S C I H D T N E EEN A A TT I O P C MI T A T L R U U OMN S YO C C O

S C I H D T N E EEN A A TT I O P C MI T A T L R U U OMN S YO C C O P R O V ID IN G E D U C A T IO N

CPA ETHICS COMMITTEE MEMBERS Jenny Cornish, PhD, ABPP Thom Dunn, PhD Kari Fraser, PhD John Holmberg, PsyD Stephanie Kleiner-Morrissey, PsyD Andrew Loizeaux, PsyD Kathleen McNamara, PhD (Chair) Dena Sorokin, PhD (Past-Chair) Julie Van Heyningen, PsyD Laurence B. James, PsyD, JD (Special Counsel)

CPA Ethics Committee Mission Educate and Consult with CPA members ethics telephone consultation email blasts articles in TCP ethics presentations

CONSULTATION THEMES CATEGORIES OF CALLS RECEIVED, 2007 THROUGH 2015 654 CALLS OVER 180 MONTHS. AVERAGE PER MONTH: 6, RANGE: 2-16 Forensic psychology – Family law, Court directives 52 Dual roles, boundaries, complicated relationships 46 Telehealth, Internet services, Skype 40 Conduct of other psychologists, DORA reporting 40 Treatment records – maintenance of, release of 35 Ethics codes and guidelines, standards of practice 32 Reporting obligations – social services, police 26 Sexual issues – misbehavior, concerns, reporting 26

CONSULTATION THEMES (CONTINUED) Consent to treat, individuals seeking service 25 Seeking ethical information only - resources 23 Confidentiality 22 Financial – billing, payment, insurance, collections 21 Assessment – release of testing, interpretation 20 Advertising – blogs, client testimonials, promotion 18 Termination 16 Duty to warn 15 Supervision 16 Miscellaneous 38

CONSULTATION THEMES (LEGAL ISSUES) 240 HIPAA, subpoenas, summons, releasing records, reporting sexual abuse, child pornography, practicing out-of-state, reporting crimes, deceased psychologist, etc.

VIGNETTES Written to reflect the types of calls received by the Ethics Committee Vignettes are anonymous and do not reflect any single case Panelists will discuss with audience participation Will consider both ethical and legal issues

VIGNETTE 1: HIGH CONFLICT DIVORCE The mother of a ten-year-old boy calls and asks Dr. A, a child psychologist, to see the child in therapy. According to her, the boy is having problems because the father is abusive. Mom says she is allowed to make decisions about medical issues, including therapy. She would like Dr. A to meet with her son and then, per her attorney’s request, write a letter about whether/how much the boy should see his father given the (alleged) abuse.

VIGNETTE 2: MULTIPLE RELATIONSHIPS/REPORTING PROFESSIONAL MISCONDUCT Dr. B is a psychologist working with a long-term client who has had financial problems since being laid off from her job. The client asks Dr. B for a reduced fee, then for assistance with her job search (use of the office copy machine, telephone, and so on), then for occasional rides to the bus after sessions. Dr. B is conflicted about how to respond – she wants to help but is not sure what's appropriate, so she consults with an old friend and colleague, a psychologist named Dr. C. How can Dr. C help Dr B. navigate this dilemma? Under what circumstances would Dr C. consider reporting Dr. B. to the Board?

VIGNETTE 3: TELEHEALTH Dr. D has a female adult client who is moving out of Colorado and who wants to continue weekly treatment with him via phone and/or Skype. There is a possibility that the client will be returning to Colorado in a year and she wants to maintain her psychotherapy with Dr. D in case she does return. Dr. D wonders what factors he should consider before responding to his client’s request.

VIGNETTE 4: SOCIAL MEDIA Dr. E is considering adding a web-based scheduling and reminder system for his clinical practice. In a recent EZMarketing-for-Therapists seminar Dr. E learned the importance of an internet presence so people can find him and learn about his practice. He’s considering SocDoc, a low cost scheduling and reminder system with lots of amenities, such as automated scheduling and practice marketing. For example, clients can go on-line and schedule themselves for appointments. After each session, SocDoc sends a follow-up weblink by text to clients, to be sure they are satisfied with the services delivered. SocDoc even automatically posts positive client ratings and comments to SocDoc-created Facebook and LinkedIn pages, thereby ensuring that therapists have a consistently-updated, positive online identity. Dr. E came to you for advice on this, what would you say?

VIGNETTE 5: SUPERVISION A psychology intern is in clinical supervision with Dr. F. The intern is going through a difficult divorce which was disclosed at the start of supervision. Dr. F and the intern agree at the beginning of supervision to a number of duties and tasks for which the intern is responsible, yet several weeks later many of these duties have not been completed. The intern reports having no recollection of agreeing to these duties, saying “I never would have agreed to all these tasks with the intensity of my divorce proceedings.” However, the intern does mention having attended a workshop on a new therapy over the weekend and wants to use the new technique with a current client. Dr. F has not had training on this technique, so decides to consult with some peers at the office about the intern’s request. She wonders whether she should discuss the performance issues as well.

VIGNETTE 6: THE MORTAL PSYCHOLOGIST Dr. G is a recreational mountaineer with a lifetime dream of climbing Mt. Everest. Much to his surprise (as he has never climbed any 8000 meter peaks) he has been invited to participate in a Mt. Everest summit attempt in 2016. While preparing to leave his psychotherapy practice for 5 weeks, and gathering information on what climbing Mt. Everest entails, Dr. G begins to consider the possibility that he could become severely injured, incapacitated, or even die on this trip. In the context of these concerns, he wonders about his ethical responsibilities with respect to preparing his clients, his professional practice, and his colleagues for any eventuality.

RESOURCES CPA Ethics Consultation line: 303.692.9303 APA Ethics Code: http://www.apa.org/ethics/code/index.aspx Psychology Board Statutes, Regulations, Policies: http://cdn.colorado.gov/cs/Satellite?c Page&childpag ename DORAReg%2FDORALayout&cid 12516322995 86&pagename CBONWrapper Children’s Code; http://www.colorado.gov/cs/Satellite/CDHS-E mp/CBON/1251586059379 Also see Handouts

QUESTIONS/COMMENTS?