Maheu Good Therapy 2012


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Slides for webinar to be held for free by GOODTHERAPY.ORG on 9/15/2012

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Maheu Good Therapy 2012

  1. 1. Best Practices for Successful Legal and Ethical Online Counseling and Coaching GoodThera py. org September14, 2012 Marlene M. Maheu, Ph. D.
  2. 2. Disclaimer WHO I AM: l am a licensed psychologist, not an attorney, physician, marketing or information technology (IT) professional. MY GOAL: My goal is educational only. I will outline the issues and alert you to what's happening in a way to elp think through the issues, help you move forward, and protectyourselfas well as your clients or patients. I hope to inspire you to use technology in ways that help you, your clients and our profession. No warranty, guarantee, or representation is made as to the accuracy or sufficiency of the information contained in my presentation for your specific circumstance. I assume no responsibility in connection therewith your choices. YOUR PART: You are encouraged to seek specific advice from your specific legal, regulatory, ethical and malpractice bodies before offering any online services or programs to consumers. Get all such opinions in writing, and have your informed, trusted, local, legal counsel review them for theirfull significance. Copyright 2012 Tebmental Health Institute, |nc. A|| rights nesevved.
  3. 3. AMI Ill 32 I-NIH‘; -llI*I°'—' OII IIIIVIIII -'IIlO9I| llIr'-- -E
  4. 4. Types of Health Care Technology llanosensois Namuogmmim Nanoelettionics Elettiical - Struttuial - Biomedical Energy & Environment Wuoreé“ ‘VI/ ith permisslonfrom Teri Louden ofthe Louden Network and Adapted from: Br'ology, Bioconvergence, hformation and Emerpiise: Taking the Broad View, May20,2004, Alan Barrel
  5. 5. APA Proposed Society for Technology & Psychology COMII/ ’Ul. ‘lCAT| ON& Practice ‘°'f, ';}{’§g§, ’§§‘°" Science ie. g.. Internet. Blogging, Soda! media, Cvbemeticsfeg. Biosensingc‘ Fe-2cIbacit: ;5ocia| netx-lurking! EOMPUTIHG IVETHODOLOGIB ue. g.. -Krtificial Intelligence; TELECOMII/ IUI‘iCAYlOI‘IS Ilatural I-ans. Processing. Robotics; User Computer leg" Elelnmnlc Mall? Interface: Ie. g., Computer Telepsvcholosv; Remote VisionTracling. Haptic Sensing; rlireless. 5‘. Training Interfaces; computer TechnoIugv; TeI-zphones[e. g.. SimuIationsle. g.. VirtuaI Mobile Phones. mHeaIth, ' Human agents" 'at= rs3 Maginwd“ Legal & Ethical Issues I Em. ,,, ,mn, ,,. I Conferencing, Interactive l‘llc'°c°m, pl"er5.; . golrllaglllgi Voice Response‘ Software i_e. g.. 'I<leu uames, I Implementation & Education Tra , nmg Public Interest HEALTH ITS‘ IIIFDRMATICS ie. g.. BigData; ContmlIed i'ocabs[e. g.. ICE--10:. Decision l‘-‘l3ll"E3 5UPP°"sD3‘3 UI’HERTECHIt'OI. OGlES Mining; Electronic Health and . Personal Health Records; lel: lga'r": :l; l:: ':): ;;l; Vgv' Elt '[atP", se= u?? .t'Z21i. .'nS; rl1Z7r°§srr 'i'a"°'"‘= d‘= "'*‘ Information E-change; HITECH, Information Storage 5; Retrieval; Interoperability I-: iht i-. ‘:ZO| .'». ' lay‘ i‘-’I3IlvEl‘It: ' M M.1It-zu Ph D
  6. 6. Online Cou Coaching Telemedicine Telehealth Ehealth Behavioral Telehealth Telemental Health Telepsychology Online Counseling On| ineTherapy mHeaIth
  7. 7. 9 O Modalities Blogging / Websitesl Social Media (Google, Facebook) Email Chat Text Messaging ° Telephone/ Vo| P Video Chat (Skype) Smartphone Tablet PC ~ VPN/ Cloud Video Peripherals
  8. 8. The Internet Opens a Window to Professionals . —:1—-. .¢—= ‘—_—. ,
  9. 9. ., .a
  10. 10. Video Teleconferencing (VTC) Com/ right 20 I2 T-2L: -M; -ntal Health Institute lnc. A|lri-glits resei'v‘-sci.
