PSYC 3083 Week 4 Notes
PSYC 3083 Week 4 Notes PSYC 3083
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This 2 page Class Notes was uploaded by Madeline Meyer on Friday September 16, 2016. The Class Notes belongs to PSYC 3083 at Louisiana State University taught by Copeland in Fall 2016. Since its upload, it has received 35 views. For similar materials see Psychological Counseling in Psychology at Louisiana State University.
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Date Created: 09/16/16
Finishing Up Ethical and Legal Guidelines Discussing Limits of Confidentiality Unless patient has signed a consent for release, you cannot release any information to a third party If someone is a threat to himself or herself, others, cannot care for themselves, report child/elder abuse/neglect, and in extreme situations…. You can break confidentiality If you are seeing a minor, technically their parents own the rights to confidentiality Maintaining Confidentiality Minimize intrusions on confidentiality – be as brief and informative as possible in reports, keeping only critical information (symptoms, diagnosis) Maintenance of Records – if you have reporting of any type, it should be kept confidential or shredded/destroyed Disclosures: Provide needed professional services Obtain appropriate consultations Protect patient from harm Obtain payment Consultation Keep information to whatever you are consulting about Make sure you have consent to give information to the third party Confidential Information in Databases Not identified by name, often a number rather than a name If name is kept for a follow up session, that information is kept confidential as well When writing research protocol, it must be approved by IRE/another professional party Use of Confidential Information for Didactic or Other Purposes Need consent if other people will be watching In scientific and professional presentations, you must always remove identifying information Preserving records and Data Make plans in advance so that confidentiality in records and data are protected in event of death, incapacity, or withdrawal from practice Do not take charts home/to another work office. Keep in clinic. Ownership of Records and Data Understand that records and data is governed by legal principles Withholding Records for Nonpayment If somebody has not paid, that does not mean you have to write a full report and submit it to the third party Full report will be written if payment has been received in full Laws affecting Psychologists A. Mandatory reporting of child/elder abuse/neglect As a service provider, you must report. B. Privilege and Public Peril: The Duty to Warn (Tarasoff) If someone wants to hurt another person, it is your duty to warn in order to protect others. “Protection privilege ends where the public peril begins” Let patients know that you may have to break confidentiality Suicidality: some states require you to report while others do not, but you should protect them from harm. Make sure you do a thorough suicide assessment and take reasonable measures to protect them from harm – can be sued for malpractice. Resolving Ethical Dilemmas: Decisionmaking models A. Corey, Corey, & Callanan (1997) identifies 7 steps 1. Identify problem 2. Identify potential issues involved 3. Review relevant ethical guidelines 4. Obtain consultation 5. Consider courses of action 6. Consider consequences 7. Decide the best course of action Emphasize practical aspects of ethical decisionmaking. B. Kitchener (1984) identified 4 moral principles 1. Promote autonomy of clients (freedom and independence) 2. Promote beneficence of society (good of others) 3. Promote the nonmalificence (avoiding harm of others) 4. Justice/fairness (providing equal treatment) Refer during decisionmaking process; do not decline the use of codes
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