Ohio Psychology Oral Jurisprudence Exam 11/2014

Front 1

Area 1: Supervision

Supervisory relationship regulations define what 4 areas?

Back 1

1. scope of supervision - regulation apply to whom
2. purpose of supervision
3. supervision definitions
4. requirements pertaining to supervision

Hint 1

4 areas of supervisory relationship rules section:

SPDR ("speeder")

Front 2

Area 1: Supervision

Scope of supervision: who do these supervisory regulations apply to? (5)

Back 2

1. unlicensed working toward licensure
2. unlicensed masters or doctorates in psych (in a board approved program)
3. others NOT licensed in psych or school psych providing psych services
4. licensed psychs and school psychs who are functioning as supervisors or supervisees

5. mental health workers delivering services under the Revised Code

Hint 2

3 unlic

1 mhw

1 lic

Front 3

Area 1: Supervision

What are the 8 purposes of supervision? (shorthand references for memorization purposes)

Back 3

welfare

1. client welfare
2. training subject welfare

competence
3. competent services delivered
4. operates within competence
6. expands competence5. relevant variety of exposure
7. not exploitative
8. makes expertise available to regulate psych services

Hint 3

purpose of supervision:

2Ws 3Exs C

Front 4

Area 1: Supervision

What are the 8 purposes of supervision? (long hand explanations)

Back 4

The purposes of supervision are:

1. clinical welfare - protect welfare of those receiving psych services
2. subject welfare - protect welfare of training, classroom demonstration, and research subjects
3. is competent - structure supervisee activities so that services are competent
4. operates within competence
5. relevant variety of exposure - relevant to the profession and academic background)
6. serves the purpose of training - expands subspecialty competencies, satisfies APA retraining requirements, meets requirements for licensure
7. not exploitative - assures has nonexploitative experiences
8. regulates psych services - makes admin, supervisory & mental health expertise of licensed psych to regulate services of other mental health professionals

Front 5

Area 1: Supervision

What are the 5 types of psych supervision?

Back 5

Types of psych supervision are:

1. psychological WORK supervision
2. Psychological TRAINING supervision
3. psychological UMBRELLA supervision
4. MENTAL HEALTH WORKER supervision
5. ADMINISTRATIVE supervision

Hint 5

WTU MH A

Front 6

Area 1: Supervision

What is psychological work supervision?

Back 6

professional oversight of persons who work under the licensing authority of the licensed psychologist

Front 7

Area 1: Supervision

Psychological work by unlicensed persons must be consistent with what?

Back 7

the academic and professional training of both the supervisor and supervisee

Front 8

Area 1: Supervision

What 3 functions must psychological work NOT include?

Back 8

1. diagnosis
2. prescriptions
3. client supervision

Hint 8

Dx

Tx

sup

Front 9

Area 1: Supervision

Define training supervision. What 3 areas does psychological training supervision help the supervisee with?

Back 9

formal provision by lic psychs of systematic education and training that is case-focused and evaluative

1. gaining experience to get licensed
2. develop another competency area
3. develop psychological procedures skills

Hint 9

sys ed/tr

case-fc/eval

SEC

Front 10

Area 1: Supervision

What is psychological UMBRELLA supervision?

Back 10

supervision of a candidate for licensure to help develop supervisory skills (supervisee supervises other supervisees in services that are deemed by the law to be potentially "hazardous" if misapplied and so require psychological expertise - your garden variety diagnosis, txt, and testing services etc)

Front 11

Area 1: Supervision

What 3 classes of individuals can provide supervision under umbrella supervision?

Back 11

1. Either a postdoctoral trainee working toward licensure (and for 12 months max)
2. psychology predoc intern who is a grad student

3. other doctoral trainee deemed by grad program director of training prepared to enter umbrella supervisory relationship

Front 12

Area 1: Supervision

How is school psychological work supervision defined?

Back 12

persons who work under the licensing authority of a licensed school psychologist OR a licensed psychologist

Front 13

Area 1: Supervision

What are the 2 areas that are designed to be helped by school psychological training supervision?

Back 13

1. gain experience for licensure as a psychologist or school psych

2. develop skills in the practice of school psych

Hint 13

SE

Front 14

Area 1: Supervision

What is mental health worker supervision?

Back 14

professional oversight of licensed/certified/registered mental health professional delivering services in which psychologist provides clinical supervision

Hint 14

mental health worker supervision =

think Post Office (LRC)

Front 15

Area 1: Supervision

What are administrative supervisors responsible for?

