Using the Counseling Relationship Appropriately
Injuring the Counseling Relationship
The Power Differential of the Counseling Relationship
Clinical Example # 1
Questions for Clinical Example # 1
Clinical Example # 2
Questions for Clinical Example # 2
Chapter Questions
Chapter 9 Dual Relationships
Dual Relationships
Harmful Dual Relationships
Friendships With Clients
Sexuality and Clients
Sexual Harassment: A Work Place Hazard for D&A Counselors,
Harmful Dual Relationships and Testifying For Clients
Clinical Example # 1
Questions for Clinical Example # 1
Clinical Example # 2
Questions for Clinical Example # 2
Chapter Questions
Chapter 10 Managing Crisis Issues and Creating Counseling Safety
The Danger For Clinicians When Facing Crisis Issues
The Clinician’s Scope of Competence Regarding Crisis Issues
Reasonable and Prudent Steps Required To Manage Crisis Issues
Assessing The Client’s Competence
Initial Assessment of the Client
Consultation With Past and Present Treatment Providers
Observable Clinical Behavior
Psychosocial Stressors and Environmental Problems
Culturally Sensitive Assessments
Assessing For Risk Factors
Establishing An Appropriate 5-Axis Diagnosis
The Presenting Problem
The Emergency “Plan of Action” To Manage Crisis Issues
Applicable California Laws in Managing Crisis and High Risk Issues
Ethical Standards and Crisis Issues
Breaching Confidentiality in a Safe Manner
Hospitalization as a Clinical Intervention
Post-hospitalization Risk Factors
Suicide — Specific Laws and Codes: Managing This Issue
Serious Threat of Harm to An Identifiable Victim (Tarasoff Situation) — Specific Laws and Codes:
Managing this Issue
Spousal Abuse — Specific Laws and Codes: Managing This Issue
Child Abuse — Specific Laws and Codes: Managing This Issue
Elder/Dependent Abuse — Specific Laws and Codes: Managing This Issue
HIV Positive Clients — Specific Laws and Codes: Managing This Issue
Eating Disorders — Specific Laws and Codes: Managing This Issue
Substance Abuse/Dependence To The Degree Where the Client is a Danger to Self or Others —
Specific Laws and Codes: Managing This Issue
Documenting Intake Information
Documenting A Mental Status Form
Sample Mental Status Form
Documenting a Beck Depression Inventory
Documenting Consultations
Documenting Treatment Plans for Crisis Issues
Generic Issues Treatment Plan
Documenting a 5-Axis Diagnosis
Documenting the Legal Challenges
Legal/Ethical Documentation Examples
Clinical Example # 1
Questions for Clinical Example # 1
Chapter Questions
Chapter 11 The Suicidal Client and Standard of Care
The Suicidal Client
Legal, Ethical and Clinical Standard of Care for Treating Suicidal Clients
Reasonable and Prudent Steps to Manage Suicidality
Ethically-Permitted Breaches of Confidentiality Under Evidence Code 1024
Clinical Example # 1
Questions for Clinical Example # 1
Chapter Questions
Chapter 12 The Dangerous Client — Serious Threat to Harm
The Dangerous Client
The Dangerous Client and Laws Affecting D&A Cpounselors
Managing “Serious Threat to Harm”
Clinical Example # 1
Questions for Clinical Example # 1
Chapter Questions
Chapter 13 Child Abuse Reporting
Child Abuse
Managing Child Abuse Reporting
Reporting Child Abuse Involving Adults Abused as Children
Employees and Child Abuse Law
Child Abuse Reporting and Immunity
The Use of Anatomically Correct Dolls to Prove Child Abuse
Reporting Consensual Sex Between Minors
Reporting Consensual Sex Between Minors and Adults
Special Reporting Categories
The Confidentiality Bind in Child Abuse Reporting
The Child Abuse Laws—Penal Code 11164-11174.3
Child Abuse Report
Clinical Example # 1
Questions for Clinical Example # 1
Clinical Example # 2
Questions for Clinical Example # 2
Clinical Example # 3
Questions for Clinical Example # 3
Chapter Questions
Chapter 14 Elder and Dependent Abuse Reporting
Management of Elder and Dependent Abuse
