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CMTO - MCQ 2018 # 3 (PROF. PracƟce)
Your treatment notes are a legal medical record. As such, they must be wriƩen in - blue or black ink only. Errors can be corrected by crossing out the mistake with a straight line, iniƟal and adding the correcƟon. Reports of child abuse or neglect of minors is a civil responsibility. This duty exists for all people including therapists what age do you report child abuse - 16 years old 3 principals in charter of professionalism; - 1. CLIENT CENTERED
- THERAPIST AUTONOMY
- SOCIAL JUSTICE If you find listening with empathy difficult, as these quesƟons: - What need is the (anger, etc) coming from?
- What danger is this person experiencing?
- What is he or she asking for? Total Listening can be said to include: - Good eye contact Leaning forward slightly Reinforce the speaker by nodding or paraphrasing Clarifying by asking quesƟons AcƟvely move away from distracƟons Be commiƩed, even if you're angry or upset, to understand what was said. listening with awareness - we compare what we know from history, people and the way things are without judgement, simply making note of how a communicaƟon fits with known facts. Hear and observe congruence in tone of voice, emphasis, facial expression and the message they share.
listening with openness - take in the whole message, rather than allowing premature evaluaƟons. Hear the whole statement, trying to understand it all. Figure out how their point of view makes sense. client discharge leƩer; where it goes - in file and client With change of informaƟon, such as clinic locaƟon, name or personal address you have _______days with which to noƟfy the college. - 14 days when filing a report of complaint regarding alleged sexual abuse with CMTO; the report must contain; - a) the name of the person filing the report b) the name of the member who is the subject of the report c) an explanaƟon of the alleged sexual abuse, incompetence or incapacity in regards to filing a report of alleged sexual abuse, do you put the name of the abused on file - no; only if client agrees in wriƟng. feedback - the point at which you can talk about your reacƟons in a non-judgemental way, aŌer paraphrasing and clarifying. You can share what you thought, felt or sensed clarifying - oŌen goes along with paraphrasing; helps you sharpen your listening focus so that you hear more than vauge generaliƟes. paraphrasing - to state in your own words what you think someone just said. it is absolutely necessary to good listening sparring block - This block has you arguing and debaƟng with people. The other person never feels heard because you're so quick to disagree advising block - You are a great problem solver, ready with help and suggesƟons. You don't have to hear more than a few sentences before you begin searching for the right advice
being right derailing placaƟng pseudo listening - masquerading as real listening actually serves another need. Real listening is based on the intenƟon to do one of four things: - 1 Understand someone 2 Enjoy someone 3 Learn something 4 Give help or solace test of universality - What would happen if everybody behaved this way? test of publicity - How would I feel if my behaviour were to be made public? honestly expressing - same as Emp. listening empatheƟcally listening - observaƟons feelings needs requests components of non violent communicaƟon - empatheƟcally listening honestly expressing test of jusƟce - Apply your sense of fairness and ask yourself how would I like to be treated if our posiƟons were reversed?
Improving quality and scienƟfic knowledge - be dedicated to excellence in knowledge, skills, and judgment by maintaining and enhancing clinical competence Access to appropriate care and effecƟve distribuƟon of resources - Professionalism demands that the objecƟve of all health care services be the availability of a uniform and adequate standard of care. Therapists must individually and collecƟvely promote public health through advocacy, and strive to reduce barriers to equitable access to treatment without any form of discriminaƟon, and without concern for the self-interest of the therapist or the profession. Maintaining client confidenƟality and trust - Earning the trust and confidence of clients requires that appropriate confidenƟality and privacy safeguards be applied to disclosure of, and access to, client informaƟon Professional competence, responsibility to self, and accountability to others - Therapists must be commiƩed to lifelong learning and be responsible for maintaining the skills, knowledge, and judgment necessary for the provision of the highest possible quality of care. What is the first step in aƩempƟng to understand an ethical issue or dilemma? - idenƟfying whether the situaƟon poses an ethical issue or dilemma Step one of decision making protocol - Determine if the situaƟon poses an ethical issue or dilemma and then gather all the facts not all issues require mandatory reporƟng; when must mandatory reporƟng happen - Financially abuse *********Sexually abuse********** EmoƟonal abuse Physically abuse their clients if the situaƟon involves a conflict of values, it is a: - Ethical Dilemma a situaƟon that raises an ethical quesƟon about right or wrong - Ethical Issue
beneficence - contribute to the health and wellbeing of their client non maleficence - no harm to the client autonomy - clients have the moral right to make their own decision regarding their health care general ethical principals; - Non maleficence: Beneficence: Fidelity: autonomy client centered - dedicaƟon to professional excellence in responsible caring, altruism, and serving the best interests of the client, including enabling them to exercise their fundamental right to make informed choices about their treatment. basic principals in charter of professionalism - 1. client centered
- therapist autonomy
- social jusƟce non violent communicaƟon is useful for - resolving conflicts, connecƟng with others, and living in a way that is conscious, present, and aƩuned to the genuine, living needs of yourself and others. 4 components to non violent communicaƟon - ObservaƟons Feelings Needs Requests
If keeping your treatment notes electronically they must be kept password protected and backed up. Regardless of if you computer goes down, your files are sƟll your responsibility for how long; - 10 years from the last date of treatment (or 18yr+ 10 for minors) how are electronic files saved - must be password protected and saved as a backup PHIPA - Professional health informaƟon privacy act ICRC - Inquiries, complaints and reports commiƩee ADR - ALTERNATIVE DISPUTE RESOLUTION
