Case Studies
Documentation
Grievance Boards
Terms and Concepts
Supervision & Consultation
Legal, Ethical, or Moral
Misc.
100
Tracy is working with a seriously mentally ill man who has been discussing his plans to kill the president. While Tracy suspects he may be delusional, the president does have a scheduled visit to their city on a few weeks' time.  What should Tracy do?
Under HIPAA guidelines, Tracy can breach confidentiality for threats to national security.
100
What is the correct way to fix a mistake in a clinical record, AND how long must records be kept?
Single line through, with initials (no white out or sharpie marker); 10 years
100

If you hold licenses or certifications in multiple disciplines (for example an LPC and a CAC II), for which one must you follow the guidelines?

** BONUS QUESTION**

Both (all)

** BONUS QUESTION**

100
What is negligence?
Knowing the client's needs (maybe documented needs) and ignoring them
100
What are the duties of an administrative supervisor?
Scheduling and oversight of clerical staff
100
Are the Colorado Mental Health Statutes legal, moral, or ethical?
Legal (Standards are ethical)
100
What is the fine for the first breach of confidentiality?
$500.00
200
Jared is a new hire for a counseling agency. His job is to answer phones, monitor breathalyzer and urine screens, and submit billing claims to HMOs. What should Jared send to an HMO for payment for services rendered?

** BONUS QUESTION**

Enough documentation to show need and the service provided. (He can give out the treatment agency address, length of treatment, QSOA documents, but NOT client address/phone.)

** BONUS QUESTION**

200
Who owns client records AND where are they kept?
The client owns the content; the counselor/agency owns the physical records.

Behind two sets of locks (a locked file cabinet and a locked door).

200
Who comprises a board (where do the members come from)?
There are 7 members, all appointed by the governor.

3 are public members, 4 are professional members. 

200
What is a "reasonably prudent person"?
The standard by which we are all judged.  Would another professional n the field have acted similarly?
200
When must a clinician consult with a clinical supervisor?
When seeking licensure

(Recommended with Duty to Report or suspected child abuse)

200
What is a Code of Ethics?
The profession's stated ideals
200
Common law in the U.S. is based on the laws of what country?
England
300
You begin working with Cindy, a new client.  She discloses that her previous counselor asked her to join him for a drink one day after their session. She never went back. What should you do?
Give the client a copy of the pamphlet, "Your options as a Psychotherapy Client", and discuss with Cindy her right to report it if she chooses to.
300

List three things one would find on a Disclosure form.

** BONUS QUESTION**

-Educational background of the counselor

-Limits of confidentiality

-Grievance Board address

-Rights and responsibilities of clients

-Sexual contact is never appropriate

-Therapist's business address

** BONUS QUESTION**

300
If a counselor is grieved, what are four of the possible consequences a board could require?
-Dismiss the case (no fault or outside of jurisdiction)

-Send it to investigations

-Write a letter of Concern

-Write a Letter of Admonition

-Suspend or revoke the license

-Stipulated settlement (probation); practice monitor, mental health or substance abuse treatment)

300
Explain the difference between Informed Consent and Implied Consent.
Informed Consent is the client giving consent for treatment (a description of the treatment and fees).  

Implied Consent is the unspoken permission the counselor gives to the board to do a mental health or substance abuse evaluation IF there is a question of the clinician's ability to practice.

300
Explain the difference between supervision and consultation, including who utilizes each
Supervision: You must follow the directives, and the supervisor is responsible for the clinician's actions.

Consultation: Recommendation by colleagues or peers.

300
What legal exceptions are there to confidentiality, under Federal Confidentiality Law 42 CFR (list three)?
Confidentiality does NOT apply when reporting child/elder abuse, when the client is claiming insanity or suing the provider, with a signed release of information, medical emergencies in the office
300
Who accredits colleges? (Who cares?)
Regional accrediting organizations
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