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19 Cards in this Set
- Front
- Back
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Name 6 Gen'l Legal and Ethical Issues to Consider in Assessment.
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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Other factors that might impact the Psychologist's Judgement or Reduce Accuracy when interpreting the assessment
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1. Situational
2. Personal 3. Linguistic 4. Cultural Differences |
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Outdated or Obsolete Tests
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Avoid basing assessment and interpretation
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Legal & Ethical Issues in Asses:
Test Integrity & Security includes what materials |
1. Manuals
2. Instruments 3. Protocols 4. Test Questions 5. Stimuli |
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"Test" Integrity aka _________
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Psychometric Integrity
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Distinguish Test/Psychometric "Integrity" from Test "Security"
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Limiting Unauthorized Access to test items (Security) can impact the Integrity of the test.
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Are the Guidelines for Providers of Services to Ethnic, Linguistic, and Culturally Diverse Populations Required or Aspirational
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Aspirational
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What Identity Model should be considered when considering a patient's ethnic development and acculturation level?
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Atkinson, Morten, and Sue:
Racial/Cultural Identity Development Model |
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Describe the 5 Stages of the Atkinson, Morten, & Sue Model of Racial/Cultural Development
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1. Conformity
2. Dissonance & Appreciating 3. Resistance & Immersion 4. Introspection 5. Integrative Awareness |
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What 2 things should be taken into account when making assessment and intervention decisions
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1. Racial/Cultural Ident
2. Level of Acculturation |
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what are the 4 Categories of Acculturation?
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1. Integration
2. Assimilation 3. Separation 4. Marginalization |
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What are the Gen'l Issues/Factors that can impact the accuracy of clinical judgement and decision making?
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Client Responses:
1. Malingering 2. Defensiveness Clinician Biases: 1. Preconceived Notions 2. Confirmation Bias |
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What are 6 strategies for improving clinical judgement and decision making?
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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 |
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When an evaluation is the result of a referral, what is the primary focus of the assessment.
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The Reason for the Referral
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