Maryland Psychology Jurisprudence Exam: Guide for Licensure & Ethics, Exams of Psychology

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Maryland Psychology Jurisprudence Exam

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Board functions - CORRECT ANSWERS ✔✔ licensing psychologists, approving psych associates, renewing licenses, reviewing CE, promulgating regulations, interpreting scope of practice, educating licensees, and investigating complaints Board - CORRECT ANSWERS ✔✔ Sate Board of Examiners of Psychologists Number of hours required for licensure - CORRECT ANSWERS ✔✔ 3250 hours, across 2 years supervised experience (75% by a psychologist, 2 hours for every 20 hours of experience plus other learning activities) Requirement to pass the MD exam - CORRECT ANSWERS ✔✔ 75% Requirement to pass the EPPP exam (part I) - CORRECT ANSWERS ✔✔ 70% (scaled score 500) recently or 73% before 2002 Requirements for doctoral program in psychology - CORRECT ANSWERS ✔✔ 1) accredited by APA or Canadian Psychological Association 2) listed by the national register of health service providers in psychology, or meets the requirements if the degree was earned outside the US or Canada. (Other exceptions for degrees earned before 1981 (US) or 1988 (Canada) )

Why go on inactive status? - CORRECT ANSWERS ✔✔ leaving state and may return to practice later Duration of inactive status - CORRECT ANSWERS ✔✔ 2 years, can be renewed for an additional 2 years How to reactivate license - CORRECT ANSWERS ✔✔ apply, pay fee, prove CE requirements, submit to criminal history/background check if inactive for 1 or more years When do you renew? - CORRECT ANSWERS ✔✔ every other year, March 31 How soon can you reapply for licensure after it has been revoked? - CORRECT ANSWERS ✔✔ 5 years What is the Board's mission? - CORRECT ANSWERS ✔✔ to ensure that consumers in MD receive quality psychological services in accordance with the laws in MD Why are CE's important? - CORRECT ANSWERS ✔✔ to ensure a minimum in maintaining competence and not harming consumers What are the goals of CE's (4 goals, 3 no's)? - CORRECT ANSWERS ✔✔ 1 - maintain professional competency 2- increase professional skills and knowledge 3 - prepare for new roles and responsibilities in practice 4 - expands the science of psychology theory, method, or practice

Mental Hygiene, MD Psych Association (approved by APA), accredited academic institution Failure to complete CE requirements - CORRECT ANSWERS ✔✔ do not complete, or do not comply with audit within 30 days If denied license or renewal - CORRECT ANSWERS ✔✔ can request a hearing within 30 days in writing; Board convenes a hearing To reactivate license from inactive - CORRECT ANSWERS ✔✔ provide proof of 20 CE (10 or fewer independent study) in last year, if more than a year left in the cycle complete another 20 in that time period. To reactivate license from expired - CORRECT ANSWERS ✔✔ provide proof of 20 CE (10 or fewer independent study) in last year and complete the rest on time OR if more than 1 year since it expired show 40 CE for the current period. Can you always reactivate an expired license? - CORRECT ANSWERS ✔✔ no, not if more than 5 years expired - then reapply How does the Board notify about a hearing? - CORRECT ANSWERS ✔✔ at least 30 days before - in person, registered or certified mail, restricted delivery, return receipt; must state issue or charges Can you have legal counsel for a hearing? - CORRECT ANSWERS ✔✔ yes, you can be alone or with counsel

Why a prehearing conference - CORRECT ANSWERS ✔✔ to attempt to settle the case, to prepare for the hearing by delineating issues, stipulating facts, arranging schedule, arranging witness list, subject matter of testimony What is discovery on request? - CORRECT ANSWERS ✔✔ by written request, either party can request within 15 days: witness list, copies of documents What is mandatory discovery? - CORRECT ANSWERS ✔✔ each party will provide the other (at least 15 days before prehearing conference or 45 days before hearing) name and cv of expert witnesses, expert report How is expert report evaluated? - CORRECT ANSWERS ✔✔ can exclude it if not sufficiently specific or doesn't comply at the prehearing conference or just before the hearing Can you add witnessses or documents later? - CORRECT ANSWERS ✔✔ not after the prehearing conference, or if none, no later than 15 days before the hearing (except for impeachment or rebuttal purposes) Can you appeal? - CORRECT ANSWERS ✔✔ yes, you can seek judicial review What if the Board decides a psychologist is not in violation of Title 18? (After a hearing; etc) - CORRECT ANSWERS ✔✔ all charges will be dismissed, exoneration, expunge records of proceeding, no further action by Board on these specific charges