  11. 11. (Z-: -pyright 213 I2 Te L2l‘. '»: -nlal Health Institute, |nc. .-'«I| rights re '»: :rt'»: ~:I.
  12. 12. Wearable Computers (Glasses)
  13. 13. Primary Focus: Not the technology, but rather, the service we deliver However, Different Modalities Require Different Skill Sets __ - / ' ~ | n—person - Text (email, chat, texting) ' Audio ° Video
  14. 14. |sSkypea video platform or a social media platform? C ht2oi2TeIeMemaI Heath Instnuie-, |nc. AIIriqhtsreseiwd.
  15. 15. The Is Video Teleconferencing (VTC) Effective? - Yes — Medicare & Medicaid required to pay ° Outcomes are relatively comparable, especially for follow-up care (intakes are still a matter of state law) ' Literature for specialty groups is sparser, but positive (pediatrics) — Also effective for supervision — Can improve some ways service is rendered — See www. te| ehealth. ORG/ bibliography - BUT, traditional VTC isn't the same as Skype Copyright 20 i2TeEMental I-talth Insthute, Inc. AIIrIgIits reserved.
  16. 16. Benefits of Traditional Video—Based TeIeheaIth* - Increased client satisfaction - Decreased travel time - Decreased travel, child & e| der—care costs - Increased access to underserved populations - Improved accessibility to specialists - Reduced emergency care costs - Faster decision—making time - Increased productivity / decreased lost wages - Improved operational efficiency 0 Maheu, Pulier, Wilhelm, McMen amin & Brown—Conno| |y. (2004). The mental health professional and the new techno| ogies. ErIbaum, NewYork.
  17. 17. All Existing Legal & Ethical Rules Apply Risk—Management Involves Following These Rules
  18. 18. it OCPM Step 3 Legal Issues: Which Technologies to Use? No Guesswork Needed — H| PAA”compliant”or ”compatible” — Practitioners need to be compliant, not technology — Lookfor documentation of compatibility with HIPAA standards HIPAA Compliant Handoff - any Devic: :?; ?:'-gszttveen . sweeping _ etworl. Be , -Hobneru II at I’ _. .. . ..
  19. 19. i‘2El: <£Ifl. -£i_I". T_g : fCl‘v»er* Cl .4 4 ‘ L) lo I» ‘U Copyright 20I2 TeIeMenta| Health Institute, Inc. AIIrightsreserved.
  20. 20. Licensure Requirements We need to be licensed in our state(s) to practice mental health Common: We need to be licensed in the state of residency of the patient (e. g., Florida, Texas, Utah, Vermont) Also Possible: Both laws may exist
  21. 21. Question I'm ok if my malpractice carrier says they cover me online, right? C-: v|: r(: right 20 I 2 T-2L: -N»: -ntal Health Institute lnc. AI| rights re perv»: -cl.
