5. Identify your client and role . This is crucial when the psychologist works for an organization or with groups of individuals. a. Couples therapy b. Family therapy c. Services at the request of a third party, for example, the court d. Confidentiality limits 6. Document all interactions. Follow the APA’s recordkeeping guidelines (APA, 2007) and document all services, interactions, and communications. a. Identifying information and first contact b. Relevant history, risk factors, medical factors c. Dates of service and fees d. Diagnostic impressions, assessments, treatment plans, consultation, testing reports, progress notes; document treatments chosen and those considered and rejected e. Informed consent documents f. Telephone calls g. Follow-up contacts for no shows 7. Practice within your scope of competence . a. Stay up to date through continuing education, conferences, workshops. b. Consult with colleagues. Conclusion Psychologists licensed in Florida have a responsibility to stay up to date on Florida laws and Board of Psychology rules that affect the practice of psychology. While these generally remain stable, there are occasional revisions and updates. This course provided a summary of the laws and rules that govern the profession in the state. Psychologists are encouraged to periodically review the full text of each, particularly at the conclusion of legislative sessions. Psychologists will face many situations during their careers that will require them to make a judgment about the best course of action. Conflicts between ethics and law, competing values, American Psychological Association (APA). (2007). Record keeping guidelines. American Psychologist , 62 (9), 993-1004. https://www.apa.org/pubs/journals/features/record-keeping. pdf American Psychological Association (APA). (January 2017). Ethical principles of psychologists and code of conduct . https://www.apa.org/ethics/code/ethics-code-2017.pdf American Psychological Association (APA). (2022). Ethics Code Task Force . https://www.apa. org/ethics/task-force Cheneville, T., & Schwartz-Mette, R. (2020). Ethical considerations for psychologists in the time of COVID-19. American Psychologist, 75 (5), 644-654. https://psycnet.apa.org/ fulltext/2020-35285-001.pdf Florida Board of Psychology. (n.d.). Florida Statutes and Administrative Codes: Rules. Chapter 64B19. https://floridaspsychology.gov/resources/ Florida Legislature. (2022a). The 2022 Florida Statutes: Chapter 394. http:// www.leg.state.fl.us/Statutes/index.cfm? App_mode=Display_Statute&URL=0300- 0399/0394/0394ContentsIndex.html&StatuteYear=2022 Florida Legislature. (2022b). The 2022 Florida Statutes: Chapter 456. http:// www.leg.state.fl.us/statutes/index.cfm? App_mode=Display_Statute&URL=0400- 0499/0456/0456ContentsIndex.html&StatuteYear=2022 Florida Legislature. (2022c). The 2022 Florida Statutes: Chapter 490. http://www.leg.state. fl.us/Statutes/index.cfm? App_mode=Display_Statute&URL=0400-0499/0490/0490.html Florida Senate. (2022a). The 2022 Florida Statutes: Title V. Chapter 39. https://flsenate.gov/ Laws/Statutes/2022/Chapter39/All Florida Senate. (2022b). The 2022 Florida Statutes: Title VII. Chapter 90. https://flsenate. gov/laws/Statutes/2022/Chapter90/All Florida Senate. (2022c). The 2022 Florida Statutes: Title XXX. Chapter 415. https://flsenate. gov/Laws/Statutes/2022/Chapter415 References
c. Review the literature as it pertains to a particular client diagnosis or treatment. 8. Understand termination . Know the difference between termination and abandonment. Provide pretermination counseling for clarity and involve the client in the plan. Abandonment occurs when treatment ends abruptly and inappropriately. Treatment can be discontinued if the client:
a. Is not benefitting from therapy b. May be harmed by the treatment
c. No longer needs therapy d. Threatens the therapist 9. Base interventions on all available evidence . a. Know the referral question.
b. Be clear about limitations of findings and treatment. c. When using tests, stay up to date, use appropriate tests, personally evaluate the client, and make sure the assessment is thorough enough to answer the referral question. 10. Be accurate in billing . a. Only bill for services actually provided and use the correct procedure codes. b. Use the correct diagnosis, even if the client requests a different diagnosis. c. Be conscientious in collecting fees. d. Be cautious when collecting delinquent accounts. ethics and organization policies, and personal morals are not uncommon. The APA’s Ethical Principles of Psychologists and Code of Conduct are summarized in this course, and they provide the foundation for recognizing potential ethical dilemmas. While they provide invaluable guidance, they cannot address every situation. It is the responsibility of the psychologist to understand and apply these standards to the best of their ability. Use of a model or framework for ethical decision making can help the psychologist navigate the complexities of ethical dilemmas in order to achieve the best possible outcome for their client. Frittgen, E. M., & Haltaufderdeide, J. (2022) Can you hear me? Communication, relationship, and ethics in video-based telepsychiatric consultations. Journal of medical Ethics, 48, 22-30. https://jme.bmj.com/content/48/1/22 Hailes, H. P., Ceccolini, E. G., & Liang B. (2021). Ethical guidelines for social justice in psychology. Professional Psychology: Research and Practice, 52 (1), 1-11. https://www. researchgate.net/publication/339085286 Jain, S., & Roberts, L. W. (2009). Ethics in psychotherapy: A focus on professional boundaries and confidentiality practices. Psychiatric Clinics of North America, 32 (2), 299-314. https:// pubmed.ncbi.nlm.nih.gov/19486815/ Johnson, M. K., Weeks, S. N., Peacock, G. G., & Rodrigue, M. D. (2022). Ethical decision- making models: A taxonomy of models and review of issues. https://doi.org/10.1080/1050 8422.2021.1913593 Ling, T. J., & Hauck, J. M. (2016). The ETHICS model: Comprehensive, ethical decision- making. VISTAS Online 2017. https://www.counseling.org/docs/default-source/vistas/the- ethics-model.pdf Novotney, A. (2016). 5 ways to avoid malpractice. APA Monitor, 47 (3), 56. https://www.apa. org/monitor/2016/03/malpractice Pope, K. S., & Keith-Spiegel, P. (2008). A practical approach to boundaries in psychotherapy: Making decisions, bypassing blunders, and mending fences. Journal of Clinical Psychology, 64 (5), 638-652. https://pubmed.ncbi.nlm.nih.gov/18386835/ Riggin, B. M., & Lack, C. W. (2018).Ethical decision-making models across mental health treatment: A review and expansion. Current Psychiatry Reviews, 14, 1-7. https://www. researchgate.net/publication/327179778 Smith, D. (2003). 10 ways practitioners can avoid frequent ethical pitfalls. APA Monitor, 34 (1), 50. https://www.apa.org/monitor/jan03/10ways
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