professional practice and ethics Flashcards

1
Q

Use research and additional resources to guide practice (e.g., professional literature, Internet)

A

keep informed and updated with regard to developments in the field which relate to their practice by engaging in educational activities and clinical
experiences.

seek regular consultation and/or supervision with fellow qualified professionals.

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2
Q

Participate in case presentation/clinical team meetings

A

maintain high standards of professional competence and integrity.

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3
Q

Prepare necessary reports for agencies, collaborating professionals, and funding sources

A

exercise special care when making public professional recommendations and opinions through testimony or other public statements

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4
Q

**Privacy and confidentiality **

A
  • written consent to communicate with other health
    care providers for collaborating on client treatment
  • respect and protect confidential information (verbal and/or artistic expression)
  • protect the confidentiality of the client-therapist relationship in all matters
  • not disclose confidential information without the client’s explicit written
    consent unless mandated by law or a court order
  • If reason to believe client or others are in immediate, serious danger - disclosure made consistent with state and federal laws
  • written authorization from the client or the client’s legal guardian, before making any disclosures, unless such disclosure is required by law.
  • for purpose of collecting info on harm caused to clients or possible violations of ATCB rules and its Code of Ethics - may disclose such information without the client’s explicit written consent if info is disguised so that id of client is fully protected.
  • maintain treatment records for reasonable period of time consistent with federal and state laws, agency regulations and sound clinical practice.
  • Records stored or disposed of in ways that maintain client confidentiality.
  • photographic representation maintained for all work relevant to document the therapy if maintaining original artwork would be difficult.
  • When client is minor, any and all disclosure or consent made to or obtained from the parent or legal guardian
  • Client confidentiality must be maintained when clients are involved in research
  • sign and issue written professional disclosure statement to client upon the establishment of a professional relationship which must include, but need not be limited to:
    education
    training
    experience
    professional affiliations
    credentials
    fee structure
    payment schedule
    session scheduling arrangements
    limits of confidentiality and the duty to report.
    name, address, and telephone number of the ATCB & “The ATCB oversees the ethical practice of art therapists and may be contacted with client concerns.”
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5
Q

**Relationships and boundaries **

A
  • respect rights of clients to make decisions and assist them in understanding the consequences of these decisions.
  • advise clients decisions on whether to follow treatment recommendations are the responsibility of the client.
  • professional responsibility to avoid ambiguity in therapeutic relationship and ensure clarity of roles at all times
  • continue therapeutic relationship only so long as client is benefiting from the relationship.
  • unethical to maintain professional or therapeutic relationship for sole purpose of financial remuneration
  • aware of influential position with respect to students and supervisees and avoid exploiting the trust and dependency of such persons.
  • not engage in therapeutic relationship with their students or supervisees
  • do not condone or engage in sexual harassment
  • not engage in any relationship, including through social media, with current or former clients, students, interns, trainees, supervisees, employees, or colleagues that is exploitative
  • make best effort to avoid entering into non-therapeutic or nonprofessional relationships with current or former clients, students, interns, trainees, supervisees, employees, or colleagues or any family members or other persons known to have a close personal relationship with such individuals such as spouses, children, or close friends.
  • burden of proof shall be on the art therapist to prove that non-therapeutic or non-professional relationship with current or former clients, students, interns, trainees, supervisees, employees, or colleagues is not exploitative or harmful to any such individuals
  • Exploitative relationships with clients include, but are not limited to:
    borrowing money from or loaning money to a client, hiring a client, engaging in a business venture with a client, engaging in a romantic relationship with a client, or engaging in sexual intimacy with a client
  • ensure judgment is not impaired, that no exploitation occurs, and that all conduct is undertaken solely in the client’s best interest.
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6
Q

Responsibility to the art therapy profession

A
  • file complaint with ATCB when reason to believe another art therapist is or has been engaged in conduct that violates the law or the Standards of Ethics and Conduct contained in this Code.
  • This does not apply when the belief is based upon information obtained in the course of a therapeutic relationship with a client and voluntary, written authorization for disclosure of the information has not been obtained; however, this does not relieve an art therapist from the duty to file any reports required by law.
  • not permit students, employees, or supervisees to perform or represent themselves as competent to perform professional services beyond their education, training, experience, or competence, including multicultural and diversity competence
  • respect rights and responsibilities of professional colleagues and participate in activities that advance the goals of art therapy.
  • endeavor to ensure benefits and limitations are correctly conveyed by any institution or agency of which they are employees.
  • aware that all actions and behaviors of art therapist reflect on professional integrity and, when inappropriate, can damage the public trust in the art therapy profession
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7
Q