  22. 22. APA Standard 10: Informed Consent r 3.1 O Informed Consent (d) Psychologists appropriately document written or oral consent, permission, and assent. — http: //www. apa. org/ ethics/ code/ index. aspx
  23. 23. Guidelines as a Shortcut to the Literature °Ameiican Medical Association. (2000). Guidelines for Patient-Physician Electronicli/ iail °Ameiican Counseling Association. r’l999) (200S). ACA Code of Ethics °Anieiican ivlental Health Counselors Association. (2000). Code of Ethics ofthe American Mental Health Counselors Association, Princip| e14. Internet On—Line Counseling °American Psychological Associationl. 1 9971». APA Statement on Services l>yTelephone. Teleconferencing, and Internet. A statement by the Ethics Committee of the American Psychological Association °American PsychologicalAssociation. r12010). Ethical principles of psychologists and code of conduct °Ameiican Telemedicine Association. (2009). Evidence-Based Practice forTe| ementa| Health °Am-eiican Telemedicine Association. (2009). Practice Guidelinesfor Videoconferencing—BasedTe| emental Health - Australian Psychological Society. (2004). Guidelinesfor Providing Psychological Sen/ icesand Products on the Internet ° British Psychological Society. (2009l. The Provision ofPsycho| ogica| Servicesvia the Internet and Other Non—diiect Mearrs ° Canrrdian Psychologrc: r| Association. (2006ji. Ethical Guidelinesfor PsychologrstsProvidir‘ig Psychological S{‘lV| C£‘€~Vl. ’1 Electicrrricfi/ leclia ' Federation of State r'v'redical Boards of the United States. Inc. .. Report ofthe Special Committee on Professional Conduct and Ethics. i‘2002'r . 'v‘; ode| guidelrnesforthe appropriate use of the Internet in medical practice 'Natrona| Association OfSOC| &lVVOlk€‘l'$. £1999) r,2'u’U8§r. Code of Ethics ° National Board for Certified Cotinselois and Center for Credentialing and Education. (2001 ir. The Practice of Internet Cotir1selrn<i. (2r"rr”rlji ° Ne-. -i. -' Zealand Psi/ clrological Psi/ c|io| ogrstsBoard -‘.2i‘rl ll. Draft Guidelines: Psychology services delivered via the rnterner mdothei electronic media ' -ifihio F’Sy<Il‘r<)l)r’_. lICal Association. r2010r. Telepsychology Guidelines ° Ar'neiir: .an F’sy‘<: |rolr: rgrcal A~: .sociation. (20 I 3ji. Te| c-psychcrlogy Guidelines
  24. 24. ACA Resources AC/ it Ethical Standards: Technology http: //Www. counse| ing. org/ Resources/ Code OfEthics/ TP/ Home/ CT2.aspx A ’: .s‘: a‘s. ;;urreanc? Certificates: http: //Www. counse| ing. org/ Counselors/ Licen sureAndCert/ TP/ StateReguirements/ CT2.asp X
  25. 25. 1 I‘: . , ‘ . . ‘ ' . ‘_, . x _ , . r. g . _ I ; . , , 1 T‘. , fir? ‘ -,2 3. ‘, _*3~‘. ', -3‘. fi -. -9 , .- ’ r; T ‘ ‘r‘; r-- ' f A “ ‘- «. ,3’ . -‘V ‘go’ -V r ' 5 ' _ ' - _ > ,5 1 *- _. *"~‘. Z-"" .7 ‘7‘‘ 1‘ I x‘ ‘ , F rs’ ' vs‘ " “I. .-— . » —' ' ". . 1*: if J a . .a‘_‘ if! l . .3 Boundaries of Competence Racial, Linguistic, Gender, Religious & Cultural Diversity C-Jpvrighl 2012 Tvalallr‘-; -nral Healtlr lnstilule lnc. .-‘ill rights I9‘;3i‘r/ E(l.
  26. 26. Online Norm vs. Standard of Care - Mostly Email & Chat vs. Video - Anonymity/ No Patient Records - Avoid Responsibility w/ Website Disclaimers - No Clear Channels for Mandated Reporting
  27. 27. Online llorm vs. Standard of Care No Contact with Other Treating Clinicians e No Authentication of Consumer/ Professional No Emergency Backup Procedures Misunderstanding of Clinical Processes (suicide) Scant Research for Unsupervised Settings
  28. 28. Australian Psychological Society (2011 revision of Internet Guidelines) ° Research—based protocols — I.6”Psycho/ ogists using the internet to provide a psychological service should be aware of the extent to which therapeutic interventions via the internetare supported by research or may be contra—indicated Copyright 2012 Tel: -M: -ntral Health Institute | nc. Al| rights reserved.
