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100 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
What is the goal of the Board of Psychology
To protect the public
What groups of people does the board regulate?
- Licensed psychologists
- Registered Psychologists
- Psychological Assistants
What are the requirements of a licensed Psychologist
-Doctoral Degree
-Prelicensure coursework
-Supervised professional experience
-EPPP and CPSE
What are the requirements of a psychological assistant
-Masters Degree
-Supervision by a licensed psychologist or 750 hours by a psychiatrist
What are the requirements of registered psychologist?
-doctoral degree
-1500 hours predoc already completed
-working at a non profit with at least 25% of funding from the government
How can SPE be obtained?
- formal internship
- Employee in an exempt setting
- Psychological Assistant (pre and postdoctoral SPE)
- Registered psychologist (postdoctoral SPE)
What are requirements to be a supervisor
- Licensed Psychologist or Psychiatrist (750 hours)

- 6 hours of coursework every 2 years
To become licensed what are the supervision requirements?
How much, how often must you see your primary supervisor, how many hours can you accrue in a week
- minimum of 10% of total time worked each week
- At least one hour face to face, direct, individual supervision with primary supervisor each week
- Max of 44 hours per week
What are the requirements for the SPE log? What must it include?
- Supervisee must maintain log
- log to include dates, hours, supervision received, nature of supervision,work setting, services performed, signature of supervisor and visee, statement of accuracy by primary supervisor
What is the supervisor's employment, availability,

What does the agreement for supervision have to include?

How available must the supervisor be?
Does she/he need to be employed in the same work setting?
- At beginning of the experience, the supervisor and visee must agree to: 1) start and end date, 2) Duties, 3)Address, 4) Goals, 5) objectives.

- Available 100% of the time
- Yes
Does a supervisor have to notify supervisee's clients in writing that the supervises is unlicensed and that the supervisor will have full access to records
yes
Can a supervisee rent space from a supervisor?
no
Can a supervisee pay for supervision?
no
Does a supervisor need to provide the Professional Therapy never includes Sex brochure to each supervisee
Yes
Does a supervisor need to have an emergency plan in place for supervisees?
Yes
Who recieves fees paid for services on money earned by supervisee?
Supervisor or Employer
Can supervisee's have a proprietary interest in the supervisor's business?
no
Can an supervisee who is an LCSW use her or his license while acruing SPE?
No
What types of delegated supervisors are allowed?
They must be monitored by primary supervisor and can be a psychologist, a psychiatrist, or other masters level practitioner
Psychological Assistants
- When must they renew (date)
- How often must they renew?
- When does the psych assistantship become void if not renewed?
- Jan 31st
- annually
- 60 days after Jan 31st
How many psych assistants can a licensed psycholgist have?
-a psychiatrist?
-a psychology clinic?
-a psychological corporation?
3
1
10
10
Psychology license
- when does it have to be renewed?
- How long after the due date can the license be renewed?
- What happens if it goes past that time?
- If a licensed psychologist is not practicing what must they do?
- every two years on the last day of the licensee's birth month
- 3 years
- you must reapply
- put their license on inactive status
Continuing Education Requirements
- How many CEs and how often
- How many hours of Distance Learning.
- How many hours in Law and Ethics
- 36 every 2 years
- 4 each renewal
What are qualifying CE courses?
MCEP approved courses, APA, and ABPP

