William B. Berman, Ph.D. 9/18/2014 MANAGING ETHICAL DILEMMAS & RISK IN Disclosure Statement of Financial Interest COUPLES THERAPY iam B. Barman, PRD.,DO NOT haves BY. WILLIAM B. BERMAN, Pio. financial interostlarangamént or aitation with one ‘of more organizations at cou be percelves as a Se fal or apparent confit of interest nthe context of ‘he subject ofthis precentaion, : How Many Difrent Ways Ae There to Encounter How Many Dilfrent Ways Are There to Encountor : 7 fete harlem opel ‘an Ethical lemma in Treating Couples? 2. eas at ey a (Ys Pgh foam sexes te cere Saeed te 4, Inte course of trating 2 coup, you decide or ‘eur wear cyte do tanors rquest fo s0e tno bth priors cel. 3. 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Berman, Ph.D. 9/18/2014 Ethics and the Law \Whien sa hiaher standard? ° esate rete ne cere din eee etre ‘guests acvsano! pate Hevesi conan a aa ccf, = Ree ea Ses eee ci aarti Basic Principles of Professional Ethics Autons Tocletha ha phe enn a er gts crach tino snl tea Goss Nt ea) Beowicence Nonmatetcenss ‘Darah (Fema by ase) ESE Beep be pes omonase "ne tn sc ‘ABC's OF RISK MANAGEMENT IN COUPLES THERAPY 1 fy ta cape ay Know wha ne os fora en slt) are ais codes sy aba ‘wap tae vated ns sa aed eer le ‘egg etna tonne orm, He 6. Have ane tnd on frresponng to runs ormalon (elt aured, sthpoen, aut ase) poy pen aie he pny a at casca ter ‘ABC's OF RISK MANAGEMENT IN COUPLES THERAPY, A, WHY IS THIS COUPLE REALLY IN MY OFFICE? ‘Asllotaie eu banattats tat how ibabrom mathe outa epee art ‘Ask sto net rtesatvston leah per aos Shrine eset ‘iyo oer rcs peo a ni waa ABC's OF RISK MANAGEMENT IN COUPLES THERAPY 88. Know what the laws (federal anc stale) and ethics ccadas say about a therapist Becoming involved in & cour related (“Yorensic") role Confdentiaiy & Privilege Confidentiality tons to mates of profesional tis (ethcugh menialheath Ea gs oy naprs canes ches te ‘arab tes ‘Standards re esiobished and malnanedbyplessional Sganeatons, ae (nla to prtet seat ram unauthaaos detsure ‘Rlamaton eu heed conserve he at “An ethics duty aio esabished by eat, rugs cass own sarees, ood bya. mental Neo prfessona fo aon’ reac fn oven normal acted er ‘re Gleantient" CRY 7 CFituisa.comWilliam B. Berman, Ph.D. 9/18/2014 Privilege Relates to a legal right established by statule Intended to protect a client confidences from ‘unauthorized disclosure In the context ofa legal proceeding without the informed consent of the cent “A legal right, conferred by statute in many jurisdictions and limited by exceptions held by a mental health professional's cenijatint fo prevent the mental heath professional om afscising confidential information in a legel proceeding.” (AFCC) et en tt ‘Seton 100g. se tt Read opr Sonmaicns A, Al ena heath and dg or leno sour esimen oman, weer nl cegrdeg ong commuters between # tyler or pajenaterapist and consumes are Dothpriieged and confidential acon the Wer al Berson i Rava racavod ar are rai Manel hoallt ce rag or sect Sous natn services sal be conicored irs dpe 2. Such information shal only be available o persons wvaly ‘Sanco tesinent fe cau orf es = etry table lo persone, iy engaged in he realmente consumer late late work shal ented othe rer anor of alin ocean fre parson ape cay te D. Except as otherwise pormited, mental health ‘and alcohol or substance abuse treatment information may not be disclosed without valid patient authorization or a valid court order Issued by a cout of competant jurisdiction. For purposes of this section, a subpoena by ilsell 's not sufficient to authorize disclosure of ‘mental health and alcohol or substance abuse vealment information, ABC's OF RISK MANAGEMENT IN COUPLES THERAPY 8. Know what the laws (federal and slate) and elfies codes say about = therepiel becoming invelved in @ court ‘elated (Torensic')rale ‘ABCs OF RISK MANAGEMENT IN COUPLES THERAPY C. Have a well defined plan for responding 10 requests for information Cont Authoized Release of information Subpoena > Court Order Responding to request for release of Information + When ita requests by epone orn tng vihout having personal rviwod te sgn Suhotzaton (PAA comolan). he basrespens> ie Toon nether confi nado ht Jt Boe has Poon my chont® + How ene eflent grant “nfommec” consent to release their records they really doit knaw wha nfrmation isintheirracorde? + Whatis the consequence for ignoring 2 third party request fr information? CFitulsa,com|. Berman, Ph.D. Subpoena + *Sunpoons is ate for ‘unsernonty or puns” ot acertan place, ceca He (ny ict on beta”) + Subpoons Ducoe Tem seinen in adr ory or puns ope jracicone ea R"Subpoonefr Production of "Bilas = May waive presence oto” deadtne + Sunpoene a Tastes teal ray” 1 ay neo ies ommand orig era documents ‘What Do | Do if Get Served A Subpoena? DONT DO NOTHING! ‘yours tron agency, t,t, malty nt stat yout ha Heo yeu ame spelaly Dont aceapt “We watake ere of ‘Tha eourt Gowen ete soul nate ply. eveptyawo oven neavesTeD nzconos To THe Races sax, What Do! Do If! Got Sorved A Subpoana? saa, ‘ere at TT sings "Gas ettegla gmt tone wrasite stant TTR amy aan ra Ty ae usp wo merci yh en CO ee eotman ate ‘Subpoena v. HIPAA © pte ia viento ES EE meen ‘Ay sunt on ecemgamng Secor eng Court Order + Aipena eng ecu. ay Deine yt + Sines by awa imped + Propel seed + Fe + mtn pair areca ‘Appealing a Court order “There are some clumetancas in which a theraplet ‘may belive thal disclosing information may vilate cihical or professional practice guidelines applicable to ‘mental heath practice In such a case, the therapist may wish to consult an sitorney familar with the laws of mental heath privlagaleonfidentaliy in thet juriediaion. CFitulsa.comNilliam B. Berman, Ph.D. 9/18/2014 Application of principles to ethical dilernmas identified in introduction Group discussion of how to resolve the ethical «lemmas from introduction through the spplication of principles feared, CFitulsa.com 5