naswaz newsletter july august 2011

13
July August 2011 Annual Summit 2011 promises to inspire! NASWAZ is hosting its annual Summit at the acclaimed Franciscan Renewal Center on Friday, October 14 from 8 am - 4:30 pm. This year’s theme is Social Workers Find Hope in a World of Hurt. “At this time when funding for so many social service programs has been drastically cut and people are suffering, it is more important than ever that we Social Workers gather together to renew ourselves, Social Workers Find Hope in a World of Hurt promote our profession, learn new ideas, and celebrate the achievements of the amazing state-wide NASW Award winners,” says President-elect Suzanne Schunk, who adds, “The Summit is the ideal place and time to re-energize ourselves.” Branch 2 Board Representative Kristine Hanson-Deller says the Franciscan Renewal Center’s lush garden setting adds to the Summit, saying “it is one of the most beautiful spots in the Valley!” Social Workers are not only struggling with the everyday worries of the economy, but they also work with clients who are most impacted by these economic times. During these uncertain and volatile times, social workers need each other more than ever. This event is designed to be a sanctuary and day of support for you as a social worker. We look forward to a day full of insightful and invigorating activities. Here is a glance at the day’s agenda: The Summit Agenda 7 – 8 am – Restorative Yoga Workshop 8-8:30 am – Continental Breakfast 8:30 am – Welcome: Jeremy Arp 8:45 am - Celebration of Accomplishments: Bobbie Anderson, President 9 am - Keynote: Douglas Mitchell; 1.5 CEU 10:30 am - BREAK 10:45 am - Serving Victims of Crime: Kent Burbank; 1.5 CEU 12:15 pm – LUNCH: on-site buffet 1:15 pm – Break Out Sessions (choose one; each one set at 1.5 CEUs) Pet Therapy or Human Trafficking or Community Organizing 2:45 pm – BREAK 3 pm – Awards Reception Approx. closing time: 4:30 pm As a benefit to the social work community, NASWAZ is offering the “The Summit is the ideal place and time to re-energize ourselves.” Summit to you at half its value! You will receive $120 worth of value for $60 which includes: - 4.5 Continuing Education Credits - Free breakfast, lunch and snacks - Free yoga class - Admittance to the awards ceremony To register online for this year’s exciting Social Work Summit, click here We are looking for Summit sponsors, so if your company is interested, please click here for those opportunities.

Upload: national-association-of-social-workers-az-chapter

Post on 28-Mar-2016

213 views

Category:

Documents


0 download

DESCRIPTION

Newsletter for Arizona's social workers.

TRANSCRIPT

July August 2011

Annual Summit 2011 promises to inspire!NASWAZ is hosting its annual Summit at the

acclaimed Franciscan Renewal Center on Friday, October 14 from 8 am - 4:30 pm. This year’s theme is Social Workers Find Hope in a World of Hurt.

“At this time when funding for so many social service programs has been drastically cut and people are suffering, it is more important than ever that we Social Workers gather together to renew ourselves,

Social Workers Find Hope

in a World of Hurt

promote our profession, learn new ideas, and celebrate the achievements of the amazing state-wide NASW Award winners,” says President-elect Suzanne Schunk, who adds, “The Summit is the ideal place and time to re-energize ourselves.”

Branch 2 Board Representative Kristine Hanson-Deller says the Franciscan Renewal Center’s lush garden setting adds to the Summit, saying “it is one of the most beautiful spots in the Valley!”

Social Workers are not only struggling with the everyday worries of the economy, but they also work with clients who are most impacted by these economic times. During these uncertain and volatile times, social workers need each other more than ever.

This event is designed to be a sanctuary and day of support for you as a social worker. We look forward to a day full of insightful and invigorating activities.

Here is a glance at the day’s agenda:

The Summit Agenda7 – 8 am – Restorative Yoga Workshop8-8:30 am – Continental Breakfast8:30 am – Welcome: Jeremy Arp 8:45 am - Celebration of Accomplishments:

Bobbie Anderson, President9 am - Keynote: Douglas Mitchell; 1.5 CEU10:30 am - BREAK10:45 am - Serving Victims of Crime: Kent

Burbank; 1.5 CEU 12:15 pm – LUNCH: on-site buffet1:15 pm – Break Out Sessions (choose one; each

one set at 1.5 CEUs)Pet Therapy or Human

Trafficking or Community Organizing

2:45 pm – BREAK 3 pm – Awards ReceptionApprox. closing time: 4:30 pm

As a benefit to the social work community, NASWAZ is offering the

“The Summit is the ideal place and time to re-energize ourselves.”