Back 15

NONprofessional activities related to office/agency procedures, practices or policies

Hint 15

PPP (non-P)

Front 16

What are the titles for persons under appropriate supervision working toward licensure in psychology?

Back 16

Psych Trainee

Psychology Intern

Psych Fellow

Psych Resident

Psych Postdoctoral Intern

Front 17

Area 1: Supervision

What is the difference between an assistant and an aide?

Back 17

An assistant = has a masters degree

An aide = has a bachelor's degree

Front 18

Area 1: Supervision

What is the difference between a psych assistant/aide and an assistant/aide?

Back 18

"psych" = have a degree in psychology and are working toward licensure

no "psych" = degree is not in psychology or has 2+ years of psychological training in college and is working under supervision

Front 19

Area 1: Supervision

What is the difference between psych intern/fellow/trainee/resident and a school psych intern/assistant/trainee?

Back 19

Unlike a psych student of whatever title, school psych interns/assistant/trainees may not be working toward licensure

Front 20

Area 1: Supervision

What are the 4 requirements for mental health worker supervision?

Back 20

1. Work not represented as psychological work
2. treatment plan is prepared as part of the initial evaluation and is signed by mental health worker and client/guardian
3. supervising psychologist reviews the tx plan and signs, requires modification, or declines to sign in a reasonable period of time
4. licensed psychologist shall exercise reasonable professional judgment - not off the hook

Front 21

Area 1: Supervision

There are 29-some supervisor responsibilities for work and training supervision. They tend to fall into what 5 areas?

Back 21

1. avoidance of dual (relationships)
2. ensuring competence of services
3. clear communication of role
4. avoidance of exploitative relationships
5. ensuring the adequacy of supervision

Hint 21

5 areas of supervisor responsibilities:

D(R)ECCA

Front 22

Area 1: Supervision

4 supervisor responsibilities related to avoidance of dual relationships include:

Back 22

status issues -
1. don't supervise someone who has administrative or funding authority over you
2. You can't be an employee of your supervisee, but you can charge a fee for 1:1 supervision (not to exceed usual/customary patient fee)

personal relationship issues -
3. no supervision of family members
4. no business relationship with supervisee other than employing the supervisee allowed

5. no sexual relationship with supervisee

6. don't serve as therapist to a supervisee

Hint 22

2 status, 4 personal relationship

Front 23

Area 1: Supervision

10 supervisor responsibilities related to adherence to competency issues include?

Back 23

1. don't supervise work you're not competent to perform
2. don't supervise anybody who is illegally providing psych services (whether or not it's under your supervision)
3. only accept as trainees those people who have adequate preparation for that area or who are at appropriate levels of progress toward completion of that preparation
4. Restrict supervisee's practice to those clients he/she is competent to serve
5. ensure supervisee's services are performed in compliance with state laws governing psychologists
6. psychological diagnosis/prescription/client supervision can only be delegated to TRAINING supervisees and only after their registration with the board
7. school psych diagnosis/prescription/client supervision can be delegated to TRAINING supervisees during the year preceding eligibility for licensure
8. you are responsible for determining supervisee's competence and restrict their tasks to what they can handle
9. if counseling or intervention with the supervisee is warranted, you must require supervisee to obtain consultation (not with you)
10. "hazardous" work (services restricted to psychologists) is not to be assigned to supercvisees without adequate academic preparation

Front 24

Area 1: Supervision

9 supervisor responsibilities related to ensuring the adequacy of supervision include?

Back 24

1. can't take on more than 4 unlicensed people in WORK or TRAINING supervision, unless you have board permission (doesn't apply to mental health workers)
2. base the intensity of supervision on the supervisee's credentials, years of experience and complexity of the cases
3. training supervision requires a written agreement specifying expectations
4. training supervision must provide breadth of experience
5. minimum 1:1 time is 5% of weekly contact time
6. when appropriate, arrange for consultation with other professionals
7. take reasonable efforts to plan for continuity of client care if your supervision in interrupted (of > 30 days - notify board in advance)
8. violations of statutes/rules by supervisee may result in investigation of the adequacy of supervision
9. keep records of supervision

Front 25

Area 1: Supervision

5 supervisor responsibilities related to clear communication of roles includes?