psychology has been limited, restricted, revoked, or subject to any other disciplinary action What are four sexual intimacies? - CORRECT ANSWERS ✔✔ 1 - genital contact 2 - nongenital contact with hips, loin, thigh, buttocks or breasts 3 - exposure or observation of genital or nude portions of bodies involving breasts, buttocks or genitals 4 - other behaviors engaged in for the purpose of sexual arousal or gratification After a hearing, how does the board convey the decision? - CORRECT ANSWERS ✔✔ in writing with statement of facts and findings, protects patient confidentiality; mailed to licensee and legal counsel; if no violation, immediately dismissed and records expunged Can you ask for a rehearing? - CORRECT ANSWERS ✔✔ yes - within 10 days explaining grounds, Board will respond within 30 days; does not affect order/decision; as a result of new evidence can reverse earlier decision and exonerate licensee What is the psychologist rehabilitation committee? - CORRECT ANSWERS ✔✔ Committee of the Board or MD Psychologists Association that evaluates and provides assistance to psychologists or other regulated providers who need treatment and rehab for drug or alcohol abuse or other physical, emotional, or mental conditions The findings, records, or files of the committee are usually NOT discoverable or admissible as evidence in civil proceedings

Can you offer advice to neighbors? - CORRECT ANSWERS ✔✔ only in context of clear professional relationships What kinds of diversity need to be respected? (12 kinds) - CORRECT ANSWERS ✔✔ age, disability, ethnicity, gender, gender identity, language, national origin, race, religion, culture, sexual orientation, SES, or other basis proscribed by law Responsibility for medical records - CORRECT ANSWERS ✔✔ do not destroy, alter, damage, medical records being used in a proceeding Competence for serving special populations - CORRECT ANSWERS ✔✔ a psychologist must acquire the training and special education needed to address cultural differences of special populations Taking credit - CORRECT ANSWERS ✔✔ only for work performed or supervised Responsibility as employer - CORRECT ANSWERS ✔✔ - must ensure employees are trained and comply with ethical principles

• multiple relationships that could impair objectivity or constitute conflict of interest -present or previous familial, social, sexual, emotional, financial, supervisory, political, administrative, or legal relationships with clients or person associated with or related to a client. 3 things to include in syllabus - CORRECT ANSWERS ✔✔ 1 - subject matter 2 - nature of course experiences 3 - basis for evaluating performance

deceptive fraudulent, misleading, partially disclose facts, or create unjustified expectations of favorable results 4 - solicit endorsements or testimonials from clients (especially from vulnerable clients) 2 aspects of informed consent (general) - CORRECT ANSWERS ✔✔ 1 - appropriate language 2 - vary procedure to ensure capacity to consent, provided all the information, knows it is voluntary, can ask questions 5 aspects of research consent to make clear - CORRECT ANSWERS ✔✔ 1) purpose and nature as well as costs 2) purpose and nature of evaluation, treatment, education or training procedure 3) risks and consequences 4) right to withdraw 5) notification about any observation, taping, filming 6 aspects of therapy to make clear (informed consent) - CORRECT ANSWERS ✔✔ 1) reasonable expectation 2) nature and purpose of testing, reports, consulation 3) limits of confidentiality 4) fees, billing, electronic services, collection 5) schedules 6) termination procedure 5 aspects of fees and payments to make clear (informed consent) - CORRECT ANSWERS ✔✔ 1) make advance financial arrangements 2) inform about collection procedures 3) comply with rules on referrals