Summit to you at half its value! You will receive $120 worth of value for $60 which includes:

- 4.5 Continuing Education Credits- Free breakfast, lunch and snacks - Free yoga class- Admittance to the awards ceremonyTo register online for this year’s exciting Social

Work Summit, click hereWe are looking for Summit sponsors, so if

your company is interested, please click here for those opportunities.

Featured in this issue

Who to ContactIf you are looking to get involved in your professional organization, please contact any of the following:

BRANCH 1(Gila, LaPaz, Maricopa,Pinal, & Yuma Counties)

Evie LopezPatrick ShockleyBR1 Co-Chairs

emailto:[email protected]

BRANCH 2(Cochise, Graham, Greenlee, Pima

& Santa Cruz Counties)Josefina Ahumada

Kristine Hanson-DellerBR2 Co-Chairs

emailto:[email protected]

BRANCH 3(Apache, Coconino, Mohave

& Navajo Counties plusPayson, Sedona & Cottonwood)

Rhonda TalaswaimaKatherine MeyerBR 3 Co-Chairs

emailto:[email protected]

BRANCH 4(West Yavapai County—Prescott &

surrounding area)Open Position

BR 4 Chair emailto:branch4chair@naswaz.

com

STATEWIDEPACE ChairChris Fike

emailto:[email protected]

CCNLI (Nominations Chair)Judy Walruff

[email protected]

NASWAZ Chapter OfficeJeremy Arp

Executive Director(480) 968-4595

emailto:[email protected]

2

Board of Directors

Bobbie AndersonPresident

Christine WetheringtonVice President

Suzanne SchunkPresident-elect

Tammy Abbott-ThielSecretary

Eric AlfreyTreasurer

Branch 1Evie LopezCarol LopinskiLaura MastersConnie PhillipsPatrick ShockleyLindsay SimmonsAngie Verburg

Branch 2Josefina AhumadaPatti DorganKristine Hanson-Deller

Branch 3Katherine MeyerRhonda Talaswaima

Branch 4Open PositionOpen Position

Student RepsMarlo ThomasCeleste Plumlee

Summit 2011......................................................1President’s Pen..................................................3AZ Chapter Appreciates You..............................4BOD and Delegate Assembly.............................5Intern Angela Schultz.........................................6Non-profit Voter Initiative....................................7NASW Legal Issue of the Month...................8-10Career Center....................................................11National Gathering Demographics.....................11CE Series Workshops........................................12

Password ProcedureFor your first log in, you will use the following information to log in:User Name: The user name is your first name and your last name with no spaces in between. (ie. JaneDoe) *Please note that this is the first name in your member record. If your NASW membership has you listed as “H. Jane Doe”, then “H” is your first name for the purposes of this log in. (ie. HDoe) Once you log in the first time, you can set your preferences to change your user name to whatever you wish.

Password: naswaz

Once you have logged in, the website will direct you to choose a user name and password that you can remember.

3

The President’s Penby Bobbie Anderson, LCSW

Time has gone by so quickly that it is hard to believe that a year has already passed since I took office as your Chapter President. It has been a year of change and challenges, not only for our Chapter but also for our State. There is so much going on that it’s sometimes hard to keep up!

Here are a few highlights from the past year:We said a heartfelt goodbye to our long time

Executive Director Carol Stambaugh, as she left to embark on a new journey. During her 12 years, Carol made substantial contributions in helping to move our Chapter forward, and we will always remain grateful to her. In January we welcomed our new Executive Director Jeremy Arp. Jeremy came to the Chapter after having served at the Governor’s Office for Children, Youth and Families. Jeremy was on the job for just a week when the tragedy in Tucson occurred. This would have difficult for the most seasoned Executive, but Jeremy immediately offered his assistance and prepared a response to the tragedy. Jeremy continues to put his broad scope of expertise to work for our Chapter.

Branches have held several successful activities over the past year, including events celebrating Social Work Month. They also presented awards to some very deserving individuals. This year’s theme “Social Workers Change Futures” continues to serve as a powerful reminder of the role we play as change agents in the lives of others.

In June, we congratulated our election winners and welcomed them to the Board of directors. We also said goodbye to Board members whose terms have come to an end. I would like to personally thank all of you for giving your time, energy and lending your expertise to help carry out chapter business.

