Micellaneous/Class Notes Flashcards
Define: Duty to Protect
(Week 11 Class notes)
Psychologist’s duty to exercise reasonable care to protect the potential victims of his/her client’s violent behaviour
WHEN: client has been reasonably assess to pose a serious threat of violence to a reasonably identifiable victim AND when psychologists’s action/inaction is clearly related to the occurrence of the violent act
Case laws:
Wenden vs Trikha
Tarasoff v Regents
Kines v Lychuk
Define: Duty to Report
Legal Liabilities with Duty to report
Week 11 Class notes
Duty to report abuse under:
Protection of Persons in Care Act and
Child, Youth and Family Enhancement Act
Legal Liabilities:
1) Failure to foresee the threat
2) Failure to establish a reasonable treatment plan to address threat
3) Failure to properly implement the safety plan
Does Duty to Protect apply to clients who are suicidal
Week 11 Class notes
No - suicide a personal right;
legal requirement to inform guardians if child is suicidal
-if someone will harm others in act of suicide (e.g. jump in to traffic)
Define: Duty to Care
(Week 11 Class notes)
Legal obligation to adhere to a standard of reasonable care when performing services that could harm others (like counselling)
Duty to report, risk assessment criteria:
Week 11 Class notes
- Clear risk to an identifiable person/group of persons
2 . Risk of serious bodily harm/death
- Imminent danger
What percentage of couples seeking help report violence?
By which session should you have done a family violence screening/safety planning session with each member in the family system?
50-60%
By the 3rd session
**Use a government safety plan, do not use your own
EAP: When a client has completed sessions covered by EAP service, but requires more serives - what are three options are available to you?
Week 12 Notes
1) Terminate and refer
2) See client for free - this may be a problem given that EAP technically owns the client
3) Charge my own rate - potential ethical complications
*Ideally do all EAP work pro-bono to
What steps should you take if you are subpoenaed?
Week 12 Notes
- Do not add anything else to original file
- Create a brand new file and document EVERYTHING after subpoena
- Seek professional and legal consultation
- Verify accuracy/authenticity of subpoena (phone the subpoena number)
In suicide - which two factors best determine a practitioners liability?
Week 11 quiz
Did you provide REASONALBE CARE?
Was the FORESEABILITY of suicide?
Stewart vs Noone Case (Truscott and Cook article)
When a concern arises that a client may pose a threat to others, an ethical conflict arises between which two obligations
Week 11 quiz
Psychologist’s obligation to respect AUTONOMY of client and to protect the FORSEEABLE VICTIMS of the client’s violent actions
Adult clients should be presume competent to make decisions about releasing or withholding personal information about them unless..
Week 11 quiz
There is a FORMAL ORDER in place appointing a guardian
If a client undergoes a psychological assessment, the client is entitled to…
Week 11 quiz
the RESULTS and the INTERPRETATIONS of the test
not the test protocol - this is classified
What are the consequences of not reporting child abuse for a psychologist?
Week 12 notes
Fined
Jailed for 3 months
Reported to association
What does the EPPP stand for?
p. 829
The Examination for the Professional Practice of Psychology
How should you document client change in session notes?
Week 8 notes
Record:
- What you did you inquire about change and to promote change
- How the client responded
- Follow up plans to promote and reinforce change
* Also include consultation
What are some EXCEPTIONS to theme-based reporting:
- Risk to safety:
EXTENSIVELY document type of risk and action taken to ensure safety of all involved BUT use theme notes to document TRIGGER - Positive info- when you want to highlight a client’s resiliency and facts that can help build rapport
- Need context for diagnosis
- When agency has specific policies
How does one do session notes when the client is at risk?
EXTENSIVELY document type of risk and action taken to ensure safety of all involved
BUT use theme notes to document TRIGGER
Document
- Coping plan - distraction, self soothing activities
- Safety planning
- Pre, during and post actions you took to minimize risk for all parties
- Consultation
What are the criteria for determining a mature minor and WHO can make this determination?
Criterea:
- Sufficient cognitive skills to understand risks and benefits
- Stable independent reasonsing
- Sufficient developmental/life experience to be able to question own belief system
Who: Physicians Psychologists Clinical social workers Lawyers School principles
What are the four “E’s of relational consent?
week 6 ppnt
E - empowering - giving client’s power
E - Encouraing - helping them to bond with you
E - engaging - appeals to different learning styles
E- Eucational - they see they have rights
What does WAIT stand for in consent?
week 6 ppnt
Why
Am
I
Talking?
What are you two main role as a helper?
week 6 ppnt
- Ensure safety
2. Promote change
For documentation , what are the 3 R’s for ethical behvariour?
R - Reasonable behaviour
R- Reasonable recording practices
R- Rapport - get to know your client as best you can (so the information you capture will be the most accurate)
Values are
week 3 ppnt
Values are:
standards of principles of preference that dictate:
-what is important in life
-provide direction/guidance to how to live
influencd by EGO more than need
Define the democratic philosophy
week 3 ppnt
- Happiness and well-being are valued above all else
- We have thr gith to control out life in our own way
- The dignity and worth of each person shall be respected under all conditions
- Individual freedom - the right to share ones opinion
What are the major approaches to studying ethical conduct in counselling?
week 3 ppnt
- Principle approach (deontology; rules)
- Moral dilemma approach (teleological; problem-solving )
- Ethics of Care (relationship focused)
- Virtue Ethics (focuses on character of individual)
What is the principle approach to ethics?
week 3 ppnt
Aka deontology; nonconsequentialism
Abide by: Rules, Principles, laws, code
What is the moral dilemma approach to ethics?
week 3 ppnt
Problem solving approach to ethics; teleological
Also utilitariansim - focus on consequences
Choose the option that brings the greatest good for the most
What is the ethics of care approach to ethics?
week 3 ppnt
GILLGIAN: decision-making focuses on relationships: how will my actions impact others
Stage 1: care for self
Stage 2: Transition to others (other’s before my won)
Stage 3: Interdependence (what do I have to give)
What is the virtue ethics approach to ethics?
week 3 ppnt
Focus on the character of the individual
How will I behave ethically all the time - not just in my professional time
HOw will my actions embody the type of person I want to be?
