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What Is Informed Consent?

The right for clients to be informed about their therapy and to make autonomous decisions pertaining to it.

List 3 informed consent benefits

Increases the chance that clients will become actively involved, educated, and willing participants in the assessment process and in therapy.

Eliminates any confusion and provides the client with a clear understanding of what they can expect from therapy.

Clients feel like they can choose how their therapy will be approached and have a say in what kind of treatment they want to engage in.

List 5 Elements of Informed consent

The theraputic process (including assessment)

Background of therapist

Consultation with colleagues

The length of therapy and termination

Clients right to access their files

Rights pertaining to diagnosis classifying

Tape recording or video recording sessions

alternatives to tradtional therapy

benefits and risks of treatment

cost involved in therapy

interruptions in therapy

Using telecommunication technology

assessment of clients background

the nature and purpose of confidentality

The difference between Progree and Process notes

Progress Notes- are a means of documenting aspects of a client’s treatment and are kept in the client’s clinical records. Process Notes- deal with the client’s reactions such as transference and the therapist’s subjective impressions of a client.

List 3 advantages of online counseling

Improving client access in rural areas

Greater number of people can recieve services

Reaching clients who are reluctant to participate in face to face therapy

giving access to those who live with disabilities or chronic illnesses that render them immobile

being able to recieve therapy in an enviorment that the client feels comfortable in

List 5 reasons for malpractice

Failed to obtain or document informed consent

failure to assess or manage a dangerous client

unhealthy transference relationship

repressed or false memory

practive beyond scope of competency

marked departures from marked therapeutic practices

sexual conduct with a client

client abandonment or premature termination

refusal to counsel a client due to value differences

Whats fishers 6 step model for protecting Confidentiality?

Prepartation

Tell clients the truth

obtain true informed consent before disclosing voluntarily

respong ethically to legal demands for information

avoid preventable breaches of confidentiality

talk about confidentailty

List 3 expectations to confidentiality and privacy communication

When a client requests a release of information

when a counselor consults with experts or peers

when a counselor is working under supervision

when other mental health proffessionals requests information and the client has given concent to share

when other professionals are part of the treatment team and coordinate the care of a client

List 6 danger warnings of suicide

Suicide in the family

Have a history of severe alcohol or drug use

Giving away prized possessions finalizing business affairs, or revisting wills

Assess clients support system

hass access to lethal means

they have a suicide plan

History of psychiatric treatment or hospitalization

have feelings of hoplessness or helplessness

Previous suicide attempts

suffering from depression or sleep distruption

consider clients level of impulsivity

consider the clients ability to problem solve

interpersonal stressors of loss

recent diadnosis of termal illness or health condition

What are the types of elder abuse?

Physical abuse

sexual abuse

abandonment

neglect

physologocial or emotional abuse

finanical or materical explotation

Define multiple relationships

are defined as one in which a practitioner is in a professional role with a person in addition to another role with that same individual or another person who is close to that individual.

The difference between boundary crossing and boundary violation

Boundary violation-Exploitation of a client at some level Boundary crossing- changes in role

list 3 disadvantages to online counseling

Danger of making inaccurate diagnosis

compromising privacy and confidentiality

difficulity protecting client in a crisis

challenges of working through transference or countertransference

lack of competence and danger of misrepensentation of counselor's qualifcations

List 3 legal expectations of confidentiality and privacy commnication

Clients pose a danger to others and themselves

disclousure of confidential information is ordered by a court

client wavier of privledge

clients file complaints or lidigations against their counselor

clients clain pychological damage in a lawsuit

civil commitment proccedings are indicated

statues involving child or elder abuse mandate disclosure