Final Flashcards
Scope of practice
Can’t be expanded, Using applied psychotherapeutic techniques, Treating couples, families, groups and individuals, and Assessing, diagnosing and treating
Scope of competence
Is determined by the therapist’s education, training and experience
Ethics
represents ideal standards for the profession
◦Represents the ideal standards for the profession ◦Established and enforced by professional organizations – AAMFT CAMFT ◦Goal is to practice within the spirit of the ethics codes ◦Primary purpose of ethics codes is safeguarding client welfare
Values
beliefs & attitudes that provide direction to everyday living; Remaining true to self and allow client the freedom to explore and select their own values if they are sharply different from yours
Values process
The key is not that they take on our values but looking at their values and exploring and raising awareness about things and how it is working for them◦Be slow to judge and CONSULT! CONSULT! CONSULT!
What is the BBS?
The laws for the practice of Marriage and Family Therapy are established and enforced by:
Countertransference
The therapist’s total emotional response to a client, Can be a constructive or destructive element in therapeutic relationship, Seek Personal Therapy Establish appropriate boundariesConsult with your supervisor and colleagues
permissible reasons to break confidentiality
Suicidal client – legally permitted, not legally mandated to discloseClient consent: Release of InformationFor reimbursement, insurance, 3rd party payers with limitsManaged care personnelConsultation, supervision, peersOther mental health providersOther professionals in treatment team
What is your therapeutic duty?
To do no harm, Begins as soon as client enters the therapeutic contract, Legal concept, not actual lawEncompasses all legal and ethical responsibilities imposed upon MFTs, Therapeutic duty includes the responsibility of assessing, diagnosing and treating, Must incorporate all legal and ethical standards when assessing, diagnosing and treating
standard of care
Skill level, knowledge and care in diagnosis and treatment that other reasonably careful therapists would possess and use in similar circumstance, Best practice guidelines for marriage and family therapists, Legal concept used to defend or prosecute therapists accused of negligence or incompetence
Elements of Informed Consent
Competency of the client – client must have sufficient mental ability to reasonably understand the treatment
–Inform the client with the information that a “reasonable” person would want to know before deciding on the proposed treatment
–The therapist’s contract and wording must be worded in a language that a “reasonable” person could understand
–The client must be free of coercion, duress or fraud when they consent to treatment
Informed Consent
A process where the therapist must obtain the client’s informed consent by providing information about the nature of therapy so that the client can make meaningful decisions for or against treatment.
Confidentiality
Sets the foundation for trustIs both a legal and ethical requirement placed on the therapist that restricts the volunteering of information obtained in a therapeutic relationship.Must maintain confidentiality if the client discloses past crimes, with the exception of crimes committed against protected classes (minors, dependent adults and elders, as well as when your duty to protect is enacted)