Section 4: Informed Consent

Question 1

A registrant cannot provide services without what, and must attempt to obtain what?

Answer 1

Informed consent
Try to obtain informed assent

Question 2

What seven elements are required for informed consent under the CPBC?

Answer 2

1) client has capacity to consent
2) client has been informed of all appropriate significant information concerning the psychological services
3) client has freely and without undue influence expressed consent
4) client has been informed of the fees for the intended services
5) client has been informed of the limits of confidentiality, including but not limited to those aspect of consent confidentiality limits expressed in centred 6.7 such as harm to self for others
6) consent has been obtained and writing where possible
7) consent of the client, or of other appropriate persons where the client is not legally capable of giving informed consent has been appropriately documented in the registrants practice record

Question 3

What five things must a registrant do when an individual is not legally capable of giving informed consent?

Answer 3

1) any necessary documentation to determine that identity of all parties with legal entitlement to provide or withhold consent for services

2) obtain informed written consent from all the parties specified in part 1) above

3) provide an appropriate and understandable explanation of the services to the individual

4) when possible, obtain the individual’s assent to the procedures or interventions

5) document that explanation and any consents and assents in the registrants practice record

Question 4

In regards to informed consent and family law proceedings, subject to any court order or court direction, registrant, providing psychological services to parents or children for the purposes of the family law, proceeding, including such as services as custody and access assessments must do two things prior to providing the services?

Answer 4

1) determine any issues of custody and parental rights or status prior to or as part of obtaining informed consent from all appropriate persons
2) obtain in document all necessary consents prior to proceeding with the services

Question 5

What must the registrant do before altering the treatment plan or changing any psychological services that they have agreed to provide to a client?

Answer 5

Must obtain informed consent of any alterations to the treatment plan or services

Question 6

In terms of structuring the relationship, what four points must the registrant discuss with a client early on as possible in the professional relationship?
Hint: N and A, O of C, P R, A T

Answer 6

Must discuss issues such as
1) the nature and anticipated course of the intervention or assessment,
2) the obligation of confidentiality attached to the provision of such services,
3) the potential risks of the intervention or assessment and
4) alternative treatments that may be available.

Question 7

What two things must a registrant ensure when they are supervising anyone providing psychological services and what must they do in terms of consent?

Answer 7

Must ensure that the client (and the payer) is informed of the supervise status and the name of the supervisor

Most ensure the client and the payer has provided informed consent for the supervised services prior to the initiation of those services

Informed consents must be documented in the registrants practice record

Question 8

What must registrant do in terms of innovative services and applications for example, if there’s possible, increase risk of confidentiality breach, access limitations imposed, by the contemplated technology associated with psychology services

Answer 8

Must inform clients of the innovative nature of any proposed psychological service or technique, or any non-standardized application of a standardized service or technique, and the known risks associated with the service or technique and or it’s not in standard application, including any no or anticipated risks associated with the method service delivery delivery.

I.e. when using any new and/or non-standardized application must review any known or anticipated risks using this method

Question 9

What must a registrant do in in terms of avoiding misunderstandings?

Answer 9

Must make reasonable efforts to answer clients questions, and to avoid any apparent misunderstandings about the psychological services to be performed

Question 10

What must registrants do in terms of using understandable language?

Answer 10

Whenever possible when providing information, orally or in writing registrant must use language that is reasonably understandable to the client. remember that most clients need things written at a grade 8 level or lower.

Question 11

What must a registrant ensure that each participant in an assessment process is informed of?

PPM
TP
L of C
F and I of test results

Answer 11

That they are informed at the outset of the …
purpose, procedures and methods involved in the evaluation process,

any involvement of third parties,

the limits to confidentiality

and feedback and interpretation of test results that may be expected at the conclusion of the assessment process.

Question 12

What must registrants do when diagnostic interviews or therapeutic sessions with a client or to be observed by a third-party or carded in any mechanical or electronic manner for audio or visual purposes?

Answer 12

Must obtain informed consent from the client or the clients, legal guardian in advance.

Question 13

What nine elements must a registrant cover in informed consent before conducting research and what are the exceptions of this?
Hints:
P ED P
Right to D or W
F C of D or W
F F
P B
L of C
I of P
W to C for Q
E

Except research involving only A S, N O, or similar research.

Answer 13

1) the purpose of the research, expected duration and procedures

2) participants rate decline to participate, or to withdraw from the research once participation has begun

3) the foreseeable consequences of declining or withdrawing

4) reasonably foreseeable factors that may be expected to influence the persons willingness to participate, such as potential risks, discomfort, or adverse effects

5) any prospective benefits of the research, and or of involvement as a participant

6) the limit of confidentiality

7) any incentives for participation

8) who to contact for questions about the research and research participants rights

9) an explanation of any other aspects about which the prospective participants inquire

Except research involving only anonymous surveys, naturalistic observations, or similar research to those two.

