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38 Cards in this Set

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Who: 1) determines eligibility of all applicants for permits, licensures, etc., based upon compliance with CT general statutes and administrative guidelines?
2) administers licensing exams under supervision of appropriate board
3) performs administrative functions to process complaints against licensees
4) consent to decision by Board indicating at what schools licensee's educational requirements shall be met
5) conduct review of qualifications
6) conduct investigation of complaints
7) perform other function for effective operation of Board (Board of Examiners of Psychologists, in our case) or Commission
8) contract with a third party (e.g., Prometric) to administer licensing exams
Connecticut Department of Public Health
When may CT Department of Public Health deny eligibility for license or issue a license pursuant to a consent order containing conditions?
1) failure to comply with General Statutes regulations governing profession
2) convicted or guilty of felony under CT laws, federal laws, or other jurisdiction that would be a felony in CT
3) subject to pending disciplinary action or unresolved complaint before authorized agency
4) has been subject of disciplinary action (see sub-section (a) of 19a-17
5) committed an act which, if subject were licensed, would not conform to accepted standards and practices of psychology
6) has condition that would interfere with practice of profession
All records obtained over which the CT Department of Public Health has jurisdiction are NOT subject to section 1-210 (DPH held records are all public, except where stated) for a period of how long?
one year from initiating event or until investigation is terminated--whichever is earlier.
When may a psychologist licensed pursuant to Chapter 383 (psychiatrists are Chapter 370) provide outpatient mental health treatment to a minor without the consent or notification of a parent/guardian AT THE REQUEST OF THE MINOR?
when all of the following criteria are met:
1) requiring consent/notification would cause minor to reject treatment
2) provision of treatment is clinically indicated
3) failure to provide treatment would be seriously detrimental to minor's well being
4) minor has knowingly and voluntarily sought treatment
AND
5) in opinion of psychologist, minor is mature enough to participate in treatment productively
Psychologist must document reasons for treating minor without consent/notification of parent/guardian and include in minor's record, including a written statement signed by the minor stating the following information:
1) minor is voluntarily seeking treatmen
2) minor has discussed the possibility of involving parent/guardian in the decision to pursue treatment
3) minor has determined it is not in his/her best interest to involve parent/guardian in such decision
4) minor agrees he/she has been given adequate opportunity to discuss treatment course
After the SIXTH session, the psychologist must notify the minor that consent/notification/involvement of parent/guardian is required to continue treatment ...
The psychologist must notify minor's parent/guardian after the sixth session in order to continue treatment UNLESS this requirement is detrimental to the minor's well being.

If notifying would be detrimental, the psychologist must document determination in minor's record AND review determination EVERY SIXTH SESSION THEREAFTER and document each determination.

If at any time psychologist determines that notifying would not be detrimental to minor's well-being, he/she shall require consent/notification/involvement of parent/guardian as a condition of continuing treatment.

Parent/guardian must NOT be notified/disclosed information regarding treatment without consent of minor.
True or False:

Parents/guardians of minors receiving treatment without parental/guardian consent are required to pay for treatment.
False
CT Department of Health and Board of Psychology Examiners may singly or in combination take actions for conduct both prior and subsequent to licensure. What actions may be taken against a licensee?
The CT Department of Health and Board of Psychology Examiners may:
1) revoke license
2) suspend license
3) censure practitioner
4) issue a letter of reprimand
5) place practitioner on probation and make specific requirements
6) assess a civil penalty up to $10,000
7) take action against practitioner's license upon proof of felony or similar disciplinary action from another state

Practitioner will be notified that license has been acted upon and will be subject to formal proceedings within 90 days.

The Board/Deparment can also withdraw probation, reinstate after proceedings, and suspend license in advance if psychologist is danger to public.
A psychologist placed on probation by the Board and/or Department of Public Health may be asked to do what?
1) Report regularly to Board/Department of Public Health on matters related to probation
2) limit practice to areas prescribed by Board/Department of Public Health
3) Continue/renew education until a satisfactory degree of skill has been attained in area of probation
True or False:

Regulations regarding electronic signatures...Hospitals must submit to the Department of Public Health any current or proposed protocol for use of electronic signatures for medical records.
True
How often and when must you renew your license?
Every year in your birth month. If you fail to do this, your license will be void after 90 days, and you will have to apply for reinstatement.
A provider must provide complete and current records and must notify patient of any results that may indicate a need for further treatment EXCEPT, when?
Information is detrimental to physical/mental health of patient or might cause patient to harm self or other

info can be supplied to appropriate 3rd party/provider who may release it.

if info is not released by provider bc it is detrimental, a patient can petition their superior court if within 30 days of refusal and court will decide if detrimental or not
How much can be charged for records and how soon do you have to supply them?
45 cents per page including handling/research fees + postage UNLESS it is requested with documentation that it is under the Social Security Act.

must be provided within 30 days
What is the purpose of a medical record?
Document actions taken in patient management, documenting patient progress, provide meaningful info to other providers in case patient is transferred.

It should justify any diagnosis and treatment and contain dates of treatment, actions taken by non-licensed persons, orders, diagnostics, and signed by person responsible.
How long must you keep records?
All parts should be retained for at least 7 years from last date of treatment and 3 years from date of death.

Duplicate records are not required if they are maintained by a health care facility/organization and retention schedules of facility apply.

If active/commencing litagation, claim of negligience, then all records must be maintained until resolved.
How do you handle records if you are a consultant to another provider or a patient is transferred?
A consulting provider need not retain records if they are sent to the referring provider who must retain them.

If a patient and records are transferred to another provider then first provider does not need to retain records.
What needs to occur if you retire or die?
(Public notice) Provider or surviving relative/executor is responsible for for informing patients, which is done by placing a notice in daily local newspaper in the community that is the prime locus of the practice. it must be no less than 2 columns wide and 2 inches in height. The ad must appear twice, seven days apart.