  29. 29. Client & Patient Selection it Studythe evidence base (research) * People with almost all diagnostic symptoms have been treated with traditional telehealth ‘ Treatment to the home has not yet identified which groups are too risky * Understand differences between treatment of individuals in 1 setting vs, another (hospital vs. car, park, bed etc. ) * Considercompliance problems
  30. 30. Duty to Report/ Duty to Warn California State Law it (v) Failing to comply with the child abuse reporting requirements of Section 1 1166 of the Penal Code. a (w) Failing to comply with the elder and adult dependent abuse reporting requirements of Section 15630 of the Welfare and Institutions Code. CA Business and Professions Code Sections 4989.54 (cont. ) ‘til
  31. 31. APA Ethical Standard 6: Record Keeping ° 6.01 Documentation of Professional and Scientific Work and Maintenance of Records Psychologists create, and to the extent the records are under their control, maintain, disseminate, store, retain and dispose of records and data relating to their professional and scientific work ° http: //www. apa. org/ ethics/ code/ index. aspx
  32. 32. APA Ethical Standard 9: Assessment 9.01 Bases for Assessments 9.02 Use of Assessments —‘= 9.03 Informed Consent in Assessments 9.04 Release of Test Data 9.05 Test Construction 9.06 Interpreting Assessment Results 9.09 Test Scoring and Interpretation Services 9.10 Explaining Assessment Results - 9.11 Maintaining Test Security
  33. 33. APA Ethical Standard 2: Research-based Protocols e 2.04 Bases for Scientific and Professional Judgments Psychologists‘ work is based upon established scientific and professional knowledge of the discipline.
  34. 34. OCPM Step 6: Direct Clinical Care Contract for short, protocol-driven tx Authenticate & set ground rules at every session Enforce boundaries (privacy, family, social media) ~: : Evaluate at regular intervals Have backup emergency plan
  35. 35. AmericanTelemedicine Association Videoconferencing Guidelines — Emergencies (2009) A Patlefit Site Emergency protocols aSSeSSme“t Shall be shall be created with Undertaken: lndudlng clearexplanation of Obtaining lnt0tmatl0“ roles & responsibilities on local regulations & in emergencies emergency resources, and identification of potential local collaborators to help with emergencies
  36. 36. American Telemedicine Association Videoconferencing Guidelines — Emergencies (2009) ~ Determine outside emergency coverage Establish guidelines for determining at what point other staff and resources should be recruited to help manage emergencies Be familiar with local civil commitment regulations and have arrangements where possible to work with local staff to initiate/ assistwith civil commitments
  37. 37. OCPM Step 6: Direct Clinical Care '> Explain & sign informed consent document Conduct a formal intake — no shortcuts Meet in—person or video (allowed in 12 states for medicine) Take a full history, medications, i| |nesses, abuse, stressors, support system, use of other technology, drug/ alcohol use, suicide/ homicide intent, mental status Decide if, then which technology is appropriate . : Obtain names & contact information for all other key providers, get all appropriate releases to contact them
  38. 38. Risk Management Saveallproofoftraining t Haveanaddendumto or consultation to prove your informed consent you've ”soug ht the advice — Include a social media of your peers" policy Record Keeping; Communicate often in — Document, document, Wrltlng to your local: document state and national ~ Protocols Followed professional associations ° Timein, time out ° Dropped connections ° Intrusions ° Ughflng ° Adaptive Equipment ° Assess progress CODY! ighl 20 I 2 T»: ~ial‘. '-: »nIa| Health Institute lnc. .-'«l| lights re 3:-rve(| .
  39. 39. Coming next. .. Which models should we follow? €DllIIl. ‘Ii l--:2‘. l-.5 . ... ..ll: _. lli| dI| ‘il= ll ll . lI: -l; l»~- .
