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Subject Area Colorado Mental Health Jurisprudence
Description This exam covers Colorado mental health laws, rules, and ethical standards for
licensed professionals, including client rights, confidentiality, mandatory
reporting, scope of practice, and disciplinary processes. It is designed to test
advanced understanding of Colorado Revised Statutes and Mental Health Board
rules.
Expected Grade A+
Total Questions 249
Duration 3 hours
Learning Outcomes 1. Analyze Colorado mental health statutes and regulations in complex clinical
scenarios
2. Evaluate ethical and legal obligations regarding confidentiality, informed
consent, and mandatory reporting
3. Apply Colorado-specific rules to interdisciplinary practice and boundary issues
Accreditation Meets standards for Colorado mental health licensure examination as approved by
the Colorado Department of Regulatory Agencies (DORA) and the Colorado
Mental Health Board.
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,1. A licensed professional counselor receives a subpoena for a client's therapy
records in a civil lawsuit. The client has not signed a release. Under Colorado law,
what must the counselor do?
A. Comply with the subpoena immediately because it is a court order
B. Seek a protective order or file a motion to quash to protect client confidentiality
C. Release only the records that are relevant to the lawsuit
D. Notify the client and wait 10 days before releasing records
Answer: B. Seek a protective order or file a motion to quash to protect client
confidentiality
Colorado law (C.R.S. § 13-90-107) protects psychotherapist-patient privilege. A
subpoena alone does not waive privilege; the therapist must assert the privilege and
may seek a protective order or move to quash. Option A is incorrect because a
subpoena is not a court order compelling disclosure. Option C is incorrect because
relevance determination is not the therapist's role. Option D is incorrect because
notification alone does not satisfy legal obligations.
2. A psychologist is treating a client who discloses intent to harm a coworker. The
psychologist believes the threat is serious. Under Colorado's duty to protect, which
action is mandated?
A. Notify the police and the intended victim
B. Hospitalize the client involuntarily
C. Only notify the police
D. Only notify the intended victim
Answer: A. Notify the police and the intended victim
Colorado's duty to protect (C.R.S. § 13-21-117) requires the therapist to take
reasonable steps, including notifying the police and the intended victim, when a client
communicates a serious threat of imminent physical violence. Option B is not mandated
unless the client meets criteria for involuntary commitment. Options C and D are
incomplete.
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,3. A marriage and family therapist learns that a client is HIV-positive but has not
disclosed this to their spouse. The therapist is concerned about the spouse's risk.
Under Colorado law, may the therapist disclose the client's HIV status to the spouse?
A. Yes, because the therapist has a duty to protect the spouse
B. Yes, if the therapist believes disclosure is necessary to prevent serious harm
C. No, not without the client's written authorization
D. No, unless the spouse is also a client
Answer: C. No, not without the client's written authorization
Colorado law (C.R.S. § 25-4-1404) strictly prohibits disclosure of HIV test results
without the client's written authorization, except in limited circumstances (e.g., to
healthcare providers for treatment). The duty to protect statute does not override this
specific confidentiality protection. Options A and B are incorrect because they conflict
with the HIV-specific law. Option D is incorrect because the spouse being a client does
not automatically permit disclosure.
4. A licensed clinical social worker is considering terminating a client who has not
paid for services for three months. The client has made partial payments but owes a
significant balance. What is the most ethically appropriate action under Colorado
rules?
A. Terminate immediately and send the bill to collections
B. Provide written notice of termination and referral resources to the client
C. Continue treatment until the client is stable, then terminate
D. Reduce the fee and accept the partial payments as full payment
Answer: B. Provide written notice of termination and referral resources to the
client
Colorado Mental Health Board rules (e.g., 4 CCR 737-1) require that termination of
services be handled ethically, including providing notice and referrals to avoid
abandonment. Option B is correct because it ensures continuity of care. Option A is
abandonment. Option C may be required if termination would cause harm, but the
question asks what is most appropriate given the nonpayment; the therapist is not
obligated to provide free services indefinitely. Option D is not required.
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, 5. A psychologist is evaluating a minor for custody in a divorce proceeding. The
parents disagree on whether the psychologist may share the evaluation report with
the court. Under Colorado law, who holds the privilege for the minor's mental health
records?
A. The minor, once they turn 18
B. The parent who requested the evaluation
C. Both parents jointly
D. The court
Answer: C. Both parents jointly
In Colorado, for a minor, the privilege belongs to the parents jointly (C.R.S. §
13-90-107). In custody proceedings, both parents have access to the evaluation unless a
court orders otherwise. Option A is incorrect because the minor does not hold the
privilege until age 18. Option B is incorrect because one parent cannot unilaterally
waive the privilege. Option D is incorrect because the court does not hold the privilege.
6. A licensed professional counselor is providing telehealth services to a client located
in another state. The counselor is licensed only in Colorado. Which of the following
is true under Colorado law and typical interstate practice?
A. The counselor may provide telehealth as long as the client is temporarily out of state
B. The counselor must be licensed in the state where the client is located
C. Colorado law allows telehealth across state lines without additional licensure
D. The counselor may provide telehealth if registered with the Colorado Department of
Regulatory Agencies
Answer: B. The counselor must be licensed in the state where the client is located
Colorado law (C.R.S. § 12-245-203) requires that a mental health professional be
licensed in the state where the client is located at the time of service. Option A is
incorrect because even temporary location requires licensure in that state. Option C is
incorrect because Colorado does not have a universal reciprocity law. Option D is
incorrect because registration in Colorado does not confer authority to practice in
another state.
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