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71 Cards in this Set

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MFTs provide professional assistance to persons without discrimination on the basis of...
race, ethnicity, SES, disability, gender, health status, religion, national origin, or sexual orientation.
Informed consent generally necessitates that the client:
a. has the capacity to consent
b. has been adequately informed of significant information concerning treatment processes and procedures
c. has been informed of potential risks or benefits of treatments for which generally recognized standards do not yet exist.
d. has freely and without undue influence expressed consent.
e. has provided consent that is appropriately documented.
How do MFTs avoid exploiting the trust and dependency of clients?
Avoid conditions and multiple relationships with clients that could impair professional judgment or increase the risk of exploitation, such as: business or close personal relationships with client or client's immediate family. When the risk of impairment or exploitation exists due to conditions or multiple roles, therapists take appropriate precautions.
What are the ethics around MFTs and sexual intimacy with former clients?
Prohibited for 2 years following termination of therapy or last professional contact. MFTs should not engage in sexual intimacy with clients ever. Should they engage in sexual intimacy, the burden shifts to the therapist to demonstrate that there has been no exploitation or injury to the former client or the client's immediate family.
MFTs may not use their professional relationships with clients to...
further their own interests.
MFTs comply with applicable laws regarding the reporting of...
alleged unethical conduct.
MFTs respect the rights of clients to make decisions and help them to understand the consequences of these decisions. Therapists...
clearly advise the clients that they have the responsibility to make decisions regarding relationships such as cohabitation, marriage, divorce, separation, reconciliation, custody,and visitation.
How long do MFTs continue therapeutic relationships?
only so long as it is reasonably clear that clients are benefiting from the relationship.
When should an MFT assist persons in obtaining other therapeutic services?
if the therapist is unable or unwilling, for appropriate reasons, to provide professional help.
MFTs do not abandon or neglect clients in treatment...
without making reasonable arrangements for the continuation of such treatment.
Before videotaping, audio recording, or permitting third-party observation, MFTs...
obtain written informed consent from clients.
If an MFT agrees to provide services to a person or entity at the request of a third party, what should they do?
Clarify, to the extent feasible and at the outset of the service, the nature of the relationship with each party and the limits of confidentiality.
Why do MFTs have unique confidentiality concerns?
because the client in a therapeutic relationship may be more than one person. Therapists respect and guard the confidences of each individual client.
As early as possible, MFTs disclose what to clients regarding confidentiality?
MFTs disclose the nature of confidentiality and possible limitations of the clients' right to confidentiality. Therapists review with clients the circumstances where confidential information may be requested and where disclosure of confidential information may be legally required. Circumstances may necessitate repeated disclosures.
MFTs do not disclose client confidences except...
by written authorization or waiver, or where mandated or permitted by law. Verbal authorization will not be sufficient except in emergency situations, unless prohibited by law.
When providing couple, family, or group treatment, an MFT does not disclose information outside the treatment context without...
a written authorization from each individual competent to execute a waiver. In the context of couple, family, or group treatment, the therapist may not reveal any individual's confidences to others in the client unit without the prior written permission of that individual.
MFTs use client and/or clinical materials in teaching, writing, consulting, research, and public presentations only if...
a written waiver has been obtained in accordance with Subprincipe 2.2, or when appropriate steps have been taken to protect client identity and confidentiality.
How do MFTs store, safeguard, and dispose of client records?
in ways that maintain confidentiality and in accord with applicable laws and professional standards.
Subsequent to the therapist moving from the area, closing the practice, or upon the death of the therapist, an MFT arranges for...
the storage, transfer, or disposal of client records in ways that maintain confidentiality and safeguard the welfare of clients.
How do MFTs maintain confidentiality when consulting with colleagues or referral sources?
The MFT does not share confidential information that could reasonably lead to the identification of a client, research participant, supervisee, or other person with whom they have a confidential relationship unless they have obtained the prior written consent of the client, research participant, supervisee, or other person with whom they have a confidential relationship. Information may be shared only to the extent necessary to achieve the purposes of the consultation.
How do MFTs stay up to date?
MFTs pursue knowledge of new developments and maintain competence in marriage and family therapy through education, training, or supervised experience.
MFTs maintain adequate knowledge of and adhere to...
applicable laws, ethics, and professional standards.
MFTs seek appropriate professional assistance for...
their personal problems or conflicts that may impair work performance or clinical judgment.
How do MFTs handle potential conflicts of interest?
MFTs do not provide services that create a conflict of interest that may impair work performance or clinical judgment.
MFTs, as presenters, teachers, supervisors, consultants and researchers, are dedicated to...
high standards of scholarship, presenting accurate information, and disclosing potential conflicts of interest.
How do MFTs handle clinical and financial records?
They maintain accurate and adequate clinical and financial records.
