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64 Cards in this Set
- Front
- Back
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scope of practice
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the practice of marriage, family, and child counseling shall mean that services performed with individuals, couples, or groups wherein interpersonal relationships are examined for the purpose of achieving more adequate, satisfying and productive marriage and family adjustments
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What are the 6 of the 11 parts of Informed consent |
1. Cost or fee 2. Therapeutic Process 3. length of therapy and termination 4. therapist background (intern, trainee, supervisors name, etc) 5. Confidentiality/interruptions in therapy 6. tape recording/videotaping
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3 indicators to informed consent
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1. Capacity
2. Comprehension 3. voluntariness |
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Standard of Care
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The therapist must exercise "the average degree of skill, care, and diligence exercised by members of the same profession, practicing in the same or similar locality
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What determines the degree of care |
The degree of care which is reasonable prudent person should exercise in the same or similar circumstances. |
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_____ is a right that allows a person to decide how much of his/her thoughts, feelings, and personal data will be shared with others |
Privacy |
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1024 deals with
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danger to self
danger to others danger to property |
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3 steps to take if you are subpoenaed
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1. Claim privilege and do not release records or disclose the identity of the client.
2. call client and let them know and call CAMFT 3. The therapist may release the records if she has written permission from the client to do so of if the court determines that therapist must release the records |
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8 items that must be kept in your records
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1. relevant history/chief complaint
2. consultations and referrals (correspondence/collateral) 3. Diagnosis 4. Treatment plan and medications 5. Progress/Lack of progress 6. Prognosis 7. Diagnostic Producers and tests 8. Objective findings of most recent physical/medical exam |
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a child as young ____ can consent for their own treatment under what 3 conditions:
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12 years old
1. 12 years or older 2. Mature enough to participate 3. Harm to client if parents are involved |
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A dependent adult is a person between the ages of _______ and ________.
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18 and 64
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A dependent adult is defined as one who
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has a physical or mental limitations that restrict his/her ability to carry out normal activities or to protect his/her rights
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Adult abuse occuring in a elderly home or facility should be make to ______ and _____
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local ombudsmen ; local law enforement
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Adult abuse occuring in a state mental health hospitial or developmental center should be make to ______ and _____
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the state department of mental health hospitals; the local law enforcement
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CA law defines an "elder" as a person who is age ______ or older
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65
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CAMFT Ethical Standard 2.1:
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MFT's do not disclose patient confidences including names/identities of their patients to anyone except: as mandated by law, as permitted by law, and when MFT is defendent in civil, criminal, disciplinary action arising from therapy, or if authorization is obtained in writing
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Can a therapist report fetal abuse on a pregnant patient?
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No - It is optional for a therapist to report
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Counter-transference
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counselor's reaction to the client's transference response
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DAP Notes
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D - DataA - Assessment/DiagnosisP - Plan
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Definition of MFT
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1. Work with relationships - purpose of achieving more adequate, satisfying and productive relationships
2. Work within scope of training/competence 3. work with children, families, couples, individuals 4. Treat and diagnose |
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Dependent adult/elder abuse is defined by:
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physical abuse, neglect, financial abuse, abandonment, isolation, abduction or other treatment with resulting in physical harm or pain or mental suffering; or deprivation by a care custodian of good or series that are necessary to avoid phsyical harm or mental suffering
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Dependent adult/elder abuse report should be made over the phone ________________ and in written form within ___________________
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ASAP
2 business days |
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Emancipated minors must be at least ____ years of age and are only eligible for their own consent for treatment if:
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1. at least 14 years of age
2. have a job and can provide financially for themselves 3. have been legally emancipated through the court system |
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Examples of counter-transference
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Being overprotective
rejecting the client needing constant reinforcement or approval developing sexual or romantic feelings for client desiring social relationship with client |
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General adult/elder abuse should be make to ______ and _____
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adult protective serives ; local law enforcement
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How does CANRA define child abuse
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a physical injury that is inflicted by other than accidental means on a child by another personIt also includes, sexual abuse, neglect, willful cruelty or unjustifiable punishment, unlawful corporal punishment or injury, and abuse or neglect in out-of-home care
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How long are records kept for adults
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keep records for 7 years after discontinuing therapy
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How long should you keep minor's records
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keep records for 7 years after minor turns 18.
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If decisions are based on law, it is most likely that these will be STATE or FEDERAL laws, since there are very few STATE or FEDERAL laws that apply to MFT licensure
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State
Federal |
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If the client REQUESTS notes you can:
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1. give a summary
2. make a copy 3. Let them view the notes 4. Refuse |
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IS DV reportable?
