Harrison, a high school student, is referred by a medical doctor. The doctor suggests that an unhealthy family dynamic may have resulted in Harrison developing an ulcer and then not following medical treatment even though it would likely relieve his ulcer symptoms. Harrison's parents say that he seems unhappy and that athletics has taken over his life. Harrison angrily says he is the victim and the problem is his parents constant worry about him. He insists that his mother is controlling and that his father goes along when his mother is "getting crazy." His father describes pride in Harrison's athletic prowess and commitment to wrestling but is concerned that Harrison eats excessively after dieting for days in an attempt to make his wrestling weight. After sessions of eating, Harrison engages in strenuous exercise and takes pills he purchases at a health food store to manage his weight. Harrison insists that he follows the label instructions on the diet supplements. Harrison is not underweight and family members deny any evidence of throwing up to keep his weight down. Recently Harrison has been skipping school to work out which has affected his grades.
What legal issues should you consider?
A
Harrison may not consent to undergo treatment with you.
You will need a Release of Information to work with other professionals involved in the case.
Harrison's medical problems are outside your scope of competence.
Harrison may need to be hospitalized as a danger to himself if his symptoms continue.
B
Harrison says he is a "victim" and you may have a reporting requirement.
Your license must be displayed in your office.
Harrison's parents should have been informed of the costs of therapy prior to the first session.
Where there is shared custody both parents must consent in order to provide treatment.
C
Some of Harrison's medical problems are outside your scope of practice.
If he continues to resist treatment Harrison may need to be hospitalized as a danger to himself.
It is illegal to not attend school in the State of California.
You must have a signed Informed Consent from at least one parent in order to continue treatment.
D
Harrison's medical problems are outside your scope of practice.
You will need a Release of Information to work with other professionals involved in the case.
You must keep accurate records about the session including records gathered from the medical doctor.
You must have Informed Consent to treat Harrison from either parent.
View scores and rational below:
ReplyDeleteThe correct answer is D
A 1+2+0+1=4
(1) Harrison may not consent to undergo treatment with you.
Harrison could be eighteen and still in high school. More likely he is a minor and his consent is not required. It is key to remember that if age is an issue for the answer, it will appear in the vignette.
(2) You will need a Release of Information to work with other professionals involved in the case.
Harrison is refusing medical treatment. This might have been rated a 3.
(0)Harrison's medical problems are outside your scope of competence.
Legal issues include scope of practice. This statement is inaccurate so you can eliminate all of answer group A.
(1) Harrison may need to be hospitalized as a danger to himself if his symptoms continue.
This could become a legal issue but there is no current sign of imminent risk.
B 1+1+1+0=3
(1) Harrison says he is a "victim" and you may have a reporting requirement.
Harrison complains of being victimized but there is no real evidence of abuse.
(1)Your license must be displayed in your office.
True but not relevant to this vignette.
(1)Harrison's parents should have been informed of the costs of therapy prior to the first session.
True but not relevant to this vignette.
(0)Where there is shared custody both parents must consent in order to provide treatment.
You need one custodial parent to consent to treatment before seeing Harrison.
C 2+1+0+3=6
(2)Some of Harrison's medical problems are outside your scope of practice.
If the word "some" were removed this would have scored a 3. It is illegal for you to give opinions or advice about medical treatments or medical symptoms.
(1)If he continues to resist treatment Harrison may need to be hospitalized as a danger to himself.
There is no current sign of imminent risk.
(0)It is illegal to not attend school in the State of California.
True under the Welfare and Institutions code. However, you are not a truant officer and have no legal duty to enforce the code.
(3)You must have a signed Informed Consent from at least one parent in order to continue treatment.
True
D 3+2+2+3=10
(3) Harrison's medical problems are outside your scope of practice.
True and relevant.
(2)You will need a Release of Information to work with other professionals involved in the case.
This is a very strong element given the medical nature of Harrison's problems.
(2) You must keep accurate records about the session including records gathered from the medical doctor.
This scores higher than general elements above that are not directly relevant to the vignette.
(3) You must have Informed Consent to treat Harrison from either parent.
True and relevant to this particular vignette.
It was awesome article to read. Complete rich content and fully informative. I read this article; it is really informative one. Your way of writing and making things clear is very impressive. Thanking you for such an informative article. what is an adaptogen.
ReplyDeleteWhat a great post that you have shared here about Harrison's Medical Problems . You make information effortless for us that we get good facts about it. Thanks for this informative blog.For best Meditation Retreats For Beginners in UK you have a good destination at tomazmueller.
ReplyDelete