Monday, May 16, 2016 | 9:00 am - 4:30 pm
 
PC01 - Essential Changes to the DSM-5: Legal and Ethical Considerations (Ethics)
 
 
Psychotherapists struggle with the role of the DSM-5 system and ethical diagnosing of clients. This workshop examines the major changes to the DSM-5 including: the non-axial system; ICD-9 and ICD-10 requirements; substitutions for Axis I through V; and the primary “lifespan” chapter arrangement.  Informed consent, proper billing, and multicultural challenges will be addressed. Potential harm inherent in using diagnostic inflation for reimbursement, assigning improper parity diagnoses, fraudulent insurance practices, and documented ethical controversies related to development of the DSM-5 be discussed.
 
Upon completion of this session, attendees will be able to:
  • Name and explain the three major sections of the DSM-5
  • Explain the primary reason the “bereavement exclusion” was eliminated
  • Give three examples of insurance fraud with regard to DSM-5 diagnosing
  • Name two reasons why it is tempting to give a “parity” diagnosis
  • Use their “cultural lens” with regard proper diagnosis
Note: There will be a 15-minute break in the morning and again in the afternoon.

Agenda:

HOUR ONE
  • Introduction to DSM system terminology
  • Judging abnormality organization of new system, sections I, II, III
  • Chapter arrangement ICD-9 and ICD-10 codes
  • Legal and ethical dilemmas
  • Benefits, limitations and controversies of the DSM
HOUR TWO
  • Using the DSM system in detail
  • Following the “lifespan”
  • Specific changes to DSM-5 – Selected Diagnoses Methods to diagnose specific area of changes to DSM-5 Disorders proposed  in section III
  • Conditions for further study & optional measures
HOUR THREE
  • Specific changes to DSM-5 – Selected Diagnoses Changes:
  • Eating disorders
  • Elimination disorders
  • Sexual disorders
  • Substance disorders
One-Hour Lunch Break  - On Your Own
 
HOUR  FOUR
  • Disruptive disorders
  • Paraphilic disorders
  • Anxiety disorders
  • Informed consent and diagnosis
  • Accuracy versus misrepresentation in diagnosis legal and ethical dilemmas
HOUR  FIVE
  • Specific changes to DSM-5 – Selected Diagnoses
  • Proper billing
  • Avoiding insurance and billing fraud
  • Diagnostic inflation and parity
HOUR  SIX
  • Cultural additions
  • Cultural concepts of distress
  • Outline for cultural formulation
  • Cultural formulation interview
  • Legal and ethical dilemmas