In July, your Board of Directors met for a two-day Board orientation as well as a Strategic Planning Session. In reviewing the Strategic Plan from 2008-2011, I’m pleased to report that many of the objectives from that plan were met. Because strategic plans are critical to the vitality of any association, they must be carefully monitored and adjusted to meet the goals of the association. Over the next year, the Board of Directors will work toward accomplishing the four main goals of our new Strategic Plan:

Promote the value of the Social Work Pro-a. fessionInfluence Social Policyb. Strengthen the Organizationc. Promote diversity within the profession and d. the broader community

We have our work cut out for us, but I have every confidence that the Board is up for this task.

On August 5-6, the NASW held its 25th Delegate Assembly. This year’s meeting was once again held virtually using online resources. The Delegate Assembly is the body responsible for setting program priorities and broad public and professional policy for the association. This was my first Assembly and considered it an honor to represent my colleagues at this important meeting.

And lastly, I would like to extend a personal invitation to become connected and actively involved in your AZ Chapter. There are many opportunities available and we welcome your input and participation. I look forward to meeting and working with each of you. I would love to hear from you, please feel free to contact me at [email protected]

Many of us moved to Arizona in part because the climate is wonderful—most of the year. Our Arizona summers can be brutal. From heat waves to monsoons to wildfires, Arizonan communities survive these ordeals by working together to minimize weather or disaster damage and only reluctantly, do we abandon our homes or property. Similarly, we as social work professionals must work as a community to prepare for challenges to our profession. Our social work education has equipped us with the tools necessary to influence our environment and to support our work to ultimately improve the lives of Arizona’s most vulnerable residents.

I have thoroughly enjoyed working with social workers who are dedicated to improving lives. I know that the second half of the year will be just as fulfilling. NASWAZ will continue to support social work professionals as they come together and make their mark during challenging economic times. Many thanks to members that chose to run for leadership posts in this year’s Chapter elections. Congratulations to the 2011-2012 NASWAZ Chapter Board of Directors!

Thank you to all members who completed ballots for the 2011-2012 Arizona Chapter election. Your board includes the executive committee: President Bobbie Anderson, President-elect Suzanne Schunk, Vice President Christine Wetherington, Secretary Tammy Abbott-Thiel, and Treasurer Eric Alfrey. Branch 1 Board Representatives are Evie Lopez, Carol Lopinski, Laura Masters, Connie Phillips, Lindsay Simmons, Patrick Shockley and Angie Verburg. Branch 2 Board Representatives are Josefina Ahumada, Patti Dorgan, and Kristine Hanson-Deller. Branch 3 Board Representatives include Rhonda Talaswaima and Katherine Meyer. Branch 4 remains without representation. BSW Student Representative is Gloria Bernal; MSW Student Representative is Jessica Begay.

I had the pleasure of spending two days with the 2011-2012 Board of Directors on July 15th and 16th. It quickly became apparent to me that members elected a dedicated group of leaders who are not timid in approaching the tasks at hand. Board members

NASWAZ appreciates your leadership, involvementby Jeremy D. Arp, MSWExecutive Director

4

received an overview of NASW, governance, and mutual expectations. Board members energetically developed a strategic plan to meet the Chapter’s needs through 2014. Most importantly, these social work professionals worked constructively to carve out a clear path for the Chapter’s future.

The Arizona Chapter will continue to promote the value of the social work, influence social policy, strengthen the organization, and promote diversity within the profession and the broader community. Accomplishment of these priority areas depends upon Board leadership, Chapter support, and continued member engagement and participation.

NASWAZ strives to support social workers through coordinating Continuing Education events pertinent to Arizona social workers. For more information on our Continuing Education offerings, click here. Please plan to attend the 2011 Social Work Summit: Social Workers Find Hope in a World of Hurt on October 14, 2011. The Summit’s theme was drawn from a year marked by devastating impacts and loss at multiple levels. Arizona social worker accomplishments will be celebrated at the Summit as we honor state-level NASW award winners.

August is an exciting time for social work students, faculty, and professionals working in field placements hosting interns. Throughout the year, the Arizona Chapter will approach Arizona’s community colleges and universities to inform students about NASW’s supportive resources and opportunities. In addition, Branches will host events to engage faculty and students.

