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Ethics > Final > Flashcards

Final Flashcards

1
Q

Disclosure information (14)

A
  1. Description of the Therapeutic Process 2. Background of the Therapist and his/her credentials 3. Costs involved in therapy Length of therapy and process for termination—voluntary process 4. Consultation with Colleagues or supervision 5. Interruptions in therapy (vacation; planned absences) 6. Benefits and Risks of Treatment 7. Alternatives to Traditional Therapy (knowledge of community resources and other options) 8. Tape Recording or Videotaping Sessions 9. Clients Rights of Access to their files 10. Rights pertaining to diagnosis and diagnosis clarification 11. Nature and purpose of confidentiality 12. Expectations of the client 13. No Guarantees Client rights in general 14. Cancellation policy
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2
Q

a professional relationship that empowers diverse individuals, families and groups to accomplish mental health, wellness, education and career goals.”

A

counseling

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3
Q

A civil wrong (can be criminal) that is recognized by law as grounds for a lawsuit

A

tort

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4
Q

Combining roles and responsibilities

A

role bending

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5
Q

requirements of continuing education: 1. __ hours every __ years 2. __ of the __ need to be in ethics 3. __ in suicide assessment every __ years

A
  1. 36 hours every 2 years 2. 6 of the 36 need to be in ethics 3. 6 in suicide assessment every 6 years
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6
Q

A departure from commonly accepted practices that could benefit clients (like attending a wedding)

A

boundary crossing

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7
Q

How long to keep notes: recommended

A

10 years

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8
Q

We should talk about the consultations vs. supervision powerpoint– it’s confusing to me

A

Consultants give advice, educate, resposible to to colleague

Supervisors give direction, monitor, responsible to client

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9
Q

The ability of individual to stop info about themselves from becoming known to other people. Refers to a constitutional right to decide how and where you’ll share

A

privacy

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10
Q

The skills and training required to effectively treat clients

A

competence

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11
Q

What are the two reasons to break confidentiality

A

Duty to warn Duty to protect

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12
Q

Requirements of continuing education (3)

A
  1. 36 hours every 2 years 2. 6 of the 36 need to be in ethics 3. 6 in suicide assessment every 6 years
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13
Q

elements necessary to prove malpractice (4)

A
  1. Duty (establishing you have a responsibility to that person) 2. breach of duty 3. proximate causation 4. damage
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14
Q

Difference between courts and boards

A

boards monitor conduct, determine standards, screen applicants; regulate practice for public good; conduct disciplinary proceedings involving violations of standards; the role of the board is to prtect the public and hold the professional accountable The courts award monetary damages to individuals who have been wronged– the individual is relevant to the case

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15
Q

ideal standards expected by a professional group

A

ethics

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16
Q

What is the slippery slope phenomenon

A

A gradual erosion of boundaries

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17
Q

Dept. of Health information including name, address and telephone number

A

Information provided to client so they can file complaint

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18
Q

Document used to “define boundaries and clarify the nature of the therapeutic relationship.”

A

Informed Disclosure

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19
Q

What is direct liability

A

When the supervisors are cause for harm

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20
Q

How long to keep notes: HIPAA

A

6 years

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21
Q

Describes information to which no one is privy except the patient, therapist, and those who must have the information in order to provide the services the patient requires

A

confidentiality

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22
Q

True or false: the burden is on the client to go to court to protect his/her records

A

true

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23
Q

A serious breach that results in harm to clients and is therefore unethical (like having sex with a client)

A

boundary violation

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24
Q

True or False: You can guarantee confidentiality in group work

A

False

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25
Q

This type of ethics focuses on acts and choices. A set of obligations and a method that focuses on moral issues

A

principle ethics

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26
Q

projects onto the therapist past feelings they have toward significant people in their lives

A

transference

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27
Q

Applies to those circumstances where case law or statute requires the mental health professional to make a reasonable effort to contact the identified victim of a client’s serious threats of harm, or to notify law enforcement

