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19 Cards in this Set

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Name 6 Gen'l Legal and Ethical Issues to Consider in Assessment.
1. Informed consent for Asses
2. Privilege
3. Release of Information
4. Electronic Storage and Transmission of Info
5. Use of Asses and Asses Results
6. Test Integrity and Security
Legal & Ethical Issues in Asses:
Informed Consent must be obtained for...
What are the 3 exceptions?
Assessments
Evaluations
Diagnostic Services
Exceptions:
- mandated by law/government
- implied as routine (educational, institutional or organizational activities
- evaluation of decisional capacity
Legal & Ethical Issues in Asses:
Privilege & Exception to Privilege
There is NO Privilege (EC 1017) when:
- Court appointment
- Board of Prison appointment
There is NO Privilege (EC 1025) when:
- establishing competency
Legal & Ethical Issues in Asses:
Release of Info/Data and Explain'g Results
HIPPA regulations may take precedence over the Ethics Code

Psychologists are responsible for taking steps for explaining the results

Exceptions:
- Pre-employment
- Security
- Forensic Evals
Legal & Ethical Issues in Asses:
Electronic Storage & Transmission
e-PHI must have safe guards against unauthorized release
- encryption
- consumer s/b notified of a breach
Legal & Ethical Issues in Asses:
Use of Assess & Asses Results
1. When in-person eval is not feasible, mention limitations in conclusion
2. Administration should be for its intended purpose
3. Validity & Reliability for its intended population
- if not mention limitations of test results and interpretation
4. Assessment methods should be approp to indvl's language preference & competence (unless relevant to the assessment issues
5. Deviation due to disability is allowed when it's not related to the test's purpose
Other factors that might impact the Psychologist's Judgement or Reduce Accuracy when interpreting the assessment
1. Situational
2. Personal
3. Linguistic
4. Cultural Differences
Outdated or Obsolete Tests
Avoid basing assessment and interpretation
Legal & Ethical Issues in Asses:
Test Integrity & Security includes what materials
1. Manuals
2. Instruments
3. Protocols
4. Test Questions
5. Stimuli
"Test" Integrity aka _________
Psychometric Integrity
Distinguish Test/Psychometric "Integrity" from Test "Security"
Limiting Unauthorized Access to test items (Security) can impact the Integrity of the test.
Are the Guidelines for Providers of Services to Ethnic, Linguistic, and Culturally Diverse Populations Required or Aspirational
Aspirational
What Identity Model should be considered when considering a patient's ethnic development and acculturation level?
Atkinson, Morten, and Sue:
Racial/Cultural Identity Development Model
Describe the 5 Stages of the Atkinson, Morten, & Sue Model of Racial/Cultural Development
1. Conformity
2. Dissonance & Appreciating
3. Resistance & Immersion
4. Introspection
5. Integrative Awareness
What 2 things should be taken into account when making assessment and intervention decisions
1. Racial/Cultural Ident
2. Level of Acculturation
what are the 4 Categories of Acculturation?
1. Integration
2. Assimilation
3. Separation
4. Marginalization
What are the Gen'l Issues/Factors that can impact the accuracy of clinical judgement and decision making?
Client Responses:
1. Malingering
2. Defensiveness

Clinician Biases:
1. Preconceived Notions
2. Confirmation Bias
What are 6 strategies for improving clinical judgement and decision making?
1. Establish Rapport & Trust
2. Don't Overlook Inconsistencies
3. Supplement Client self-report with collateral data
4. Be familiar to theories/research relevant to the clients race,ethnicity, cultural factors on dx and tx
5. Appreciate moderate Base Rate
6. Be aware of your own bias
When an evaluation is the result of a referral, what is the primary focus of the assessment.
The Reason for the Referral