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Laws to Psychotherapy
Privilege and Subpoenas
21
Other
Graduate
11/10/2016

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Term
Privilege Defined
Definition
-Clt's legal right not to have confidential info revealed during a legal proceeding
-Protects clts from having confidences revealed publicly w/o permission
-Applies to interns, trainees, associates and licensees
-Also exists between mental health professionals corporation + clt who is receiving prof services 4m that corp
Term
The right to hold, assert, and waive privilege-Who is the HOLDER Of PRIVILEGE?
CA Evidence Code 1013
Definition
a.the patient (regardless of age) when there is no guardian
b.A guardian OR conservator
c.Personal rep if patient is dead
d.All members of tx unit (fam,ind,couple)
Term
Who can assert privilege?
Definition
-person who holds privilege
-Mental health prof until directed to do otherwise by clt or by court order
-MFT, SW...
-mental health prof do not assert privilege upon a court order. In this case, what ever is specified in the court order must be disclosed.
-MHP who are subpoenaed abt a clt who is court-ordered or on probation or parole or incarcerated has privilege
Term
Who can waive privilege?
Definition
-A clt waives privilege
-A guardian or legally designated conservator
-If court has appointed an attorney as guardian
-Judge can waive privilege if clt has no legal designated conservator or guardian
-personal rep if clt is deceased
Term
Minors and privilege A
Definition
-Minor holds privilege unless there is legally designated guardian or conservator
-Parents may not exercise the privilege on behalf on child UNLESS they are designated as a guardian by court "ad litem"
Term
Minors and privilege B
Definition
A therapist who receives a subpoena for the records of a minor clt -would confirm who is acting as the minors guardian ad litem and obtain written consent whether to assert or waive privilege on behalf of minor
-An ind cannot act as a guardian ad litem unless s/he is rep by an attoreny or is an attorney
Term
Exceptions to Privilege
Definition
-If the clt has introduced his/her emotional condition in a legal proceeding (code 1016)
-if there was a breach of duty
ex: therapist sues clt for non payment
clt sues therapist for malpractice
Term
Exceptions to Privilege
Definition
-If therapist has been appointed by the court to examined clt 1017
-If clt sought psychotherapy to commit a crime and/or escape punishment for a crime
-If clt is under 16yrs + VOC
Term
Exceptions to Privilege
Definition
In a proceeding requested by a defendant to determine sanity
-If clt is dangerous to self or others. No privilege if Tarasoff
-If a coroner request info in the course of an investigation of deaths involving public health concerns (abuse,suicide, poisoning,accidents, SIDS, unknown deaths
-Establish competence
Term
Responding to Search Warrant
Definition
If a search warrant names the therapist as being suspected of criminal activity, the records that the search is seeking must be surrender
Term
What is a Subpoena?
Definition
Commands a witness to appear before the court in order to produce a testimony in oral or written form.
Term
Who can issue a subpoena
Definition
Judge or attorney
gives recipients at least 5 days notice to produce documents
Term
Subpoenas and privilege
Definition
Because of psychotherapist-patient privilege therapists have a legal duty to assert privilege.
Term
Court order vs. subpoena
Definition
In a court order, a therapist must provide everything that the court order demands. Asserting privilege is NOT an option.
Term
Responding to a Subpoena
Definition
1.Therapist must contact clt or clt's legal rep to assert or waive the psychotherapist client privilege. 2. Release authorization to talk to clt's attorney to clarify info about uncertainties betclt and therapist and/or to determine if the clt and attorney agree on asserting or waiving psychotherapist-clt privilege
Term
If clt decides to assert privilege
Definition
1.Clt's attorney files a motion to squash the subpoena
2.Judge grants/denies
3.Therapist should obtain a signed document by clt or attorney decision to assert of waive privilege
Term
clt decides to waive privilege
Definition
1.Clt signs waiver of privilege for records
2.Therapist turns over whatever records or info is south
3.Therapist may not produce summary of records south w/o court permission
Term
What is a deposition?
Definition
Testimony given by a witness under oath outside the courtroom in the course of a judicial proceeding.
Term
What is a percipient witness?
Definition
Fact Witness, testifies regarding the facts of tx or impressions of the facts- no opinions abt tx or patient
Term
what is an expert witness?
Definition
Opinion witness,testimony regarding diagnosis, prognosis, or tx decisions is considered opinion evidence
Term
Testifying in court-be ready to disclosed
Definition
1. presenting problem
2.Diagnosis and Justification
3.tx plan info
4.Therapeutic techniques
5.Progress
6.Consultation w/ other proff
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