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Psychologist Post-Test


1. When psychologists provide public advice or comment via print, Internet, or other electronic transmission, what do they need to take precautions to ensure?
2. What does the NASW Code of Ethics state about accepting social networking requests?
3. According to NBCC, a detailed written description of the distance counseling process and service provision shall include the following information in the intake…
4. What are the steps ACA has in their Code of Ethics regarding verification of client’s identity?
5. What is the responsibility of the therapist or supervisor regarding TMH Confidentiality?
6. Under what circumstance does AMHCA guidelines state that seeking information about clients through internet searches is deemed appropriate?
7. What does the California Association of Marriage and Family Therapists state regarding electronic services and jurisdiction?
8. In general how is TMH received by the following populations: veterans; adolescents; Caucasians; Asians; and Native Americans?
9. When considering the use of email or other forms of electronic communication with patients, explain what else should be considered.
10. What do HIPPA Privacy rules consider proper education of patients about their rights?
11. In TMH there is much talk about only accepting clients that are within your “scope of practice.” What is the definition of scope of practice?
12. What can a TMH clinician do if a community support person does not assist when called upon by the provider?


A. Social workers should avoid accepting requests from or engaging in personal relationships with clients on social networking sites or other electronic media to prevent boundary confusion, inappropriate dual relationships, or harm to clients.
B. --that statements (1) are based on their professional knowledge, training, or experience in accord with appropriate psychological literature and practice;
--(2) are otherwise consistent with this Ethics Code
--(3) do not indicate that a professional relationship has been established with the recipient. (See also Standard 2.04, Bases for Scientific and Professional Judgments.)
C. --appropriateness of distance counseling in relation to the specific goal,
--the format of service delivery, as related to the associated needs
--the limitations of confidentiality, privacy concerns,
-- the possibility of technological failure
--anticipated response time to electronic communication
--alternate service deliveries,
--any additional considerations necessary to assist the potential recipient in reaching a determination about the appropriateness of this service delivery format for their need(s).
--NCCs shall discuss this information at key times throughout the service delivery process to ensure that this method satisfies the anticipated goals,
--.. if not, the NCC will document the discussion of alternative options and referrals in the client’s record.
D. I. verify at the beginning and…
II. throughout the therapeutic process.
III. Verification can include, but is not limited to,
1. using code words,
2. numbers,
3. graphics,
4. or other nondescript identifiers.
E. For the purpose of determining their own or their client’s safety, as necessary to conduct a forensic evaluation, or at the client’s request.
F. Clients and supervisees are to be made aware in writing of the limitations and protections offered by the therapist’s or supervisor’s technology. (See Zoom Security supplement)
G. -- Veteran populations find the additional control and anonymity afforded by the TMH setting appealing, as reported by others who have experienced trauma.
--Adolescence have been reported to quickly accommodate to the technology setting and often like the additional “personal space” offered by TMH.
--Caucasian clients may find decreased direct eye contact to be a challenge.
--Asian and Native American clients have been reported to prefer the decreased direct eye contact.
Best Practice: Use regular verbal “check-ins” with clients to ask about their experience of the technology.
H. Marriage and family therapists provide services by Internet or other electronic media to patients located only in jurisdictions where the therapist may lawfully provide such services.
I. Involves providing patients with a written statement that describes how healthcare providers and other covered entities can use or share their PHI. This should be included in the initial consultation both verbally and in a written format.
J. Also to be considered is does the patient have the expectation that the therapist will be instantly available… normal response time procedure needs to be outlined.
K. The intent for patient self-harm was a concern. The patient refused permission to contact his community support person or to go in for an evaluation. The TMH clinician decided to contact the community support person against the patient’s wishes due to the potential threat to life.
L. … This is a broad description of allowable professional activity as defined by licensing law. It is a list of services allowed for professionals who hold a particular license. Scope of practice varies from state to state and profession to profession and may be limited for specific licensees, depending upon their credentials and any organizational employment constraints. (For example, if you are an “associate” rather than a licensed professional, you may be limited to providing counseling with supervision.)