Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy

Thursday, June 7, 2012

Va. Beach court psychologist suspended

By Andy Fox
wavy.com
Originally published on June 4, 2012

A clinical psychologist was suspended indefinitely and charged with inappropriate behavior with a client after a woman claimed he kissed her.

Local courts relied on Dr. Brian Wald to give advice on parental custody in divorce cases. In documents obtained by WAVY.com the Board of Psychology says Wald is a danger to public health and safety.
His website states he has conducted over 300 parenting capacity evaluations and now he's suspended indefinitely and the likely target of a civil lawsuit.

The entire story is here.

Charlottesville psychologist's license suspended after alleged intimate activity with former client

By Daily Progress Staff Reporters
The Daily Progress
May 25, 2012

The Virginia Board of Psychology has suspended indefinitely a Charlottesville practitioner’s license after her continued intimate and sexual involvement with a former client, according to an order issued by the board.

The document claims Carrie E. Schaffer, a local clinical psychologist, was not truthful in a self-report to the board in 2009 in which she said she ended a relationship with the former client.


Thanks to Ken Pope for this information.

Wednesday, June 6, 2012

New Orleans psychologist sues over negative Angie's List comments

By Michelle Keahey
The Lousiana Record
Originally published May 28, 2012

A New Orleans psychologist has filed a lawsuit against a Florida doctor for negative comments posted on the website Angie's List.


John C. Courtney, Psy D., MP filed the lawsuit against Dr. Bartholomew Vereb and Angie's List Inc. on March 9 in federal court in New Orleans.
 
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Angie's List is accused of negligence for failing to follow its own procedures that would have prevented Courtney's damages, for breaching its duty to Courtney, and for acting with reckless disregard for the truth.

The entire story is here.

Thanks to Ken Pope for this information.

Plastic surgeon suing 10 patients for posting anonymous complaints online

The Palm Beach News
WFTV.com
Originally published May 23, 2012

An Orlando plastic surgeon has posted his explanation on the Internet as to why he's suing several of his patients.

WFTV learned Dr. Armando Soto is suing 10 patients who he said anonymously posted comments online about their bad experiences inside his office in the Dr. Phillip’s neighborhood.

The entire story is here.

Thanks to Ken Pope for the above link.

Dr. Soto's blog is here.

Here is a portion of his blog post.

"In sum, a previously unhappy patient is now on the road to a better outcome, with restoration of a healthier doctor/patient relationship. To us, that’s a great outcome."

Tuesday, June 5, 2012

Vignette 14: The Psychology of Advertising


Dr. Ron Popeil, a local psychologist, is upgrading his web site.  Along with a variety of upgrades, the web developer/consultant suggests that he add a testimonial page where former patients describe their positive experiences in therapy.  Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angie’s list and several other ratings sites that tell positive stories and experiences with Dr. Popeil.
Dr. Popeil thinks these ideas are good.  However, he researches the APA Ethics Code and believes that he may be acting inappropriately.  To discuss the matter in further detail,  Dr. Popeil calls you for an ethics consult.
What are the ethical issues involved in this situation?
Are there any other concerns about the web developer/consultant’s strategies?
What are some recommendations that you would make to the psychologist?

Monday, June 4, 2012

Missouri Psychologist Indicted for Health Care Fraud

by Staff Reporters
Kansas City InfoZine
Originally published May 27, 2012

Rhett E. McCarty, 67, of Lake Ozark, Mo., was charged in a two-count indictment returned under seal by a federal grand jury in Kansas City, Mo., on Wednesday, May 23, 2012. The indictment was unsealed and made public today upon McCarty’s arrest and initial court appearance in the U.S. District Court in Kansas City, Mo.

McCarty is a licensed psychologist and private practitioner who provided psychotherapy services to recipients of both Medicare and Medicaid in their homes in the Lebanon area. The federal indictment alleges that since Aug. 22, 2008, McCarty has submitted Medicare and Medicaid claims for at least 19 beneficiaries for which he was paid $1,276,334.

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According to the indictment, McCarty forged (or caused another person to forge) the signatures of beneficiaries on patient sign-in sheets in order to obtain $418,507 in Medicare and Medicaid payments.

The whole story is here.