One benefit of belonging to a professional association is that members are welcome to participate at whatever level they feel comfortable. Membership keeps you up to date through NASW news and Chapter newsletters and communiqués. Subscribing to Specialty Practice Sections enhances your ability to stay on top of research current in your chosen practice area. If you prefer more hands-on involvement, you can attend NASW activities at the Branch level, where meetings provide you an opportunity to network and become involved in your association. Becoming familiar with activities and operations at the Branch level might encourage you to become involved in elected leadership or to participate in a committee such as the Public Policy Committee or Political Action for Candidate Election (PACE) Committee.

5

From left, back row: Katherine Meyer, Christine Wetherington, Laura Masters,Jessica Begay, Gloria Bernal, Patrick Shockley. Middle row: Bobbie Anderson, Evie Lopez, Connie Phillips, Carol Lopinski, Kristine Hanson Deller, and Suzanne Schunk. Seated: Josefina Ahumada, Angie Verburg, and Lindsay Timmons. Missing are Eric Alfrey, Patti Dorgan, Tammy Abbott Thiel.

NASWAZ membership elects 2011-2012 Board of Directors

The 2011 NASW Delegate Assembly convened on August 5th and 6th. In recent years, Delegate Assembly has been convened in a virtual environment, utilizing technology to save travel expenses.

The delegation from Arizona included voting members Chapter President Bobbie Anderson; President-elect Suzanne Schunk; Delegate Tammy Abbott-Thiel; and non-voting delegate Executive Director Jeremy Arp . The Arizona delegation met at the Chapter Office in Tempe on Friday. Also from Arizona, W. Mark Clark participated as a NASW Board member.

After a formal opening of general session, NASW President Jeane W. Anasta, PhD, LMSW provided a warm welcome.

Gary Bailey, ACSW acted as presider. NASW Executive Director Betsy Clark provided the annual association report. The policy statements that emerged from the work of the Delegate Assembly will appear in the next Social Work Speaks.

For more information about Delegate Assembly, go to: http://socialworkers.org/da/

Arizona Chapter participates in 2011 NASW Delegate Assembly

From left: Jeremy Arp, Suzanne Schunk, Tammy Abbott Thiel, and Bobbie Anderson.

6

Hello! My name is Angela Schultz and I have the wonderful opportunity of having my field placement at the NASWAZ Chapter from June 2011 to May 2012. I am an Advanced Standing MSW PAC student at ASU.

I moved to Arizona about a year ago from Ann Arbor, Michigan and earned my BSW from Eastern Michigan University. I was looking for a field placement where not only would I learn about planning, administration, and community organizing, but also be given the opportunity to be involved in policies that affect the social work profession and the populations we serve. I was elated to hear the NASWAZ Chapter was an option. During the time of economic recession it has been frustrating to me to see continuous budget cuts to social services and I am looking forward to opportunities that allow me advocate against such policies. I am hoping to learn from this field placement how I can better advocate for vulnerable populations at a more macro level as well as continue to enhance the profession that I am passionate about.

NASWAZ introduces MSW PAC Intern Angela Schultz I was first introduced to the NASW

in my undergraduate program when being introduced to the NASW Code of Ethics. Additionally, a representative of the NASW-MI Chapter visited my class to discuss the role of the NASW and the benefits of membership. I have always had great respect for the NASW and look forward to learning more about all the ways the NASWAZ Chapter helps to further promote the social work profession and advocate for social justice. I have been interning at the NASWAZ Chapter since mid-June and so far it has been a wonderful learning experience. As I mentioned earlier, with the budget cuts going on across the nation, it is a great feeling to know that there is an organization working so hard to advocate for the importance of the social work practice.

I had the opportunity to attend the NASW Board Of Director’s Retreat and was able to meet most of the Board of Directors as well as participate in discussions regarding how to strengthen NASW. This was a good experience for me to learn about how nonprofits are run and how an organization develops a strategic plan. I have also been researching past legislative sessions and becoming familiar with the process of how bills become law and lobbying. I look forward to being able to assist in helping with the Summit, Social Work Day at the Legislature, and introducing new members to the NASW. I’m really looking forward to getting to serve my profession and learn how to advocate for vulnerable populations at a macro level!

7

NASWAZ joins PAFCO for Non-Profit Voter InitiativeNASWAZ is a sponsor of PAFCO’s Non-Profit

Voter Engagment Conference set for Wednesday, October 5th in Phoenix.

