By Paul S. Appelbaum MD, Thomas G. Gutheil MD
Thoroughly up to date for its Fourth version, this award-winning instruction manual supplies psychological health and wellbeing pros authoritative information on how the legislations impacts their scientific perform. every one bankruptcy offers case examples of felony concerns that come up in perform, in actual fact explains the governing criminal principles, their motive, and their medical effect, and gives concrete motion publications to navigating clinico-legal dilemmas. This version addresses the most important contemporary advancements together with new federal ideas retaining sufferers' privateness, rules minimizing use of seclusion and reticence, legal responsibility hazards linked to more moderen psychiatric drugs, malpractice hazards in forensic psychiatry, and new based review instruments for violence hazard, suicidality, and decisional capacity.
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5. Cellphones and Wireless Phones Though now ubiquitous, cellular telephones and wireless telephones differ in a significant way from standard land-line telephones: Calls can be intercepted by a number of electronic devices. To cure one’s doubt of this point, one has only to hear the neighbor’s telephone call coming in loud and clear over the baby-room intercom. As a general rule, then, confidential information should not be transmitted by these devices. If necessary to do so, the patient should be informed that the clinician is on such a telephone and of the potential for overhearing, and the patient’s consent should be obtained.
2. Determine whether one of the exceptions under HIPAA apply. a. Likely to endanger life or physical safety of patient or others. b. Information in record about third party and release likely to cause that person substantial harm. 3. Prepare patient for impact of disclosure. a. Discuss confusing, technical, or seemingly pejorative terms. b. Discuss possible impact on ongoing therapy. 4. Whenever possible, go over record together with patient. 5. Use material revealed to advance therapy. a. Use as means of integrating past experience.
We recommend that faxed material be sent in encrypted form if at all possible. In any case, each transmission should have a cover sheet that identifies the sender and intended recipient and defines the material as confidential, with numbers and addresses provided in case of mistransmission. Calling before and after transmission to confirm readiness for transmission and receipt of same is also warranted. Information on a patient’s HIV status and other especially sensitive data should never be faxed.