Ethical Decision Making
TRUE or FALSE - Therapists can confirm or deny to clients’ family members who are not in therapy that their clients are in therapy.
What does PHI stand for? What does it include?
Personal Health Information - name, address, birthdate, SSN, health condition and history, payment history and plan.
Dr. Buhrt plays what role at his current counseling center?
CEO
What are the four steps in suicidal inquiry?
T____, I_____, P_____, M______
Thoughts, Intents, Plans, and Means.
What does IPV stand for?
Establishing therapeutic boundaries is always the responsibility of who?
Establishing therapeutic boundaries is always the therapist responsibility.
HIPAA privacy rule applies for all Private Health information EXCEPT what?
HIPAA privacy rule applies for all PHI EXCEPT psychotherapy notes - documenting/analyzing the conversation with a client.
Dr. J told us to track THIS phrase and a take a shot every time DVD said it.
What is Second Order Change?
Describe the main ethical takeaways from the Tarassoff case ruling.
Name the two types of IPV.
Intimate Terrorism
Couples Violence
What are the three standard categories of the AAMFT Code of Ethics?
Responsibility to Clients, Confidentiality, and Professional Competence and Integrity
What are 3 of the 4 limits of confidentiality?
1. Imminent risk of serious injury to the client
2. When client threatens to harm another person
3. When a minor child is at risk of being abused or neglected
4. When an individual is at risk of being abused, neglected, or financially exploited.
What are the names of Dr. J's two Norwegian named children?
Leif and Bjorn
What does NSSI stand for? Describe the actions involved in NSSI.
Non-suicidal self-injury (NSSI)
Deliberate self destructive action (without suicidal intent), Unhealthy attempt to regulate emotions and relieve pain, Self Injurious behaviors (SIB): cutting, scratching, burning, hitting, etc), often on the hands, wrists, stomach, or thighs, Most common amongst adolescence and young adults. This is a risk factor for suicide
What are the 4 ethical considerations for couples therapy?
-Competence, responsibility to clients, integrity, and confidentiality.
What are the Four criteria of MFT decision making?
Ethical Components, Legal Components, Legal Issues, Professional Issues
Describe the HIPAA Privacy rule.
Issued by the Human Department of Health and Human services, the goal of the HIPAA Privacy Rule is to protect private information and permit important uses of health info, and addresses the use and disclosure of individuals protected health information (PHI).
Gong Yoo or Hyun Bin - which one is Dr. Yoo's favorite Korean actor?
Gong Yoo
Create a document that helps the client through a suicidal crisis, Help the client and yourself be aware of personal warning signs and triggers, Coping strategies, Support system, Reduction of potential use of lethal means, Hospitalization
What are 4 of the 6 considerations for conjoint therapy with couples?
Low to moderate aggression, Safety of the abuse partner, The abused partner’s desire to remain in the relationship, Voluntary participation of the abuse, Informed consent, Substance abuse issues
Name Four of the Six philosophical and moral principles of ethical decision making.
Autonomy, Non-maleficence, Justice, Beneficence, Veracity, Fidelity
Name 5 things that should be included in the informed consent form.
Therapeutic education and qualifications, Nature and purpose of the treatment, Risk and benefits, alternatives, Release of information, Recording of a session, Scheduling and billing, Cancellation policy, Limits of confidentiality, Therapist-client dialogue and discussion, Notice of privacy practices (NPP)
Diagnostic and Statistical Manual of Mental Disorders Fifth Edition.
There are 10 Risk factors, and 6 Protective factors for suicide. Name 5 of the 10 Risk factors, and 3 of the 6 Protective factors.
Risk Factors
Family history of suicide,Childhood trauma (maltreatment), Prior suicide attempts, Mental disorders (depression), Substance use, Medical illness and chronic pain, Acute stressors and personal losses, Anxiety, impulsivity, aggression, hopelessness, Lack of social support and isolation, Access to lethal means (weapons, meds)
Protective Factors
Ability to cope with stress, solve problems, resolve conflict, Access to physical and mental health care support, Ongoing positive therapeutic relationships, Cultural and religious beliefs, Social support, Sense of belonging and connectedness
Describe the assessment and screening process for IPV
Initial screening before therapy begins. This is a part of the initial assessment, Individual interview with each partner after the first session, Awareness of risk factors (substance abuse, history of violence,access to weapons), Begin with Open ended questions “How do you and your partner handle arguments?” then continue with Closed/ more specific yes/no questions “Have you ever been hit before?”, Use additional screening methods already created for therapist use (Revised Conflict Statistic Scale (CTS2), Self Assessments for Future Events Scale (SAFE))