Cpse Stack 1

Front 1

Suicide Stats

Back 1

11th leading cause of death (US)
10.6/100,000 ppl die by suicide
57% sucides w/guns (2000)
8-25 attempts for each death

Front 2

Suicide Assessment

Back 2

Clinical interview, scales (beck suicide scale)

Front 3

Previous attempts/family hx

Back 3

Previous attemts strongest indicator (hope?)
2nd attempt highest risk w/in 3 months of first attempt
Family hx strong factor.

Front 4

MMPI Non clinical scales

Back 4

Scale L: Fake good (unsophisticated attempt)

Scale F: Infrequently Endorsed Items (fake bad)

Scale K: Correction - high=defensive, low=excessive openness

Front 5

MMPI Supplementary Scales

Back 5

Substance Abuse: MAC-R, APS, AAS

PTSD: PK-Kean Post Traumant Stress Disorder, PS

Marital Distress: MDS

Overcontrolled hostility: O-H
Anxiety: A
Repression: R
Ego Strength: Es
Dominance: Do
Social Responsibility: Re

Front 6

Delegated sup came be:

Back 6

MFT, licensed social worker, educational psychs > must be employed by same org.

Front 7

Log must include:

Back 7

og: Work setting, description of services, dates, number hours worked, hours sup received, nature of sup (face to face/grp), signature of supervisor/supervisee, statement of accuracy

Front 8

Continuing Ed reqs:
# for 2 years?
Independent learning?
Ethics?

Back 8

36 hrs (1.5/month) (first time prorated)
27 hours (75%) ok via independent learning (online)
If renewing from inactive, must be w/in 24 months prior to reactivation
Must include Law/Ethics each cycle (no min)

Front 9

Continuing Ed Approved boards

Back 9

MCEPAA (Mandatory Continuing Ed for Psychologists Accrediting Agency)
APA Sponsorship
ABPP Sponsorship
ACCME (Accredidation Council for Cont. Med Ed)
CME (continuing Medical Ed)

Front 10

Recourse for dis. actions

Back 10

Recourse:
If denied, must wait 1 yr.
3 yrs for revoked, suspended, surrendered
2 yrs for early probation termination (if >3 yrs)
1 yr for early probation termination (if >2 yrs)

Front 11

Evidence Code 1016:

Back 11

Evidence Code 1016: patient is claiming mental health distress in law suit

Front 12

Evidence Code 1016:

Back 12

Evidence Code 1016: patient is claiming mental health distress in law suit

Front 13

Evidence Code 1017:

Back 13

Evidence Code 1017: Therapist appointed by board of prison

Front 14

Evidence Code 1017:

Back 14

Evidence Code 1017: Therapist appointed by board of prison

Front 15

Evidence Code: 1023:

Back 15

Evidence Code: 1023: Sanity Evals

Front 16

Evidence Code: 1025: Competency Evals

Back 16

Evidence Code: 1025: Competency Evals

Front 17

Evidence Code: 1023:

Back 17

Evidence Code: 1023: Sanity Evals

Front 18

Privilege does hold when therapy initiated by defendents attorney for purpose of helping w/case.

Back 18

True

Front 19

Evidence Code 1016:

Back 19

Evidence Code 1016: patient is claiming mental health distress in law suit

Front 20

Evidence Code: 1025: Competency Evals

Back 20

Evidence Code: 1025: Competency Evals

Front 21

Evidence Code 1017:

Back 21

Evidence Code 1017: Therapist appointed by board of prison

Front 22

Privilege does hold when therapy initiated by defendents attorney for purpose of helping w/case.

Back 22

True

Front 23

Evidence Code: 1023:

Back 23

Evidence Code: 1023: Sanity Evals

Front 24

Evidence Code 1016:

Back 24

Evidence Code 1016: patient is claiming mental health distress in law suit

Front 25

Evidence Code: 1025: Competency Evals

Back 25

Evidence Code: 1025: Competency Evals

Front 26

Evidence Code 1016:

Back 26

Evidence Code 1016: patient is claiming mental health distress in law suit

Front 27

Evidence Code 1017:

Back 27

Evidence Code 1017: Therapist appointed by board of prison

Front 28

Evidence Code 1017:

Back 28

Evidence Code 1017: Therapist appointed by board of prison

Front 29

Privilege does hold when therapy initiated by defendents attorney for purpose of helping w/case.

Back 29

True

Front 30

Evidence Code: 1023:

Back 30

Evidence Code: 1023: Sanity Evals

Front 31

Evidence Code: 1023:

Back 31

Evidence Code: 1023: Sanity Evals

Front 32

Evidence Code: 1025: Competency Evals

Back 32

Evidence Code: 1025: Competency Evals

Front 33

Evidence Code: 1025: Competency Evals

Back 33

Evidence Code: 1025: Competency Evals

Front 34

Privilege does hold when therapy initiated by defendents attorney for purpose of helping w/case.

Back 34

True

Front 35

Privilege does hold when therapy initiated by defendents attorney for purpose of helping w/case.

