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E-raamat: Ethics of Private Practice: A Practical Guide for Mental Health Clinicians

(Professor of Psychology, Loyola University Maryland), (Independent Practice, Atlanta, Georgia), (Independent Practice, Cheshire, Connecticut)
  • Formaat: 248 pages
  • Ilmumisaeg: 23-May-2014
  • Kirjastus: Oxford University Press Inc
  • Keel: eng
  • ISBN-13: 9780199976645
  • Formaat - EPUB+DRM
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  • Formaat: 248 pages
  • Ilmumisaeg: 23-May-2014
  • Kirjastus: Oxford University Press Inc
  • Keel: eng
  • ISBN-13: 9780199976645

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Mental health professionals in private practice strive for clinical and financial success. Yet, there are myriad ethical issues and dilemmas awaiting every practitioner that serve as challenges to being successful for even the most clinically competent and savvy business persons. Some ethics issues are obvious while others are more subtle and can undermine the best intentions of practitioners who have not prepared for these challenges. Graduate training programs in the mental health professions offer courses in ethics for their students, but few offer practical training in the application of ethics to the business of practice. A resource focusing specifically on these challenges has been sorely needed.

The Ethics of Private Practice helps mental health professionals understand the essential ethical issues related to many of the challenges of being in independent mental health practice. Seasoned clinicians Barnett, Zimmerman, and Walfish offer readers astute insight to help them build a practice that is designed to minimize unintended ethical violations and reduce associated risks. Each chapter focuses on a major aspect of the business of practice and incorporates relevant standards from the ethics codes of four mental health professions. Topics addressed include planning one's private practice, successfully running and managing one's practice, documentation and record keeping, dealing with third parties and protecting confidentiality, managing practice finances and making financial decisions, staff training and office policies, advertising and the effective marketing of one's practice, continuing professional development activities, and the closing of a private practice. The authors discuss important questions such as: What do you do as a practitioner when your best referral source wants to become your client? What is appropriate use of social media? How should you respond when a managed care company denies authorization for treatment for a client that you know is in obvious need of further treatment? Full of practical tips that can be readily implemented, The Ethics of Private Practice is sure to be a handy, go-to resource for mental health clinicians in private practice.

Arvustused

Barnett et al. clearly explain how to put ethical principles into private practice. The authors do a great job of organizing practical tips integrated with a scholarly review of relevant literature... Barnett, Zimmerman, and Walfish's book is such a good idea that one must ask why it wasn't written earlier. It would have saved many of us from having to learn best practices the hard way... Their wisdom is relevant to practitioners at all stages of career development, ranging from emerging professionals who are beginning their careers to seasoned practitioners who are beginning their retirement - and all those in between. * Independent Practitioner *

