Ethically Speaking
A professional guideline that helps practitioners determine what is right or wrong when faced with a difficult situation is known as this.
Ethical principles
This type of documentation records what a practitioner actually saw, heard, or observed rather than their interpretation of what happened.
Objective documentation
A practitioner collects information about their client to determine whether or not they can provide the services the client is looking for, during this stage of the therapeutic process.
Assessment/Intake
The professional obligation to protect information shared by a client from unauthorized disclosure is known as this.
Confidentiality
When a practitioner is unsure whether a situation requires further action, one of the first appropriate steps is often to seek this from a supervisor or experienced colleague.
Consultation
A CYC practitioner accepts a small thank-you card from a client at the end of a program. Before accepting it, the practitioner considers the client's intentions, the value of the gift, and the possible impact on the professional relationship. This demonstrates consideration of this ethical issue.
Professional boundaries
A practitioner writes, "Client was being manipulative and clearly wanted attention." This is problematic because the statement contains this rather than an observable description.
Subjective interpretation/judgement
A practitioner asks a client how many times they missed school during the past month and records the number. This is an example of collecting this type of information.
Quantitative data
A practitioner is talking about a client with a colleague in a public elevator. Even without saying the client's name, this situation could create a problem because the conversation may allow the colleague to do this.
Identify the client.
A practitioner documents that a client disclosed something concerning, but does not record their own assumptions about why the client behaved that way. This demonstrates the separation between observable information and this.
Interpretation
A practitioner realizes that personal beliefs about parenting are influencing how they view a client's parenting decisions. The practitioner should first recognize and examine this factor.
Personal bias
A progress note states that a client "appeared anxious, was speaking rapidly, and repeatedly tapped their foot." This is stronger documentation than simply writing "client was anxious" because it provides these.
Observable behaviours
A client describes feeling isolated, angry, and disconnected from their family. The practitioner records the client's description in order to better understand their experience. This is an example of collecting this type of data.
Qualitative Data
!!3x Multiplier!!
A client asks their practitioner not to share information with their family. The practitioner should not automatically agree or refuse; they must first consider the client's rights along with these other obligations
1. Legal
2. Ethical
3. Professional
A CYC practitioner notices that their client may require services beyond their own training and scope of practice. Continuing to provide specialized treatment without appropriate qualifications could create this professional concern.
Working outside the scope of practice
!!2x Multiplier!!
Name TWO reasons that a professional should consult a supervisor when faced with an ethical dilemma.
1. Obtain another perspective
2. Ensure decisions are in line with legal, ethical, and organizational requirements.
This is what a writer should do to correct an error in their case notes, rather than deleting or editing the original note.
Add edits into the note with a date/timestamp and their initials.
A practitioner wants to understand whether a client's behaviour is changing over time. They consistently record the same behaviour using the same measurement method across several sessions. Data collected this way would be considered to be ____.
Reliable
When would confidentiality have legal limits, leading information to be disclosed.
Practitioner subpoena
A practitioner is writing a case note after a difficult interaction with a client. The practitioner is frustrated by the client's behaviour and initially writes, "Client was being difficult and refused to cooperate." Before finalizing the note, the practitioner changes it to a factual description of the client's observable behaviour. What professional principle is being demonstrated?
objectivity
!!4x Multiplier!!
Name FOUR factors a practitioner should consider when making an ethical decision about a client situation.
It is best practice to do your case noting _______ after a session (how long)
immediately
!!DAILY DOUBLE!!
Of the following, what is not considered to be necessary information to collect about a client?
a. Full name
b. Full medical and mental health history
c. Full address
b. Full medical and mental health history
A client tells a practitioner something concerning and says, "You can't tell anyone because you promised me everything we talk about stays between us." The practitioner should explain that confidentiality has limits when this might be an issue.
Imminent risk to safety
A practitioner discovers that a colleague has documented information in a client's record that the practitioner knows is inaccurate. Rather than ignoring the issue, the practitioner follows the organization's established process for addressing concerns about client records. What professional responsibility is being demonstrated?
professional accountability