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14 Cards in this Set
- Front
- Back
- 3rd side (hint)
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APA ethics code (what is it/importance)
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1. ajuddication & sanctions
2. to avoid outside agencies from intruding 3. protection to the public (incl. psychologists) 4. highest ideals 5. special projects (i.e. humanitarian issues, natural disasters) 6. consultation 7. education |
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how is APA ethics code set up
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1. aspirational section (not enforceable)
a. introduction b. preamble c. general principles (a-f) 2. ethical standards (enforceable) a. numbered codes |
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SAD PERSONS
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1. point values to assess suicide risk
S - sex (+1 for male) A - age (+1 15-24 yrs; 65+ yrs) D - depression (+1) P - previous attempt (+1) E - ethanol/drug use (+1) R - rational thought (+1 if there is no rational thought) S - support system (+1 if no ss) O - organized plan (+1) N - no significant other (+1) S - sickness (+1) |
0-2 keep watch
3-4 home, check frequently 5-6 consider hospitalization 7-10 hospitalization |
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why is it important to assess for suicide?
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1. we are responsible for providing standard of care
2. protect client from harm 3. important to use adequate assessment tool |
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4 mechanisms holding us accountable
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1. licensing boards (BOP)
2. ethics committee (APA/CPA) 3. civil lawsuits ($ damages) 4. criminal law/allegations (criminal actions) |
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4 elements of civil suit for malpractice
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1. duty of care: relationship (relationship established)
2. standard of care: therapist doctrine, ethics code, statutes, case law 3. demonstrable harm: harm must be shown to have have resulted in damage ($$) 4. proximate cause: due to therapist action or failure to act (forseeability & causation) |
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taking steps
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1. increase frequency
2. phone contact 3. support system 4. medication 5. adjunctive treatment 6. contract 7. hospitalization |
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required elements of tarasoff
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1. communicated by patient
2. serious threat of physical violence (seriousness decided by dangerousness assessment) 3. identifiable victim (w/ a moment's reflection) |
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what are the requirements for mandated reporting (tarasoff pre-ewing)
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1. warn victim(s)
2. notify authorities 3. take steps |
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dangerousness-tarasoff/ewing-homicide assessment
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1. gender: males more likely
2. plan: how specific? 3. feasible 4. previous violence (#1 predictor) 5. current problem: helps assess who is in danger 6. substance use: increases likelihood 7. symptoms: psychosis, anxiety, depression 8. support system: includes insurance |
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updates to tarasoff
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1. hedlund ruling (1983): all forseeable bystanders are potential victims
2. veteran's administration (1983): attempt to seek past records 3. property damage (1985): arson requires warning 4. demasi/ingram (1999): desires and urges to molest boys to analyst - imminent danger or identifiable victims? court said yes Stone (2000): 2nd therapist breaks confidentiality to warn boss about employee fantasy after 2 weeks - NO! not imminent harm ewing (2004): added duty to warn when the danger is communicated by an immediate family member (or reasonable other for the purpose of advancing therapy); grave bodily injury |
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what is the duty for tarasoff/ewing?
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WARN & PROTECT
1. mandated to breach 2. warn victim(s)/notify police 3. mandated to take steps |
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what is the duty for homicide?
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DUTY TO PROTECT
1. permitted to breach 2. mandated to take steps |
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what is the duty for suicide?
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1. mandated or permitted to breach
2. consult/document 3. mandated to take steps |
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