In a press release to the non-profit sector, PAFCO founder Tim Schmaltz states, “The political world has changed and the nonprofit community must change its advocacy approaches for this new world. (We need) to discuss what is possible, what is strategic and what is very effective (based on the latest research) for how community agencies and nonprofits can impact elections in legal and ethical ways.”

The conference will address Arizona’s political climate, 2012’s election urgency and budget cuts. Lindsay Hodel, Director of Training and Partnerships for the nationally recognized coalition Nonprofit Vote, will speak to our

group. A local panel of speakers and facilitated discussions of efforts to move forward will round out the day.

In addition to NASWAZ, many other non-profit groups are supporting the Conference, including PAFCO Education Fund, Children’s Action Alliance, Alliance of Arizona Nonprofits, Arizona Foundation for Women, Arizona Bridge to Independent Living (ABIL), Association for Supportive Child Care, Arizona Coalition Against Domestic Violence, Arizona Child Care Association, Arizona Council of Human Services Providers, and other community and nonprofit groups.

If you work with a non-profit that would like to join these efforts, please contact Tim Schmaltz at emailto:[email protected]

Ten of the HUNDRED reasons to join NASW

1. Support yourself and your profession through your professional association.

2. Affirm your commitment to the NASW Code of Ethics.

3. Receive three memberships for one price: National, State, and Local.

4. Receive 10 issues annually of the award-winning NASW News.

5. Depend on paid professional Chapter Staff working daily for you and on your behalf.

6. Network in monthly meetings with other professional social workers in your local unit.

7. Improve public understanding of the social work profession through the Public Education campaign.

8. Utilize the statewide toll-free information services for members.

9. Visit your own national professional website: www.socialworkers.org

10. Receive bi-monthly issues of the Arizona Chapter newsletter and a monthly enewsletter.

8

Many social work clients depend on health insurance companies to cover the costs of their mental health treatment and, in return, many clinical social workers depend on reimbursement from health insurance companies for their income. In order to facilitate the claims and payment processes, health insurers generally require access to some information about the clients’ emotional or mental conditions and the progress of treatment. As insurers’ requests for confidential information have increased, social workers sometimes have experienced conflicts with the ethical and legal obligations to respect the privacy of their clients and to maintain confidentiality. This Legal Issue of the Month article will evaluate the effects on client privacy when social workers interact with health insurance companies and will focus on provisions of the Health Insurance Portability and Accessibility Act of 1996 (“HIPAA”) that provide mechanisms for protecting clients’ privacy.

BackgroundHealth insurers, including Medicaid, Medicare

and managed care organizations, continue to seek reductions in healthcare costs by reviewing providers’ claims to assure that the treatment provided was medically necessary and properly documented according to the insurer’s standards. During the claims process or even years later, for auditing purposes, an insurer may request detailed information about the client’s mental health symptoms, treatment, progress and prognosis, including clinical records of psychotherapy sessions. At times, the client and/or the clinical social worker may determine that an insurer’s request is so intrusive as to interfere with the treatment process or to violate client privacy rights. In order to determine what options are available for responding to requests for detailed client information a social worker may need to review federal health privacy standards, state laws concerning health privacy and social work practice, and ethical principles.

HIPAAThe privacy regulations which implement the

Health Insurance Portability and Accessibility Act

of 1996 (“HIPAA”) list the circumstances in which health care entities may disclose protected health information, and the circumstances in which they must disclose. Generally, HIPAA allows health care entities to disclose protected health information for purposes of “treatment, payment, or health care [business] operations” without client consent (45 CFR 164.506 (current through 2011)). This includes information disclosed by clinical social workers to health insurance companies to facilitate claims for payment. Although HIPAA allows the disclosure of information without consent for payment purposes, it does not prohibit health care providers from obtaining client consent in order to meet professional ethical standards, such as the NASW Code of Ethics, which does require consent before releasing confidential client information to insurers (NASW, 2008).

With the client’s signed consent to release information, clinicians may complete health insurance claim forms and submit them to the insurer for reimbursement. From time to time, insurers may ask for some additional information to justify the continuation of treatment for a specific number of sessions and clinicians generally rely on the initial release form signed by the client as sufficient authorization to release the additional information. However, when an insurer insists on a copy of the clinician’s notes there are concerns as to whether the client’s expectations about privacy may be breached.

