Informed consent is an “important tool” for the therapist to use in matters of privacy and confidentiality with clients (Wrape & McGinn, 2018, p. 299). Presenting this information clearly and succinctly is an early part of building rapport in the therapeutic relationship. The document should provide enough information but not overwhelm the client. In this assignment, you will create a 3- to 4-page Professional Disclosure and Informed Consent form, based loosely on the Appendix A example in the Wilcoxon (2014) text. You might also look for other informed consent forms used in medical or therapy practices to use as examples. Be creative yet realistic in your approach. You should create the form imagining you are fully licensed as a marriage and family therapist in your state.
Address the following questions in the form:
What do you believe is the purpose of psychotherapy?
What leads people to live more satisfying lives?
What should clients expect as a result of engaging in therapy efforts?
What is your responsibility during therapy?
What are the responsibilities your clients can be expected to assume during therapy?
What is your professional background and license type?
What is your primary therapeutic approach? What are your general intervention strategies?
When assisting clients in the past, what types of presenting problems have you been most effective at addressing?
Under what circumstances might you refer?
How do you handle the confidential therapeutic relationship?
What are your fees for individual, couple, and family sessions? Do you accept insurance?
What are the limits of confidentiality? What are you required to report? What is your state’s policy on the duty to warn?
Do you see minors in your practice? What are the limits of confidentiality?
What is your policy on emergency contact between sessions?
Do you charge for a late cancellation or a no-show?
How can clients file a complaint against you to the licensing board?
Click the Submit Assignment link in the upper-right corner to upload your assignment.
Sources:Ethical, Legal, and Professional Issues in the Practice of Marriage and Family Therapy text Ch. 4 Unique Ethical Considerations in Marriage and Family Therapy: Principle Distinctions, pp. 71-88 Ch. 5 Unique Ethical Considerations in Marriage and Family Therapy: Practice Distinctions, pp. 89-104 The Portable Lawyer for Mental Health Professionals, Sections 1 & 2 Harris, S. M., Brown, A., Dakin, J. B., Lucas, B., Riley, L., & Bulham, R. (2009). Are clinical records really that important? The dearth of research and practice guidelines in MFT literature. Download Are clinical records really that important? The dearth of research and practice guidelines in MFT literature. American Journal of Family Therapy, 37, 373–387. Gonyea, J. L. J., Wright, D. W., & Earl-Kulkosky, T. (2014). Navigating dual relationships in rural communities. Download Navigating dual relationships in rural communities. Journal of Marital and Family Therapy, 40(1), 125-136. Ivers, N. N., & Perry, R. L. (2014). A time to tell? Legal issues regarding Duty to Warn and Protect Download A time to tell? Legal issues regarding Duty to Warn and Protect. Journal of Human Services, 34(1), 70-81. Negash, S., & Sahin, S. (2011). Compassion fatigue in marriage and family therapy: Implication for therapists and clients. Download Compassion fatigue in marriage and family therapy: Implication for therapists and clients. Journal of Marital and Family Therapy, 37(1), 1–13. Resources Marriage and Family Therapist Licensure Links to an external site. Recommended Readings Barbee, P. W., Combs, D. C., Ekleberry, F., & Villalobos, S. (2007). Duty to warn and protect: Not in Texas Download Duty to warn and protect: Not in Texas. Journal of Professional Counseling: Practice, Theory, and Research, 35(1), 18–25. Wrape, E. R., & McGinn, M. M. (2018). Clinical and ethical considerations for delivering couple and family therapy via telehealth. Download Clinical and ethical considerations for delivering couple and family therapy via telehealth. Journal of Marital and Family Therapy, 45(2), 296-308. Books to reference the above readings: Hartsell, T. L., & Bernstein, B. E. (2013). The portable lawyer for mental health professionals: An A-Z guide to protecting your clients, your practice, and yourself (3rd ed.). Wiley. (ISBN: 9781118341087) Wilcoxon, S. A., Remley, T. P., & Gladding, S. T. (2014). Ethical, legal, and professional issues in the practice of marriage and family therapy, updated (5th ed.). Pearson. (ISBN: 9780133350821)
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