While developing new skills in specialty areas, MFTs take steps to ensure...
the competence of their work and to protect clients from possible harm. MFTs practice in specialty areas new to them only after appropriate education, training, or supervised experience.
MFTs do not engage in sexual or other forms of harassment of, or exploitation of...
clients, students, trainees, supervisees, employees, colleagues, or research subjects.
How do MFTs handle gifts with clients?
MFTs do not give to or receive from clients
a. gifts of substantial value or
b. gifts that impair the integrity or efficacy of the therapeutic relationship
How do MFTs handle problems outside the recognized boundaries of their competencies?
They do not diagnose, treat, or advise on problems outside the recognized boundaries of their competencies.
Regarding their clinical and research findings, MFTs...
make efforts to prevent the distortion or misuse of their clinical and research findings.
MFTs, because of their ability to influence and alter the lives of others, exercise special care when...
making public their professional recommendations and opinions through testimony or other public statements.
To avoid conflict of interests, MFTs who treat minors or adults involved in custody or visitation actions...
may not also perform forensic evaluations for custody, residence, or visitation of the minor. The MFT who treats the minor may provide the court or mental health professional performing the evaluation with information about the minor from the MFT's perspective as a treating MFT, so long as the MFT does not violate confidentiality.
How can MFTs have their membership in the AAMFT terminated?
a. are convicted of any felony
b. are convicted of a misdemeanor related to their qualifications or functions.
c. engage in conduct which could lead to conviction of a felony, or a misdemeanor related to their qualifications or functions.
d. are expelled from or disciplined by other professional organizations.
e. have their licenses or certificates suspended or revoked or are otherwise disciplined by regulatory bodies.
f. continue to practice MFT while no longer competent to do so because they are impaired by physical or mental causes or the abuse of alcohol or other substances.
g. fail to cooperate with the Association at any point from the inception of an ethical complaint through the completion of all proceedings regarding that complaint.
MFTs are aware of their influential positions with respect to students and supervisees, and they...
avoid exploiting the trust and dependency of such persons. Therapists, therefore, make every effort to avoid conditions and multiple relationships that could impair professional objectivity or increase the risk of exploitation. When the risk of impairment or exploitation exists due to conditions or multiple roles, therapists take appropriate precautions.
MFTs do not provide therapy to...
current students or supervisees.
MFTs do not permit students or supervisees to...
perform or to hold themselves out as competent to perform professional services beyond their training, level of experience, and competence.
Supervisees-professional services
MFTs take reasonable measures to ensure that services provided by supervisees are professional.
Accepting supervisees
MFTs avoid accepting as supervisees or students those individuals with whom a prior or existing relationship could compromise the therapist's objectivity. When such situations cannot be avoided, therapists take appropriate precautions to maintain objectivity. Examples of such relationships include, but are not limited to, those individuals with whom the therapist has a current or prior sexual, close personal, immediate familial, or therapeutic relationship.
Disclosing supervisee confidences
MFTs do not disclose supervisee confidences except by written authorization or waiver, or when mandated or permitted by law. In education or training settings where there are multiple supervisors, disclosures are permitted only to other professional colleagues, administrators, or employers who share responsibility for the training of the supervisee. Verbal authorization will not be sufficient except in emergency situations, unless prohibited by law.
How should investigators make careful examinations of ethical acceptability in planning studies?
To the extent that services to research participants may be compromised by participation in research, investigators seek the ethical advice of qualified professionals not directly involved in the investigation and observe safeguards to protect the rights of research participants.
What must investigators requesting participant involvement in research do with regard to potential participants?
They must inform participants of the research of the aspects of the research that might influence willingness to participate. They must be sensitive to the possibility of diminished consent when participants are also receiving clinical services, or have impairment which limit understanding and/or communication, or when participants are children.
Participants freedom to decline participation or withdraw from research studies.
Investigators respect participant's freedom to decline participation in or to withdraw from a research study at any time. This is especially important when researchers have authority or influence over participants. MFTs, therefore, make every effort to avoid multiple relationships with research participants that could impair professional judgment or increase the risk of exploitation.
Confidentiality in research
Information obtained about a research participant during the course of an investigation is confidential unless there is a waiver previously obtained in writing. When the possibility exists that others, including family members, may obtain access to such information, this possibility, together with a plan for protecting confidentiality, is explained as part of the procedure for obtaining informed consent.
What do MFTs do when the AAMFT Code of Ethics conflicts with the mandates of an organization with which an MFT is affiliated through employment, contract, or otherwise?
The MFT makes known to the organization their full commitment to the AAMFT Code of Ethics and attempts to resolve the conflict in a way that allows the fullest adherence to the Code of Ethics.
Assigning publication credit
MFTs assign publication credit to those who have contributed to a publication in proportion to their contributions and in accordance with customary professional publication practices.