At least three provisions within the HIPAA privacy regulations are available to protect client privacy from requests by insurers for more detailed clinical information than the client or practitioner believes is necessary:

Clients who self-pay may request that their health care practitioner not inform their health insurer and the practitioner is required to comply with this request, according to a HIPAA amendment included in the Health Information Technology for Economic and Clinical Health Act 42 U.S.C.S. § 17935 (2009). In this instance, clients with higher incomes can afford to “pay” for increased privacy by by-passing their available mental health insurance benefits, while lower income clients generally cannot afford this option.

Health insurers are subject to HIPAA’s “minimum necessary” requirement (as are providers). The insurer is required to limit its request for the

A Look at Health Insurance, HIPAA, and Client Privacy (reprinted from the NASW Legal Issue of the Month with National’s permission)

(continued on Page 9)

9

disclosure of information to the minimum amount necessary for a particular purpose. However, the entity that is releasing the information (such as a clinical social worker) has the authority to determine whether the amount of information to be released is the “minimum necessary” (42 U.S.C.S. 17935(b)(2)).

A readily available option is for the clinical social worker/psychotherapist to create two folders for each client. The “medical record” would contain summary progress notes sufficient to document that clinical services were provided on specific dates, that the treatment was medically necessary and appropriate. The client’s detailed information about the content of sessions and the therapist’s own thoughts and analysis would be placed in a separate “psychotherapy notes” folder. Thus, when an insurer requests access to or a copy of the entire “medical record,” their staff will not have access to the psychotherapy notes.

Psychotherapy NotesWith a few exceptions, separately maintained

psychotherapy notes may not be disclosed unless the client has signed a separate authorization form (45 CFR 164.506; 45 CFR 164.508 (current through 2011). HIPAA defines psychotherapy notes as:

[N]otes recorded (in any medium) by a health care provider who is a mental health professional documenting or analyzing the contents of conversation during a private counseling session or a group, joint, or family counseling session and that are separated from the rest of the individual’s medical record. Psychotherapy notes excludes medication prescription and monitoring, counseling session start and stop times, the modalities and frequencies of treatment furnished, results of clinical tests, and any summary of the following items: Diagnosis, functional status, the treatment plan, symptoms, prognosis, and progress to date (45 CFR 164.501 (current through 2011)).

Thus, the material that HIPAA “excludes” from psychotherapy notes is what would be included in the client’s primary clinical record (e.g. the HIPAA “medical record”), as well as insurance and payment information. A client cannot be required to sign an authorization to release the separate psychotherapy notes as a condition of “treatment, payment, enrollment in the health plan, or eligibility for benefits” (45 CFR 164.508). Thus, insurers are

prohibited from coercing or pressuring clients to sign a consent to release psychotherapy notes and the information will remain protected from disclosure (Morgan, 2006).

Minimum Necessary StandardHealth care entities must generally abide by

the HIPAA minimum necessary standard. Under HIPAA, “When using or disclosing protected health information or when requesting protected health information from another covered entity, a covered entity or business associate must make reasonable efforts to limit protected health information to the minimum necessary to accomplish the intended purpose of the use, disclosure, or request” (45 CFR 164.502 (current through 2011)). This standard applies to disclosures made for payment purposes, although there are a number of other exceptions to the rule. The minimum necessary provision is intended to provide the individual client with as much privacy as possible, even when providers disclose the individual’s protected health information to other entities, such as health insurance companies.

Tension exists between consumer privacy advocates and the health insurance industry as to how much and what personal information health insurers should be able to access and use in the conduct of their business. In order to challenge an overly-broad or overly-detailed request for information from a health insurer, the practitioner may need to follow up with a contact to the insurer’s “HIPAA privacy officer” in writing, if attempts to communicate the concerns to the provider relations staff have been unsuccessful. The HITECH amendments to HIPAA indicate that the entity that is releasing information “shall” determine whether it is the minimum amount necessary. This provides practitioners with clear statutory authority to determine what information to release; however, it is unclear how insurers will respond in the event of conflicting views on how much clinical information is needed for claims processing, auditing and other insurance business activities.

State Health Privacy LawsA number of states have provisions defining

and protecting a health care practitioner’s personal notes. Different terms may be applied to that content

(continued from Page 8)

(continued on Page 10)

10

and the type of privacy protection varies from state to state (Morgan and Polowy, 2001, Appendix II). For purposes of protecting client’s information from unnecessary disclosure to health insurers, it is advisable to follow the HIPAA standards for maintaining separate “psychotherapy notes.”

