ethics and how access record of client

Pari Daud : 

Pari Daud ACCESS TO RECORD

ACCESS TO RECORD: 

ACCESS TO RECORD ACCESS BY FAMILY MEMBERS COURT ACCESS TO RECORD THIRD PARTY ACCESS: INSURES AND PEER REVIEW

ACCESS BY FAMILY MEMBERS: 

ACCESS BY FAMILY MEMBERS Psychologist should recognize  unique problems  families sensitive to each individual privacy and confidentiality Form the beginning  informed nature of confidential

CASE: 

CASE Cynthia Childs. Psy. D., has been treated seven year old Max Bashem for about a 1 mouth. Max was referred for treatment because of secondary enuresis and acting out behaviors that are recent onset. The birth of new sibling in the Bashem family several weeks ago seems to have been a precipitating factors. Near the end of five therapy session, Max express some anger about his new sibling member and tell Dr.Childs “ Tonight after my parents go to bed, ‘ I am gonna to kill that little weasel’”

CASE: 

CASE Donna Rhea. Age 15, was also in the therapy with Dr.Childs. Donna feels alienated from her parents and in sexually active. Her parents discover that she has contracted a venereal disease and in the moment of emotion distress she accuses them of being as “understanding as Dr.Childs” the parents are Furious that the psychologist know that their daughter was sexual active and did not tell them. They claim that unless they receive a full briefing from Dr.Childs they will remove their daughter from treatment. They also threat to file an ethics complaint

THE PSYCHOLOGIST RESPONSE IN CASE 1: 

THE PSYCHOLOGIST RESPONSE IN CASE 1 Does Max have a history of violence toward others? Is he exaggerating his anger in the context of therapy for emphasis? Dr.Childs explore this issue with the Max before ending the session or talk about the alternative scheduling family conference Dr.Childs believe that she cannot stop Max so informed family member “duty to Warn”

RELATIONSHIP THAT CAN ACCESS THE CLIENT RECORD: 

RELATIONSHIP THAT CAN ACCESS THE CLIENT RECORD The spouse  they are not divorced. The children of the legal age, which each client having a equal voice. Parents or grandparent If none of above so the nearest relative

THE PSYCHOLOGIST RESPONSE IN CASE 2: 

THE PSYCHOLOGIST RESPONSE IN CASE 2 The parents may jealous  trust and respect their daughter seem to have in a psychologist And angry and disappointed at her sexual activity and infection A conference would not be inappropriate, When access to record by a family members of an adult it should usually be denied, unless there is some particular reason to consider a request such as “imminent danger” or the in capacity of the client.

COURT ACCESS TO RECORD: 

COURT ACCESS TO RECORD Personal working notes not a subject to disclosure  especially in the civil case criminal cases, psychologist appears in the court and brings “any and all files, documents, reports, papers and notes” regarding the case in question

CASE 1: 

CASE 1 Arnold and Anita abuser were being treated in martial therapy by Samuel slient. Ed.D, when their child died in apparently inflicted injuries. Dr. silent subpoenaed to appear before the grand jury investigating the child death, and he was questioned about the content of his session with the Abuser by the district attorney who sought incriminating evidence about the couple. There was no privileged communication status in Dr. silent status and the judge order him to testify or bi hold in jail for contempt of court. Abuser did not wish that Dr. silent to discuss in court any material from their session.

CASE 2: 

CASE 2 John and Sandra Spleen filed for divorce under circumstance that was less then amicable. John was a psychologist, and the Sandra believed that he was lying about his income in the process of negotiated financial statement. She sought a court order for her spouse to disclose the name, address and billing record of his client so that she and her attorney could check on the actual income form his practices.

THE PSYCHOLOGIST RESPONSE IN CASE 1 : 

THE PSYCHOLOGIST RESPONSE IN CASE 1 Dr. silent resist disclosure of confidential material, using all legitimate legal avenues. When such avenues are exhausted and if they fail, Dr silent would probably not to bi faulted for ultimately disclosing the material.

THE PSYCHOLOGIST RESPONSE IN CASE 2: 

THE PSYCHOLOGIST RESPONSE IN CASE 2 his records to be audited in a confidential by a bounded professional, without the need to contact client individually.

THIRD PARTY ACCESS: INSURES AND PEER REVIEW: 

THIRD PARTY ACCESS: INSURES AND PEER REVIEW view as financial perspective Client will not realize that this submission authorize the provider of services to share certain information (e.g diagnosis , type of service offered dates of services rendered during in the treatment and so forth) After information leaves a psychologist office, its beyond his or her controL

CASE: 

CASE Victor Vigilant, Ph.D., routinely informs his client about the issue of discourse insurance companies in the following manner. He tells clients who have coverage “if you choose to use your coverage, I shall have to file a form with the company telling them when our appointment were and what services I performed (i.e., psychotherapy, consultation, or evolution). I will also have to formulate a diagnosis and advise the company of that. The company claim to keep this information confidential, although I have no control over the information ones it leaves the offices if you have question about this you wish to check with the company provide the coverage. you may certainly choose to pay for my services out of pocket and avoid the use of insurance altogether, if you wish.

PEER REVIEW : 

PEER REVIEW some companies further complications arise when ever claim forms may be processed through staff member. risk because staff in the personal office might have access to the information That’s can create problem for certain clients and some diagnosis