4. make clear any renumeration in providing referrals 5) don't sign insurance statements unless provided the services yourself Testing/assessment - 9 important things TO DO - CORRECT ANSWERS ✔✔ 1) only perform when needed in professional context 2) only most current versions 3) use specialized instruments for special populations 4) use appropriate norms and scoring 5) select instruments that are valid 6) reporting results in a way that is

understandable, takes into account limitations of test, and is not overly reliant on automated scoring 7) base recommendations on current tests 8) supply a manual to other professionals 9) release results to clients as appropriate 3 things NOT to do with testing/evaluation - CORRECT ANSWERS ✔✔ 1) do not release test protocols or raw data to people who are not qualified 2) don't encourage testing or interpretation by people who are not qualified 3) don't reproduce test materials or describe tests publicly in ways that compromises validity Who can you release test results to? - CORRECT ANSWERS ✔✔ must be qualified to interpret raw data unless required by law What are two key aspects of client welfare? - CORRECT ANSWERS ✔✔ 1 - make sure to disclose conflicts of interest, taking confidentiality into account 2- arrange for emergency coverage when not available What exploitation must be avoided (5 things) - CORRECT ANSWERS ✔✔ 1 - exploit or harm 2 - take actions that violate or diminish rights 3- exploit trust and dependency 4 - allow personal, social, religious, organizational, financial, political pressures to lead to misuse of their influence 5 - enter into non-psych, non-professional relationship that is considered exploitative based on (nature, duration, intensity of services, length of relationship, length of time since termination, mental stability of psychologist and client, circumstances of termination, likelihood of adverse impact) What sexual misconduct must be avoided? - CORRECT ANSWERS ✔✔ 1 - sexual intimacies with current client 2 - sexual intimacies with

Limits of confidentiality - CORRECT ANSWERS ✔✔ must be fully explained to client: child abuse, imminent severe harm to another or the person (also for minors with legal guardians) 2 reasons to release client records - CORRECT ANSWERS ✔✔ as permitted or required by law: 1 - patient request 2 - child abuse reporting Fee for licensure application & registration as associate - CORRECT ANSWERS ✔✔ $300; $ Examination Fees - CORRECT ANSWERS ✔✔ National - $650; State - $ License/registration renewal fees - CORRECT ANSWERS ✔✔ $400; $300 - bienniel Inactive status fee - CORRECT ANSWERS ✔✔ $200 every 2 years License/registration reinstatement fee - CORRECT ANSWERS ✔✔ $700; $ 8 ways to protect confidentiality - CORRECT ANSWERS ✔✔ 1 - maintain confidentiality 2 - explain limits at beginning of treatment 3 - safeguard information 4 - release only as permitted or required by law 5 - obtain written permission for recording interviews 6 - avoid invasion of privacy by writing only about relevant data 7 - treat assessment data as confidential 8 - obtain consent before presenting

info & disguise information when possible (especially in research & teaching) Record keeping - CORRECT ANSWERS ✔✔ include informed consent, presenting problems, diagnosis, fee arrangements, dates and type of service, test data and evaluations, results of consultations What is a psychology associate? - CORRECT ANSWERS ✔✔ - Master's degree or equivalent, has applied to the Board, will work under direct supervision of a licensed Psychologist

• Considered "Full-time"
• Provision of direct services at least 26 hours/week Who can supervise a psychology associate? - CORRECT ANSWERS ✔✔ psychologist licensed in MD with at least 2 years of post-licensure experience, can only do so in areas of competence, may delegate another psychologist with proper documentation (still taking full responsibility for services performed) What are the responsibilities of the supervisor? - CORRECT ANSWERS ✔✔ 1) be available for emergency consultation 2) maximum of 5 supervisees 3) cannot engage in multiple relationship with supervisee 4) take responsibilities for all services provided by supervisees 5) complete additional CE requirements along with associate 6) inform clients of supervision arrangements 7) maintain documentation of supervision 8) co-sign all clinical documents What are the 4 things that need to be documented about supervision?
• CORRECT ANSWERS ✔✔ 1) includes: dates and length of supervisory sessions 2) client names or identification 3) outcomes of cases

What happens when a supervisory relationship is terminated? - CORRECT ANSWERS ✔✔ Board must be notified; Associate can only practice under another licensed psychologist 6 factors board will consider in imposing a financial penalty - CORRECT ANSWERS ✔✔ 1 - if licensee derived financial benefit 2 - willfullness 3 - extent of public harm 4 - history of previous violations 5 - mitigating factors presented by licensee 6 - cost of investigating and prosecuting the case What is a penalty? - CORRECT ANSWERS ✔✔ monetary fine What is a sanction? - CORRECT ANSWERS ✔✔ formal disciplinary action against a licensee (such as reprimand, probation, suspension, or revocation) Sanction/Penalty for violation of child custody evaluation - CORRECT ANSWERS ✔✔ (2) up to: active suspension for 2 years// $5, Sanction/Penalty for criminal conviction of a felony or crime of moral turpitude - CORRECT ANSWERS ✔✔ (3) up to: denial of licensure/registration or revocation// $10, Sanction/Penalty for engaging in dual relationships - CORRECT ANSWERS ✔✔ (5) up to: active suspension for 1 year/$5, Sanction/Penalty for exploitation or undue influence of a client - CORRECT ANSWERS ✔✔ (6) up to: revocation/$10,