Analysis and ConclusionSince the HIPAA privacy regulations were

implemented eight years ago, there has been sufficient opportunity to evaluate the effectiveness of the “psychotherapy notes” provision and it has been a beneficial mechanism to protect clients’ privacy. Changing expectations about privacy in the wake of electronic health records and new modes of communication may heighten concerns about whether any confidential information can be adequately protected from disclosure. The limits on disclosure of separate psychotherapy notes are one of the few extra privacy protections provided in the HIPAA regulations.

Although the use of separate notes is voluntary, it is highly recommended that clinical social workers utilize this mechanism if the social work practice or agency routinely files claims with health insurers. Even insurers with which a social worker has had a long and positive working relationship may conduct a random audit (often through an outside contractor) several years after treatment has terminated and request clients’ detailed clinical information. The needs of the insurer/auditor can be readily met while protecting client privacy, if psychotherapy notes were maintained separately.

It is less clear how effectively the “minimum necessary” standard has been applied to protect clients’ privacy, as it is subject to widely varying interpretations between (and within) health care entities. Finally, the “self-pay” provision (noted in the numbered paragraph above) is effective to block insurers’ access to client information, but at a cost to the individual client and potentially to society, as it does not address the rights of those who cannot afford to pay for treatment out of pocket.

References

45 CFR § 164.501 (current through 2011).

45 CFR § 164.502 (current through 2011).

45 CFR § 164.506 (current through 2011).

45 CFR § 164.508 (current through 2011).

Morgan. S., et al. (2006). Social workers and psychotherapy notes. Legal Defense Fund,Legal Issue of the Month, National Association of Social Workers. [Online]. Available at https://www.socialworkers.org/ldf/legal_issue/2006/200606.asp (accessible to NASW members).

Polowy, C., et al. (1997, 2011 edition pending). Client confidentiality and privileged communications. General Counsel Law Note, National Association of Social Workers. [Online]. Available to order at http://www.socialworkers.org/ldf/lawnotes/confidentiality.asp.

Polowy, C. and Morgan, S. (2001). Social workers and clinical notes. General Counsel Law Note, National Association of Social Workers . [Online]. Available to order at http://www.socialworkers.org/ldf/lawnotes/notes.asp.

42 U.S.C.S. § 17935 (2009).

(continued from Page 9)

11

Arizona Career Center For complete job descriptions, please visit

www.naswaz.com and click on the Arizona Career Center. You will need to sign in with your Arizona username and password.

Does YOUR company have an opening for a social worker? If so, you or your company repre-sentative can place an advertisement on our online Career Center for FREE. It’s easy.

Just go to www.naswaz.com and to the “Ca-reer Center” heading. A fly-out menu will appear, and the second choice is “Arizona Career Post-ing.” Just click on that link, fill in the blanks, and your ad will be instantly live and available to our members.

Therapist I/IIBehavioral Health ConsultantResearch AssistantManager, Social WorkSystems AdvocateSocial Worker PRN (Part-time)School Psychologist/Social Worker (LCSW)Licensed Clinical Social WorkerGeriatric Care ManagerClinical TherapistLicensed Program CoordinatorNative American Cardiology Care CoordinatorCare Coordination ManagerCounselorDevelopment DirectorClinical SupervisorFamily Support Specialist Healthy FamiliesNative American Cardiology Care CoordinatorCare Coordination ManagerFamily Support Specialist Parent AideProgram Manager Parent AideFamily Support Specialist Kinship Care and

Adoptions Crisis Support ConsultantMSW Social WorkerSocial Worker

Campaign to Gather Demographic Information

The National office of NASW has launched a campaign to capture additional member demographic information in an effort to help the association better understand its member population. The “member profile” section of www.socialworkers.org now includes additional fields to enable members to provide this information:

· Birth Date· Gender· Ethnic/Racial Origin· Primary Practice· Primary Work Setting· Primary Work Focus· Primary Function· Primary Org Type· Primary Annual Income

Please note: Your privacy is important to us. Maintaining your privacy—online and off—is of the utmost importance to NASW. Our policy is that we do not distribute your personal information. We do provide mailing labels to select organizations who request them. If you wish to be removed from these requests, please contact us directly or set your preference in your online member profile. We do not maintain any billing or credit card information on file.

Contact NASW Member Services for assistance with logging into your National site profile at 1-800-742-4089 Mon-Fri 9 am to 9 pm EST.

