Scales

  
Select A Topic . . .
Access to Records - "Noncustodial Parent"

Advertising

Advertising - "Expertise"

Advertising - Sliding Fee Scale

Attending the Patient's Wedding (or Other Significant Event)

Authorization Forms

Avoid These Common Errors

Bequest from Patient

Business License

Child Abuse

Child Abuse - Emancipation of Minor

Child Abuse Report Required or Permitted?

Child Abuse Reporting

Child Abuse Reporting - Duty to Investigate?

Child Abuse Reporting - Neglect

Confidentiality - "No Secrets" Policy (Couple Being Treated)

Confidentiality - AIDS/HIV

Confidentiality - Child Abuse Investigations

Confidentiality - Conflicting Requests

Confidentiality - Couple Being Treated

Confidentiality - Dangerous Patient?

Confidentiality - Death of the Patient

Confidentiality - Exception

Confidentiality - Fact of the Relationship

Confidentiality - Group Therapy

Confidentiality - Pregnancy of a Minor

Confidentiality - The Search Warrant

Confidentiality - The Unexpected Caller

Confidentiality and Authorization Forms

Confidentiality and HIPAA

Confidentiality and the Dangerous Patient

Conflicts

Consent to Treat Minor (Sole and Joint Legal Custody)

Consent vs. Authorization

Custody and Visitation Disputes - The Big Mistake

Dangerous Patient - Immunity From Liability

Dangerous Patients and the “Tarasoff Duty"

Dangerous Patients and the Therapist's Duty

Disciplinary Actions

Dual or Multiple Relationships - An Overview

Elder Abuse

Elder Abuse/Dependent Adult Abuse Reporting

Ethical Standards - Conflict with the Law

Ethics

Family Law - "Joint Custody"

Fees

Fees - Barter

Fees - Raising Fees

Fees - Sue the Patient?

Fees - The Sliding Fee Scale

Gifts - To and From Patients

HIPAA

HIPAA - Enforcement

HIPAA - Patient Access to "Psychotherapy Notes"

HIPAA - Psychotherapy Notes/Records

HIPAA - Right to Amend Records

HIPAA - Subpoena for Records and Notes

Hypnosis/Hypnotherapy

Immunity From Liability

Informed Consent

Informed Consent - Videotaping/Risks

Informed Consent: Hugs and Other Touching

Laws, Regulations, and the Attorney Generals' Opinions

Liability for the Acts of Others

Licensing and Certification

Mandatory Continuing Education - Does it work?

Negligence vs. Gross Negligence

Online Therapy

Online Therapy - Disclosure

Online Therapy - HIPAA

Online Therapy - Insurance Coverage

Parental Access to Records of Minor

Partnerships - Be Careful

Privilege - A Common Waiver

Privilege - Group Therapy

Privilege - Waiver

Privilege and Confidentiality

Privileged Communications

Professional Corporations

Records - Destruction at the Request of the Patient?

Records - Removal of Information From File

Records - Stolen, Lost or Destroyed

Referrals

Scope of Competence

Scope of License

Self Disclosure

Something Lighter - Cancel the Appointment

Something Lighter - Law and Sausage!

Something Lighter - Reimbursement

Something Lighter - Self Defense

Something Lighter: A Definition of "Psychotherapy"

Telemedicine - Hours of Experience Toward Licensure?

Telemedicine: Telephone Counseling/Therapy?

Termination - Who is the Patient

Termination and Referral - When Does the Duty to the Patient End?

Termination of Employment: Who "Owns" the Patient?

Termination of Treatment

Testifying in Court

Think About This - Child Abuse?

Treating Children

Treating Multiple Members of a Family - Conflicts

Treatment Records

Treatment Records - Ownership

Using Patient Information in Public Presentations

Verbal Abuse - Free Speech

 

Bulletin Archives

 

Bulletin Archive

 
by Richard S. Leslie, J.D. Click here for profile.
Attorney at Law - "At the Intersection of Law and Psychotherapy"


Testifying in Court

(May 2007
, Volume 1)

… Therapists and counselors are sometimes exposed to the rigors of testifying in court or at a deposition. Perhaps they will be called to testify as a witness in a marital and custody/visitation proceeding, or in a civil lawsuit where the patient is suing for emotional and mental harm caused by the negligence of another, or in a criminal case or a dependency court proceeding. There are five general principles (there may be more), which may seem obvious to some, that are important to keep in mind. I have consulted with many practitioners who have for one reason or another run afoul of one or more of these principles – only to find themselves in a difficult situation.

 

…The first principle is to tell the truth. While this may seem obvious and unnecessary to mention, it is important to emphasize. Sometimes an attorney or a patient will try to get the therapist or counselor to testify a certain way in order to help the patient make his or her case. The attorney for the patient is an advocate. The patient is of course self-interested in his or her case and will be hoping that their therapist’s testimony is helpful to the case. In some cases, for example, the more “injured” (mentally or physically) the patient is, the more valuable the case. The practitioner who is called to testify must nevertheless testify to the truth as he or she sees it, and hopefully, as supported in the treatment records. It sometimes takes great strength of character to make this clear to the patient and to the attorney for the patient.

 

… The second principle is don’t guess. Witnesses are to testify to the facts, to what they remember, perhaps to their opinions, but are not expected to guess at answers. It is okay to say “I don’t know,” or “I don’t remember.” It is also permissible to answer a question by indicating that if you are able to review your records or a report, your recollection may be refreshed. Guessing can get you and the patient in trouble. Stick to the facts and to what you know and remember.

 

… The third principle is to be prepared. There are a few basic things that can be done to prepare for testifying as a witness. It is of course important to review the patient’s records prior to appearing in court or at a deposition. In some cases, the patient’s attorney will assist in preparing you for testimony at a deposition or at a court hearing or trial. The attorney may tell you what to expect on cross-examination or how the opposing attorney may try to attack your credibility. It is also important to be familiar with the scope of your license and continuing education requirements. Questions are often asked about licensing qualifications and requirements, continuing education requirements and compliance, and the differences between your license and perhaps the psychology license.

 

… The fourth principle is don’t duel with the adversary. Many witnesses make a mistake by dueling with the attorney who is representing the party adverse to the patient’s interests. This typically leads to the witness being distracted and to testimony that may not be accurate. Additionally, once the witness begins to argue or advocate for the patient, he/she takes on a partisan appearance and the testimony may lose its full effect. Witnesses should try to remain calm, concentrate on the question being asked, and should not worry that the opposing attorney is scoring points or gaining concessions. The patient’s attorney will have the opportunity to “rehabilitate” you or your testimony, should that become necessary.

 

… The fifth principle is to answer the specific question and don’t volunteer. A common instruction given to witnesses is to listen carefully to the question, and then answer it without volunteering additional information. If the question calls for a “yes or no answer,” then say “yes” or “no.” If it is necessary to explain your answer, this can usually be done at a later time with the help of the attorney representing your patient. Volunteering information not sought often gets the witness in trouble. If you don’t understand the question, indicate that fact to the questioner and ask that the question be repeated or rephrased. Words like “always,” “never,” “possible,” “probable,” “often” will be used by an attorney and may affect your answer. Pay close attention!

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