(Private notice) Individual letter must also be sent to each patient seen within last 3 years preceding discontinuance of practice.

Records must be retained for at least 60 days following public and private notice to patients.
What is the specific Chapter of Connecticut General Statutes for Psychologists?
383
Who are the Board of Examiners of Psychologists?
1) 5 members (J. Monahan is current chair) appointed by Governor, 3 are licensed/practicing CT psychologists & 2 public members
2) Each is CT resident
3) no member can be a current elected/appointed official of any professional association of psychologists or been such an officer during the year preceding appointment
4) Governor appoints Chair and fills vacancy for remainder of terms
5) Members are not compensated and do not serve more than two consecutive terms
How often does Board meet?
Once each quarter and other times as the Chair deems necessary. Special meetings are held at request of majority of board (Majority constitutes a quorum).

Members are considered resigned if they miss 3 consecutive meetings, or fail to attend 50% of meetings during a calendar year.
What are the duties of the Board?
1) hear and decide matters concerning suspension or revocation of license
2) settle complaints filed against licensed providers
3) impose sanctions where appropriate
What is considered practicing psychology and who can do it?
Only a licensed psychologist can practice psychology.

Practicing psychology = rendering professional services under any title or description of services incorporating the words psychologist, psychological, or psychology to the public or public/private organization for a fee or other renumeration.
What are considered professional psychological services?
Application, by those trained in psychology, of established psychological principles (e.g,. learning, motivation) to assessment, diagnosis, prevention, and treatment of psych problems of individuals or groups.
Who prescribes and administers the examination for psychology licensure?
Department of Public Health under advice and consent and supervision of Board.
What are licensure requirements?
$450 fee
and satisfy Department that he/she:
1) received doctoral degree from program of study where content was primarily psychology from a "approved institution = educ. program approved by Board with consent of Commissioner of Public Health"
2) 1 year post doc experience satisfactory to Board
3) in good faith, intend to practice in CT
4) meet passing score on exam as determined by Department with Board consent
-Dept. Public Health grades exams returned by applicants
What is licensure by endorsement? When can examination be waived? How much does it cost?
Licensure by endorsement occurs if licensee provide DPH with satisfactory evidence that he is currently practicing and is licensed in another jurisdiction of similar or higher standards

OR holds a current certificate from ASPPP

Examination may be waived if applicant holds diploma from national board (e.g., ABPP) approved by DPH with Board consent;; but still may have to take jurisprudence exam

fee is $450 for license

no license issued to those who have pending or unsresolved complaint
How often is licensed renewed and when?
Annually in month of birth, $450, void if not done in 90 days, may reapply
What happens if licensee is convicted of felony, employed fraud in obtaining license or professional activity, violated any provision in Ch. 383, negligent, incompetently practice in area, suffering physical/mental illness, etc.?
May be ordered by Commisioner of Public Health for physical and mental testing.

opportunity for hearing with appeal

attorney general may provide legal assistance to Board
What happens to those who falsely represent themselves as psychologists?
Those not licensed and representing themselves OR having had his license revoked shall be fined not more than $500 or imprisoned not more than 5 years, OR both. --Each instance of patient contact or consultation is a separate offense

Failure to renew license in a timely manner is not a violation in this section.

DPH may investigate any alleged violation on its own or Board recommended
May licensed psychologists have full staff priveleges?
Any hospital or health care facility may allow a licensed psychologist full staff priveleges in accordance with standards of JCAHCO if criteria set forth by hospital is met.
When doesn't Chapter 383 apply?
Don't need license if in "approved" graduate course of supervised psychological study or postdoc.

383 doesn't apply to any person in salaried employ of any person, firm, corporation, ed. institution, govt. agency when acting within own organization.

Nothing prevents physicians, optometrists, chiropractors, clergy members, attorneys, or social workers, from doing work of a psychological nature c/w accepted standards of their profession.
What does 383 say about school psychologists?
Doesn't prevent person holding certificate as school psychologist or school psych examiner granted by State Board of Education from using his title to describe activities in school or private sector. in private sector activities are limited to, things relevant to education setting or amelioration or prevention of eduction-related probs, ed/voc consulation, development of ed programs
What are doctoral program educational standards for CT?
A program holding APA accreditation.

In non-accred. programs: must be regionally accredit for doc degrees, clearly specify psychology program with intent to train psychologists, program is recognizable entity within institution with structure, faculty, and curriculum admin, psychologists have clear authority in program, minimum of 3 academic years of full time study with at least one year in residence at institution, etc.
What are post doctoral standards for licensure in CT?
salaried work experience
1) 1 year no less than 35 hours per week for no less than 46 weeks within 12 consec months OR half time for 2 years

2) starting date is not earlier than degree date and completion date is no later than 8 weeks prior to licensing exam

3) work is supervised
Who oversees issues related to the mistreatment of children?
Commissioner of Children and Families
-retains power to remove ill treated child from foster family if deemed necessary to secure welfare of child
Who is a mandated reporter of child abuse?
oral report of abuse within 12 hours to Comm. of Families or law enforcement agency, written report within 48 hours on dcf-136

-failure to report $500-$2500 fine and educational training

-Comm of CF makes report to law agency if serious physical or sexual abuse
What must be in written child abuse report?
1) names and addresses of child and parent
2) age and gender of child
3) nature and extent of injuries, maltreatment, or neglect
4) info on previous injuries
5) approx date and time of injuries
6) how info came to be known
7) name of persons suspected
8) whatever action taken to help child
False report
fine not more than 2K and imprisoned not more than one year or both