Question 14

When conducting intervention research involving the use of experimental treatments, what six things must registrants do at the outset of the research?

E N
R
S
A
T A
C

Answer 14

1) the experimental nature of the treatment

2) any risks associated with the treatment

3) the services that will or will not be available to the control groups if appropriate

4) that means by which assignment to treatment and control groups will be determined

5) treatment alternatives if an individual does not wish to participate in the research, or which is to withdraw after the study has begun

6) any compensation for or monetary cost of participating, including reimbursement from the participant or a third-party pair will be sought

Question 15

What must a registrant do when conducting research with individuals such as students employees or subordinates?

Answer 15

Must take special care to protect the perspective, participants from any adverse consequences of declining or withdrawing from the research

Question 16

What must registrants do if research participation is a course requirement or an opportunity for extra credit?

Answer 16

Must give perspective participants, the choice of equitable alternative activities.

Question 17

A registrant must treat all research participants with respect, including by avoiding what?

Answer 17

Avoiding any behaviour that is the meaning, harassing, humiliating, abusive, exploit or gratuitously harmful in any other way

Question 18

In which two situations does registrant not have to obtain informed consent from research participants before filming or recording them

Answer 18

1) The research involves simply naturalistic observations made in public places

2) notated that the recording will be used in a manner that could result in personal identification, a participants, or cause harm to participants

Question 19

A registrant must not conduct a study involving deception, except for what two situations?

Answer 19

1) they have determined that the use of these techniques is justified by the study of significant perspective, scientific, educational, or applied value

2) effective non-deceptive alternative procedures are not feasible

Question 20

In what situations is a registration not required to obtain them from consent of an individual who may be affected by or involved in research

Answer 20

Anonymous questionnaires, naturalistic observations, or certain kinds of archival research

Question 21

Before determining that consent is not required what must the registrant consider?

Answer 21

Must consider applicable regulations and institutional review board requirements, and consult with professional colleagues as appropriate

Question 22

Describe the three key points that a registrant must do when debriefing.
Hints:
P O to be D
E any D
R S

Answer 22

1) provide a prompt opportunity for participants to be debrief, if necessary, and obtain appropriate information about the nature, results and conclusions of the research if scientific or human values, justified, delaying or withdrawing this information, registrants must take reasonable measures to reduce the risk of harm

2) explain to the participants any deception that was an integral feature of the design and implementation of an experiment as early as it is feasible, preferably at the end of their participation, but no later than at the end of data collection and permit participants, the opportunity to withdraw their data

3) reasonable steps to rectify the situation when they become aware of that research procedures have harmed a purchase example by offering to help obtain psychological services if needed

Question 23

In the event that a person has been given court, ordered assessment or treatment, and that person will not consent or as sent to the service what must registrant do?

Answer 23

They must inform the individual to the fullest extent possible of information about the service before proceeding. This includes three points.

Question 24

When an individual does not consent or assent to court ordered assessments or treatment, what three points must a registrant cover when informing an individual to the full extent possible of information about the services?

Answer 24

1) document why the requirements cannot be met

2) either inform the client of significant information concerning the psychological service to be provided, or clearly document the reason for not providing the information, if retainer terms, a court order, a court supervised process, or legalization to the contrary, prevents inform the client

3) in all cases document the clients inform consent or assent, or lack there of, and stay clearly in their record, and in any report the ways in which the clients consent or asset, or lack, there of may impact on the treatment assessment, or other psychological service

Question 25

What three things must a registrant do when conducting a follow review, regardless of whether the purposes to offer an opinion regarding file evidence pertaining to the client, such as when one is asked to provide input to a case manager, regarding a client who is not receiving direct services from the registrant, or to provide an opinion, regarding the sufficiency of a report itself?

Answer 25

1) either fully inform the individual who is the subject of the file being reviewed about the process, including that the registrant will be writing a review report or document why is not appropriate or possible to fully inform the individual in the circumstance

2) either obtain the informed consent or ascent of the individual who is the subject of the file being reviewed, or if consent or assent, need not be obtained, inform the individual of the court order or other basis, on which a fired field, we conducted absent informed consent, or sent or document document is not appropriate or possible to obtain informed consent or ascent of the individual in the circumstance

3) in the case of repeated or ongoing file reviews involving the same subject either ensure the subject is informed at the outset that is the case, and provides consent for repeated or ongoing reviews or document why it is not appropriate or possible to fully inform the individual and obtain informed consent, or I sent in the circumstance