Elder and Dependent Abuse Reporting and Immunity
Recent Changes to the Elder/Dependent Abuse Laws
The Elder and Dependent Abuse Laws
Welfare and Institutions Code Section 15600-15755
Elder/Dependent Abuse Report
Clinical Example # 1
Questions for Clinical Example # 1
Clinical Example # 2
Questions for Clinical Example # 2
Chapter Questions
Chapter 15 Treatment Records
Treatment Records
Patient Records: Ethical Standards
Health and Safety Code 123130 — Foundation for Content of Treatment Records
Patient Access to His/Her Mental Health Records
Appropriate Content of Mental Health Records
Intake Form
Informed Consent Form
Additional Informed Consent
Ledger Form
Psychometric Testing
Written Releases of Information
Five-Axis Diagnosis, Treatment Plan and Prognosis
Consultations and Medical Information
Progress Notes
Discharge Summary
Clinical Charting for Hospital Consultations
Sample Clinical Forms
Sample Intake Form
Sample Informed Consent Form
Sample Ledger Form
Sample Mental Status Exam Form
Sample Release of Information Form
Sample Diagnosis, Treatment Plan, and Prognosis Form
Sample Consultation Form
Sample Progress Form
Sample Discharge Summary
Chapter Questions
Chapter 16 Subpoenas
Subpoenas
Managing Subpoenas
Sample Document 1: Actual Subpoena
Sample Document 2: Notice to Consumer
Sample Document 3: Proof of Service
Sample Document 4: Declaration of Records Released
Chapter Questions
Chapter 17 Supervision
Supervision Issues
Scope of Competence
Dual Relationships With Supervisees
Supervisees as Employees
The Supervisee’s Dual Relationship With a Client Cam Impact the Clinical Supervisor
Clinical Example # 1
Questions for Clinical Example # 1
Clinical Example # 2
Questions for Clinical Example # 2
Chapter Questions
Chapter 18 Advertising
Advertising
Ethical Standards Regarding Advertising
Advertising by Supervisees
Clinical Example # 1
Questions for Clinical Example # 1
Chapter Questions
Chapter 19 Fees
Fees
Bartering
Disclosure of Fees
Collecting Unpaid Balances
Maintaining Clinical Objectivity With Third Party Payers
Serious Challenges Faced By Clinicians When Third Parties Pay For Services
Clinical Example # 1
Questions for Clinical Example # 1
Clinical Example # 2
Questions for Clinical Example # 2
Clinical Example # 3
Questions for Clinical Example # 3
Chapter Questions
Chapter 20 Insurance and Managed Care
Insurance and Confidentiality
Insurance Fraud
Appealing Adverse Utilization Review Decisions in Managed Care
Confidentiality and the Internet
Reasonable and Prudent Actions To Take Before Clients Run Out of Insurance Benefits
Clinical Example # 1
Questions to Clinical Example # 1
Chapter Questions
Chapter 21 Forensics, Telephone and Online Counseling
Expert Witness 2
Telephone and Online Counseling
Witness of Fact Versus Expert Witness
Clinical Example # 1
Questions to Clinical Example # 1
Chapter Questions
Chapter 22 Cultural Diversity
Counseling Duty and Cultural Diversity Example — The Mexican-American Client
Clinical Example # 1
Questions to Clinical Example # 1
Clinical Example # 2
Questions to Clinical Example # 2
Chapter Questions
Chapter 23 Treatment of Minors
Treatment of Minors With Parental Consent
Treatment of Minors Without Parental Consent
Treatment of Emancipated Minors
Treatment of Minors in Divorce Situations
Drug and Alcohol Counseling Treatment for Minors
Complete Text of the Family Law
Clinical Example # 1
Questions to Clinical Example # 1
Clinical Example # 2
Questions to Clinical Example # 2
Chapter Questions
Chapter 24 A Structure to Process Legal and Ethical Decision
The Clinical Structure
Practice Vignette
Legal Clinical Vignettes
Ethical Clinical Vignettes
Chapter 25 Accessing California Law Through the Internet
Appendix Answer Key
Answers to Chapter Questions
Answers to Clinical Vignettes
Answers to Ethical Vignettes
References
Index