After your work with Jen has ended, she contacts you months later to tell you that she is
speaking in front of a group of teens at the local high school to raise awareness about sexual
assault. She invites you to attend. How should you respond? - ANSWER You are so coura-
geous. It would be my pleasure to attend and hear your speech.
This doesn't cross any inappropriate boundaries. You will be attending this event as a profes-
sional.
You believe that Mr. and Mrs. Jones are good subjects for a research project, and since you
are already seeing them as clients, you conduct the testing during one of your sessions. Is
this acceptable?
You believe that the scientific and educational value of your research outweighs the need to
inform the Joneses either before or after. - ANSWER INAPPROPRIATE Counselors shall ob-
tain prior consent from all research participants and shall also inform all research partici-
pants that they may withdraw consent at any time and discontinue their participation at any
time
You schedule a 90-minute block to complete an intake session with Zach. Zach, however,
doesn't arrive at your office until he is already 45 minutes late. He professes that his car
broke down, and he had to run to your office. He insists that you see him now. How do you
best proceed?
1) Inform the client of your theoretical orientation
2) Establish payment plans
1
, 3) Ask Zach if he is comfortable in signing a release for his wife since she is his emergency
contact
Also do MSE, sign consent forms, assess suicidality (if indicated- this client said he had just
about enough) - ANSWER Appropriate - It is required of ethical therapists to inform cli-
ents of the therapist's theoretical orientation as part the informed consent.
APPROPRIATE Zach will pay out of pocket. Ethical therapists work with clients on an agreed
payment plan prior to the start of the therapeutic relationship.
APPROPRIATE Zach agrees. This is a great idea to get this document signed early on.
True or false? Supervisees must explain their professional position with client they sit in
with. - ANSWER True
True or false? Supervisors must set time for bi-weekly feedback with supervisees - AN-
SWER False - WEEKLY feedback needed
Your adolescent client stole a phone from his friend's backpack. Do you need to break confi-
dentiality? - ANSWER You are not legally required to break confidentiality in this case.You
might, however, encourage the client to come forward on his own. Generally, crimes that
your client already committed are confidential; however, there are exceptions, such as child
abuse.
When can you release progress notes? - ANSWER Therapy notes are protected and may
not be released unless court ordered by a judge or requested by the parents of a minor. Even
then, caution must be used in releasing this sensitive information, and often, a summary of
therapy goals and progress may suffice instead
An adolescent client discloses to you that she drank at a party with her friends last weekend.
Break confidentiality? - ANSWER Alcohol use or substance use is not necessarily cause for
breaking confidentiality unless the behavior is accompanied by immediate danger to self or
2
speaking in front of a group of teens at the local high school to raise awareness about sexual
assault. She invites you to attend. How should you respond? - ANSWER You are so coura-
geous. It would be my pleasure to attend and hear your speech.
This doesn't cross any inappropriate boundaries. You will be attending this event as a profes-
sional.
You believe that Mr. and Mrs. Jones are good subjects for a research project, and since you
are already seeing them as clients, you conduct the testing during one of your sessions. Is
this acceptable?
You believe that the scientific and educational value of your research outweighs the need to
inform the Joneses either before or after. - ANSWER INAPPROPRIATE Counselors shall ob-
tain prior consent from all research participants and shall also inform all research partici-
pants that they may withdraw consent at any time and discontinue their participation at any
time
You schedule a 90-minute block to complete an intake session with Zach. Zach, however,
doesn't arrive at your office until he is already 45 minutes late. He professes that his car
broke down, and he had to run to your office. He insists that you see him now. How do you
best proceed?
1) Inform the client of your theoretical orientation
2) Establish payment plans
1
, 3) Ask Zach if he is comfortable in signing a release for his wife since she is his emergency
contact
Also do MSE, sign consent forms, assess suicidality (if indicated- this client said he had just
about enough) - ANSWER Appropriate - It is required of ethical therapists to inform cli-
ents of the therapist's theoretical orientation as part the informed consent.
APPROPRIATE Zach will pay out of pocket. Ethical therapists work with clients on an agreed
payment plan prior to the start of the therapeutic relationship.
APPROPRIATE Zach agrees. This is a great idea to get this document signed early on.
True or false? Supervisees must explain their professional position with client they sit in
with. - ANSWER True
True or false? Supervisors must set time for bi-weekly feedback with supervisees - AN-
SWER False - WEEKLY feedback needed
Your adolescent client stole a phone from his friend's backpack. Do you need to break confi-
dentiality? - ANSWER You are not legally required to break confidentiality in this case.You
might, however, encourage the client to come forward on his own. Generally, crimes that
your client already committed are confidential; however, there are exceptions, such as child
abuse.
When can you release progress notes? - ANSWER Therapy notes are protected and may
not be released unless court ordered by a judge or requested by the parents of a minor. Even
then, caution must be used in releasing this sensitive information, and often, a summary of
therapy goals and progress may suffice instead
An adolescent client discloses to you that she drank at a party with her friends last weekend.
Break confidentiality? - ANSWER Alcohol use or substance use is not necessarily cause for
breaking confidentiality unless the behavior is accompanied by immediate danger to self or
2