Sanction/Penalty for submitting a false statement to collect a fee - CORRECT ANSWERS ✔✔ (7) up to: revocation/$10, Sanction/Penalty for fraudulently or deceptively obtaining, or attempting to obtain a license or registration - CORRECT ANSWERS ✔✔ (8) up to: denial or license/registration or revocation/ $10, Sanction/Penalty for willfully making a false report or record - CORRECT ANSWERS ✔✔ (9) up to: denial or license/registration or revocation/ $10, Sanction/Penalty for professional incompetence - CORRECT ANSWERS ✔✔ (10) up to: revocation/ $10, Sanction/Penalty for physical or mental incompetence - CORRECT ANSWERS ✔✔ (11) up to: denial or license/registration or revocation/ N/A Sanction/Penalty for improper termination of services - CORRECT ANSWERS ✔✔ (12) up to: active suspension for 1 year/ N/A Sanction/Penalty for misrepresentation of services or fees - CORRECT ANSWERS ✔✔ (13) up to: active suspension for 1 year/ $ Sanction/Penalty for plagiarism - CORRECT ANSWERS ✔✔ (14) up to: probation for 2 years/$5,

Sanction/Penalty for discrimination - CORRECT ANSWERS ✔✔ (26) up to: probation for 2 years/ $1, Definition of practice of psychology (3 areas) - CORRECT ANSWERS ✔✔ to provide to any person: any service for compensation involving the application of psychological principles, methods or procedures for: (i) understanding, predicting, or influencing behavior, including the principles that relate to learning, perception, motivation, emotions, organizational relationships, and interpersonal relationships (ii) interviewing, counseling, psychotherapy, behavior modification, or hypnosis or (iii) constructing, administering, or interpreting tests of mental abilities, neuropsychological functioning, aptitudes, interests, attitudes, personality characteristics, emotions, or motivations "Practice psychology" includes - CORRECT ANSWERS ✔✔ application of psychological principles & methods in: 1) diagnosis, prevention, treatment, and amelioration of problems 2) assisting people in their effectiveness to modify feelings, conditions, attitudes, or behavior that is maladjusted 3) biofeedback What are psychological methods? - CORRECT ANSWERS ✔✔ include the body of information that can be derived from a graduate program in psychology, other education or training recognized by the Board as prerequisites for a license under this title and that does not amount to the practice of methods What does definition of psychologist and psych practice NOT cover ( things)? - CORRECT ANSWERS ✔✔ 1) the right of an individual to

practice a health occupation that the individual is licensed, certified, or otherwise authorized to practice under this article (2) The right of an individual to provide vocational rehabilitation services as authorized under Title 9, Subtitle 6 of the Labor and Employment Article (3) the nonprofit activities and services of a bona fide religious organization that is exempt from taxation under § 501 (c) (3) of the Internal Revenue Code What are 5 exceptions to needing a license? - CORRECT ANSWERS ✔✔ 1) the activities and services of and the use of an official title by an individual employed by any agency of the federal government, this State, or any political subdivision of this State, or a chartered educational institution while performing the duties of that employment (2) the education-related services described in regulations adopted by the State Department of Education that are performed by a certified school psychologist (3) the activities and services of a student, intern, resident or fellow while pursuing a supervised course of study in psychology that the Board approves as qualifying training and experience under this title (4) the activities and services of an individual while performing psychological services under the direct supervision of a licensed psychologist who takes full responsibility for the activities and services performed, if the supervisee's graduate program met all requirements (5) the activities and services of an individual licensed or certified as a psychologist in any other state who recently has become a resident of this State and has an application for a license approved by the Board, provided that the individual passes the first scheduled examination for which the applicant is eligible