refers to the a wide variety of forms in which the instructor and student are not in direct visual or auditory contact.

Includes: Internet courses, CD-ROM, satellite, downlink, and home study.

-approved my MCEP

-provided by APA approved sponsors

-Continuing Medical Eduction (CME) when the courses are applicapble and pertinent to your field

-Courses approved by the MCEPAA don't have to be reported, as they are directly reported to them just by doing it

-Everything else must be put into the MCEP credit reporting form

-Some form of training in Ethics

-spousal/partner abuse, detection, and intervention strategies

License becomes invalid

must take the CE units to reactivate

must be done within 6 months or you will be disciplined

-been residing in another country for more than a year

-engeged in active military duty

-total phy or mental disability for at least a year

-has had total responsibility for the care of an immediate family memebter for at least a year

-discription of their rights

-discription of my leagal duties

-discription of discosures of info that are permitted
-how patient can flie complaints

-how psych will provide notice of any changes

-contact for additional info

-a date in which the notice is in effect

Authorization are required by HIPAA but not consent

HIPAA guideline 1

responsibility for records

HIPAA Guideline 2

Content of Records

must maintain accurate, current, and pertinant records of professional services

Should include info such as the nature, delivery, progress, and results of psychological services and related fees

HIPAA Guideline 3

confidentiality of records

HIPAA Guideline 4

disclosure of record keeping procedures

HIPAA Guideline 7

retention of records

maintain at least 7 years after last date of service for adults

or 3 years after a minor reaches 18, whichever is later

Prohibitions for Psych Assistantships

-PA must be treated as employee, so free office space and supplies

-PA cannot bill patients directly

-PA cannot have been sup therapy client b4

-PA cannot be family, intimate, or business with sup b4

-sup cannot charge a fee for supervision

-sup can have no more than 3 PA's

-Sup cannot delegate supervision to anyone else

-must have completed a doctoral degree

-Must have completed at least 1500 hours of professional experience

-must be "registered" to a non profit agency reciving at least 25% of its funding from govt

-2.5 year non-renewable registration

-awareness of one's own attitudes and beliefs

-knowledge about cultural differences

-skills in working with diverse groups

distinction between sex and gender

sex: biological aspects

gender: psychological, social, and cultural experiencesand characteristics assocated with the bio aspects of m/f

when a person, as a result of a mental disorder, is a danger to himself or others, or is gravely disabled

certification must be signed by 2 ppl

1. professional in charge of the facility

2. psych who participated in the evaluation

also, patient must be rights

including review hearing within 4 days

initated and completed by cop or attending staff

certified by professional in charge of the facility

they continue to be an emminent threat of taking their own life, even at the end of the 1st 14 day hold

-though advised about voluntary treatment, they refused

-again, must be certified by someone in charge

-person has remained gravely disabled

-person continues to refuse voluntary treatment

-they appear to possibly be ablet o to get better within 30 days, so a conservatorship is not needed

imminantly dangerous persons

can happen after the 1st 14 day period

-person had to have attempted, inflicted, or made serious threat after being taken into custody

held in the facility for at least 17 days, but not mire than 47 days

-tried to contact family memebers

72 hour

14 day hold

possibly another 14 day hold

30 day hold

180 day hold

conservatorship

mental health provider or parent deems it necessary

if over 14, child is provided right to a hearing if the minor objects to admission

their attorney must be contacted within 6 hours of admission

minor, who, as a result of mental disorder, is unable to use the elements of which which are essential to health, safety, and development, inlcuding food, clothing, and shelter, even though provided to the minor by others

-mental reatdation, epilepsy, dev disab, ETOH or drug abuse do not by themselves constitute a mental disorder here

3000.

at least 1500 of which must be accured post-doc

what are the supervisors stipulations for post-doc

supervisor must be employed in same setting for at least 50% of the time

must be available for consult 100% of the time

BOP says can supervise right after licesure

CSPP says not for 3 years

must also have taken supervisory CE

Yes

10%

All: must complete CE on supervision

BOP: right after licensure

CSPP: 3 years post license

Telepsycology:

pros?

you can reach ppl in rural areas

access to ppl who might not either be able or willing to come to your office

Telepsychology

Cons?

missing non verbal info

lose a lot of the experince

would have to learn to use the new technology

lots more data to store

Advertising

what can't you include?

promises

"clinically proven"

lies

misrepresentation

Chemical dependency

aging

child abuse

sexuality

spousal abuse

7 years after last contact (adult)

3 years after the 18th birthday of a minor

multicultural competece:

why?

multi cult

ethical responsibilities

2 be competent in patients area

recognize that diversity can be an importnat factor

recognize my own cultural attitides

Multi Cult guidelines?

who created them?

are they enforcable?

APA

non enforeable

Multi cult

What if foreign client's beliefs about child abuse/endangerment are different from yours

Initial 72 day hold

Danger to self

danger to other

incapable of caring for self due to a mental disorder

Additional 14 day hold

2 signiaiures necessayr as is a hearing

either they have to volunarily stay

or

need a hearing and 2 signitures

No., guilty until proven innocent

guilt is assumed

contact a lawyer

once contacted, it means they are going after you

misdemeanor

punishable by fine or jail

taking advantage of otehrs

dihonesty

fraud (insurance, billing, etc)

being compensated or compensating for referrals

administrative judge

no jury

Progress notes are part of their file and therefore able to be subpoenaed

Psychotherapy notes are your own private records, not to be included in file