  40. 40. Migration Model Start with your current clients Select those who are reliable, have good support systems and with whom you have a good workign relationship Considertheir diagnosis Take the time to prepare them Plan in—person sessions at regular intervals Do not work through their secretaries or others
  41. 41. “Nursing Homes
  42. 42. cf Schools -§‘_ . D . . I . u. .. . l . /.. x.. ¢ . . . . . l.l: ‘.. ‘ ‘I. l
  43. 43. Hospitals
  44. 44. Rural Hospitals
  45. 45. Correction: Facilities
  46. 46. Home Health
  47. 47. Military &Veteran’s Administration
  48. 48. Summary Competence as Ethical Issue — Multicultural, diversity, linguistic Demonstrate competence — Research — Technology Be clear about client & patient selection Self care Have an emergency plan Consider developing psycho—education
  49. 49. Risk Management: Research—based Protocols & HlPAA—com pliant Platforms 1000+ Reference Bibliography http: //telehealth. org/ bibliography Video Platforms http: //telehea| th. org/ video CO[7y‘ll9hl 20 l2 T-2L: -life‘-nlal Health institute Inc. -‘ell rights reserved.
  50. 50. Social Networking — Follow a Proven Strategy
  51. 51. VSel. fhJeV1pMea_g_azi 1'16 . mu Se| fhelpMagazine Blog ‘. '.‘elcome to the lntemefs most trusted sell-help A psychology portal. developed by hundreds olvcllunteers as a labor ottcwe Since 1994, our licensed protessionals bnng you the science of psychology, complete with a woriawlde support community C'mon in ~ and help yourseli‘ Categories Aging Animal‘! and Seltesteom bullying Children CLIPS FROM SHM DISCUSSION FORUMS Crossdrosslrlg Cyber-romance Cyber-stalking and Cyben infidelity Depression, BI-polar 5 Anxiety Dllflcull FGODIO domestic violence DR MAHEU Dreams Drugs ‘ Alcohol Eating Disorders Gay. Lesbian. Bisexual and Transoxual Health Are You Uneasy with Skype sessions for Counseling Or Therapy? , ',/ Dr. .! afl(u Some therapists sum to an inviting their clients to ioln them online using consumer grade video ntattorms such as Sky-pa. Google Talk and a host ol other tree ptaliorms Rather than using videoconieroncang equipment that meets lodoral regulations tor both protedmg your privacy and seu. ln1)' (HIPAA). some therapists are choosing to use free platforms up on the open Internet These therapists may 175-» What If You Have An Emergency or Feel suicidal While Receiving Online Therapy? '/ Dr. Mahcu Womrig with emergencies and suicidal clients can on a diatlenoe tor any therapist The more welurained )‘0Ut| fIBf3Dl5l is. both in handling dlnical Issues such as suicidal lettings or other UIYIOIOOIIOQS as will as online rmmeolinn M lheranv ma holler no or fihl III“ will "APPS" Soon Replace Your Therapist? '/ Dr. Mdheu Areceni PEW report dated Marci 1st 2012 stated Nearly hal1(46%) ohvnencan adults are smaflnhone owners as at February 2012, an increase or 11 percentage points over the 35% at Americans who owned a smartphone last May Two in the adults (41%) own a cell phone that is not a smartpnono. meaning that smanpnone owners are now more prevalent VIIUIIJI "I0 @1973" DODLIIBIIOD man OWVIQIS 0' ITIOIE V‘ Mlstreated by An Online Therapist or Doctor’? Your 3 Best solutions ' ' l Dr. .lal‘i1-ti wortanq online with a protossiorial has many benefits. out when it comes to reporting a protessionai tor uriprotessional behavior. your options are limited it you didnt do your homework rlrst That homework involves vetrhnnn me rrrznemralz ntthe nrnreeeinn. -at vmi have