Credential maintenance

A
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8
Q

Multicultural competence

A
  • not discriminate against or refuse professional services to
    individuals or groups based on age, gender, gender identity, gender expression, sexual orientation, ethnicity, race, national origin, culture, marital/partnership status, language preference, socioeconomic status, citizenship or immigration status, ability, religion/spirituality, or any other basis
  • develop and improve multicultural competence through ongoing education and training.
  • use practices in accordance with the client’s or group’s age, gender, gender identity, gender expression, sexual orientation, ethnicity, race, national origin, culture, marital/partnership status, language preference, socioeconomic status, immigration/citizenship status, ability, religion/spirituality, or any other identity factor
  • communicate in ways that are both developmentally and culturally
    sensitive and appropriate.
  • When difficulty in understanding each other’s language, art therapists attempt to locate necessary translation/interpretation services.
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9
Q

Awareness of state and federal laws

A
  • familiar with state requirements and limitations for consent for
    treatment.
  • balance ethical rights of clients to make choices, their capacity to give consent or assent to receive services, and parental or familial legal rights and responsibilities to protect these clients and make decisions on their behalf.
  • conform to relevant federal, provincial, state, and local statutes and ordinances that pertain to the provision of independent mental health
    practice.
  • be knowledgeable about statutes and/or laws that pertain to art therapy and mental health practice in any jurisdiction (state, province, country) in which they practice.
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10
Q

Record keeping and billing

A
  • provide clients with reasonable access to their records.
  • Access limited only in exceptional circumstances as permitted by
    law (such as when access is reasonably likely to endanger the life or physical safety of the client or another person, or access requested is
    reasonably likely to cause substantial harm to a person referenced in the client’s records)
  • Confidential information about any other client should not be disclosed to
    clients requesting access to records.
  • Client requests and the art therapist’s rationale for granting or withholding the records should be documented in the client file.
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11
Q

Use of/reproduction or exhibition of client art therapy data

A
  • consider benefits and potential negative impact of photographing, videotaping, using other means to duplicate, and/or display and/or broadcast client artwork with the client’s best interest in mind.
  • provide clear warnings about inability to protect against the use, misuse, and republication of the art product and/or session by others once it is displayed or posted.
  • not make or permit any public use or reproduction of a client’s art therapy sessions, including verbalization and art expression, without express written consent
  • obtain written informed consent before photographing the client’s art expressions, making video or audio recordings, otherwise duplicating, or permitting third-party observation of art therapy sessions
  • use clinical materials in teaching, writing, electronic formats and public presentations only if a written authorization has been previously obtained
  • obtain written, informed consent before displaying the client’s art in galleries, healthcare facilities, schools, the Internet or other public areas
  • Only the client, parent or legal guardian may give signed consent for use of client’s art or information from sessions and treatment, and only for the specific uses, and in the specific communication formats, designated in the consent.
  • Once consent granted, ensure appropriate steps are taken to protect client identity and disguise any part of the notes, art expression or audio or video recording that reveals client identity unless the client, parent or legal guardian specifically designates in the signed consent that the client’s identity may be revealed.
  • signed consent form shall include conspicuous language that explains the potential that imagery and information displayed or used in any form may not be able to be permanently removed if consent is later revoked.
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12
Q

Electronic communication services

A
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13
Q

Professional disciplinary procedures

A
  • notify the ATCB of any disciplinary sanctions imposed upon self or another art therapist by another professional credentialing agency or organization, when such sanctions come to their attention
  • not knowingly make false, improper, or frivolous ethics or legal complaints against colleagues or other art therapist
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14
Q

Research and dissemination

A
  • not distort or misuse clinical and research findings
  • instruct students using accurate, current, and scholarly info and foster professional growth
  • maintain high standards of scholarship and present accurate information
  • respect dignity and protect the welfare of participants in research
  • be aware of and comply with federal, provincial, state, and local laws and
    regulations, agency regulations, institutional review boards, and professional standards governing the conduct of research.
  • make careful examinations of ethical acceptability in planning studies.
  • seek ethical advice of qualified professionals not directly involved in the investigation and observe safeguards to protect the rights of research participants.
  • inform participants of all risks and aspects of the research that might
    reasonably be expected to influence willingness to participate
  • obtain written acknowledgment of informed consent, reflecting an understanding of the said risks and aspects of the research, signed by the
    participant or, where appropriate, by the participant’s parent or legal guardian.
  • be especially sensitive to the possibility of diminished consent when participants are also receiving clinical services, have impairments which limit understanding and/or communication, or when participants are children.
  • respect participants’ freedom to decline participation in or to withdraw from a research study at any time
  • treat information obtained about research participants during the course
    of the research protocol as confidential unless the participants have previously and reasonably authorized in writing that their confidential information may be used
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15
Q

