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Child and Youth Psychopathology: Ethics and Legal Considerations

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Handbook of Clinical Child Psychology

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Abstract

Dealing with children and youth experiencing psychopathology requires strict adherence to applicable ethics codes and law. The American Psychological Association ethics code includes five principles: (a) beneficence and nonmaleficence; (b) fidelity and responsibility; (c) integrity; (d) justice; and (e) respect for people’s rights and dignity. However, we found that they are not developmentally oriented. Therefore, we consulted the ethics code of the American Academy of Child and Adolescent Psychiatry, leading to the following topics in the chapter: 1. Ethics: (a) Developmental Considerations; (b) Beneficence/Nonmaleficence; (c) Autonomy and Life Preservation (including child abuse); (d) Assessment and Diagnosis; (e) Research; (f) Divorce; and 2. Law and Science. We consider in depth critical areas such as informed consent, child abuse reporting, duty to warn, assessment, child custody evaluations, research, and evidence-based practice. We emphasize the importance of science at all points in working ethically with children. Laws reviewed include critical United Nations ones, for example, related to child rights, HIPAA, and Daubert as applied to child custody evaluations.

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Notes

  1. 1.

    Note: as we proceed, we refer to children generally instead of to the cumbersome term of child and youth or adolescence. Currently, the term “developmental psychopathology” is referred to more than that of “child psychopathology,” but, either way, we focus on the ethical and legal challenges and obligations in working with children who have psychological disorders that affect their development and outcome.

References

  • Achenbach, T. M. (1991). Integrative guide for the 1991 CBCL/4-18, YSR and TRF Profile. University of Vermont.

    Google Scholar 

  • Ackerman, M. J., Bow, J. N., & Mathy, N. (2021). Child custody evaluation practices: Where we were, where we are, and where we are going. Professional Psychology: Research and Practice, 52(4), 406–417. https://doi.org/10.1037/pro0000380

    Article  Google Scholar 

  • Ahrons, C. (2004). We’re still family. Harper Collins.

    Google Scholar 

  • American Academy of Child and Adolescent Psychiatry. (2014). Code of ethics. American Academy of Child and Adolescent Psychiatry.

    Google Scholar 

  • American Educational Research Association, American Psychological Association, & National Council on Measurement in Education. (2014). Standards for educational and psychological testing. American Educational Research Association.

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, 5th edition: DSM-5 (5th ed.). American Psychiatric Publishing.

    Book  Google Scholar 

  • American Psychological Association. (2010). Guidelines for child custody evaluations in family law proceedings. American Psychologist, 65(9), 863–867. https://doi.org/10.1037/a0021250

    Article  Google Scholar 

  • American Psychological Association. (2017). Ethical principles of psychologists and code of conduct. (2002, amended effective June 1, 2010, and January 1, 2017). Retrieved from https://www.apa.org/ethics/code/

    Google Scholar 

  • American Psychological Association, Ethics Code Task Force. (2020). Initial draft principles. American Psychological Association Available from American Psychological Association. http://apps.apa.org/commentcentral2/pdf/Site61ECTF%20Principles%20Document %20Posted August%202020.pdf

    Google Scholar 

  • American Psychological Association, Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in psychology. American Psychologist, 61(4), 271–285. https://doi.org/10.1037/0003-066X.61.4.271

    Article  Google Scholar 

  • Barnett, E. R., Jankowski, M. K., & Trepman, A. Z. (2019). State-wide implementation and clinical outcomes associated with evidence-based psychotherapies for traumatized youth. Psychological Trauma: Theory, Research, Practice, and Policy, 11(7), 775–783. https://doi.org/10.1037/tra0000444

    Article  PubMed  Google Scholar 

  • Bean, H., Softas-Nall, L., & Mahoney, M. (2011). Reflections on mandated reporting and challenges in the therapeutic relationship: A case study with systemic implications. The Family Journal: Counseling and Therapy for Couples and Families, 19(3), 286–290. https://doi.org/10.1177/1066480711407444

    Article  Google Scholar 

  • Ben-Porath, Y. S., & Tellegen, A. (2008/2011). MMPI-2-RF: Manual for administration, scoring, and interpretation. University of Minnesota Press.

    Google Scholar 

  • Ben-Porath, Y. S., & Tellegen, A. (2020). Minnesota Multiphasic Personality Inventory-3 (MMPI-3). University of Minnesota Press.

