Discussion: Legal and Ethical Considerations for Group and Family Therapy NRNP 6650

Discussion: Legal and Ethical Considerations for Group and Family Therapy NRNP 6650

Discussion: Legal and Ethical Considerations for Group and Family Therapy
Considering the Health Insurance Portability and Accountability Act (HIPPA), the idea of
discussing confidential information with a patient in front of an audience is probably quite
foreign to you. However, in group and family therapy, this is precisely what the psychiatric
mental health nurse practitioner does. In your role, learning how to provide this type of
therapy within the limits of confidentiality is essential. For this Discussion, consider how
limited confidentiality and other legal and ethical considerations might impact therapeutic
approaches for clients in group and family therapy.
Learning Objectives
Students will:
 Compare legal and ethical considerations for group and family therapy to legal and
ethical considerations for individual therapy
 Analyze the impact of legal and ethical considerations on therapeutic approaches
for clients in group and family therapy
 Recommend strategies to address legal and ethical considerations for group and
family therapy
To prepare:
 Review this week’s Learning Resources and consider the insights they provide on
group and family therapy.

 View the media, Legal and Ethical Issues for Mental Health Professions, Volume I,
and reflect on legal and ethical considerations for group and family therapy and
individual therapy.
Note: For this Discussion, you are required to complete your initial post before you will be
able to view and respond to your colleagues’ postings. Begin by clicking on the Post to
Discussion Question link and then select Create Thread to complete your initial post.
Remember, once you click submit, you cannot delete or edit your own posts, and you cannot
post anonymously. Please check your post carefully before clicking Submit!
By Day 3
Post an explanation of how legal and ethical considerations for group and family therapy
differ from those for individual therapy. Then, explain how these differences might impact
your therapeutic approaches for clients in group and family therapy. Support your
rationale with evidence-based literature.
By Day 6
Respond to at least two of your colleagues by suggesting strategies to address the legal and
ethical considerations your colleagues discussed. Support your responses with evidence-
based literature.
Submission and Grading Information
Grading Criteria

To access your rubric:
Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 1 Discussion

Making Connections
Now that you have:
 Explored legal and ethical considerations for group and family therapy

Next week, you will:
 Explore family assessment and therapy as you assess client families presenting for
psychotherapy
Practicum – Upcoming Deadline
In the Nurse Practitioner programs of study (FNP, AGACNP, AGPCNP, and PMHNP) you
are required to take several practicum courses. If you plan on taking a practicum course
within the next two terms, you will need to submit your application via  Meditrek  .
For information on the practicum application process and deadlines, please visit the Field
Experience: College of Nursing: Application Process – Graduate web page.
Please take the time to review the Appropriate Preceptors and Field Sites for your courses.
Please take the time to review the practicum manuals, FAQs, Webinars and any required
forms on the Field Experience: College of Nursing: Student Resources and Manuals web
page.
 Field Experience: College of Nursing Quick Answers
 Field Experience: MSN Nurse Practitioner Practicum Manual
 Student Practicum Resources: NP Student Orientation

To go to the next week:
Week 2

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Discussion: Legal and Ethical Considerations for Group and Family Therapy NRNP 6650

 

Learning Resources
Required Readings
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and
standards of practice (2nd ed.). Washington, DC: Author.
 Standard 5A “Coordination of Care” (page 54)
Note: Throughout the program you will be reading excerpts from the ANA’s Scope &
Standards of Practice for Psychiatric-Mental Health Nursing. It is essential to your success
on the ANCC board certification exam for Psychiatric/Mental Health Nurse Practitioners
that you know the scope of practice of the advanced practice psychiatric/mental health
nurse. You should also be able to differentiate between the generalist RN role in
psychiatric/mental health nursing and the advanced practice nurse role.

Breeskin, J. (2011). Procedures and guidelines for group therapy. The Group Psychologist,
21(1). Retrieved from http://www.apadivisions.org/division-
49/publications/newsletter/group-psychologist/2011/04/group-procedures.aspx

Khawaja, I. S., Pollock, K., & Westermeyer, J. J. (2011). The diminishing role of psychiatry
in group psychotherapy: A commentary and recommendations for change. Innovations in
Clinical Neuroscience, 8(11), 20-23.

Koukourikos, K., & Pasmatzi, E. (2014). Group therapy in psychotic inpatients. Health
Science Journal, 8(3), 400-408.

Lego, S. (1998). The application of Peplau's theory to group psychotherapy. Journal of
Psychiatric and Mental Health Nursing, 5(3), 193-196. doi:10.1046/j.1365-2850.1998.00129.x

McClanahan, K. K. (2014). Can confidentiality be maintained in group therapy? Retrieved
from http://nationalpsychologist.com/2014/07/can-confidentiality-be-maintained-in-group-
therapy/102566.html

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Boston, MA:
Pearson.
 Chapter 1, “Introduction Becoming a Family Therapist” (pp. 1–5)
 Chapter 1, “The Evolution of Family Therapy” (pp. 6-22)

U.S. Department of Health & Human Services. (2014). HIPAA privacy rule and sharing
information related to mental health. Retrieved from
http://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/special/mhguidance
pdf.pdf

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-
to guide for evidence-based practice. New York, NY: Springer.
 Chapter 11, “Group Therapy” (pp. 407–428)

Document: Midterm Exam Study Guide (Word document)

Document: Final Exam Study Guide (Word document)

Required Media
Laureate Education (Producer). (2015). Microskills: Family counseling techniques 1 [Video
file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 32 minutes.

Accessible player
Laureate Education (Producer). (2015). Microskills: Family counseling techniques 2 [Video
file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 32 minutes.

Accessible player
Laureate Education (Producer). (2015). Microskills: Family counseling techniques 3 [Video
file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 24 minutes.

Accessible player

Sommers, G., Feldman, S., & Knowlton, K. (Producers). (2008a). Legal and ethical issues
for mental health professionals, volume 1: Confidentiality, privilege, reporting, and duty to
warn [Video file]. Mill Valley, CA: Psychotherapy.net. [Kanopy]

Note: You will access this media from the Walden Library databases. The approximate
length of this media piece is 140 minutes.
Optional Resources

Sommers, G., Feldman, S., & Knowlton, K. (Producers). (2008). Legal and ethical issues for
mental health professionals, volume 2: Dual relationships, boundaries, standards of care and
termination [Video file]. Mill Valley, CA: Psychotherapy.net.

Note: You will access this media from the Walden Library databases. The approximate
length of this media piece is 191 minutes.