MFTs publishing with a student
MFTs do not accept or require authorship credit for a publication based on research from a student's program, unless the therapist made a substantial contribution beyond being a faculty advisor or research committee member. Coauthorship on a student thesis, dissertation, or project should be determined in accordance with the principles of fairness and justice.
Plagiarizing
MFTs who are the authors of books or other materials that are published or distributed do not plagiarize or fail to cite persons to whom credit for original ideas or work is due.
MFTs who are the authors of books or other materials published or distributed by an organization...
take reasonable precautions to ensure that the organization promotes and advertises the materials accurately and factually.
MFTs participate in activities that contribute to...
MFTs participate in activities that contribute to a better community and society, including devoting a portion of their professional activity to services for which there is little or no financial return.
MFTs and developing laws and regulations
MFTs are concerned with developing laws and regulations pertaining to marriage and family therapy that serve the public interest, and with altering such laws and regulations that are not in the public interest.
MFTs encourage public participation in...
the design and delivery of professional services and in the regulation of practitioners.
MFTs and referrals
MFTs do not offer or accept kickbacks, rebates, bonuses, or other renumeration for referrals; fee-for-service arrangements are not prohibited.
Prior to entering into the therapeutic or supervisory relationship, MFTs clearly disclose and explain to clients and supervisees:
a. all financial arrangements and fees related to professional services, including charges for canceled or missed appointments
b. the use of collection agencies or legal measures for nonpayment
c. the procedure for obtaining payment from the client, to the extent allowed by law, if payment is denied by the third-party payor.
Once services have begun, therapists provide reasonable notice of any changes in fees or other charges.
MFTs and clients with unpaid balances
MFTs give reasonable notice to clients with unpaid balances of their intent to seek collection by agency or legal recourse. When such action is taken, therapists will not disclose clinical information.
MFTs represent facts truthfully...
to clients, third-party payors, and supervisees regarding services rendered.
MFTs ordinarily refrain for accepting goods and services...
from clients in return for services rendered. Bartering for professional services may be conducted only if:
a. the supervisee or client requests it
b. the relationship is not exploitive
c. the professional relationship is not distorted.
d. a clear written contract is established.
MFTs withholding records when client hasn't paid
MFTs may not withold records under their immediate control that are requested and needed for a client's treatment solely because payment has not been received for past services, except as otherwise provided by law.
MFTs accurately represent their...
competencies, education, training, and experience relevant to their practice of marriage and family therapy.
MFTs ensure that advertisements and publications in any media (such as directories, announcements, business cards, newspapers, radio, TV, internet, and facsimiles)...
convey information that is necessary for the public to make an appropriate selection of professional services. Info might include:
a. office info
b. qualifying clinical degree
c. other earned degrees and state or provincial licensures/certifications
d. AAMFT clinical member status
e. description of practice
MFTs do not use names that could...
mislead the public concerning the identity, responsibility, source, and status of those practicing under that name, and do not hold themselves out as being partners or associates of a firm if they are not.
MFTs do not use any professional identification (such as a business card, office sign, letterhead, internet, or telephone or association directory listing)...
if it includes a statement or claim that is false, fraudulent, misleading, or deceptive.
In representing their educational qualifications, MFTs list and claim as evidence only those earned degrees:
a. for institutions accredited by regional accreditation sources recognized by the U.S. Dept. of Education.
b. from institutions recognized by states or provinces that license or certify marriage and family therapists
c. from equivalent foreign institutions.
MFTs correct, wherever possible...
MFTs correct whenever possible, false, misleading, or inaccurate information and representations made by others concerning the therapist's qualifications, services, or products.
MFTs make certain that the qualifications of their employees or supervisees...
are represented in a manner that is not false, misleading, or deceptive.
MFTs and specialized services
MFTs do not represent themselves as providing specialized services unless they have the appropriate education, training, or supervised experience.
MFTs who are uncertain about the ethics of a particular course of action...
are encouraged to seek counsel from consultants, attorneys, supervisors, colleagues, or other appropriate authorities.
The practice of marriage and family therapy is governed by...
both law and ethics.
What if the AAMFT Code of Ethics prescribes a standard higher than that required by law?
then MFTs must meet the higher standard of the AAMFT Code of Ethics.
MFTs comply with the mandates of law, but make known their commitment to the AAMFT Code of Ethics and take steps to resolve the conflict in a responsible manner. The AAMFT supports legal mandates for reporting of alleged unethical conduct.
Who is bound by the AAMFT Code of Ethics?
Members of AAMFT in all membership categories:
AAMFT-Approved Supervisors
applicant for membership
AAMFT members
How does the AAMFT Ethics Committee view persons accused of unethical conduct?
Persons are considered innocent by the Ethics Committee until proven guilty, except as otherwise provided, and are entitled to due process.