    Google Scholar 

  • Blease, C., Lilienfeld, S., & Kelley, J. (2016). Evidence-based practice and psychological treatments: The imperatives of informed consent. Frontiers in Psychology, 7, Article 1170. https://doi.org/10.3389/fpsyg.2016.01170

    Article  PubMed  Google Scholar 

  • Brown, D., Walker, D., & Godden, E. (2021). Tele-forensic interviewing to elicit children’s evidence—Benefits, risks, and practical considerations. Psychology, Public Policy, and Law, 27(1), 17–29. https://doi.org/10.1037/law0000288

    Article  Google Scholar 

  • Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A. M., & Kreammer, B. (1989). The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) manual for administration and scoring. University of Minneapolis Press.

    Google Scholar 

  • Butcher, J. N., Williams, C., Graham, J. R., Archer, R. P., Tellegen, A. M., Ben-Porath, Y. S., & Kaemmer, B. (2006). Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) (revised manual version). University of Minnesota Press.

    Google Scholar 

  • Cater, Å., & Øverlin, C. (2014). Children exposed to domestic violence: A discussion about research ethics and researchers’ responsibilities. Nordic Social Work Research, 4(1), 67–79. https://doi.org/10.1080/2156857X.2013.801878

    Article  Google Scholar 

  • Centers for Disease Control and Prevention. (2021, March 22). Data and statistics on children’s mental health. Centers for Disease Control and Prevention. https://www.cdc.gov/childrensmentalhealth/data.html

  • Clavering, E. K., & McLaughlin, J. (2010). Children’s participation in health research: From objects to agents? Child: Care, Health and Development, 36(5), 603–611. https://doi.org/10.1111/j.1365-2214.2010.01094.x

    Article  PubMed  Google Scholar 

  • Convention on the Rights of the Child. (1989). Adopted and opened for signature, ratification and accession by General Assembly resolution 44/25 of 20 November 1989. United Nations.

    Google Scholar 

  • Cook, S. C., Schwartz, A. C., & Kaslow, N. J. (2017). Evidence-based psychotherapy: Advantages and challenges. Neurotherapeutics, 14(3), 537–545. https://doi.org/10.1007/s13311-017-0549-4

    Article  PubMed  PubMed Central  Google Scholar 

  • Coyne, I. (2010). Research with children and young people: The issue of parental (proxy) consent. Children & Society, 24(3), 227–237. https://doi.org/10.1111/j.1099-0860.2009.00216.x

    Article  Google Scholar 

  • Crane, M. E., Helseth, S. A., Scott, K., & Becker, S. J. (2021). Adolescent behavioral health problems are associated with parent perceptions of evidence-based therapy and preferences when seeking therapeutic support. Professional Psychology: Research and Practice, 52(2), 130–136. https://doi.org/10.1037/pro0000361

    Article  PubMed  Google Scholar 

  • Dale, M. D., & Smith, D. (2021). Making the case for videoconferencing and remote child custody evaluations (RCCEs): The empirical, ethical, and evidentiary arguments for accepting new technology. Psychology, Public Policy, and Law, 27(1), 30–44. https://doi.org/10.1037/law0000280

    Article  Google Scholar 

  • Daubert v. Merrell Dow Pharmaceuticals, Inc. (1993). 509 U.S. 579.

    Google Scholar 

  • Davidov, D. M., Jack, S. M., Frost, S. S., & Coben, J. H. (2012). Mandatory reporting in the context of home visitation programs: Intimate partner violence and children’s exposure to intimate partner violence. Violence Against Women, 18(5), 595–610. https://doi.org/10.1177/1077801212453278

    Article  PubMed  Google Scholar 

  • Dickinson, J. J., Lytle, N. E., & Poole, D. A. (2021). Tele-forensic interviewing can be a reasonable alternative to face-to-face interviewing of child witnesses. Law and Human Behavior, 45(2), 97–111. https://doi.org/10.1037/lhb0000443

    Article  PubMed  Google Scholar 

  • Dutil, S. (2019). Adolescent traumatic and disenfranchised grief: Adapting an evidence-based intervention for Black and Latinx youths in schools. Children and Schools, 41(3), 179–187. https://doi.org/10.1093/cs/cdz009

    Article  Google Scholar 

  • Falch-Eriksen, A., Toros, K., Sindi, I., & Lehtme, R. (2021). Children expressing their views in child protection casework: Current research and their rights going forward. Child and Family Social Work, 26(3), 485–497. https://doi.org/10.1111/cfs.12831

    Article  Google Scholar 

  • Fla. Stat. §394.4784. (2020). Minors; Access to Outpatient Crisis Intervention Services and Treatment.