Paulucci psychologist suspended, fined $50K by state board

A Minnesota psychologist who charged thousands of dollars to organize a client’s closets, attend a funeral and visit a gravesite — and accepted dozens of expensive gifts from the client, Gina Paulucci of Wayzata — was suspended indefinitely and fined $50,000 for her actions, according to a Minnesota Board of Psychology order made public this week.

by Jane Friedman
Minneapolis Star Tribune
Originally published May 25, 2012

A Roseville psychologist who charged thousands of dollars to organize a client’s closets, attend a funeral and visit a gravesite — and accepted dozens of expensive gifts from the client, Gina Paulucci of Wayzata — was suspended indefinitely and fined $50,000 for her actions, according to a Minnesota Board of Psychology order made public this week.

Kathryne Sanders, 63, acknowledged in an interview that her professional relationship with the client went over the line, but said her career as a psychologist is likely over, so she won’t have to pay the record fine due upon reinstatement.

State law requires psychologists to observe strict boundaries between professional and personal relationships, and Sanders said “there were definitely issues there. But I also think this is something that is extremely common. I just don’t think it’s deserving of the penalty that I received.”

The entire story is here.

Sunday, June 3, 2012

Bias found in mental health drug research presented at major psychiatric meeting


When thousands of psychiatrists attend their field's largest annual meeting each year, the presentations they hear about research into drug treatments report overwhelmingly on positive results.

That's the finding of a new study published in the Journal of Clinical Psychopharmacology by two young psychiatrists from the University of Michigan and Yale University, who analyzed the presentations given at two recent meetings of the American Psychiatric Association.

Of 278 studies presented at the 2009 and 2010 APA meetings that compared at least two medicines against each other for any psychiatric illness, they found that 195 had been supported by industry, and 83 funded by other means. The authors then evaluated the studies without knowing which kind of support each one had.

Of the industry-supported studies, 97.4 percent reported results that were positive toward the medicine that the study was designed to test, and 2.6 percent reported mixed results. No industry-sponsored studies with negative results were found.

The entire article is here.

The journal article can be purchased here.

Saturday, June 2, 2012

Outpatient Care of Young People After Emergency Treatment of Deliberate Self-Harm

By Dennis Thompson
MedicineNet.com
Originally published on May 25, 2012


Doctors have long known that some kids suffering severe emotional turmoil find relief in physical pain -- cutting or burning or sticking themselves with pins to achieve a form of release.

But researchers now are questioning whether enough is being done to reach out to these young people and help them before they do themselves irreparable damage.

One study this year found that six of every 10 adolescents who went to an emergency room for treatment after harming themselves were released without receiving a mental health assessment or any follow-up mental health care. The findings were reported in the February issue of the Journal of the American Academy of Child & Adolescent Psychiatry.

Here is a link to the summary of this article.

The original research is below.

by Jeffrey Bridge, Steven Marcus, and Mark Olfson

Journal of the American Academy of Child & Adolescent Psychiatry
Volume 51, Issue 2 , Pages 213-222.e1, February 2012

Objective

Little is known about the mental health care received by young people after an episode of deliberate self-harm. This study examined predictors of emergency department (ED) discharge, mental health assessments in the ED, and follow-up outpatient mental health care for Medicaid-covered youth with deliberate self-harm.

Method

A retrospective longitudinal cohort analysis was conducted of national 2006 Medicaid claims data supplemented with the Area Resource File and a Substance Abuse and Mental Health Services Administration Medicaid policy survey of state policy characteristics focusing on ED treatment episodes by youth 10 to 19 years old for deliberate self-harm (n = 3,241). Rates and adjusted risk ratios (ARR) of discharge to the community, mental health assessments in the ED, and outpatient visits during the 30 days after the ED visit were assessed.

Results

Most patients (72.9%) were discharged to the community. Discharge was inversely related to recent psychiatric hospitalization (ARR 0.75, 99% confidence interval [CI] 0.63–0.90). Thirty-nine percent of discharged patients received a mental health assessment in the ED and a roughly similar percentage (43.0%) received follow-up outpatient mental health care. Follow-up mental health care was directly related to recent outpatient (ARR 2.58, 99% CI 2.27–2.94) and inpatient (ARR 1.33, 99% CI 1.14–1.56) mental health care and inversely related to Hispanic ethnicity (ARR 0.78, 99% CI 0.64–0.95) and residence in a county with medium-to-high poverty rates (ARR 0.84, 99% CI 0.73–0.97).

Conclusions

A substantial proportion of young Medicaid beneficiaries who present to EDs with deliberate self-harm are discharged to the community and do not receive emergency mental health assessments or follow-up outpatient mental health care.