A

Duty to warn

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28
Q

True or false: “therapist competence” is both an ethical and legal concept

A

true

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29
Q

This type of ethics focuses on character traits of the counselor and nonobligatory ideals to which the profession aspires (e.g., “Am I doing what is best for my client”)

A

virtue ethics

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30
Q

Standards that govern conduct of professional members / beliefs about what constitutes right conduct/ ideal standards

A

Ethics

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31
Q

A legal concept that generally bars the disclosure of confidential communications in a legal proceeding

A

privilege

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32
Q

Requirements for LMFT (4)

A
  1. Pass boards 2. 3000 hrs post degree 3. 1000 direct contact 4. 200 hours of supervision
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33
Q

a legal concept involving the failure of a professional to render the level of services

A

malpractice Note: malpractice is considered a wrong against a person (versus a wrong against the state)

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34
Q

A counselor who defines reality according to one set of cultural assumptions, shows insensitivity to cultural variations, trapped in one way of thinking, etc.

A

culturally-encapsulated counselor

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35
Q

This is a professional relationship that is based on trust where the clinician’s primary interest is the well being of the client

A

fiduciary relationship

36
Q

River of integration includes:

A

Being: Flexible Adaptable Coherent Energized Stable (FACES)

37
Q

What is vicarious liability

A

When the supervisEE causes the harm

38
Q

Steps of ethical decision-making (12 steps)

A
  1. Identify problem 2. Examine codes 3. Consider moral principles 4. Consult 5. Attend to your emotions 6. Involve the client 7. Consider culture 8. Identify desired outcomes 9. Know the laws and regulations 10. Consider consequences of potential courses of action 11. Evaluate the chosen course 12. Implement
39
Q

A perception of reality based on limited set of experiences

A

cultural tunnel vision

40
Q

Jaffe vs. Redmond is a case about privilege

A

(she said something about knowing the major cases?)

41
Q

One of the six moral principles. Refers to the fact that trust is the key ingredient. “truthfulness”

A

veracity

42
Q

dictate the minimum standards of behavior that society will tolerate

A

laws

43
Q

Requirements for LMHC: 1. Pass boards 2. ____ hrs post degree 3. ____ hours direct contact 4. ____ hours of supervision

A
  1. Pass boards 2. 3000 hrs post degree 3. 1200 hours direct contact 4. 100 hours of supervision
44
Q

Legal concept. Bars disclosure of confidential communications. A client’s right to refuse to disclose confidential communications. Belongs to client. Usually does not apply to couples.

A

privilege

45
Q

Counselor’s Ethical duty to protect private client communication. Belongs to the client. Based on 4 principles: Autonomy, Privacy, Pledge of silence, Utility

A

confidentiality

46
Q

A body of rules that govern conduct

A

Law

47
Q

Are process or progress notes required?

A

Progress

48
Q

How long to keep notes: Washington state

A

5 years

49
Q

Parts of the individual therapeutic process (5)

A
  1. Assessment 2. Diagnosis 3. Treatment Plan 4. Treatment 5. Termination
50
Q

3 goals of multi-cultural practice

A

Awareness, Knowledge, Skills ASK

51
Q

characteristics of good records (6)

A

Legible, germane, reliable, logical, prompt, chronological GRLLPC (GiRLL PiCk)

52
Q

3 legal aspects of supervision

A
  1. informed consent 2. confidentiality and its limits 3. liability ICicLe
53
Q

How long to keep notes: minors

A

Until 18

54
Q

Five key purpose is to record keeping

A

Clinical Organization Reimbursement Legal Risk management (CORRL)

55
Q

The ability of an individual or group to stop information about themselves from becoming known to other people other than those they choose to give the information to.