Back 25

1. make sure each client is informed of supervisor/supervisee relationship and their respective responsibilities
2. identify the type of supervision being provided to each supervisee and to work setting administrator as applicable
3. if there's another supervisor, need a plan that clarifies roles
4. register supervisees with the board, even those retraining for a general specialty of psychology or to get a different license
5. but not those who are learning a subspecialty - keep records of relationship if requested

Front 26

Area 1: Supervision

3 supervisor responsibilities related to avoidance of exploitative relationships include?

Back 26

1. no sex or sexual harrassment with supervisees
2. don't exploit them for financial gain or excessive work demands
3. don't allow exploitation by the agency you/they are affiliated with

Front 27

Area 1: Supervision

What are the 2 rules associated with conduct when a supervisor charges for 1:1 supervision time?

Back 27

1. can't exceed usual and customary hourly fee for professional services.

2. supervisee gets to keep client fees minus reasonable overhead

Front 28

Area 1: Supervision

What 4 things should be included in the supervision records? How many years kept?

Back 28

CPD

1. plan for supervision

2. dates of supervision
3. notes regarding supervision

4. specific clients/cases reviewed.
5. records maintained for 5 years after supervision ends.

Hint 28

supervision records should include:

NCPD - think police report (from "PD")

5 is 5 (5th item is 5)

Front 29

Area 1: Supervision

What 5 ways can a supervisor acquire direct knowledge of supervisee's clients?

Back 29

1. direct contact
2. tape recording
3. video tapes
4. test protocols,
5. other client generated materials

Hint 29

Call, tape, video, test, client-gen

Front 30

Area 1: Supervision

A written training supervision agreement should include what 3 things?

Back 30

include information about the goals and content of supervision, including:

1. nature of training experiences offered
2. expected working arrangements, quantity, and quality of work
3. financial arrangements between supervisee and employer

Hint 30

written training supervision agreement should include:

TExA$

Front 31

Area 1: Supervision

Training should provide adequate breadth of experience to enhance what things?

Back 31

1. professional attitudes
2. responsibility
3. communication skills
4. critical judgment
5. technical skills

Front 32

Area 1: Supervision

There are 15 listed responsibilities of supervisees, however, they tend to fall into 4 general categories - which are?

Back 32

1. limits on activities
2. appropriate ways of representing their work
3. issues around informed consent
4. legal repercussions if any of these are violated

Hint 32

4 categories of supervised responsibilities:

L R C LR

Front 33

Area 1: Supervision

7 responsibilities related to limits on supervisee's include?

Back 33

1. they're subject to all statutes and rules of the board.
2. can't use the title psychologist or school psychologist
3. can't solicit their own caseload/ choose clients independently
4. can't collect fees for work in own name - billing to be done by employer/agency or supervisor
5. can't independently advertise, include name on letterhead/ building directory/ suite door /directory (or otherwise hold self out as being authorized to provide indep psych services)
6. only do those procedures that can be delegated by law

7. only perform duties in professional setting in which licensed psychologist/supervisor has responsibility for assignment & management of activities

Hint 33

Limits to supervisee=

RAFTS delegable

Front 34

Area 1: Supervision

6 responsibilities of supervisees that have to do with what are appropriate ways of representing their work include?

Back 34

1. can have business cards -but must specify supervisor and relationship and not procedures
2. trainee titles noted earlier in these rules can be used
3. degrees (from accredited univ), credentials granted by OH, and job titles may be published/posted so long as they don't confuse client's understanding that the work is psychological and it is the supervisor who is responsible
4. carry out activities in setting where supervisor has responsibility for their work assignment and management
5. may pay a fee to supervisor in private practice - but in compliance with earlier stated rules
6. licensed psychologist signs reports and letters related to client welfare

Front 35

Area 1: Supervision

What 10 responsibilities do supervisees have in regards to informed consent of their clients?

Back 35

1. provide written statement, explained and given to adult or guardian (testing statement can be modified)
2. description of services and office procedures
3. name of supervisor
4. charges and indication billing will come from supervisor
5. contact info for the office
6. statement of limits of confidentiality - including legal limits and supervisor needed info
7. statement about professional relationship involving supervisor, supervisee and client
8. statement that the supervisee is available to meet the patient
9. signature of psychologist, supervisee, and client/guardian
10. supervisor maintains a copy

Front 36

Area 1: Supervision

What are the regulations related to tele psychology supervision? (8)

Back 36

1. telepsych is not appropriate for all cases; decide case-by-case; be aware of add'l risks involved; special care to keep welfare of client paramount

2. establish & maintain competence in telepsych

3. consider & document:

a) is clients condition consistent with use of tele psych?

b) does supervise have sufficient knowledge/skills in technology involved?

