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38 Cards in this Set

  • Front
  • Back

Purpose of Licensing Laws

establish ethical / legal standard for public welfare


limit / define scope of practice


ensure continued professional development (renewal)


controls who has access to practice

Civil Penalties

A - threat, violation - knowing of threat and ignoring it ($500-1000)


B - direct violation - knowing of impact and ignoring it ($100 - 500)


C - indirect violation - knowing of indirect impact and ignoring it

Requirements for Licensure

*to provide health services to the public, Board requires a license to practice




~ attend accredited doc program (clin/coun/school/comb) and complete 400 hours of practicum experience


~US citizen or legal resident


~good moral character


~practicing ethically


~pre-doctoral internship (1900 hours/ sup by 2 licensed psychologists/ 1 or 2 years)


~post-doc (1900 hours/ sup by 2 licensed psychologists/ 1 or 2 years / weekly sup)


~pass EPPP (70% or 500 on comp - CHECK THIS)


~pass ethics / jurisprudence exam (90%)


~submit appl (ltr from internship sup / transcripts/ 3 ltrs of good standing)

Disclosure b/f licensure

conviction of a crime


denial of license in another state


loss / restriction of license


civil suit / action against

CE's

40 hours every 2 years




~9 hours formal; psychological, APA approved


~9 hours, state or regionally approved


~22 hours, informal, consulting, teaching, supervising, publishing




*3 hours ethically related, ?? how many multiculturally related CHECK THIS




+pay fees




ADD TYPES TO THIS CARD

Patient has right to know

sex offense


drug use


elder, child, or spousal abuse


physical injury to any person


fraud or theft

standards of supervision

Legal: hours documented (weekly for prov lic / psych exam; mo for senior PE)


limit sups - ?


mo. - ?


resp for sups / clients


temp sup for HSP




Ethical: w/in scope of practice


no dual relationships


submit sups to Board


resp for conduct (sups) / welfare (client)

Patient records (content)

include: Tx modality / frequency


clinical test results


start / stop time of sessions


summary (functional status, symptoms, prognosis, Tx plan and progress)




exclude: test data, protocols, materials

Patient records (release)

Transfer: pts w/ 2 or more visits, 18 mos notice, notice of new address, choice (req records, new HSP)


Retention: hold for 7 years




Destruction: burned / shredded, record the time/date/circumstance of destruction




mandatory release: only w/ cts signature, ct < 16 (CHECK THIS AGE FOR TN) need parents sig, talk to ct; court order, subpoena (seek legal counsel - may not be nec to release) inform client, 10 days, $10 / 20 pgs.

Patient records (purpose)

integral part of practice


exist to give direction about content, transfer, retention, destruction of records


duty to create / maintain record for every client


info about diagnosis, tx plan, continuation of care

Limits to Confidentiality

~duty to warn (self/others)


~client consent


~court order


~child/elder abuse


~share info w/ penal system


~ billing


~supervision


~client raises mental health issues in legal proceedings


~defense in malpractice


~legal / clinical consult (???)


~(HSP) commitment procedures (????)


~client under 18 (CHECK FOR TN)


~intra agency


~3rd party payment

Board

TN Board of Examiners in Psych:




4 practicing psychologists


2 professors (accred programs w/ research)


2 psych examiners


1 ABA - DBL CHECK THIS


1 consumer




*appt by governor for 5 years


*meets 4 times a year

Advertising

*can advertise if you let the public know its paid




Info attracting the public to psych:




business solicitation card, sign, or device to people


sign on a building, ad in newspaper, magazine, or directory


ad on radio, video or TV




NO: in person solicitation, no present client testimony???

Licensee

holds current, lawfully issued license or temp lic, to practice as psychologist, psyc exam, senior psych exam

certificate holder

holds current, lawfully issued certificate to practice as a certified psych assist

fees

application


temp / prov license


ethics exam


certificate


biennial renewal




CHECK CURRENT FEES

certificate

document issued by the Board when applicant completes the cert process




"artistically designed" or other version w/ exp date

Retirement, Death, or leaving practice

can practice ??? w/ retired status, no renewal fees:




retired 0-2 years; re-enter active status, must be in good standing, send written req & pay fees




2-5 years; re-enter active status, must be in good standing, send written req & pay fees, 40 CEs




>5 years; re-enter active status, must be in good standing, send written req & pay fees, 40 CEs, ethics exam, 6 mos supervision




*death / leaving - notify w/in 30 days (general circulation???)