CME courses with CMA or ACCME approval
What are 5 non disciplinary administrative actions?
-Mediation
-Educational Letter
-Letter of Warning
-Educational Review
-Citation and Fine
What happens during a disciplinary action?
- The BOP investigates and if there is support for the allegations than the case is referred to the attorney general
In a disciplinary action what are 7 things that can happen
1. letter of reprimand
2. Two-step agreement
3. Probation - license revoked or a revocation is stayed
4. Suspension - cannot practice
5. Interim suspension - immediately stop practice
6. Surrender of License - surrender the license before the administrative hearing is completed
7. License revoked - no more license
Does someone have recourse to petition for reinstatement or modification of probation?
- at least three years to reinstate a license revoked, suspended, or surrendered
- At least two years for early termination of probation of three years or more
- At least one year for early termination
Privilege
Who is the holder of privilege?
- normal circumstances
- if the client is dead or disabled?
- the client
- the conservator
- the patient representative
Who claims the privlege?
- the holder
- Another authorized person
- The therapist
evidence code 1016
evidence code 1017
evidence code 1018
evidence code 1019,21,22
1016 - when mental or emotional condition is raised in legal proceedings
1017- no privilege if court examines the pt
1018 - when service were meant to assist the cl in avoiding prosecution
1019-21,22- no privilege pertaining to communication relevant to parties claiming throught a deceased person (a will,e tc)
evidence code 1020
evidence code 1023
evidence code 1024
evidence code 1025
1020 - when pt alleges a breach of duty
1023 - in a sanity proceeding
1024 - danger to self, others, or property. Only to prevent the danger
1025 - to establish pt competence
evidence code 1026
evidence code 1027
1026 - when the th is required to report
1027 - if cl is under 16 and victim of a crime
-What age is a minor
-Does a minor give consent or assent?
-Do the same rules of confidentiality apply to minors?
-What are the exceptions to consent pertaining to minors. When can they give consent
-under 18
-assent, guardian gives consent
- yes, but parents must be kept apprised of progress
- In three instances 1) emanicipated, 2)self-sufficient, 3)other situations described in CA family code
How can a minor become emancipated? (3 ways)
1. marrying legally
2. enlisting in the military
3. court declaration
What is a self-sufficient minor? Characteristics and what can they consent to?
Can physicians and dentists still contact minor's parents without their consent?
1. 15 years or older
2. living apart from parents and managing own finances
3. mental and dental tx
4. yes
What is the California Family Code allowance for consent from minors?
- Minimum of 12 years of age or no minimum age depending on type of services
- The minor must be at risk or the minor needs tx that he or she might not seek if parental consent is required
Outpatient mental health or Residential tx of minors under california family code

how old to provide consent for in some circumstances fo r outpatient mental health?

What are the circumstances which this lack of consent from guardian or parent would be in effect?

When are the instance when parental consent MUST be attained?
1. 12 years
2. Must be mature enough to participate
3. minor must be a present danger to self, others, or has been the alleged victim of incest or abuse
4. Parents must consent unless their involvement is inappropriate
5. If residential services provided, MUST attempt to contact parent or guardian
6. NO ECT, psychotropic medications or psychosurgery without parental consent
Pregnancy assistance for minors
What does this consent include care of AND exclude care of?

Any minimum age?
- no age minimum
- minor can consent to care
- this care includes contraception
- excludes abortion
- excludes sterilization
Care for a communicable disease of a minor
- age
- 12
- Consent to diagnosis, tx
California family code for a minor rape victim
- age
-what can they consent to
-12
- tx and dx
- collection of evidence
California family code for a minor sexual assault victim
-age
-what can they consent to?
-Would they still contact parents?
- no minimum age
- dx or tx
- contact parents unless they are involved
California family code for a minor needing AOD tx
-age
-what can they consent to?
-Would they still contact parents?
-12 y.o.
- dx and tx
include
- contact parents if appropriate
- cannot receive methadone or other narcotic tx w/o parental consent
How long to keep tx records?
How long to keep tx records for minors?
What does APA say?
What does APA say about minor records
- 7 years after tx termination
- until age 19, no less than 7 years
- complete set of records for three years and a summary for an additional 12.
- Records should be kept until 21
What do records needs in them?
At the minimum what should a note have
- each pt visit
- Identifying data, date of service, time spent with pt, fee, brief notation of pt's mental status, assessment of pt in general terms, plan for intervention
- include any consultations and summary reports and/or testing reports and any releases of information
When can records be withheld from a client who requests them?

Can you offer a treatment summary?

Who must be able to inspect records?
- when there would be adverse consequences. HIPPA says only when life or physical safety is endangered.

- Yes tx summary

- Another tx professional
Tx records - minors

Are parents entitled to examine records? Are there exceptions to that?
- yes parents are entitled to inspect records

- yes if treatment was provided under minor consent or if would be detrimental to treatment
When someone requests tx records:
How long do you have to allow them to inspect the records?
How long do you have to provide copies if requested?
How long do you have to provide a tx summary if requested?
- 5 business days
- 15 days
- 10 days
involuntary confinement
- what is a 5300?
- what is a 5270.15?
- after a 5250 a pt that continues to be an imminent threat to others may be confined for up to 180 days

