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QABA code of ethics
establishes standards for professional competence, behavior, and responsibility
for both ethical practice and enforceable actions as outlined in the QABA
Policies and Procedures
HIPAA benefits
ensure that any information disclosed to healthcare providers and health plans,
or information that is created by them, transmitted, or stored by them, is subject
to strict security controls. Patients are also given control over who their
information is released to and who it is shared with
HIPAA limitations
may limit how a covered entity (for example, a health plan or most health care
providers) uses or discloses individually identifiable health information
HIPAA use
make sure that individuals' health information is properly protected while
allowing the flow of health information needed to provide and promote high-
quality healthcare, and to protect the public's health and well-being
,Retention of records
- laws regarding retention vary from state to state
- 10 years or length of time on statute of limitations
-minors: 3 years after age of majority
- medicare/Medicaid patient: a minimum of 6 years
- deceased patient: 2 years
Storage of records
- storage of client records must be secure (lock and key/password protected)
-these are sensitive confidential documents
- all consent-related requirements remain in effect as long as case files are
maintained
Transportation of HIPAA records
rules state that you must send PHI-related documents through First Class postal
mail. In some situations, you must use certified mail, and the recipient must sign
for it. When sending it certified, it's trackable, as well. You should never use
standard mail
Security of records
to maintain the confidentiality of patient's prescriptions or drug orders, there
shall exist adequate safeguards for security of the records whether kept manually
or in an ADP system
,Client confidentiality
the obligation to retain all communications of any sort that occur within the
therapist-client relationship as private and privileged
Exceptions to client confidentiality
- a duty to warn (if someone plans on killing someone)
- suspected child or elder abuse
- direct threat against a direct entity
(make sure patient knows you cannot promise to keep secrets)
Privileged information
client information that the professional cannot be legally required to provide;
information that an accountant obtains from a client is confidential but not
privileged
Dual relationships between an RBT and a client include
- babysitting or provided respite care for a client that you work with
- attending a social gathering at the invitation of a client or his mother
- providing treatment services to the son or daughter of a friend
Unethical relationship with client
sexual or romantic relationships with clients directly violate one of the
fundamental principles of professional ethical behavior — nonmaleficence, or
avoiding actions that cause harm.
, Duty to warn
mental health professional's responsibility to break confidentiality and notify the
potential victim whom a client has specifically threatened
Duty to report
legal responsibility of health and education professionals to report suspected
abuse, neglect, self-harm, or harm to others
Steps in mandated reporting
reports can be make by calling 1-855-GA-Child (1-855-422-4453) or online at
cps.dhs.ga.gov. The Department of Family and Child Services (DFCS) receives the
report and then sends out a social worker to determines if there is cause for an
investigation
IDEA
The Individuals with Disabilities Education Act (IDEA) is a law that makes available
a free appropriate public education to eligible children with disabilities
throughout the nation and ensures special education and related services to
those children
LRE
Least Restrictive Environment where children receive their special education
services