4. don't provide tele psych if above is inconsistent with telepsych

5. make attempts to verify identity of supervisee

6. obtain alternative means of contacting supervisee

7. provide alt means of being contacted

8. enter a written agreement related to: a) risks of sudden interruption of tele psych, b) when/how supervisor will respond to routine email, c) circumstances sup will use alt form of communication, d) ensure confidential communications stored electronically can't be recovered/accessed when equip/data disposed of

Front 37

Area 1: Supervision

What 2 legal repercussions can befall if a supervisee violates any of these rules/regs?

Back 37

1. supervisee who is not in training supervision does diagnosis/prescription/client supervision, are deemed to be performing psych without a license and are subject to penalties
2. may refuse to issue a license

Front 38

Area 1: Supervsion

What must be included in written informed consent related to supervisory relationship? (8)

Back 38

1. description of services

2. schedule of charges

3. name of supervisor

4. contact info for supervisor (address/phone)

5. statement of limits of conf (include reporting by law & review by supervisor)

6. parameters of profession relationship (involve client, supervisee, supervisor)

7. availability of supervisor to meet

8. signatures of client, supervisee, supervisor

Front 39

Area 2: Professional Conduct

What are the areas/domains covered in the "Professional Conduct" section? (11)

Back 39

1. Negligence

2. Welfare of the client

3. Renumeration

4. Multiple relationships

5. Testing and interpretation

6. Confidentiality

7. Competence

8. Telepsychology

9. Violations of the law

10. Aiding illegal practice

11. Supervision

Front 40

Area 2: Professional conduct

What is the scope of who the rules of professional conduct are applied to?

Back 40

Scope of application of rules of professional conduct:

1. all psych and school psych licensees and applicant
2. now and during education, training, & employment required for licensure

Front 41

Area 2: Professional conduct

What happens if you violate a rule of professional conduct?

Back 41

If you violate a rule of professional conduct:

1. it is sufficient reason for reprimand, suspension or revocation of license,
2. denial of original licensure or reinstatement

Front 42

Area 2: Professional conduct

What is the relationship between the OH professional conduct rules and APA/CPA ethical codes?

Back 42

APA/CPA ethical codes help resolve ambiguities in the rules

but OH rules take precedence

Front 43

Area 2: Professional conduct

Negligence rules cover what areas of conduct?

Back 43

Negligence rules cover:

1. acceptable practice of psychology in regards to clients/supervisees/employees/ students
2. misrepresentation of qualification
3. misrepresentation of affiliations
4. may not use clients to solicit business
5. misrepresentation of products in promotional materials
6. maintenance and retention of records.

Front 44

Area 2: Professional conduct

(Negligence)
Misrepresentation of qualifications includes what 4 areas that need to be accurate/correct?

Back 44

representations of qualifications need to be accurate in terms of:

1. education
2. specialized training
3. experience
4. areas of competence

Front 45

Area 2: Professional conduct

(Negligence)
Misrepresenting your affiliations is not just limited to saying that you're affiliated with an organization that you're not. What else does it refer to?

Back 45

Misrepresenting the purpose or character of the organizations.

Front 46

Area 2: Professional conduct

(Negligence)
Accuracy of representing affiliations includes not claiming different qualifications than you have... what 5 things does this also include?

Back 46

When representing affiliations:

1. don't claim or imply qualifications you do not have (incl use of a degree or title not relevant to psych training or issued by unaccredited instit)

2. don't pass off irrelevant qualifications as important
3. you are responsible for clearing up misrepresentations of you by others
4. your name need to be included as the responsible psychologist on anything that represents your services (e.g., ads, letterhead, brochures, business cards, etc.)

5. don't include false/misleading statements re: psych services offered.
6. don't allow your name to be used in association with a service/product in such a way as misrepresents the product or your role

Front 47

Area 2: Professional conduct

Promotional activities related to devices, books and products are required to be?

Back 47

Promotional activities are required to:

1. not misrepresent to qualities
2. performance
3. or results

Front 48

Area 2: Professional conduct

What 8 things should be included in a professional record?

Back 48

A professional record should include:

1. presenting problems
2. date and purpose of each service contact
3. fee arrangement
4. any test or other eval results obtained
5. test data
6. copy of test or reports prepared
7. notation and results of formal contacts with other providers
8. release of infos obtained

Front 49

Area 2: Professional conduct

How long are you required to maintain records?

