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56 Cards in this Set

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Area 1: Supervision

Supervisory relationship regulations define what 4 areas?
Supervisory relationship regulations define:
1. scope of supervision - regulation apply to whom
2. definition of the purpose of supervision
3. definition of what supervision is
4. what's required in supervision by the regulations
Area 1: Supervision

Scope of supervision: who do these supervisory regulations apply to? (4)
These supervisory regulations apply to:

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
Area 1: Supervision

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

1. clinical welfare
2. subject welfare
3. is competent
4. operates within competence
5. relevant variety of exposure
6. serves the purpose of training
7. not exploitative
8. regulates psych services
Area 1: Supervision

What are the 8 purposes of supervision? (long hand explanations)
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
Area 1: Supervision

What are the 5 types of psych supervision?
Types of psych supervision are:

1. psychological WORK supervision
2. Psychological TRAINING supervision
3. psychological UMBRELLA supervision
5. ADMINISTRATIVE supervision
Area 1: Supervision

What is psychological work supervision?
Psychological WORK supervision is:

supervised work under the licensing authority of the licensed psychologist
Area 1: Supervision

Psychological work by unlicensed persons must be consistent with what?
Psychological work by unlicensed persons must be consistent with:

the academic and professional training of both the supervisor and supervisee
Area 1: Supervision

What 3 functions must psychological work NOT include?
psychological work must NOT include:

1. diagnosis
2. prescriptions
3. client supervision
Area 1: Supervision

What 3 areas does psychological training supervision help the supervisee with?
psychological training supervision helps with:

1. gaining experience to get licensed
2. develop another area of expertise
3. develop psychological procedures skills
Area 1: Supervision

What is psychological UMBRELLA supervision?
psychological umbrella supervision is:

supervision of a licensee candidate to help develope 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)
Area 1: Supervision

What 2 classes of individuals can provide supervision under umbrella supervision?
Individuals can provide supervision if supervised by a licensed psychologist are:

1. Either a postdoctoral trainee working toward licensure (and for 12 months max)
2. or otherwise exempt senior students in a doctoral program
Area 1: Supervision

How is school psychological work supervision defined?
School psychological work supervision is:

persons who work under the licensing authority of a licensed school psychologist OR a licensed psychologist
Area 1: Supervision

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

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

2. develop skills in the practice of school psych
Area 1: Supervision

What is mental health worker supervision?
Mental health worker supervision is?

CLINICAL supervision of licensed/registered/certified mental health professionals
Area 1: Supervision

What are administrative supervisors responsible for?
administrative supervisors are responsible for:

NONprofessional activities related to office/agency procedures, practices or policies
Area 1: Supervision

What is the difference between an assistant and an aide?
An assistant = has a masters degree

An aide = has a bachelor's degree
Area 1: Supervision

What is the difference between a psych assistant/aide and an assistant/aide?
"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
Area 1: Supervision

What is the difference between psych intern/fellow/trainee/resident and a school psych intern/assistant/trainee?
Unlike a psych student of whatever title, school psych interns/assistant/trainees may not be working toward licensure
Area 1: Supervision

What are the 4 requirements for mental health worker supervision?
Requirements of mental health worker supervision:

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 txt 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
Area 1: Supervision

There are 20-some supervisor responsibilities for work and training supervision. They tend to fall into what 5 areas?
Supervisor responsibilites tend to cluster into:

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
Area 1: Supervision

4 supervisor responsibilities related to avoidance of dual relationships include:
Supervisor responsibilities related to avoidance of dual relationships include:

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)
3. If training supervision for licensure, you can't be a direct family member
4. no business relationship with supervisee other than employing the supervisee allowed
Area 1: Supervision

10 supervisor responsibilities related to adherence to competency issues include?
Supervisor responsibilities related to adherence to competency issues:

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
Area 1: Supervision

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

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
Area 1: Supervision

5 supervisor responsibilities related to clear communication of roles includes?
Clear communication of roles:

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
Area 1: Supervision

3 supervisor responsibilities related to avoidance of exploitative relationships include?
avoidance of exploitative relationships:

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
Area 1: Supervision

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

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

2. supervisee gets to keep client fees minus reasonable overhead
Area 1: Supervision

What 4 things should be included in the supervision records?
supervision records should include:

1. dates of supervision
2. notes regarding supervision
3. including specific clients/cases reviewed.
4. records maintained for 5 years after supervision ends.
Area 1: Supervision

What 5 ways can a supervisor acquire direct knowledge of supervisee's clients?
direct knowledge of supervisee's clients can be acquired through:

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

A written training supervision agreement should include what 3 things?
a written training supervision agreement should include information about the goals and content of supervision, including;

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

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

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

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

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
Area 1: Supervision

6 responsibilities related to limits on supervisee's include?
responsibilities related to limits on supervisees include:

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
Area 1: Supervision

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

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 U's, 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
Area 1: Supervision

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

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
Area 1: Supervision

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

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
Area 2: Professional conduct

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

1. all psych and school psych licensees and applicant
2. now and during education
Area 2: Professional conduct

What happens if you violate a rule of professional conduct?
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
Area 2: Professional conduct

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

but OH rules take precedence
Area 2: Professional conduct

Negligence rules cover what areas of conduct?
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.
Area 2: Professional conduct

Misrepresentation of qualifications includes what 4 areas that need to be accurate/correct?
representations of qualifications need to be accurate in terms of:

1. education
2. specialized training
3. experience
4. areas of competence
Area 2: Professional conduct

Misrepresenting your affiliations is not just limited to saying that you're affiliated with an organization that you're note. What else does it refer to?
Misrepresenting the purpose or character of the organizations.
Area 2: Professional conduct

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

1. don't pass off irrelevant qualifications as important
2. include those that were or hide the fact that they were from nonaccredited institutions
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 allow your name to be used in association with a product in such a way as misrepresents the product or your role
Area 2: Professional conduct

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

1. not misrepresent to qualities
2. performance
3. or results
Area 2: Professional conduct

What 8 things should be included in a professional record?
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
Area 2: Professional conduct

How long are you required to maintain records?
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
Area 2: Professional conduct

What 3 provisions must you make for the maintenance of confidentiality of records storage?
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
Area 2: Professional conduct

If a complaint is filed, what can the board request in terms of patient records?
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.
Area 2: Professional conduct

What 12 situations does the welfare of clients cover?
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
Area 2: Professional conduct

Informed consent includes what 3 things?
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
Area 2: Professional conduct

When should plans be made for continuity of care?
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
Area 2: Professional conduct

What steps should you take should you find yourself too impaired to practice competently and objectively?
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
Area 2: Professional conduct

What 5 rules about financial arrangements does the Board make?
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
Area 2: Professional conduct

What are 4 improper financial arrangements?
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.
Area 2: Professional conduct

What is not a multiple relationship? (3)
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
Area 2: Professional conduct

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

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