- for gravely disabled, someone can be extended for an additional 30 days after a 5250
How long do you have to report child abuse and when does a written report have to follow
immediately, 36 hours after report
Reporting for sexual assault
What are the requirements if
1- child is under fourteen
2- child is 14 or 15 and the other person is 10 years older
3- child is under 16 and other person is 21 or older
4- 16 and older and other person is 16 or older
5- Under 18 and other person is any age
1- under 14 for any lewd or lacivious conduct
2- any lewd or lacivious conduct
3- for sexual intercourse
4- not reportable if voluntary
5- mandated reporting if rape, incest, or sodomy
Pertaining to elder abuse, how long do you have to report, and followup with a written report?
- immediately and 2 days
Sexual exploitation: When is it illegal to have sex with clients - 3 conditions
- during the period the cl is receiving therapy
- within two years following termination
- by means of therapeutic deception
When A pt reveals that they have been having sex with a therapist what are you legally bound to do?
- provide the cl with the professional therapy never includes sex brochure
-option for recourse
-therapist should discuss the brochure
HIPPA:
What is it?
- protect Americans from loosing health insurance
-designed to streamline the health care system by creating standards for uniform transmission of electronic care claims
-also addresses storage of records and protecting privacy rights
Three rules of HIPPA
1. Privacy - safeguards of patient information
2. Transaction - standardized electronic transmission records
3. Security - physical security of records
HIPPA and CA Law, what happens when they conflict
HIPPA takes precidence when it is more stringent or contradicts CA law
What is PHI
What is psychotherapy notes
protected health information - any information about pt mental heath condition, provision of services (dates, tx modality) and payments

- analyzation of session content
What is generalization consent? What are the three purposes?
Consent to disclose PHI under 3 purposes:
1. treatment
2. payment
3. to carry out health care operations
Patient rights under HIPPA
6 basic ones
1. Right of notice - to be informed of privacy policy
2. Right to request restrictions - right to reasonable requests to restrict use and disclosure of PHI
3. right to recieve confidential communication by alternate means and through alternate communications
- Access to records
- right of amendment - right to request changes to PHI
- right of accounting - right to recieve an accounting of PHI disclosures for the past 6 years
APA ethics code consists of what three groups?
What is enforceable?
- a preamble
- five general principles (aspirational)
- ten ethical standards (enforceable)
2 goals of the Ethics Code
- welfare and protection
- education
5 general principles of the Ethics Code
- A - Beneficence and nonmaleficence - benefit other and minimize harm
- B - Fidelity and Responsibility - clarify roles and manage conflicts along with consultation and cooperation with other professionals
- C- Integrity -accuracy, honesty, and truthfulness, uphold commitments and use deception with care
- D - Justice - all should be treated equality and benefit equally
- E - Respect for people's rights and dignity - privacy, confidentiality, self-determination, and autonomy
What is a multiple relationship
- at the same time in another role with a person
- in a relationship with a person
-promises to enter a future relationship
when are multiple relationships acceptable?
when they:
- do not impair a psychologists objectivity, competence, or effectiveness

- do not harm or exploit the other party
If you are calling to serve im more than one role in judicial or administrative proceeding you must
- clarify your roles and the limits of confidentiality, and update the clarification as often as necessary
Is it prohibited to pay a media worker to write an article about you

How about ads?
yes,

no illegal to write an ad, but it must be identified as such
Can you use testimonials, if so, how?
yes
- never from current patients
- never from previous patient who are vulnerable to undue influence.
Why do you need to document your work and maintain records?
- to faciliate future provision of services
- to allow for replication of research
- to meet institutional requirements
- to ensure accuracy in billing
- comply with the law
5 reasons
When do you set up financial agreements?
If using a collection agency what do you have to do first?
As early as feasible

-Inform individual and allow them to make payment first
Fee splitting is legal if it is _________ and can never be ________________
based on services provided, based on a referral provided
If you are involving subjects in an experimental treatment you must inform them of
1. the experimental nature of the treatment
2. the availability or nonavailability of treatment for the control group
3. How subjects are assigned to groups
4. available treatment alternatives
5. compensation or costs for participating, and whether third party reimbursement will be sought
Deception in research is to be avoided except:

and must be:
- it is justified by the study's "prospective scientific, educational, or applied value."
-alternative procedures without deception are not available