ABPP


APPIC


ASPPB


CNRHSPPP


EPPP


HSP


HRB

ABPP - American Board of Professional Psychology


APPIC - Association of Psychology Postdoctoral & Internship Centers


ASPPB - Association of State & Provincial Psychology Boards


CNRHSPPP - Council for the National Register of Health Service Providers in Psychology


EPPP - Examination for Professional Practice in Psychology


HSP - Health Service Provider


HRB - Health Related Boards *also called Division

Internship

well announced training experience in a formal, prof recognized program (APA accred), 1900 hrs req




*pre-doc training under qual supv in prof psyc

Practicum

supervised training experience


organized by grad psych programs




purpose: applied skill development, appropriate to area of prep

Applicant

seeking licensure from the Board, submitted official application, paid appl fee

Duty to Warn

role to protect client / others


talk w/ client when imminent harm to self / others (not hearsay)


contact person in harm's way & police


if client is in harm's way, commit or call police

good moral character

quality of being well-regarded


adherence to professional ethics

psychologist

~ provides health care services to individuals, families, groups, orgs, and the public (regardless of renumeration)


~ must possess a valid, unsuspended, unrevoked license by Board




engages in practice of: observation, description, evaluation, interpretation & modification of human behavior by appl of psych principals, methods, procedures


prevent: symptomatic, maladaptive, undesired behavior


enhance: interpersonal relationships, work/life adjustment, personal effectiveness, behavioral & mental health




IMPROVE THIS DEF

Psychological Examiner

holds him/herself out to be...


for renumeration renders: principals, methods, procedures of the science / prof of psychology




w/out sup: interpret voc. assessment, IQ tests for school, interviews / psych eval for ed/voc - FIX THIS DEF




w/ sup: analysis, beh/overall, assessment, diagnosis, psychotherapy - FIX THIS DEF





Senior Psych Examiner

Holds himself out to be, for renumeration renders...


principals, methods, and procedures of the science / profession of psychology




w/o sup: interpret voc/behavioral/overall assessments, diagnosis, and psychotherapy


w/ sup: may supervise others





Provisional License

license b/f post-doc, after course-work & internship




allows 1900 hours post-doc (for HSP), must take EPPP & ethics/jurisprudence w/ in one year




cannot fail exams more than 2x

Temporary License

license b/f HSP, after course work, internship, post-doc




must take exams w/in 120 days, cannot fail 2x

License (temp & provisional)

doc issued by the Board when applicant completes licensing procedures / requirements


"artistically designed" cert w/ exp date




temp: time-limited, applicant has met lic req except written, jurisprudence exam




prov: time-limited for HSP in process, post-doc supervision req'd

Board designee

received written authority from the Board


performs Board functions


subject to review / ratification by the Board

Health Service Provider

licensee who delivers:




direct, preventative, assessment, therapy




to individuals (families, groups, orgs) at risk/impaired in: growth, adjustment, or functioning

Certified Psych Assist

holds himself out to be, for renumeration...principals, methods, and procedures of the science and profession of psychology




under supervision of a psychologist, community mental health center, or state government agency

Psych Examiner req's

attend a regionally accredited master's program, 2 years (42 hours) graduate training in psych, supervision weekly, 300 hours prac, application, fees, and 3 ltrs of rec, pass EPPP (60%), jurisprudence (90%), temp lic after coursework, under sup

Conflict (ethics vs. law)

Board adopts APA ethics code, unless conflicts with law, in case of conflict state shall govern if w/in an organization, report to the org that you plan to uphold ethics



Necessity of Licensure

w/o license or certificate:




practicing is a class B misdemeanor


forgery is a felony




exceptions: psychological scientist employed by a lab or college, school psych lic by state board of ed, visiting lecturers employed by lab/college, trainees, areas other than health services (where competent)




*regardless of renumeration

Limits of practice

Both psychologists / psych examiners: no training / competency




psychologists: unqualified persons providing services, fail to supervise, helping to break rules, claiming to provide HS w/out HSP, only HSP can commit, prescribe drugs, or affect medical tx, ECT (?), outside bounds of psych




* be friends w/ MD who's into psych

Duties of Board

protect the citizens of TN (or whatever state), regulate the practice of psychology




meet yearly (4x)


9 (10?) members (4 psychs, 2 profs, 2 exams, 1 cons + 1 ABA??? CHECK THIS)


estab CE's & monitor progress


administer exams


deny/uphold/approve/renew licenses


adopt / revise rules


conduct disciplinary hearings