  52. 52. Irrrrrw ltml (_Lr| IfS>: S {urn} (1 my H’ [mil lfwrilfrr dtw i‘rrrg{mrtr '. ‘.'tr'| Ur. ’-~ You the Skulls Confu1en<: c- tc= : E r r. —~ . - m ’Y‘7‘y"‘1kI“"‘, ‘r; A‘r"rT --r, -41 r--mt, 7""r. V. r -my-r, . 4r: ..‘-_. _, H , .., .._n. .r, .—. ryn. .,«. .,‘. _ a '>r-i‘ my 1 . » r V r r 1 MM L ' 4 ‘ L L nu: w; m H731: . Arman! F-‘react mare . ‘r: r$cuvre= .FnD’= .o! cg Ac-J flea comment . 'nremaIvo. -re-'L/ /was-Iv : .5F"*.3?"E‘, ‘7‘? 'I'. ‘f"", ‘_9., '?. ‘,"'_A‘ Why Bother To Comment On The Amencan Psychological Assocratrons fl Curcjelrnes For The Practrce OFTeIepsychoiogy3 ‘ (5 draft a. ‘ Telepsvcnoroggv Go cermes. and >3 asxrng for public ( Smmenl , ‘ c mmunt Q9‘ em‘ Lass‘ Read more Dr '. ‘ahe«. ;‘; m:g Add Master Study Group ‘Vrdeo Teleconferencrng For The Pros‘ Starts Tuesday, I August I-4 At 3 Pm EST V’ r. »-rm wt‘ rv ‘. >,r--VIoeo1eIe<onlev¢ncrngfoIPros'. '~1»-‘: —'~r. ‘~‘ r; 'r ' r-mu;
  53. 53. facebook *9 ; vau an-post: -nu. mwmxmxp ndlnoasvammtal it-aim lnsvrmr - r lunur xi. Muienr n H. -hru rm rive H II. » um um-,9, 0 I 0 I ‘ t I S ( Telemental Iiealh lnstiute Tnoeime " Now “ Mighhhts ‘ Admil Panel to have a Te| eM3rita| Health Isorigtgitutey 5 -2‘ ’’Timeline’’ He3'bhs: "3*”? *"? ?‘5:;5rE°"'“' Page on . .;: ‘g5$Eus: é@fiIineai; §*»gn; |g, <,; gap9tt Face book . _ ___ebara9_s: _._a. ”9°"e: é _ Web: :. "| ie| eMenl3a| §-.7-’. ’.§c“‘7’. *.‘? " ~"‘-"’§°- or a similar i“§i>%u"%i3i°s‘2i: (u ’ “°’ advertising 5 g - page on Telemental Health Institute lie is v g + Slnlus *1 Pholc I vudeo : lvrnl, MI|1-«lune o I raw Ho scumlv nos. menu-u lkalh «ms, August E mu A fan moo A Santa-ss .0
  54. 54. Er-i-iii-i-it Privacy Settings control Privacy when Vou Post You can managn the privacy of your sualus updates, photos and information using the miir. c- audience selcdor — when you share or afterwards. Rem mber: I * people you share with can always share your information with 0014275, including apps. Try A, ii-it; ', ‘(liil ti. J’, rm to 54:42 how it works or I» J'ii riitir. . contra! Vour Delauit Privacy This setting will apply to status updates and photos you post to your timeiine from a Facebook app that doesn't have the iriline audience selector, like Facebook for Blackberry. ‘$1 . - " ‘£9 Pubic Friends custom L Mow Vou connect Control how you uxvxectmmoeooie you '-noni Tinefme and Tagging Control i-.9-. arl'iaooe<'rs v. r~¢-vi friends too you or you content, or post on your tirrit-‘ant. 3.1‘? Ads. Apps and Websites Mcxri-69€vous¢rrng1frxad: ,.3m,9mv_-; .yxdvrct~r. i-3:. 51' 1'7“) i" Urnitlhc-AurfierIceforPast Posts LmitI91:-oo6c'(cf‘orDo¢?2vou¢wedvs1mbw¢: oHr»«id: ov ms»: r/ »~s; —‘»i. ~ ‘-- O Blodred Peopln and Apps PvLan. sge me people and aaos1ou‘ve bioaed. '-‘ « - i, —3 ,5_rri, I. :iA'? ‘-"I
  55. 55. APA Ethics Code — Standard 5 5.01 Avoidance of False or Deceptive Statements —-ads, endorsements, resumes, CVs, published materials 5.02 ‘Statements by Others —- we remain responsible, do not compensate media, clearly identify paid ads — webmasters and plagiarism 5.03 Descriptions ofWorkshops and Non-Degree-Granting Educational Programs — accurate 5.04 Media Presentations — based on literature and practice 5.05 Testimonials — not from current clients 5.06 In-Person Solicitation — protect others from our undue influence Copyright 2012 Tet: -Iii‘: -ntal Health Institute inc. Al| rights re = erve: l.