- debriefed as soon as possible regarding the deception
Informed consent must be obtained
as early as feasible in the relationship
How many continuing education credits will a licensed psychologist earn by taking a 3-unit quarter-long academic course at a university?
10
Which of the following best summarizes the requirements for primary supervisors that are providing supervision that will count toward supervised professional experience (SPE)?
1. Primary supervisors must have three years of post-licensure experience.
• 2. Primary supervisors must have three years of post-licensure experience and six hours of supervision coursework every two years.
• 3. Primary supervisors that are licensed psychologists must have six hours of supervision coursework every two years.
• 4. Primary supervisors must be licensed psychologists and must have six hours of supervision coursework every two years.
An individual who has a Ph.D. from a foreign country and had practiced there for a number of years asks to work with you in your practice. Under what circumstances may you accept her offer?
She is approved as a psychological assistant by the California Board of Psychology.
Incarceration for a felony will result in what disciplinary actions?
• 2. License suspension.
A psychologist is caught molesting a neighborhood adolescent, and is required to register as a sex offender. The psychologist will:
have his license revoked
A psychologist who both resides and is licensed outside of California conducts telepsychology sessions with a patient who lives in California. The psychologist is:
in violation of the law.
You are employed by a company which contracts with the State of California to offer comprehensive EAP services. You are referred an employee by her supervisor, because her work performance has declined. The employee is depressed because of an incident of sexual harassment that occurred on the job. In terms of confidentiality:
you may divulge nothing about the psychological status of the employee.
You agree to a patient's proposal that he barter goods in exchange for therapy. You come to learn that the merchandise he is giving you is stolen. Which of the following would be your best course of action?
Maintain confidentiality
If The Court appoints a psychologist to evaluate a patient in order to provide a defense attorney with information is there an exception to privilege?
no
An attorney hires you to assess a defendant. In this scenario, who is the client and on what basis is the information privileged
The defendant is the client, and therapist-patient privilege applies
If a minor is the alleged victim of incest or child abuse can a minor be treated by a psychologist without parental consent
yes
You are preparing a treatment summary for a patient you have been seeing for five years. The patient has had multiple suicide attempts and hospitalizations during the course of treatment. The summary must be prepared within:
30 days ultimately, 10 days under typical situations
are working with a divorcing couple to help them create a parenting plan. You become concerned that there is a strong potential for child abuse. Your best course of action would be to:
intervene to promote the welfare and security of the children.
In order to use a collection agency, a psychologist should follow the guidelines delineated in:
APA's Ethical Principles of Psychologists and Code of Conduct (2002)
Psychologists are required to post in a conspicuous location
the Board of Psychology's address and phone number
when a client is placed on a 5250 what else can that be called?

What would allow you to place them on a 5250
- a CERT

- If AFTER completeing a 5150, they are still a danger to self, others, or is still gravely disabled
When can you reveal a pt's HIV status to his partner?

When can a Physician?
never

After first attempting to get the Clt's consent
For a person who is gravely disabled how long can they be kept in detention for without an application submitted for a conservatorship?

For danger to self how long can you keep someone?

For danger to others?
47 day (3+14+30)

31 days

3+14+180 (the 180 is renewable)
Would children witnessing domestic violence with physical abuse to their mother be reportable?
yes because of the willful cruelty or unjustifiable punishment portion of the child abuse reporting laws
If there is a case of physical abuse and the person is in an institution who do you report it to?
report the situation to the local ombudsman or to a local law enforcement agency.
IF you have no familiarity with a specific issue and have had several session with a client and you find out about the specific issue during the course of therapy would do you need to do?
refer out
If you are trying to assess a client who does not speak english can you enlist the support of a family member to do the translation?
no, it would be a multiple relationship
While you are in the process of conducting a custody evaluation, the case is transferred to a judge who happens to be your therapy client. You should:
discuss the situation with the judge and clarify roles
You are an independent contractor hired by a corporation to provide pre-employment screenings. The corporation fails to pay you according to your agreement with them. On what basis may you ethically withhold these assessments?
You are permitted to withhold records because the employer will not be harmed.
A lawyer refers a patient to you for an assessment. The patient is severely neuropsychologically impaired. You may not perform the assessment unless you have:
informed the patient about the nature and purpose of the assessment.
What is a functional assessment for depression include
behavioral analysis of current functioning and behavior. It makes up only one component of an overall assessment of a patient. A functional assessment itself would not include family history (Response 2), psychological testing (Response 4), review of previous treatment records, or psychosocial history (Response 3) although all of these would be important aspects of a complete assessment of a patient.