12

NASWAZ and ASU present Fall CE Series Workshops

Friday, September 23, 2011Child Crisis Center’s Family Resource Center , AZ 85253

9 am to noon

Understanding and Effectively Working with the Mormon Culture in Your Community (3 CEUs designed to meet the AZBBHE requirements for diversity)

Presented by Jay Lambert, MPA, MSW, LCSW

Jay Lambert is a Licensed Clinical Social Worker in Arizona, and has served his West Valley community for many years at local agencies and for the past several years as a counselor in private practice.

This workshop is designed to help social workers gain an understanding of - and an appreciation for - the history, culture, norms, beliefs, lifestyle, values, social structure and practices of the Mormon Church and its members. Participants will learn about the types of social work interventions and practices that work - and those that don’t work - to achieve maximum positive impact as social workers when engaging with Mormons. This workshop will include a critical review of current issues in Mormonism and social work - family issues, LGBT concerns, racial/ethnic issues, and so on - to help social workers navigate the unique social landscape that is Mormonism.

1 pm to 4 pm

The Ethics of Social Work in a Faith-Based Organization (3 CEUs designed to meet the AZBBHE requirements for ethics/law)

Presented by Kim Van Nimwegen, MSW

Kim Van Nimwegen, MSW, is the Director of URBAN OUTREACH, a program of the Tempe First United Methodist Church that serves homeless individuals. Kim has worked in a wide variety of social service settings including inner city, rural, residential, outpatient, and detention facilities with children, adults, and families. Her work with faith-based organizations has revealed many unique opportunities and resources to meet growing needs in an uncertain time.

This workshop will include discussion of collaborating with faith-based organizations to provide social services, the ethics involved in providing social services in a faith-based environment; the benefits and challenges of conducting social work in a faith-based environment; and the exploration of ethical dilemmas surrounding fund-raising and development in a faith-based environment. This workshop will focus on the presenter’s experiences with ethical issues involving domestic violence, hunger and homelessness.

For online registration, a map to the location, and member and non-member fees, please go to www.naswaz.com and click on the appropriate selection under the Chapter Events/Calendar of Events, or simply click on the titles above to be taken directly there.

13

NASWSpecialtyPracticeSections

SocialWorkers.org/Sections800.742.4089

In a matter of minutes, you can join one of the top resourcesfor social workers in specialty practice—the NASW SpecialtyPractice Sections (SPS).

These professional communities focus on a single practicearea, keeping you up-to-date on research, professionaldevelopment, and other practice-specific news andinformation that you can apply to your work or studies.

Top Three Reasons to Join• Stay current on research, treatment strategies, and

other developments in your specialty.• Take free practice webinars to supplement your

studies and field placement and earn CE credits forstate licensure renewal.

• Expand your knowledge base by reading articles aboutcase studies, clinical research, and practice modalities inyour Section’s newsletters.

Learn more about the Specialty Practice Sections atSocialWorkers.org/Sections, or call 800.742.4089Monday-Friday, 9 am – 9 pm EST.

You must be a current NASW member to join a SpecialtyPractice Section. Visit SocialWorkers.org for NASWmembership information.

The right choice

SocialWorkers.org/Sections

• Administration/Supervision• Aging• Alcohol, Tobacco, and Other

Drugs• Child Welfare• Children, Adolescents, and

Young Adults

• Health• Mental Health• Private Practice• School Social Work• Social and Economic Justice

& Peace• Social Work and the Courts

Choose from 11 Practice Areas – Only $35 per Section

for NASW social work members and students

Customize the Powerof Your NASW Membership

Earn FREE CEs and keep up-to-date on practiceissues and trends:• FREE CE webinars• FREE CEs through InterSections in Practice, theonline SPS annual bulletin

• eConnection annual electronic newsletter dedicatedto practice-related topics

• Section Link providing the latest NASW practice newssix times per year

• e-alerts with timely news, information, and updates• Practice-specific newsletters two times per year• Members-only Web site• Special Section discounts

JOIN ONLINE TODAY atSocialWorkers.org/sections or call 202.408.8600 ext. 476.**You must be a current NASW member to join a Specialty Practice Section.

SocialWorkers.org/sections202.408.8600 ext. 476

Join NASW’s PRIVATE PRACTICESpecialty Practice Section Today!

SEC-PC-39510.PP7x5:Layout 1 3/3/10 3:47 PM Page 1