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  58. 58. 0 AMERICAN PSYCHOLOGICAL ASSOCIATION Atiliiii Mn? 1 y‘4']lll(;1)V €—‘iiI)l. »: HllIlt l~. yi tIII‘l| l)y‘ ill-it J1'llI£‘l News A I writ-— Hm; 1.-i Elhicsotfioe v Ethical Principles of Psy hologists and Code of Conduct In . ing ’), l'l1(. l Aiiiendnienls Standard 4. Privacy and Confidentiality 4.01 Malmalntng Confldomtallty Psychologists have a pnmaty obligation and take reasonable precautions to protect confidenlral inlormation obtained through or stored in any medium recogniznng that the extent and limits at confidentiality may be regulated by law or established by instmrtional rules or prolessional or scientific relabonship (See also Standard 9 Us Delegation u! Worlr to others ) 4.02 Dlscuulng the Umlts of contldcntlamy (a) Psychologists ansc uss wrth persons (inc Iuding to the extent leasiole, persons who are legally incapable or giving intonned consent and their legal representatives) and organuations with whom they establish a scientific or prolessiorial relationship (1 ) the retevant limits or confidentiality and (2) the foreseeable uses or the intonnauon generated through their psychological actrvmes (see also Stanaaru 3 10 ‘nloiine-<1 Consent ) (b) Unless it ls not teasrole or ls contraindicated the discussion at confidentiality occurs at the outset ot the relationship and tnereatter as new circumstances may warrant (it) Psychologists vmo otter services. products. or iritormation via electronic transmission inlonh clientslpatierits ot the risks to privacy and llmus ol contloenliality 4.03 Reoordlng Belore recording the voices or images or indrviduals to whom they provide services‘ psychologists obtain pemtissaon from all such persons or therr legal representalrves (See also Standards 8 0". inlnrmerl Consent for Q£. ‘Cf. ‘l'(1lllg Voices and images in Rt-.56-arr ll 8 05 Discosnsiriq with intornied Consent tor Research and 8 07 Deception in Research ) 4.04 Mlfllmlllflfl HIIYUSIOIIS on Privacy (3) Psychologists IIKIUGE Il'| written and oral reports and COHSUNEDOOS, only tnlormahon gerlnane 10 the DUTDOSG T0!’ WMCH the cornmunlcation lS made I ll‘‘ . itu-. ri ‘ :1 t*Pl‘—. Hamel Help| Log In MORE APA WEB SITES 034 tv1(-! ll'I! ‘iHl‘Jl‘| . E e+. wL e Mani: Table ol Contents - introduchon and fippiicability I preamble . 3€t'1El8‘p! IflC1plE. 'S - Slanllari: l Reso-wing ElhI(a' issues I Standard 2 Competence - Stanrlarrl 1 Human Relations - Standard 4 Privacy and Conlioentialny u Stanrlaro 5- Advert-sing and Other Public Stateri-rents - Standard 6 Record keeping and Fees a Standard 7 Eitucatiorzano training - Standard 8 Reseatcti and Pubhcaliori - Standard 9 Assessment I Standard 10 Tne'apv I ‘rlrslorv and Etta-ct~ve Date I i ariguage at the F00? Ethics Codi: VHHV Changes Mariner: Dotsnloaa the Em-: at Principies at Psvc noiogists and Code ol Conduct (POF. 223KB) The 1992 Ethics Code was no longer ettecuve as or June 1. 2003 near: the I99? Ethics Lode S
  59. 59. This section consists oi General Principles General Pnnciples. as opposed to Ethical Standards. are aspirational in nature Their intent is to guide and inspire psychologists toward the very highest ethical ideals ol the profession General Principles in contrast to Ethical Standards, do not represent obligations and should not loim the basis ior imposing sanctions Relying upon General Principles lor either oithese reasons distorts both their meaning and purpose Principle A: Benelicence and ilonmnlelioence Psychologists strive to benefit those with whom they work aid take care to do no harm In their professional actions psychologsts seek to safeguard the wetlare and rights ol those with whom they interact prolessionally and other allected persons and the welfare ol animal SUDIBCIS of research when conllicts occur among psychologists‘ obligations or