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14 Cards in this Set
- Front
- Back
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Client Records:
Who owns the records? |
Therapist - owns records
Client - owns the content |
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Client Records: Confidentiality
How should records be secured? |
1. Locked Room or Locked Filing Cabinet
2. Limited Access to Electronic Database |
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Client Records:
Duration of Record Retention |
7 years from the age of maturity
Adults: 7 yrs after discharge date Minor:7 yrs after reach'g age 18 Exception: Emancipated Minrs age 18+1yr |
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Client Access to Records: Denial of Access
How does HIPAA preempt California Law? |
HIPAA - access to records is "reasonably likely to endanger the life or physical safety of the client or another person."
The person however, IS given the right to review the denial |
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Client Access to Records: Denial of Access of Psychotherapy Notes
How does California Law preempt HIPAA |
California Law - "may" have access to "copy" of Psychotherapy /Summary Notes; if there is a legal reason for doing so
HIPPA - absolute NON-reviewable denial of psychotherapy notes |
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Access to Records via Written Request:
How does the Health & Safety Code (H&SC) preempt the Ethics Code? |
Ethics Code allows for withholding records for non-payment
the H&SC does NOT allow therapist to withhold records due to non-payment |
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Client Records: Respond'g to Client Request for Access to Records: Time-lines
- Inspect /View - Copy of Records - Summary of Records |
Inspection of records:
- 5 business days from receipt of written request - during business hours Copy of Records - 15 days of receipt of written request Summary (if a Summary is requested in advance) 10 business days 30 calendar days (maximum) |
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Multiple Relationships: Gottlieb's (1993)
3 Recommendations /Considerations? |
1. Power Differential (how great?)
2. Duration of the Relationship 3. Clarity of Termination --- is there probability of return |
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Multiple Relationships: Standards for Conflict of Interest (Name 2)
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1. Impair objectivity
2. Expose other person to harm/exploitation |
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Fees for Services
Establishing Fee Financial Crisis Collection Agency Obligation to Continue to Treat |
Establishing Fee:
- Fees s/b established as early as feasible Financial Crisis - Fee "may" be temporarily waived or lowered - Schedule fewer appts - Temporarily suspends appts Possible Abandonment: - Abruptly refer out - Not treat'g in an emerg sit'n 3. Collection Agency: - discuss matter w/Clt - notify Clit if Collection is immanent - collection if agreement can't be reached --- only give ltd info (name, address, amt owed) - legal proceedings allow a breach but of relevant info - NO OBLIGATION to continue to treat client that does not pay as agreed --- approp termination still applies |
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Interruption or Termination of Tx:
Name 4 Approp Reasons to Terminate |
1. Client no longer needs the service
2. Client is not likely to benefit --- achieved goals of tx --- not respond'g to tx --- not complying with tx 3. Client is being harmed by continued svc 4. Therapist is endangered by the client or another person with whom the client has a rlsp |
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When is advance notice of termination not nec'y?
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When there is a threat/danger posed to the Psychologist
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What does Health & Safety Code Section 123260(b) say about Treatment of Minors?
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12 yrs or older is allowed Mental Health Outpatient Treatment w/o Parental Consent
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What are the 2 general actions that a Board of Psych can give to a Psychologist?
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Non-disciplinary
--- citation & fine --- educational review --- letter of warning Disciplinary --- Probation |