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no
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Is sexual activitity among minors generally reportable
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No (three exceptions apply)
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Is statuatory rape reportable
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No - unless one of the three exceptions apply
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6 elements of a DV safety plan |
1. Place for safety: Locations
2. Money 3. Clothing 4. Keys 5. Important phone numbers 6. Valuable documents |
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mandated breaches of confidentiality
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Child/Adult/Dependent abuse
Duty to Warn (tarasoff) Danger to self or others |
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MFT scope of competence
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it constitutes unprofessional conduct for an MFT, to perform any professional service beyond the scope of one's competence
Mfts take care to provide proper diagnoses of mental and emotional disorders or conditions and do not asess, test, diagnose, treat or advise on problems beyond the level of competence as determined by their education, training, and experience. While developing a new area of practice, MFTs take steps to ensure that competence of their work through education, training, consultation, and/or supervision |
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Privilege is a LEGAL or ETHICAL term
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legal
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Reports of child abuse should be made over the phone _________ and in written form within ______
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immediately; 36 hours
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SOAP notes
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* Subjective* Objective* Assessment* Plan
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Step parents can only consent for minors if:
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they are a legal guardian
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Step parents CAN OR CANNOT consent for minors
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cannot
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Steps to take for tarasoff?
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1. Contact law enforcement
2. make a reasonable effort to warn victim or victims. 3. only release information required for the report 4. Consider hospitalization of the client 5. Document all steps |
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What is the intern ratio? |
1 hour of supervision to every 10 hours of direct counseling experience |
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What is the trainee ratio? |
1 hour of supervision for every 5 hours of direct counseling experience |
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Therapist/Clinician safety - Preventative measures
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1. Don't see new clients when alone in office
2. if leaving the office late at night, do not walk out alone to your car 3. have a telephone available to you when in session 4. have an emergency phone numbers readily available (police, PERT) 5. sit near the door 6. do not list your home address for BBS registration 7. Do not list your home address in the phone book 8. Educate yourself about the emergency procedures at your agency 9. Consult with colleague or supervisor about concerns 10. notify supervisor of potentially dangerous clients |
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Trainees can accrue a maximum of ____ hours
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1300 (750 max counseling and supervision + all remaining hours categories)
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Types of unethical dual relationships
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Social or personalsexual or improper physical contact
business or financial caretaking improper gift giving/receiving interference with personal autonomy or undue influence self-disclosure advocacy or enmeshment employment of patients or interns, whether monetarily or otherwise |
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Under what circumstances is DV reportable
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when witnessed by a child and the child is emotionally disturbed by it
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what are the 6 elements of tarasoff?
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1. a client
2. communicates 3. to his/her therapist 4. a serious threat of violence 5. toward a reasonably identifiable victim 6. family members - significant family members tells you of a threat from your patient. |
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what are the characateristic of suicide assessment |
1. directly ask if they have thoughts of suicide 2. Suicidal Ideation (intent) - new or old 3. Do they have a plan? If so, how specific is the plan? 4. Are the means available 6. Level of lethality 5. Any previous history of suicide attempts (by client or family members) |
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What are the three exceptions to the general rule that consensual sex is NOT reportable?
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1. Sexual intercourse between a minor under 16 (15 and younger) and an adult 21 and over
2. Lewd or lascivious conduct where the minor is 14 or 15 years old and the adult at least 10 years older than the minor. In determining whether a person is at least 10 years older than the child, the difference in age shall be measured from the birth date of the person to the birth date of the child 3. Any consensual sexual contact between minors where one is over 14 years of age and one is under 14 years of age, which may apply to lewd touching if done with intent of arousing, appealing to, or gratifying the lust, passions, or sexual desires of the person involved or the child |
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What does SADPERSONS stand for?
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Sex
age depression prior history ethanol use rational thinking loss support system loss organizational plan no significant other sickness |
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What is CANRA
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Child abuse and neglect reporting act
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What is confidentiality? |
A legal and ethical requirement placed on the therapist which restricts the volunteering of information obtained in a therapeutic relationship except under certain circumstances: |
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What is the time frame for filing an elder abuse report?
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File Immediately or ASAP by phone and submit written report within 2 business days
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What is TIPM |
Thought Intent Plan Means |
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what is transference
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client's project onto their therapist past feelings or attitudes they had toward significant people in their lives
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what is WIC
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Welfare and Institutions Code
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What is WIC 5150
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allows a qualified officer or clinician to involuntarily confine a person deemed to have a mental disorder that makes them a danger to him or herself, others, and is gravely disabled
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Who consents for minors?
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parents - only parents who share legal custodyLegal Guardian
State Agencies given authority by the courts Minor - 12 years of age and older and if there may be harm to the client by allowing parent/guardian to know about treatment |
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Who hold privilege when treating minors?
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The patient always hold privilege Therefore the minors are the holders of their own privilege
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You must apply to become a registered intern within ____ days of graduating
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90
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You must obtain a total of __________ hours and ______ weeks of supervision
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3000 104
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List 4 steps that a therapist can take to treat DV cases |
1. assess for safety of client 2. implement a safety plan 3. refer to group therapy 4. discourage couples therapy unless the batterer is in treatment and is actively abiding by a No violence contract |