    Google Scholar 

  • Fried, A. L., & Fisher, C. B. (2019). Emerging ethical and legal issues in clinical child and adolescent psychology. In T. H. Ollendick, S. W. White, & B. A. White (Eds.), The Oxford handbook of clinical child and adolescent psychology (pp. 107–128). Oxford University Press. https://doi.org/10.1093/oxfordhb/9780190634841.001.001

    Chapter  Google Scholar 

  • Geffner, R., Shaw, M., & Crowell, B. (2018). Ethical considerations in forensic evaluations in family court. In M. M. Leach & E. R. Welfel (Eds.), The Cambridge handbook of applied psychological ethics (pp. 452–473). Cambridge University Press. https://doi.org/10.1017/9781316417287.023

    Chapter  Google Scholar 

  • Goldenson, J., & Josefowitz, N. (2021). Remote forensic psychological assessment in civil cases: Considerations for experts assessing harms from early life abuse. Psychological Injury and Law, 14, 89–103. https://doi.org/10.1007/s12207-021-09404-2

    Article  PubMed  PubMed Central  Google Scholar 

  • Greig, A. D., Taylor, J., & MacKay, T. (2013). Doing research with children: A practical guide. Sage Publications Ltd. https://doi.org/10.4135/9781526402219

  • Health Insurance Portability and Accountability Act. Pub. L. No. 104-191, § 264, 110 Stat.1996.

    Google Scholar 

  • Hiriscau, I. E., Stingelin-Giles, N., Stadler, C., Schmeck, K., & Reiter-Theil, S. (2014). A right to confidentiality or a duty to disclose? Ethical guidance for conducting prevention research with children and adolescents. European Child and Adolescent Psychiatry, 23(6), 409–416. https://doi.org/10.1007/s00787-014-0526-y

    Article  PubMed  Google Scholar 

  • Isaacs, M. L., & Stone, C. (2001). Confidentiality with minors: Mental health counselors’ attitudes toward breaching or preserving confidentiality. Journal of Mental Health Counseling, 23(4), 342–356.

    Google Scholar 

  • Jensen, P. S. (2021). Editorial: The vanishing value of evidence-based treatments: Is our mental health expertise irrelevant? Journal of the American Academy of Child and Adolescent Psychiatry, 60(4), 441–444. https://doi.org/10.1016/j.jaac.2020.12.021

    Article  PubMed  Google Scholar 

  • Kelly, J., & Lamb, M. (2000). Using child development research to make appropriate custody access and decisions for young children. Family and Conciliation Courts Review, 38(3), 297–311. https://doi.org/10.1111/j.174-1617.2000.tb00577.x

    Article  Google Scholar 

  • Lawrence, G., & Kurpius, S. E. R. (2000). Legal and ethical issues involved when counseling minors in nonschool settings. Journal of Counseling and Development, 78(2), 130–136. https://doi.org/10.1002/j.1556-6676.2000.tb02570.x

    Article  PubMed  Google Scholar 

  • Mathews, B., & Kenny, M. (2008). Mandatory reporting legislation in the United States, Canada and Australia: A cross-jurisdictional review of key features, differences and issues. Child Maltreatment, 13(1), 50–63. https://doi.org/10.1177/1077559507310613

    Article  PubMed  Google Scholar 

  • McGee, M. E., Edelsohn, G. A., Keener, M. T., Madaan, V., Soda, T., Bacewicz, A., & Dell, M. L. (2021). Ethical and clinical considerations during the coronavirus era. Journal of the American Academy of Child and Adolescent Psychiatry, 60(3), 332–335. https://doi.org/10.1016/j.jaac.2020.12.010

    Article  PubMed  Google Scholar 

  • McManus, S., Gunnell, D., Cooper, C., Bebbington, P. E., Howard, L. M., Brugha, T., Jenkins, R., Hassiotis, A., Weich, S., & Appleby, L. (2021). Non-suicidal self-harm: An evolving epidemiology. Psychological Medicine, 1-1, 1. https://doi.org/10.1017/S0033291721002543

    Article  Google Scholar 

  • Morey, L. C. (2007). Personality assessment inventory – Adolescent professional manual. Psychological Assessment Resources.