concerns. they attempt to resolve these conllicts in a responsible lashion that avoids or minimizes harm Because psychologists’ sci-miiic and professional yudgm-ants and actions may affect the lives of others, they are alert to and guard against pi: -rsonal. financial, social, organizational or political factors that might lead to misuse of their influence Psychologyts stmo to be aware of the possible ellvéct oltheir own physical and mental health on their ability to help those with whom they work Principle 8: Fidelity and Responsibility Psychologists establish relationships oftrust with those with whom they work They are aware oi their prolessional and scientific responsibilities to society and to the specific communities in which they work Psychologists uphold prolessional standards oi conduct clanfy their prolessional roles and obligations. accept appropriate fE5pDI'1SIb<lliy lor their b9h3s1D7 and seek to manage conllTEt§‘r: T?rlorsRTl'fit“couid7e3-Ito exploilition or Fi'a'r'r'n Psycho‘-Fgssts consulFiF'. lr re'. Fr‘l'iT or corsporalé mitt Gtfir piolessionals and institutions to the extent needed to serve the best interests oil those vtrth whom they work They are concerned about the ethical comp‘-ance oltheir colleagues‘ scientific and prolessional conduct Psychologists stir-re to contribute a portion of their prolossioiial lIl'll~J lor little or no comp‘. -nszit-on or personal 3th-antage Principle C: Integrity Psychologists seek to promote accuracy. honesty and truthiulness in the science, teaching and practice oi psychology In these 3€1Nlll? S psychologists do not steal, cheat or engage in lraud. subterfuge or intentional misrepresentation oliact Psychologists striw to keep their promises and to avoid unwise or unclear commitments In situations in which deception may be ethically yustifiable to maximize benefits and minirnize harm psychologists have a SPIIOIIS obligation to consider the need for. the possible consequences oi. and their responsibility to correct any resulting mistrust or other harmful irrtects that arise from the use ol such _t-tichniqii-‘:5 Principle 0: Justice Psychologists recognize that taimess and plastics entitle all persons to access to and benefit irom the contnbutions oi psychology and to equal quality in the processes. procedures and services being conducted by psychologists Psychologists exercise reasonable judgment and take precautions to ensure that their potential biases, the boundanes of their competence and the limitations oi their expertise do not lead to or condone uniust practices Principle E: Respect lor People‘: Rights and Dignity Psychologists respect the dignity and worth at a‘! people and the nghts of individuals to privacy confidentiality, and seltdelsrrrtination Psychologists are aware tha special safeguards may be necessary to protect the ngrts and welfare of persons or COmmUfl? ilES whose vulnerabilities impair autonomous decision making Psychologists are aware oi and respect cultural i 3 = _- , , , ‘ , _ Ar , ;iy‘ . , ; iYfir7§i”T: ir'i§rTl§’i‘§fi‘ri sexual orientation, disability, language and socioeconomic status and consider these Iactors when working with members of such groups Psychologists try to eliminate the efloct on their work of biases based on those factors, and they do not knowingly participate in or condone activities ol others based upon such preiudices — i vl ‘lii (nor. nine; The 1992 Ethics Code was no longer eflectn-e as ol June 1 2003 Eilectrve date June I‘ 2010 Copyright 0 2010 American Psychological Association All rigfiils léfifrwéd
  60. 60. Questions? Thank Go to https: //telehea| th. org/ GT2012 for a special BONUS MarleneM. Maheu, Ph. D. I~ Iv, fa‘--npml H- xlvh Inumm-, In- M! um f In I I I| v.-II‘1103'-: ‘hv: r1|V| n(EEK) Copyright 20 I 2 TeL: -IV»: -ntal Health Institute lnc. Al| rights he aarv-ed.