Will you medical records get you into trouble?

Hirsh, Harold L.

doi:10.1037/e578652009-018

Cited by 3 publications

(5 citation statements)

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“…Psychiatric and psychological records are considered to be the property of the health care provider. The consumer controls its dissemination, although the right of patients to have direct access to their records varies from state to state (Hirsh, 1978). The From Professional Psychology: Research and Practice, 18, 498-502.…”

Section: Client Access To Recordsmentioning

confidence: 99%

The business of psychology.

Koocher¹,

Soisson²,

VandeCreek³

et al. 1999

Ethical Conflicts in Psychology (2nd Ed.).

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During the time that I first wrote this chapter, there was a joke being bandied about by disgruntled mental health professionals. Relating it to the reader in an attempt at humor may be a dubious reward for wending one's way through the world of ethics reflected in this book, but it will also serve a useful purpose in making the point of this chapter.Three physicians happened to die on the same day and arrived at the proverbial Pearly Gates, waiting to be interviewed by St. Peter to determine whether they would be allowed to enter the Kingdom of Heaven."And who are you? asked St. Peter of the first candidate. "I'm Jonas Salk," he replied meekly. "Oh, the discoverer of the vaccine that saved so many children from the perils of polio. Come right in."Turning to the second healer, St. Peter asked the same question. "I'm Benjamin Spock. I wrote a book on children's health and development," the second physician responded authoritatively.parents. We welcome you to Heaven for the remainder of eternity." He then turned to the third supplicant, saylng "And who might you be? ""Well, I'm Gordon Smiley." "Don't think I recognize the name. What have you done?" "I," Smiley said proudly, "invented the concept of managed health care."' "Really?" St. Peter said, "Okay. You're approved for 3 days.""Ah, yes, and a wise counselor to millions of otherwise anxious and worried 'For those still innocent, managed health care involves, among other things, attempts by health care systems and third-party payors (like insurance companies) to control costs. They do this in a variety of ways, including requiring permission before certain procedures, such as surgery or psychotherapy, are undertaken and determining length of treatment, such as limiting a hospital stay to 1 day or therapy to 8-10 sessions.

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Section: Client Access To Recordsmentioning

confidence: 99%

The business of psychology.

Koocher¹,

Soisson²,

VandeCreek³

et al. 1999

Ethical Conflicts in Psychology (2nd Ed.).

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show abstract

“…The record should provide an explanation of significant treatments as well as patient-therapist decisions. Klein, Macbeth, and Onek (1984) recommended that for each significant decision, the record should include (a) what the choice is expected to accomplish, (b) why the clinician believes it will be effective, (c) any risks that might be involved and why they are justified, (d) what alternative treatments were considered, (e) why they were rejected, and (f) what steps were taken to improve the effectiveness of the chosen treatments. commitments and possible malpractice suits should be anticipated, and the record should be written from the perspective of future readers (Gutheil Q Appelbaum, 1982).…”

Section: A When Appropriate Psychologists May Informmentioning

confidence: 99%

“…However, an ethics code for health professionals proposed by the American Orthopsychiatric Association (Schuchman, Nye, Rafferty, Q Freedman, 1982) suggested that a dual record system is appropriate. In general, the distinction between the patient's record and personal notes is considered defensible and potentially analogous to the work product privilege that protects lawyers' records (Klein et al, 1984). The Illinois statute has been upheld twice in court tests (Shutz, 1982).…”

Section: Dual Recordsmentioning

confidence: 99%

The business of psychology.

Koocher¹,

Soisson²,

VandeCreek³

et al. 1995

Ethical Conflicts in Psychology.

View full text Add to dashboard Cite

During the time that I wrote this chapter, there was a joke being bandied about by disgruntled mental health professionals. Relating it to the reader in an attempt at humor may be a dubious reward for wending one's way through the world of ethics reflected in this book, but it will also serve a useful purpose in making the point of this chapter.Three physicians happened to die on the same day and arrived at the proverbial Pearly Gates, waiting to be interviewed by St. Peter to determine whether they would be allowed to enter the Kmgdom of Heaven."And who are you?" asked St. Peter of the first candidate. "I'm Jonas Salk," he replied meekly. "Oh, the discoverer of the vaccine that saved so many children from the perilsTurning to the second healer, St. Peter asked the same question. "I'm of polio. Come right in."Benjamin Spock. I wrote a book on children's health and development," the second physician responded authoritatively. "Ah, yes, and a wise counselor to millions of otherwise anxious and worried parents. We welcome you to Heaven for the remainder of eternity." He then turned to the third supplicant, saymg "And who might you be?"Well, I'm Gordon Smiley." "Don't think I recognize the name. What have you done?" "I," Smiley said proudly, "invented the concept of managed health care."l "Really?" St. Peter said, "Okay. You're approved for 3 days."The logistics of doing professional psychology no longer simply involves renting an office; buymg an oriental rug, an aquarium, and comfortable couches and chairs; and exercising independent professional discretion. Psychology is becoming, and will very likely be for the foreseeable future, a business. Psychologists are no longer therapists or doctors; they are health service providers (or, worse yet, vendors). Those who receive treatment are no longer patients or clients; they are consumers of psychological services. Patients no longer remit fees; bills are submitted for reimbursement to third-party payors. For good or ill, and regardless of this kind of "new speak," these are the realities that psychologsts face.For those still innocent, managed health care involves, among other things, attempts by health care systems and third-party payors (like insurance companies) to control costs. They do this in a variety of ways, including requiring permission before certain procedures, such as surgery or psychotherapy, are undertaken and determining length of treatment, such as limiting a hospital stay to 1 day or therapy to 8-10 sessions.

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“…direct access to their records varies from state to state (Hirsh, 1978). The trend, however, is toward increasing patient access to records.…”

Section: Client Access To Recordsmentioning

confidence: 99%

“…Psychiatric and psychological records are considered to be the property of the health care provider. The consumer controls its dissemination, although the right of patients to have direct access to their records varies from state to state (Hirsh, 1978). The trend, however, is toward increasing patient access to records.…”

Section: Specific Issues In Record Keepingmentioning

confidence: 99%

Thorough record keeping: A good defense in a litigious era.

Soisson

VandeCreek²,

Knapp³

1987

Professional Psychology: Research and Practice

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Psychotherapists, like other health professionals, are concerned about the increase in malpractice litigation and insurance rates. Properly kept records, made in anticipation of future litigation, may be crucial for the psychotherapist who is faced with a malpractice suit. We review cases in which records influenced the outcome of malpractice suits, and we make specific recommendations regarding the optimal maintenance of records.

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Will you medical records get you into trouble?

Cited by 3 publications

References 0 publications

The business of psychology.

The business of psychology.

The business of psychology.

Thorough record keeping: A good defense in a litigious era.

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