A

privacy

56
Q

refers to the constitutional right of an individual to decide the time, place, manner of sharing onself

A

privacy

57
Q

Legal aspects of informed consent

A

Capacity Comprehension Voluntariness

58
Q

Legible, germane, reliable, logical, prompt, chronological

A

characteristics of good records

59
Q

What are mandatory ethics

A

The minimum standard

60
Q

One of the six moral principles. Refers to our duty to honor commitments and make honest promises.

A

fidelity

61
Q

Steps of ethical decision making pneumonic

A

Perverts circulated magical cauliflowers efficiently. Chewbacca crawled dramatically. Lucifer club enthusiastic interns.

62
Q

Requirements for LMHC (4)

A
  1. Pass boards 2. 3000 hrs post degree 3. 1200 hours direct contact 4. 100 hours of supervision
63
Q

When counselors refer a client to other services because of value conflicts

A

discriminatory referral

64
Q

The six moral principles

A
  1. Autonomy 2. Non malfeasance 3. Beneficence 4. Justice 5. Fidelity 6. Veracity (7. Bonus; self care) Pneumonic: any nice blow job feels very sexy
65
Q

Requirements for LMFT: 1. Pass boards 2. _____ hrs post degree 3. _____ direct contact 4. _____ hours of supervision

A
  1. Pass boards 2. 3000 hrs post degree 3. 1000 direct contact 4. 200 hours of supervision
66
Q

This kind of witness is called solely as a therapist to speak to his/her direct involvement in that particular case

A

fact witness

67
Q

Disclosure Information

A

ACCESS (right to access their file) ALTERNATIVES to traditional therapy BACKGROUND of the therapist (+ credentials) BENEFITS + risks of treatment CANCELLATION policy CONFIDENTIALITY (its nature and purpose) COSTS involved (plus length of treatment) CONSULTATION with colleagues or supervisor DESCRIPTION of the therapeutic process DIAGNOSIS (rights pertaining to diagnosis and clarification Bonus: Interruptions, Expectations of the client

68
Q

The system of moral principles and rules that becomes standards for professional conduct

A

ethics

69
Q

Standards that govern the conduct of its professional members.

A

ethics

70
Q

a living document that changes as the profession grows and changes

A

code of ethics

71
Q

concerned with perspectives of right and proper conduct and involves an evaluation of actions on the basis of some broader cultural context or religious standard

A

morality

72
Q

pertains to beliefs and attitudes that provide direction to everyday living

A

values

73
Q

describes the highest standards of thinking and conduct professional counselors seek

A

aspirational ethics

74
Q

the similarities and differences that occur within and across cultures, and the intersection of cultural and social identities

A

diversity

75
Q

rendering a more serious diagnosis than symptoms warrant to gain authorization for an increased number of counseling sessions

A

up-coding

76
Q

pertains to beliefs and attitudes that provide direction to everyday living

A

values

77
Q

pertains to the beliefs we hold about what constitutes right conduct

A

ethics

78
Q

concerned with perspectives of right and proper conduct and involves an evaluation of actions on the basis of some broader cultural context or religious standard

A

morality

79
Q

describes the highest standards of thinking and conduct professional counselors seek

A

aspirational ethics

80
Q

A set of obligations and a method that focuses on moral issues with the goals of:  A) solving a particular dilemma or set of dilemmas and  B) establishing a framework to guide future ethical thinking and behavior”

A

principal ethics

81
Q

Focuses on the character traits of the counselor and nonobligatory ideals to which professionals aspire rather than on solving specific ethical dilemmas.

A

virtue ethics

82
Q

How to protect their records (or something): 3 things

A
  1. Password protect
  2. Encryption software
  3. Back up every night
83
Q
A
84
Q

Cottone (pg 33) and Remley (124)

A

legally mandated cases for waiving confidentiality

85
Q

6 step model to protect confidentiality rights

A
  1. Preparation
  2. Tell clients truth upfront
  3. obtain informed consent before disclosing
  4. Respond ethically to legal requests for disclosure
  5. Avoid avoidable breaches of confidence
  6. Talk about confidentialy a lot

(PTO RAT)

Ethics (3 decks)

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