Preface xi
Acknowledgments xv
1 Starting Out: Ethics Issues in Beginning a Practice 1(26)
Becoming Licensed to Practice
1(2)
Accuracy and Integrity in Completing Licensure Applications
3(1)
Supervision Prior to Licensure
4(5)
Choosing a Practice
9(3)
Practicing in Health Care Settings
12(2)
Your Ethics and Legal Team
14(4)
Location and Office Setting
18(3)
Ethical Challenges
21(1)
Key Points to Keep in Mind
21(1)
Practical Recommendations
22(1)
Pitfalls to Avoid
22(1)
Relevant Ethics Code Standards
23(2)
References
25(2)
2 Clinical Practice 27(30)
Scope of Practice
27(2)
Clinical Competence and Accepting Referrals
29(1)
Wait Time and Waiting Lists
30(1)
Understanding Informed Consent
31(1)
Assent
32(2)
Exceptions to Confidentiality
34(2)
Boundaries and Multiple Relationships
36(4)
Additional Boundary and Multiple Relationship Challenges
40(1)
Emergencies and Crises
41(1)
Termination and Abandonment
42(1)
Ethical Challenges
43(1)
Key Points to Keep in Mind
44(1)
Practical Recommendations
45(1)
Pitfalls to Avoid
46(1)
Relevant Ethics Code Standards
47(5)
References
52(3)
Sample Termination Letter
55(2)
3 Documentation and Record Keeping 57(14)
Documentation
57(3)
How to Document
60(2)
Financial Records
62(1)
Use of Technology and Electronic Health Records
62(1)
Records When More Than One Person Is Being Treated
63(1)
Record Keeping, Storage, and Disposal
63(1)
What Happens When a Client Is Deceased
63(1)
Ethical Challenges
64(1)
Key Points to Keep in Mind
65(1)
Practical Recommendations
66(1)
Pitfalls to Avoid
67(1)
Relevant Ethics Code Standards
67(2)
References
69(2)
4 Dealing With Third Parties and Protecting Confidentiality 71(22)
General Policies
71(8)
Special Situations
79(6)
Ethical Challenges
85(1)
Key Points to Keep in Mind
86(1)
Practical Recommendations
86(1)
Pitfalls to Avoid
86(1)
Relevant Ethics Code Standards
87(3)
References
90(1)
Release of Information Checklist
91(2)
5 Financial Decisions 93(28)
Fee Setting Practices
94(3)
Sliding Fee Scale Arrangements
97(1)
Increasing Fees
98(1)
Collections
98(1)
Collection Actions
99(1)
When a Client Does Not Want to Use Their Insurance
100(2)
Medicare
102(1)
Informing Clients About the Nature and Limitations of Their Insurance
102(3)
Accurate Billing
105(4)
Not All Inaccurate Billing Is Due to Fraud or Deceit
109(2)
Information to Be Communicated to Managed Care Organizations
111(1)
Denial of Care by an Insurer
112(2)
Ethical Challenges
114(1)
Key Points to Keep in Mind
114(1)
Practical Recommendations
115(1)
Pitfalls to Avoid
116(1)
Relevant Ethics Code Standards
116(2)
References
118(3)
6 Staff Training and Office Policies 121(14)
General Professionalism
121(1)
Confidentiality, Confidentiality, Confidentiality
121(1)
Delegation to Subordinates
122(1)
Boundaries and Relationships
123(1)
Security of Records and the Facility
124(1)
Policies and Procedures: A Safety Net
125(1)
Ethical Challenges
126(1)
Key Points to Keep in Mind
127(1)
Practical Recommendations
127(1)
Pitfalls to Avoid
128(1)
Relevant Ethics Code Standards
129(2)
References
131(1)
Ethics Quiz for Staff
132(1)
End-of-the-Business-Day Lockup Checklist
133(2)
7 Advertising and Marketing 135(14)
Advertising and Public Statements
135(2)
Testimonial Endorsements
137(2)
Uninvited In-Person Solicitations
139(1)
Marketing Professional Services
139(1)
Interacting With the Media
140(1)
Marketing in the Community
140(2)
Ethical Challenges
142(1)
Key Points to Keep in Mind
143(1)
Practical Recommendations
144(1)
Pitfalls to Avoid
144(1)
Relevant Ethics Code Standards
145(2)
References
147(2)
8 Continuing Professional Development 149(12)
Readings
149(1)
Training
150(1)
Use of Listservs
150(2)
Peer Consultation Groups
152(1)
Mentoring
152(1)
Personal Psychotherapy
153(1)
The Role of Self-Care, Burnout Prevention, and the Promotion of Wellness
154(1)
Staying Aware of Local Laws, Regulations, and Changes
155(1)
Ethical Challenges
155(1)
Key Points to Keep in Mind
156(1)
Practical Recommendations
156(1)
Pitfalls to Avoid
156(1)
Relevant Ethics Code Standards
157(2)
References
159(2)
9 Leaving a Practice 161(18)
Notifying Your Group That You Are Leaving the Practice
161(1)
Telling Clients That You Will No Longer Be Practicing
162(3)
Ensuring Continuity of Care
165(2)
Informing Referral Partners
167(1)
Maintenance of Records
167(2)
Selling a Practice
169(1)
Malpractice Insurance Into Retirement
170(1)
The Professional Practice Will
171(1)
Business Issues
172(1)
Ethical Challenges
172(1)
Key Points to Keep in Mind
173(1)
Practical Recommendations
173(1)
Pitfalls to Avoid
174(1)
Relevant Ethics Code Standards
174(2)
References
176(3)
10 Closing Thoughts 179(2)
About the Authors 181(2)
Index 183
Jeffrey E. Barnett, PsyD, ABPP, is a licensed psychologist with 30 years of experience in independent practice. He also is a Professor in the Department of Psychology at Loyola University Maryland, where he teaches courses in ethics and professional practice. He is a past Chair of the APA Ethics Committee and has published and presented widely on ethics and professional practice issues for mental health professionals.

Jeffrey Zimmerman, PhD, ABPP, has been in private practice since 1981. From working solo to managing a large multi-site inter-disciplinary group, Dr. Zimmerman has dealt with the complex challenges faced by clinicians who are trying to run a successful mental health practice in an ethically responsible manner. He is also a Founding Partner of The Practice Institute, LLC.