Back 49

maintain records not less than 5 years after last date of service

or longer if other rules/regs require longer

and keep a summary for 12 years after last date of service

Front 50

Area 2: Professional conduct

What 3 provisions must you make for the maintenance of confidentiality of records storage?

Back 50

to maintain confidentiality of records storage:

1. store and dispose of written records in a manner that maintains confidentiality.
2. plan for transfer and protection of confidentiality of records in case you leave that job.
3. identify someone to the board who knows about the process of transfer and custody of records in the event of your absence, emergency or death

Front 51

Area 2: Professional conduct

If a complaint is filed, what can the board request in terms of patient records?

Back 51

If a complaint is filed, you must provide original or full copy of the client's records - IF a release signed by the client is provided.

Front 52

Area 2: Professional conduct

What 12 situations does the welfare of clients cover?

Back 52

Welfare of clients is ensured by:

1. clarity of loyalties/responsibilities in conflict of interests
2. render opinions only when you have sufficient info
3. Inform the client about their condition, eval, txt, rights
4. don't exploit their trust/dependency
5. accord them informed choice, confidentiality and reasonable protection from harm
6. psych services only in context of professional relationships - not lectures, radio, etc. other media
7. refrain from imposing stereotypes
8. terminate if client not benefiting and offer alternatives
9. make a referral if client requests it
10. make arrangements to ensure continuity of care
11. don't practice impaired
12. if multiple relationship arises - resolve with the client's welfare as the objective

Front 53

Area 2: Professional conduct

Informed consent includes what 3 things?

Back 53

informed consent includes:

1. truthful, understandable and reasonably complete account
2. information about condition, purpose and nature of eval, txt and procedures.
3. right to choice regarding services

Front 54

Area 2: Professional conduct

When should plans be made for continuity of care?

Back 54

Interruptions of services:

1. plan for continuity of care in the event of your illness, unavailability, relocation or death
2. in the event of the client's location or financial limitations
3. at the outset of employment
4. at the outset of an employee's term if you are the employer

Front 55

Area 2: Professional conduct

What steps should you take should you find yourself too impaired to practice competently and objectively?

Back 55

If you find yourself too impaired to practice competently and objectively, you should:

1. terminate the professional role
2. notify the client/other relevant parties in writing
3. assist the client/supervisee/evaluee, etc in obtaining alternate services

Front 56

Area 2: Professional conduct

What 5 rules about financial arrangements does the Board make?

Back 56

financial arrangements must include:

1. made clear before billing - by the 1st session preferably, minimally by the 2nd.
2. don't mislead or withhold info about cost of services to client or 3rd party payor
3. don't charge excessive fees/ bartering - exploitative
4. if employed by an agency, do private work only if explicitly allowed, and then if clarify services available to clients and policies when at agency
5. provide written disclosure in pool/capitation 3rd party arrangements

Front 57

Area 2: Professional conduct

What are 4 improper financial arrangements?

Back 57

improper financial arrangements:

1. deriving or soliciting profit or personal gain with clients or immediate ex clients beyond payment of fees (unsolicited token gifts okay)
2. don't use relats with clients/ex-clients for gain for self, other person or organization in regards to sale or promotion of non-psych related products
3. don't give rebates, commission or other pay for giving you referrals unless you have informed the client fully in advance
4. don't bill what you haven't done, unless it is for missed appointments policy that was discussed in financial arrangements.

Front 58

Area 2: Professional conduct

What is not a multiple relationship? (3)

Back 58

Not a multiple relationship:

1. incidental contact
2. taking a professional role in an emergency situation is allowed
3. including effecting an appropriate referral when necessary to foster the welfare of others

Front 59

Area 2: Professional conduct

You shall not undertake a professional role with people you have...? (2)

Back 59

you shall not undertake a professional role with...

1. someone with whom you've been sexually intimate
2. with whom you've a familial, personal, social, supervisory, employment or other relat AND impairs judgment, competence and/or objectivity

Front 60

Area 2: Professional conduct

You shall not engage in these behaviors... with...

Back 60

you shall not engaeg in:

1. sexual intimacies with client/supervisee/employee or their close associates
4. establish personal, financial, employment, or other relationships with current client/supervisee/employees IF it results in exploitation, impaired judgment, competence, or objectivity.
3. same as above with those with whom the relationship ended 24 months ago
4. or indefinitely if they remain vulnerable to exploitation
5. and don't terminate with the idea that you'll do any of the above

Front 61

???

Back 61

???