Informed Consent

Question 1

When does a therapist need to do Informed Consent by?

Answer 1

By onset of treatment

Question 2

When does a therapist need to review informed consent?

Answer 2

over the course of treatment

Question 3

Failure to obtain informed consent is failure of?

Answer 3

standard of care

Question 4

A written informed consent must be obtained when treating ?

Answer 4

minors

Question 5

For adults, informed consent doesn’t have to be?

Answer 5

signed

Question 6

If client doesn’t/refuses to sign informed consent, what do I do?

Answer 6

review IC with patient and document it that I reviewed it.

Question 7

What are needed to be LEGALLY included in informed consent?

Answer 7

1. fees for service
2. name and license of business owner
3. Technology utilization
4. Notice of Privacy Practice
5. License should be posted in the office

Question 8

Informed Consent Standard of Care (ethical) requirements

1. limit of ?
2. risk and benefits of ?
3. alternative?
4. Right of ?
5. ? policy
6. ? procedures
7. ? and ? practices
8. ? of therapist
9. Defining ?

Answer 8

1. Limit of confidentiality (danger to self/others)
2. Risks and benefits of treatment (risk - you may feel bad after treatment)
3. Alternative treatments
4. Right of Refusal
5. Cancellation policy
6. Billing procedures
7. Communication and emergency practices (how can I contact you in crisis?)
8. Background of therapist (what is my practice?)
9. Defining who client is (individual/couple/group)

Question 9

IC with minors
Minor who is ? or older may sign consent her/himself, if a therapist determined the minor is mature enough or there is a justification.

Answer 9

12

Question 10

Who can sign IC for minor?

If parents are married -

Answer 10

Either one can consent

Question 11

Who can sign IC for minor?

If parents have never been married -

Answer 11

Either one can consent

Question 12

Who can sign IC for minor?

If parents are divorced,

Answer 12

The custody agreement determines who can sign - whoever has legal custody can sign.

Question 13

Who can sign IC for minor?

If parents are divorced, and both have custody,

Answer 13

Find out if the custody agreement requires both need to sign. Best practice is to have both sign anyway.

Question 14

Who can sign IC for minor?

If one parent has only physical custody (e.g. weekend only) and the minor is younger than 11 -

Answer 14

the other parent must consent.
(Dad who has kids only on weekends worries about daughter depression. Mom must sign consent; if 12 or older, the child can sign her/himself)

Question 15

If parents are missing, a legal guardian (e.g. grandparent) can sign ? to state they are the caregiver.

Answer 15

caregiver affidavit

Question 16

Who can sign IC for minor?

If a child is in foster care -

Answer 16

The child’s lawyer must sign consent, unless the court has issued a Minute Order for social worker or foster parent to consent.

Question 17

No secrets policy - when working with family or couple, -

Answer 17

a secret told by one member needs to be shared with everyone in the group

Question 18

No secrets policy exception:

Answer 18

revealing secret endanger someone in the group

Question 19

When am I allowed to treat someone without informed consent?

Answer 19

1. Someone is suicidal and you have to intervene immediately.
2. Patient refuses to sign IC and starts talking about problems (document that he/she refused)

Question 20

When I’m engaged in experimental treatment (e.g. hypnotherapy, EMDR, touching involved),

Answer 20

Absolutely get a consent.

Question 21

If an adult brought a suicidal 11 year old kid by the parent who doesn’t have legal custody,

Answer 21

I cannot treat the child.