Lecture 10 Flashcards
How many members does the APS have?
22000
How many colleges does the APS have?
9
How many interest groups does the APS have?
48
What does the Australin Psychology Accreditation Council do?
Accredits psych courses
What does the Psychology board of australia do?
Regulates profession.
What does AHPRA do?
– Implements policies and decisions of the PsyBA
– Administration for all 14 registered health professions
What are the three codes of conduct?
National Practice Standards for the Mental
Health Workforce
• APS code of ethical conduct (Also
Registration Board)
What standards are specific to psychologists?
- Code of Ethics
- Ethical and Practice Guidelines and
- Procedures
What is standard one?
: Rights and responsibilities,
safety and privacy
What do you do if the client says they are going to kill their brother?
Higher ethic. Tell them that if their life is in danger, and or someone elses life is, they are bound by mental health act
What is standard 2?
St’nd’d 2: Consumer and carer participation
About clients and consumers being actively engaged and having a voice.
What is standard 3?
Awareness of diversity
What is standard 4?
Mental health problems and mental health disorders- know what youre talking about
What is standard 5?
Promotion and prevention.
When it comes to mental health, prevention is the most important part.
What is standard 6
Early detection and intervention
What is standard 7
Assessment, treatment, relapse prevention and support.
Use appropriate methods.
What is standard 8?
Integration and partnership
Use all different types of services so that they can access them all.
What is standard 9?
• Standard 9: Service planning,
development and management
When putting system together, play your part.
What is standard 10?
Documentation and information systems
Keep good notes!
What is standard 11?
Evaluation and research
Become involved with research
When are you bound by the APS?
As soon as you jopin the APS, or register
What is conduct?
An act or an omission. 24/7
What is multiple relationships?
occur when a
psychologist, rendering a psychological
service to a client, also is or has been:
• (a) in a non-professional relationship with
the same client;
• (b) in a different professional relationship
with the same client;
• (c) in a non-professional relationship with an
associated party; or
• (d) a recipient of a service provided by the
same client.
What do you do if you are rural?
Set up very clear boundaries, and get client to repeat back to you.
APS code of ethics general principles
Justice Respect Informed consent Privacy Confidentiality Disclosure Release of information to clients Collection of client information from associated parties.
What is informed consent?
• Fully inform clients regarding psychological
services they intend to provide
• Use plain language
• Provides practical guidelines for how a
psychologist can ensure consent is informed
• Guidelines for when clients do not have the
capacity to consent
When do you have mandatory reporting?
Child abuse
Any other kind of elder abuse
You call facs
You must take action on someone in danger
When you consult someone, how do you keep disclosure
• When consulting colleagues or in professional
supervision or training BUT MUST conceal
identity of client or get consent. Recipients of
knowledge must agree to confidentiality
How long must you keep records until?
7 years, but if under 18 keep till 25.
Clients can amend inaccurate records.
When taking notes, would should you do about reasonable forseeability?
Make thorough notes, write why you have said something.
When you have multiple clients, what should you do?
(a) explain to each client the limits to
confidentiality in advance;
• (b) give clients an opportunity to consider the
limitations of the situation;
• (c) obtain clients’ explicit acceptance of these
limitations; and
• (d) ensure as far as possible, that no client is
coerced to accept these limitations.
Why would you terminate services?
• Client no longer benefiting from services
• Well-being of client is paramount
• Reasonable arrangements for the continuity
of service provision when no longer able to
deliver the psychological service
• When client needs greater expertise than
you can provide
What are the important things to remember when doing psychological assessment?
• Use quality instruments/measures • Understand and make clear to clients the limitations of the measures/techniques • Score and report accurately • Do not compromise tests or make public
If you want to have a sexual relationship, when can you?
• (c) who wish to engage in sexual activity with
former clients after a period of two years from the
termination of the service, first explore with a
senior psychologist the possibility that the former
client may be vulnerable and at risk of
exploitation, and encourage the former client to
seek independent counselling on the matter; and
• (d) do not accept as a client a person with whom
they have engaged in sexual activity
Never if you are a freudian psychologist
What is the relevant legislation?
NSW mental health act
Who does the act apply to?
- are admitted to a mental health facility
voluntarily (called voluntary patients); - are admitted to or detained in a mental
health facility against their wishes (called
involuntary patients); - are required to receive treatment in the
community.
What are the categories of unvoluntary patients?
Involuntary
Forensic
Community treatment order
Whats an involuntary patient?
admitted to or detained
in hospital against their wishes, generally on
the advice of a certified Medical/Mental
Health Practitioner
What is a forensic patient
patient is admitted to or
detained in hospital against their wishes,
having committed an offence and being
currently mentally ill
What is a community treatment order
• Is generally ordered when (a) the person is
currently mentally ill, or (b) the person is not
currently mentally ill, but is judged by a
suitably qualified practitioner to be likely to
become mentally ill within 3 months, and (c)
a CTO is judged to be the least restrictive
alternative for treatment.
What criteria must be met for formal admission to occur?
The person meets criteria for being formally
admitted as either:
• A Mentally Ill Person
• A Mentally Disordered Person
What is a mentally ill person?
• A Mentally Ill person
• Criteria:
• Has a mental illness; AND
• Is at risk of serious harm to self and others.
This includes
•physical harm
•harm to reputation
•harm to relationships
•harm to finances
•self-neglect; AND
Has a continuing condition, including any
likely deterioration is taken into account;
AND
• No other care of a less restrictive kind is
available
What is the definition of mental illness?
• A condition that seriously impairs, either
temporarily or permanently, the mental
functioning of a person and is characterized
by the presence of any one or more of the
following symptoms or signs:
• Delusions • Hallucinations • Serious disorder of thought form • Severe disturbance of mood • Sustained or repeated irrational behaviour indicating that the person is having delusions or hallucinations.
What is a mentally disordered person?
A Mentally Disordered Person
• Criteria:
• Displaying irrational behaviour; AND
• Significant physical risk to self or others;
AND
• No other care of a less restrictive kind is
available
What is the exclusion for formal admissions?
• A person cannot be regarded as “Mentally Ill”
or “Mentally Disordered” for the purpose of
the Act merely because of the presence or
lack of:
• Religious beliefs or philosophy;
• Sexual preference/orientation
Past or current involvement in:
• Sexual promiscuity;
• Immoral or illegal conduct;
• Or because the person
• Has a developmental disability;
• Takes or has taken alcohol or any other drug;
• Engages in anti-social behaviour
When a person is formally detained, how long can they be detained for?
up to 3 days
What are the two key differences between 1990 and 2007
Allowing Ambulance drivers to formally
admit patients;
• Collapsing two types of Community
Treatment Orders into a single category
Who does mandatory reporting go to?
PBA
What is notifiable conduct?
• placed the public at risk of substantial harm in
the practitioner’s practice of the profession
because the practitioner has an impairment; or
• placed the public at risk of harm because the
practitioner has practised the profession in a
way that constitutes a significant departure from
accepted professional standards.