    Google Scholar 

  • Noiseux, J., Rich, H., Bouchard, N., Noronha, C., & Carnevale, F. A. (2019). Children need privacy too: Respecting confidentiality in pediatric practice. Paediatrics and Child Health, 24(1), e8–e12. https://doi.org/10.1093/pch/pxy047

    Article  PubMed  Google Scholar 

  • North, S. J., Fox, K. R., & Doom, J. R. (2021). Timing of childhood adversities and self-injurious thoughts and behaviors in adolescence. Development and Psychopathology, 1-11, 1. https://doi.org/10.1017/S0954579421000808

    Article  Google Scholar 

  • O’Connell, M. E., Boat, T., & Warner, K. E. (Eds.). (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. The National Academies Press.

    Google Scholar 

  • Office for Human Subjects Protection. (2016). Special protections for children as research subjects. https://www.hhs.gov/ohrp/regulations-and-policy/guidance/special-protections-for-children/index.html

  • Parsons, S., Sherwood, G., & Abbott, C. (2016). Informed consent with children and young people in social research: Is there scope for innovation? Children and Society, 30(2), 132–145. https://doi.org/10.1111/chso.12117

    Article  Google Scholar 

  • Pegg, S. L., Walsh, L. M., Becker-Haimes, E. M., Ramirez, V., & Jensen-Doss, A. (2021). Money makes the world go ‘round: A qualitative examination of the role funding plays in large-scale implementation and sustainment of youth evidence-based practice. Psychological Services, 18(2), 265–274. https://doi.org/10.1037/ser0000399

    Article  PubMed  Google Scholar 

  • Pope, K. S. (2016). The code not taken: The path from guild ethics to torture and our continuing choices. Canadian Psychology/Psychologie Canadienne, 57(1), 51–59. https://doi.org/10.1037/cap0000043

    Article  Google Scholar 

  • Pope, K. S., Vasquez, M. J., Chavez-Dueñas, N. Y., & Adames, H. Y. (2021). Ethics in psychotherapy and counseling: A practical guide (6th ed.). Wiley.

    Book  Google Scholar 

  • Powell, M. A., Fitzgerald, R., Taylor, N. J., & Graham, A. (2012). International literature review: Ethical issues in undertaking research with children and young people. Southern Cross University, Center for Children and Young People/University of Otago, Centre for Research on Children and Families.

    Google Scholar 

  • Powell, B. J., Patel, S. V., Haley, A. D., Haines, E. R., Knocke, K. E., Chandler, S., Katz, C. C., Seifert, H. P., Ake, G., Amaya-Jackson, L., & Aarons, G. A. (2020). Determinants of implementing evidence-based trauma-focused interventions for children and youth: A systematic review. Administration and Policy in Mental Health and Mental Health Services Research. Advance online publication, 47, 705. https://doi.org/10.1007/s10488-019-01003-3

    Article  PubMed  Google Scholar 

  • Rae, W. A., Sullivan, J. R., Razo, N. P., George, C. A., & Ramirez, E. (2002). Adolescent health risk behavior: When do pediatric psychologists break confidentiality? Journal of Pediatric Psychology, 27(6), 541–549. https://doi.org/10.1093/jpepsy/27.6.541

    Article  PubMed  Google Scholar 

  • Reynolds, C. R., & Kamphaus, R. W. (2015). Behavior assessment system for children (3rd ed.). Pearson.

    Google Scholar 

  • Simon, J., Luetzow, A., & Conte, J. R. (2020). Thirty years of the convention on the rights of the child: Developments in child sexual abuse and exploitation. Child Abuse and Neglect, 110(Part 1), 104399. https://doi.org/10.1016/j.chiabu.2020.104399

    Article  PubMed  Google Scholar 

  • Sori, C. F., & Hecker, L. L. (2015). Ethical and legal considerations when counselling children and families. Australian and New Zealand Journal of Family Therapy, 36(4), 450–464. https://doi.org/10.1002/anzf.1126

    Article  Google Scholar 

  • Sullivan, J. R., Ramirez, E., Rae, W. A., Razo, N. R., & George, C. A. (2019). Factors contributing to breaking confidentiality with adolescent clients: A survey of pediatric psychologists. In E. Y. Drogin (Ed.), Ethical conflicts in psychology (5th ed., pp. 295–302). American Psychological Association.

    Google Scholar 

  • Tarasoff v. Regents of University of California, 17 Cal.3d 425 (Supreme Court of California July 1, 1976).

