1) Dismiss Charges

2) Sanctions

3) Formal Charges

4) Stipulated Resignation

1) No violation found

2) Trivial or corrected violation found

3) Insufficient evidence

4) Educative letter

1) Inquiry

2) Investigation

3) Adjudication

4) Appeal

1) Advise

2) Warn

3) Reprimand

4) Censure

5) Time-limited resignation

6) Expulsion

Privacy - right of the individual to make decisions about how much of his thoughts/feelings/personal information should be shared with others

Confidentiality - Don't discuss information without clients' permission (broader than privacy)

1) Patient waives right

2) Identifying information is removed

3) Breach required/permitted by law

1) Wehther the employee kept their appointment

2) Whether the employee needs treatment

3) Whether the employee accepted/rejected treatment

1) Determine if subpoena is valid

2) Contact client and discuss the implications of sharing info

3) If the client consents, provide information/ If client does not consent, negotiate with requester

4) If necessary, have attorney file motion to quash subpoena or motion for protective order

1) Purpose

2) Right to decline/withdraw

3) Consequences of declining

4) Risks

5) Benefits

6) Limits of confidentiality

7) Incentives

8) Contact information

1) Research value > deception cost

2) There is no other way to accomplish goal

3) Participants are debriefed

1) Humane treatment

2) Responsible treatment

1) Only present conclusions based on sufficient info

2) Discuss implications of assessment data

3) Clarify role/avoid conflicting role

4) Comply with ethics code

1) Probability of danger

2) Type of harm

3) Effect of harm

4) Seriousness of harm

5) Frequency of harm

6) Imminence of harm

1) Gather as much info as possilbe

2) Be clar about the type of threat indivdiual poses

3) Note that it is not possible to predict harm or future behavior

Minimally acceptable levels of quality assurance and performance

services in the practice of clinical, counsling, I/O and and school psych

1) Interventions

2) Evaluation

3) Consultation

4) Program Development

5) Administration/Supervision of psychological services

6) Evaluation of psychological services

1) Clinical psych

2) Counseling psych

3) School psych

4) I/O psych

Primary Standards

(Standards for Educational and Psychological Testing)

Primary standards should be met by all tests before their use and in all test users

*unless there is sound professional reason to show that it's not necessary or feasible*

Secondary Standards

(Standards for Educational and Psychological Testing)

Conditional Standards

(Standards for Educational and Psychological Testing)

1) Primary

2) Secondary

3) Conditional

1) Technical standards - for test construction & evaluation

2) Professional standards - for test use

3)  Standards for particular applications

4) Standards for administrative procedures

1) Recognize diversity

2) Understand the role of culture/ethnicity/race in development

3) Understand the socioeconomic/political factors that impact development

4) Help clients understand/maintain/resolve their identification

1) Similarity (impact of racial/ethic similarity)

2) Utilization (minority utilization of MH services)

3) Effectiveness (directive vs non directive style)

4) Values (role of values in tx)

5 Models (Appropriate models for populations)

6) Competency (skills for working with specific populations)

1) # generations in country

2) # years in country

3) English fluency

4) Extent of family support

5) Community resources

6) Level of education

7) Change in social status

8) Relationships w/ ppl of different backgrounds

9) Level of stress reltd to acculturation

1) Breach of Contract

2) Assault

3) Abandonment

4) Suicide

5) Unauthorized Disclosure

6) Negligence

Suicide

(type of malpractice suit)

1) Professional relationship with the client

2) Negligence

3) Harm to client

Sexual & Dual Relationship Claims

% opened for investigation

% of all claims

% of all malpractice costs

43% opened

21% of all claims

50% of all costs

Competence Claims

% opened for investigation

% of all claims

% of all malpractice costs

42% of all opened

43% of all claims

33% of all costs

Confidentiality Claims

% opened for investigation

% of all claims

10% opened

6.7% of all claims

Financial Arrangements

% opened for investigation

% of all claims

15% opened

3.8% of all claims

1) HMO (Health Maintenance Org.)

2) PPO (Preferred Provider Org.)

3) IPA (Independent Practice Assoc.)

4) EAP (Employee Assistance Program)

Health Maintenance Organization

Closed group system. Patients only receive care from HMO providers. HMO paid on per-capita basis. Responsibility for cost-containment and quality services are controlled by HMO

Preferred Provider Organization

Practitioners join networks/panels. Must accept lower fees, negotiate contract levels and limit length of services. Contain healthcare costs by gatekeeping and external review.

Independent Practice Organization

Independent group of practitioners who contract w/ an HMO to provide specific services. Paid capitulation fee or a discounted rate for services.

Focus on cost containment

Infolves assessment of patients' use of services to find ways to decrease unnecessary use