Tarasoff/Documents Flashcards
what are the important documents?
Informed consent, Consent to treat, Authorization to release information, No secrets policy
what’s in the Authorization to release info form?
Gives therapist access to communicate w/ ppl regarding treatment. Such as with parents/school/previous therapist/health care providers
what’s in the No Secrets Policy? what does it entail?
It allows the therapist to release information learned from one member of the couple to the other member of the couple without it being viewed as a breach of confidentiality
- intended to inform the people you are working with in therapy
What are the intent to harm assessment indicators?
history of violence, client reports, intent/plan/means, client using drugs/alcohol may present heightened danger to victims, knowledge of weapons/special skills/connection to gang
Tarasoff: what actions might you take to manage the therapeutic relationship?
increase session frequency, have a safety plan, telephone contact between sessions, medication, consult with colleague, consider hospitalization of client
what steps are you to take to carry out your duty to protect?
contact the police, make an effort to warn the victim (don’t if it causes harm to them), only release info required for the report, consider hospitalization of client, consider having a safety plan, consider increasing session frequency
scope of competence
You can expand this, determined by your specific education/training/experience
- varies by person
- Assess/diagnose/treat
scope of practice
Can’t expand this, you have limits
- it’s what you as an MFT can legally do
what is within our scope of practice as an MFT?
allows us to use training to diagnose mental illness, allows us to work with couples, individuals and use “applied psychotherapeutic techniques” to assess/evaluate/and treat relational issues
when is your duty to protect triggered?
must receive communication of a serious threat of physical violence (to a reasonably identifiable victim) from the client or the clients family member
True or False:
Therapists are mandated to notify the reasonably identifiable victim.
False, you don’t have to contact if you know doing so will increase the risk of harm to them
when notifying the reasonably identifiable victim, the therapist would….
make an effort to warn the victim by phone
what actions would you take to manage a therapeutic relationship with domestic violence?
- create a safety plan
- focus on physical/emo safety for survivors
- talk about the power & control wheel
- refer to medical doctor as they can report abuse
what is a legal requirement of Informed Consent?
You must state the limits of confidentiality
What is in the Consent to Treat form?
its an acknowledgment of their voluntary agreement to participate in treatment
what are the legally required elements of Informed consent?
- the competency of the client (client needs to be aware of the treatment and understand the risks)
- disclosure of material treatment (client needs to be aware of treatment process before deciding to go forward)
- client needs to understand the contract/form
- Voluntary Consent
when is the Consent to Treat signed?
after the client understands the legally required elements of the informed consent
a therapist may formally refuse information to the court in a legal proceeding involving the client by…
asserting privilege
what is countertransference?
projections by therapists that distort the way they perceive and react to the client
what are some ways countertransference can be shown?
being overprotective with a client, rejecting a client, seeing yourself in your clients, giving advice, developing a social relationship with clients
what is transference?
the process where clients project onto their therapist past feelings/attitudes they had towards their caregivers or significant people in their lives