    Google Scholar 

  • Thibodaux, L. K., Breiger, D., Bledsoe, J., Sato, J., Hilsman, R., & Paolozzi, A. (2021). Teleneuropsychology: A model for clinical practice. Advance online publication. https://doi.org/10.1037/pri0000150

    Book  Google Scholar 

  • Tobin, J., & Cashmore, J. (2020). Thirty years of the CRC: Child protection progress, challenges and opportunities. Child Abuse and Neglect, 110, 104436. https://doi.org/10.1016/j.chiabu.2020.104436

    Article  PubMed  Google Scholar 

  • U.S. Government Printing Office. (1949). Trials of War Criminals before the Nuremberg Military Tribunals under Control Council Law No. 10 (Vol. 2, pp. 181–182).

    Google Scholar 

  • Weinstein, B., Levine, M., Kogan, N., Harkavy-Friedman, J., & Miller, J. M. (2000). Mental health professionals’ experiences reporting suspected child abuse and maltreatment. Child Abuse and Neglect, 24(10), 1317–1328. https://doi.org/10.1016/S0145-2134(00)00191-5

    Article  PubMed  Google Scholar 

  • Whiteside, S. P. H., O’Dell, S. M., Baker, A. M., Leffler, J. M., Sim, L. A., Harrison, N. L., Bieber, E. D., Kosmach, J. J., & Geske, J. R. (2021). From the laboratory to the office: Implementation and sequencing of evidence-based treatment components for newly diagnosed childhood psychiatric disorders in a large health system. Professional Psychology: Research and Practice, 52(2), 156–164. https://doi.org/10.1037/pro0000376

    Article  Google Scholar 

  • Woodgate, R. L., Tennent, P., & Zurba, M. (2017). Navigating ethical challenges in qualitative research with children and youth through sustaining mindful presence. International Journal of Qualitative Methods, 16(1), 1–11. https://doi.org/10.1177/1609406917696743

    Article  Google Scholar 

  • Woody, R. H. (2000). Child custody: Practice standards, ethical issues, and legal safeguards for mental health professionals. Professional Resource Press/Professional Resource Exchange.

    Google Scholar 

  • Yao, E., Yuhua, L., Wang, C., & Hui, J. (2021). Understanding confidentiality breach in adolescent mental health sessions: An integrated model of culture and parenting. Ethics and Behavior, 31(4), 245–256. https://doi.org/10.1080/10508422.2020.1719105

    Article  Google Scholar 

  • Young, G. (2016). Unifying causality and psychology: Being, brain and behavior. Springer International Publishing.

    Book  Google Scholar 

  • Young, G. (2017). Revising the American Psychological Association Ethics Code. Springer International Publishing.

    Book  Google Scholar 

  • Young, G. (2020). Toward a unified health work ethics code. Ethics, Medicine, and Public Health, 15, 100590. https://doi.org/10.1016/j.jemep.2020.100590

    Article  Google Scholar 

  • Young, G. (2021). Causality and neo-stages in development: Toward unifying psychology. Springer International Publishing.

    Google Scholar 

  • Young, G. (2022a, Submitted). Causal/etiological mechanisms and processes in behavior: Applications to abuse and trauma therapies. Journal of Child and Adolescent Trauma, 15, 911

    Google Scholar 

  • Young, G. (2022b). Psychology, law, ethics, telehealth, and the global pandemic. In N. Rezaei, S. Hanaei, & A. Saghazadeh (Eds.), Integrated science of global epidemics (Vol. 9). Springer.

    Google Scholar 

  • Young, G. (2022c). Discrimination in medical research sampling: Recommendations and applications to psychology. In N. Rezaei & A. Saghazadeh (Eds.), Integrated science – Multidisciplinary and interdisciplinarity in health (Vol. 3). Springer Nature Switzerland AG.

    Google Scholar 

  • Zablotsky, B., Black, L. I., Maenner, M. J., Schieve, L. A., Danielson, M. L., Bitsko, R. H., Blumberg, M. S. J., Kogan, M. D., & Boyle, C. A. (2019). Prevalence and trends of developmental disabilities among children in the United States: 2009–2017. Pediatrics, 144(4), e20190811. https://doi.org/10.1542/peds.2019-0811

    Article  PubMed  Google Scholar 

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Young, G., Kenny, M.C. (2023). Child and Youth Psychopathology: Ethics and Legal Considerations. In: Matson, J.L. (eds) Handbook of Clinical Child Psychology. Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-031-24926-6_7

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