Back 35

True

Front 36

Evidence Code 1024:

Back 36

Evidence Code 1024: no privilege if disclosing will prevent danger to self, others or property

Front 37

Parental consent waived if:

Back 37

Emancipated Minor (married, military, declaration of emancipation)
Self Sufficient Minor: 15 or older, living apart from parents, self sufficient. Provider can contact parents w/out conent.

Minors at risk: 12 or older? = at risk or won’t receive services w/consent

Front 38

Family law vs. Health/Safety code

Back 38

Family law:
-must be mature enough to participate intelligently
-danger of physical/mental harm or victim of incest/child abuse
Health and Safety code: Only requires abilty to participate (waiting for dire circumstances unethical). – both codes exist, health/safetly code prvials.
Drug/alcohol tx: 12 or older through provider contracted w/state

Front 39

Minor tx in residential facility

Back 39

Residential tx: Provider must make effort to notify parents/guardian

Front 40

Retention of med records. CA vs APA

Back 40

CA Law: 7 years, minors till age 25 (7+18)

APA Guideline: 7 yrs, minors 7 years or 3 years after they are 18 (whichever comes first)

Front 41

Patient Access to Records Time Frames?

Back 41

Must permit inspection within 5 working days

Provide copies: 15 days

Provide Tx Summary - 30 days(?)

Front 42

Hold - Minor

Back 42

5585: Minors held for 72 hours

Front 43

5250

Back 43

14 days: – patient can request certification hearing and gets one within 4 days

Front 44

5260, 5300

Back 44

Beyond:
5260: 2nd 14 day hold
5300 – 180 days

Front 45

Content of Records

Back 45

Identifying data, date of service, type of service, time spent, fee, mental status, general assessment, plan. Also consultations, reports, consents

Front 46

Patient Access to Records Time Frames?

Back 46

Must permit inspection within 5 days

Provide copies: 15 days

Provide Tx Summary - 30 days

Front 47

5270.15

Back 47

-30 day hold if gravely disabled

Front 48

Holds - Adult

Back 48

72 hour holds (not including weekends/holidays
5150: Result of mental disorder (or chronic alcoholism) is danger to self, others or is gravely disabled. Danger to self=suicidal intent vs.wrecklass living

5585: Minors held for 72 hours

14 days:
5250 – patient can request certification hearing and gets one within 4 days

Beyond:
5260: 2nd 14 day hold
5300 – 180 days
5270.15 -30 day hold if gravely disabled

Front 49

Patient rights durring hold

Back 49

Rights:
Wear own cloths, keep toiletries, money
Storage space
See visitors/telephone/writing materials
Refuse ECT/Psychotherapy
Contact patient advocate
Refuse medication
Treatment to promote functioning
Free of uncessary restraints, isolation, neglect

Front 50

Hold - Minor

Back 50

5585: Minors held for 72 hours

Front 51

5250

Back 51

14 days: – patient can request certification hearing and gets one within 4 days

Front 52

5260, 5300

Back 52

Beyond:
5260: 2nd 14 day hold
5300 – 180 days

Front 53

5270.15

Back 53

-30 day hold if gravely disabled

Front 54

Child abuse reporting

Back 54

immediate and written in 36 hrs.
-Physical
-Sexual (Assaut/exploitation)
-Neglect
-Willful Cruelty/Unjustifiable Punishment)
-Unlawful Corporal Punishment/Injury

Front 55

Sexual Contact

Back 55

16+ No mandated report if consensual
15- Mandated if sex w/21 or older,
Under 14 - mandated if w/person over 14.

Front 56

Elder abuse

Back 56

65 yrs+ or dependent adult

Front 57

Elder abuse reporting - time frame

Back 57

phone, immediately, written 2 working days

Front 58

Assault reporting

Back 58

Medical service providers - required. Mental health, forbidden unless given permissino

Front 59

HIV reporting

Back 59

Medical service providers permiitted but not mandated to disclose to partners. does not give HIV persons identity

Front 60

HIPPA - when in effect

Back 60

Electronic transmission of info. But once transmitted, all HIPPA rules in effect

Front 61

HIPPA and CA law

Back 61

Generally, CA law stricter and superscedes HIPPA. HIPPA stricter in access to records - can only deny (according to HIPPA) if patients life or safety (vs emotional consequences) are at risk.

Front 62

Cluster A, B, C personality Disorders

Back 62

Cluster A includes paranoid, schizoid, and schizotypal personality disorders, which all involve odd or eccentric behaviors.

B personality disorders are characterized by dramatic, emotional, or erratic behaviors.

C personality disorders are characterized by anxious or fearful behaviors.

Front 63

penalty for failing to report child abuse or neglect when that failure results in death or significant bodily injury?

Back 63

a fine up to $5,000 and/or confinement in county jail for up to 12 months

Front 64

When license expires, must be renewed within (or reapply after)

Back 64

3 yrs

Front 65

Vic of rape, what age can they consent to med care/evidence collection?

Back 65

12 yrs or older.

Front 66

Minor consent to pregnancy treatment/abortion - what age?

Back 66

No min age

Front 67

Pt inspection of records - who may come?

Back 67

Patient or pts rep AND one person of patients choosing - total of 2 ppl max.