Maintain clinical documentation

A
  • ensure there are procedures in place or follow recommendations for a “professional will” that suggests the handling of client documentation and art, if applicable, in the event of their unexpected death or inability to continue practice.
  • recognize harm if clients unable to access services in such a situation and identify individuals who can assist clients with obtaining services and with appropriate transfer of records. These written procedures shall be provided to the client
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16
Q

Seek supervision and professional consultation as needed

A
  • not engage in therapy practices or procedures that are beyond scope of practice, experience, training, and education.
  • not abandon or neglect clients receiving services. If unable to continue to provide professional help, must assist in making reasonable alternative arrangements for continuation of services.
  • obtain qualified medical or psychological consultation for cases when required.
  • seek appropriate professional consultation or assistance for personal problems or conflicts that may impair or affect work performance or clinical
    judgment.
  • supervisors are responsible for maintaining the quality of their supervision skills and obtaining consultation or supervision for their work as supervisors whenever appropriate
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17
Q

responsibility to clients

A
  • advance the welfare of all clients
  • respect the rights of those persons seeking assistance
  • make reasonable efforts to ensure services are used appropriately.
  • discuss and explain to clients the rights, roles, expectations, and limitations of the art therapy process
  • ensure regular contact with clients and prompt rescheduling of missed sessions
  • provide clients with contact information for the Art Therapy Credentials Board.
  • provide safe, private, and functional environment to offer art therapy services.
    proper ventilation
    adequate lighting
    access to water
    knowledge of hazards or toxicity of art materials
    storage space for client artworks
    secured areas for any hazardous materials
    monitored use of sharps
    allowance for privacy and confidentiality
    compliance with any other health and safety requirements according to state and federal agencies that regulate comparable businesses.
18
Q

Art Therapy Supervisors

A
  • supervisor responsible for the extent, type, and quality of art therapy performed by supervisee.
  • Supervisors compliant with all laws, rules, and regulations
  • Knowledge of Supervisory Methods and Techniques

proper training and supervised experience, contemporary continuing education and/or graduate training in clinical supervision

  • supervisees are informed of supervisor’s credentials and professional status as well as all conditions of supervision as defined/outlined by the supervisor’s practice, agency, group, or organization
  • supervisees are aware of the current ethical standards related to their professional practice, including the ATCB Code of Ethics, Conduct, and Disciplinary Procedures
  • regular contact with supervisees and prompt rescheduling of missed supervision sessions
  • Provide supervisees with adequate feedback and evaluation throughout the supervision process
  • supervisees inform clients of their professional status, the name and
    contact information of their supervisors, and obtain informed consent from their clients for sharing disguised client information and artwork or reproductions as necessary with their supervisors
  • supervisees obtain client consent to share client artwork or reproductions in supervision
  • Establish procedures with their supervisees for handling crisis situations.
  • provide supervisees with a professional disclosure statement that
    advises supervisees of the supervisor’s affirmation of adherence to this Code of Ethics, Conduct, and Disciplinary Procedures, and instructions regarding
    how the supervisee should address any dissatisfaction with the supervision process including how to file a complaint with the ATCB, the ATCB’s address, telephone number, and email address
19
Q

Health Insurance Portability and Accountability Act (HIPAA)

A
  • release of PHI for providers and referrals
  • HIPPA - complaint communication, telehealth, and EMR platforms
  • protected health info
    past, present or future physical or mental health or condition
    provision of health care
    past, present, or future payment for the provision of health care
20
Q

Engage in Cultural Responsiveness

A

engage in activism
engage in personal art making
participate in continuing education/training
participate in peer consultation and supervision
continuing education courses
research related to client

21
Q

supervision models

A

Remain sensitive to power differential yet understand the relationship is not equal.

Clarify the contract, plan, expectations, roles, etc.

Openly discuss difficult feelings/biases.

Discuss individual differences especially cultural considerations.

Give the supervisee a voice on what is to be learned.

Have a structured process for evaluation, clear, and fair.

Don’t make an evaluation or assumption too quickly or reactive.

accept feedback from your supervisee.

Keep a professional relationship with the supervisee.

Build a professional yet fun evaluation atmosphere.

