidentiality

44
Q

expert witness

A

specialized knowledge. can offer opinions

45
Q

fact witness

A

not allowed to offer opinions

46
Q

FERPA, aka

A

Buckley Amendment

47
Q

FERPA

A

schools must have ROI

48
Q

providing services to diverse populations

A

aspirational; recognize competence, incorporate cultural issues + knowledge into practice

49
Q

in person solicitation

A

not in uninvited forums.

50
Q

informed consent for those who are legally incapable

A

1) provide appropriate explanation
2) seek assent
3) consider preferences and best interests
4) obtain appropriate permission from a legal authorized person

51
Q

WHEN and HOW to obtain informed consent for those who are legally incapable

A

when: ASAP
format: written and oral

52
Q

in therapy with a minor, ___ continue without assent when__

A

CAN

if in best interest of child

53
Q

in research with a minor, ___ continue without assent when __

A

CAN NOT

in best interest of child

54
Q

if services are court ordered, you __ need consent and you should ___

A

DO NOT

Inform clients of confidentiality

55
Q

if services are NOT court ordered, you ___ need consent

A

DO

56
Q

if client does not consent and services are not court ordered, but they are for the court, you should

A

services are postponed. take steps to put individual in contact with legal representative. if legal rep is unwilling to proceed, contact the court

57
Q

you do not need IC for research when

A

1) no harm of distress
2) pt of educational practices
3) involves administering an anonymous survey or quetionnaire

58
Q

when to get IC in therapy

A

as early as is feasible. inform about nature and anticipated course of therapy, fees, limits of confidentiality, provide opportunity for Qs

59
Q

when is it ok to interrupt or terminate therapy

A

1) client no longer needs services or is not likely to benefit, or is being harmed by services

60
Q

preterm counseling when therapy is interrupted or terminated

A

should provide + suggest alternative providers as appropriate

61
Q

exceptions to need to provide preterm counseling

A

axns of a 3rd party payor preclude such counseling.

  • if pt is in crisis - this is the responsibility of the 3rd party (managed care)
  • limits to care should be discussed at outset, but don’t have to be
62
Q

Larry P v Wilson Riles

A

restricted use of IQ tests in schools d/t unfair consequences for minorities

63
Q

Goal of Managed HC

A

balance access, quality, and costs

1) limit services to those that are appropriate and necessary. eliminate wasteful care
2) reduce fes
3) assess quality
4) provide referrals
5) provide timely payment

64
Q

when additional sessions are denied by managed care, clinicians should

A

appeal, if they think pt needs more sessions. if denied, discuss options with pt.

65
Q

reactions to managed HC

A

increased paperwork re: utilization
decreased control over tx decisions and plan
client confidentiality

66
Q

requirements needed for malpractice suit

A

1) professional relationship (not determined by $)
2) demonstrable standard of care has been breached
3) pt suffering
4) pt suffering is due to breach of standard

67
Q

most common malpractice suits

A

sex, competence, confidentiality, fees

68
Q

multiple relationships

A

more than 1 relationship with a client or with close others of a client

69
Q

multiple relationship is prohibited when

A

1) impacts psychologist objectivity or performance

2) exploits/harms pt

70
Q

if psychologist has a personal problem, they should ___ and ____

A

not initiate activity that could be impacted

take appropriate measures re: activity already in progress (consultation, limiting, suspending, terminating activity)

71
Q

privilege

A

protects client’s confidentiality.

72
Q

privilege typically belongs to the ___ unless ____

A

client
1) ROI, 2) mandatory reporting (e.g., client is abusive), 3) legal reasons (eg., client is suing psychologist or is in custody dispute)

73
Q

pro bono services

A

recommended, but not required

74
Q

Record keeping

A

adults: full records for 7 years
children: full records for 7 years or 3 years after maturity

75
Q

sex with clients is ok when ___ and NOT ok when__

A

after 2 years and “in most unusual circumstances”

NEVER ok to provide therapy to s/o you were sexually involved with.
NEVER ok to have sex with current client

76
Q

when having sex with a former client, you must take into account

A

1) risk of exploitation, client’s current mental state, nature and duration of therapy, circumstances of termination, and likelihood that there will be a neg impact on client

77
Q

specific guidelines for forensic psychologists

A

does not define minimum qualifications
focuses on professional practice issues
specifies: no contingency fees

78
Q

test scoring and interpretation to other psychologists

A

must be accurate in describing the purpose, norms, validity, reliability, and application

79
Q

test scoring and interpretation

A

psychologists are responsible regardless of whether they scored /interpreted it or used automated scoring

80
Q

timeline for complaints

A

pt has 5 years

colleague has 1 year

81
Q

vicarious liability

A

sometimes supervisors can be held responsible for supervisees IF 1)disparity in training and 2) ability of supervisor to control supervisee

82
Q

withholding records for non payment is ___ when

A

NOT ok

needed for emergency tx.

83
Q

primary purpose of ethics code principles and standards

A

protect welfare of clients and patients AND educate educate regarding ethical standards

84
Q

in what situations can psychologists refuse tx they are competent in

A

1) not discriminating
2) giving appropriate referral
3) not an emergency

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