Term
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Definition
males 4x more likely to succeed
females more likely to attempt
65 and older at highest risk |
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Term
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Definition
PAM PAID
P - plan
A - affect/behavior
M - motivation
P - preparation
A - attempts
I - ideation
D - deterrents |
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Term
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Definition
PLAIDPALS
P - plan
L - lethality
A - availability
I - illness
D - depression
P - previous attempts
A - alone
L - Losses
S - substance abuse |
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Term
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Definition
benefits - increases mutual respect and therapeutic alliance
risks - no legal force, may lower psychologist vigilance, and impulsive client effects |
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Term
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Definition
original form kept for 7 years from last entry; children until age 18 then +7 years.
Basic information kept 25 years after last entry:
name, birthday, DX, TX, Medications.
Children - until age 18 then +25 years. |
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Term
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Definition
age of consent established by state. U18 generally presumed incapable of consenting to participate in Tx or research in the US.
Only parent/guardian/legal authority can consent on minor's behalf.
Once consent is obtained, Tx may proceed even with child's objection.
Assent - although not a legal contract, children may approve.
Confidentiality - generally guaranteed to parent, not child; parent is encouraged to respect child's right to confidentiality; still explain limits of conf to child. |
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Term
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Definition
| be aware of relevant research/practice re: population; recognize culture in understanding psych practices; respect roles of family, community and self in client relationship and culture; if possible interact in client's preferred language; be aware of biases, prejudice, discrimination; ask how open client is to 'Western' care? |
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Term
| other ethics/diversity ?s |
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Definition
| number of generations in country; years in country; fluency in English; family support; community resources; change in social status from immigration; stress due to acculturation. Questions for self - is bx 'healthy paranoia' and is it a culturally bound disorder? |
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Term
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Definition
Tuskegee Syphilis study (1932-1972):
clinical study in Tuskagee AL - 400 poor, black sharecroppers with syphilis - patients not informed of Dx and only 1/2 received Tx - ethical issues:
inf consent; deception; withholding Tx (exploitative relationships); led to development of Office of Human Research Protections and IRBs |
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Term
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Definition
| Psychologist warned police - patient was hospitalized then released - no warning to victim or family. "Protective privilege ends when public peril begins". Mandated reporting: child/elder/disabled abuse; suicidality/homicidality; not a law in HI but generally good practice. |
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Term
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Definition
| ethical obligation so as to provide better patient care |
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Term
| ethics - patients on probation |
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Definition
must report to probation officer if we know of violation;
include this in informed consent. |
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Term
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Definition
health insurance portability and accountability act, 1996:
regulates use and disclosure of health info by covered entities; protects privacy of patient's health records/medical records/billing info/case consultation; gives rights of access to patient to control/correct information |
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Term
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Definition
| safeguards to protect data; administrative procedures that comply with HIPAA; control physical access to data (e.g. IT workers); technical - control access to networks transmitting data |
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Term
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Definition
health care providers; health plans/insurance co's/HMO's/govt; health clearinghouses (that process health information).
Do not provide information summoned by subpoena but must provide info summoned by court judge/court order. |
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Term
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Definition
| Columbia Suicide Severity Rating Scale |
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Term
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Definition
Family Education Rights and Privacy Act
protects student's records; grants them access to or to amend/disclose records |
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Term
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Definition
| an exception to the general rule that the public has the right to relevant evidence in a court proceeding; a relief from the duty to speak in a court about certain matters; confidentiality refers more broadly to legal rules and ethical standards that protect the individual from unauthorized disclosure of information |
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Term
| ethics of informed consent |
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Definition
| ensure the client really understands what IC means; cultural factors (e.g. do they understand legal agreement vs. a handshake/word is honor?); IC helps balance power differential, create trust; patients also more vulnerable at time of IC; clarity of explanation of IC to client; patient's lack of insight into their problem/treatment/understanding of IC. |
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Term
| Informed consent and legal system |
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Definition
| patient has option of/should be encouraged to consult with legal counsel before signing IC in matters that could go to trial (Dwyer, 2012) |
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Term
| Legal matters - rec's for practice |
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Definition
advise client about privacy, privilege and confidentiality; can include clause to not be called to witness if patient goes to trial but subpoena may override this - still may help and increase rapport/trust; know state laws; therapist can assert privilege at time of RFI, but client 'owns' privilege. Primary responsibility for informing client of consequences of disclosing/refusal to disclose lies with patient's attorney; psychologist should clarify they cannot offer legal advice; psych and attorney should confer with pt permission to clarify psych's role, general content of PHI, and how this would affect client's case. If psych releases PHI to attorney it may still be protected by attorney-client privilege. If PHI is released, psych has responsibility to ensure information is clear/less likely to be misused, helpful to legal process, explain limits of relevancy to legal case, rights of minors to privilege, client competency to consent in context of mental state/cultural background. Fees should be clarified at outset. Psych should clarify PHI content/risks/benefits with client. Release of PHI form should be in client's own language - if not, obtain interpreter; refusal to sign but oral consent should be documented and signed by witness.
Psych can also ask to limit disclosures to attorneys or to court directly by limiting scope of release or permission to redact outdated/irrelevant information. Client should have copy of all PHI release forms. Psych cannot make 'summary in lieu of' PHI as it is inadmissible. |
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Term
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Definition
| if psych is req'd by patient to testify, psych should study diff between forensic and treating psychologists; should consider client motives; testimony that whitewashes client's case could be considered non-credible; risk to psych-client relationship; consider if information requested on stand is privileged or not; can ask judge to clarify and decide to permit question. |
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Term
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Definition
| Careful consideration of risk/benefits of releasing records; if releasing all or part of records; include patient in process to mitigate risk of pt complaints |
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Term
| Hawaii Dept of Commerce - psychologists |
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Definition
| modesty, scientific caution and regard for limits of present knowledge; make claims only with solid evidence base; conflict between professionals/other should always aim to protect patients first. |
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Term
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Definition
| 14 if therapist deems minor mature enough to make that decision - needs parental consent for medication or placing minor in in-patient program; should involve parents if possible, unless therapist has good reason not to - should document why not and if he tried to obtain it, why could not; minor may not abrogate consent given by parent and vice versa; minor is not liable for payment, parent liable if partakes in therapy. |
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Term
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Definition
| consult an attorney - don't send anything right away; do not acknowledge treating the patient yet; check who sent it (court/judge); obtain client consent if possible; avoid releasing test protocols, communicate with judge about their interpretability and copyright laws; |
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