Is clear about the purpose of supervision and the methods to be used;

  • Uses appropriate supervisory interventions such as art tasks, role-play, modeling, live supervision, homework, suggestions and advice, review of audio- and videotapes;
  • Makes every effort to observe the supervisee in the practice of art therapy with clients
  • Uses media to enhance learning (printed material, tapes, art process);
  • Understands how to facilitate the supervisor’s self-exploration and problem-solving;
  • Can serve as an evaluator and can identify the supervisee’s professional and personal strengths as well as weaknesses
22
Q

Ethical Supervision Principles

A

Respect/Autonomy: Respect individual differences and right to make individual choices.

Beneficence: Your actions idented to help someone else, to do good.

Nonmaleficence: Do no harm.

Justice: Being fair and giving all patients access to same care.

Fidelity: Taking responsibility, following through with contract.

Integrity: Honest, fair, feedback to the supervisee.

23
Q

Set up a secure teleconference for therapy sessions and supervision

A
24
Q

reflective art-making processes

A
25
Q

qualitative research

A

interviews, focus groups, etc.

26
Q

quantitative research

A

experimental designs, developing or distributing measures, distributing surveys

27
Q

Forms to be signed and copied for both patient and therapist

A
  • informed consent
  • release of information
  • confidentiality
  • limits for confidentiality
  • mandated reporting
  • private practice fee structure and sliding scale
  • inpatient and residential length of stay based on insurance
  • no surprises act (good faith estimates)
28
Q

Document art therapy products

A

label and store in locked drawer, cabinet, or office

photographs in encrypted and locked folder

do not throw away patient art (up to 5 years)

29
Q

document supervision sessions

A
  • supervision log
    client name
    client #
    session #
    presenting concern
    noteworthy info
    date
  • active case list
    client name
    demographic
    family of origin
    presenting concern
    diagnosis/case conceptualization
    risk?
    session #
    date last presented in supervision
30
Q

Evaluate risk of harm to self and/or others

A

Assess risk, gather information, stabilize, safety plan, higher level of care
duty to warn
protocol dependent on site
military active duty: local police if client is off base, military installation/base police if on base

31
Q

confidentiality must be breached when

A
  • client is dangerous and likely to do harm to another
  • client likely to harm self
  • therapist suspects child / elder abuse or neglect
  • duty to warn: Tarasoff case (1969), failure to warn potential victim is professionally irresponsible
32
Q

provide guidance on ethical research practices

A
33
Q

provide supervision and consultation

A

offer oversight and support

individualized and focuses on what the supervisee brings to the session.

Supervisee, Supervisor, and Client are an interlocking system that are important to their work as a supervisee.

34
Q

Americans with Disability Act (ADA)

A

1990
- civil rights protection to individuals with disabilities
- prohibits discrimination on basis of disability by public entities

35
Q

use technology for data management

A

progress notes
records
billing
storage of art products

36
Q

utilize appropriate electronic methods of communication with clients

A
  • Must have secure video/audio communication

Document
- A statement reflecting the service was provided via interactive telehealth
- “Interactive” is the keyword and needs to be included
- The type of service provided (i.e. office visit, consult, etc.)
- Location of the originating site
- Location of the distant site (where provider is located)
- Document start and end times for total telehealth service
- A statement that telehealth is an appropriate method of delivery for the service provided

Telephone:
- For established patients, parent, or guardian

Document
o verbal consent for billing and visit
o reason for telephone encounter (rather than in person)
o medical/behavioral discussion
o total time spent on medical/behavioral discussion
o assessment
o plan

37
Q

treatment plan

A
  • assist client in attaining maintenance of the maximum level of functioning and quality of life appropriate for each individual.
  • In compliance with federal, state, and local regulations and any licensure requirements
  • delineate the type, frequency, and duration of art therapy involvement.
  • contain goals that reflect the client’s current needs and strengths. When possible, these goals are formulated with the client’s understanding and permission.
  • Provide for timely review, modification, and revision.
38
Q

progress notes

A
  • Current level of functioning.
  • Current goals of treatment plan.
  • Verbal content of art therapy sessions relevant to client behavior and goals.
  • Graphic images relevant to client behavior and goals.
  • Changes in affect, thought process, and behavior.
  • No change in affect, thought process, and behavior.
  • Suicidal or homicidal intent or ideation.
39
Q

Universal precautions

A

assumes everyone has either HIV, Hep B, or other blood borne pathogens
- wear gloves when encountering blood

40
Q

Continuous Quality Improvement

A

ensure quality of care and proper documentation, sanitation, etc