are medical therapists obligated to report patient misconduct in new york

by Mr. Joseph Nienow Jr. 3 min read

Understanding New York's Medical Conduct Program

4 hours ago New York State Education § 6530 Definitions of Professional Misconduct § 6530. Definitions of professional misconduct. Each of the following is professional misconduct, and any licensee found guilty of such misconduct under the procedures prescribed in section two hundred thirty of the public health law shall be subject to penalties as prescribed in section two hundred thirty-a … >> Go To The Portal


A New York law enacted Jan. 15, 2013, moves that state's law from a permissive to a mandatory duty for mental health professionals to report when they believe patients may pose a danger to themselves or others but protects therapists from both civil and criminal liability for failure to report if they act "in good faith."

Notably, New York State's Office with Professional Misconduct requires all licensed health professionals to report other medical professionals who they suspect of misconduct.Mar 21, 2018

Full Answer

Are you legally obligated to report what your clients say during therapy?

However, there are some specific situations when mental health professionals are legally obligated to report something that a client does or says during a therapy session. “I like to tell my clients that therapy is kind of, ‘What happens in Vegas stays in Vegas.’

Do therapists have to report mental illness in New York?

A New York law enacted Jan. 15, 2013, moves that state's law from a permissive to a mandatory duty for mental health professionals to report when they believe patients may pose a danger to themselves or others but protects therapists from both civil and criminal liability for failure to report if they act "in good faith."

Do physicians have an obligation to report incompetent or unethical conduct?

The obligation to report incompetent or unethical conduct that may put patients at risk is recognized in both the ethical standards of the profession and in law and physicians should be able to report such conduct without fear or loss of favor. CME course: Physician wellness & professional conduct

What happens if evidence is found that a physician has misconduct?

If evidence is found that suggests misconduct, checks and balances built into the medical conduct system assure physicians due process. * Throughout this discussion, the term "physician" includes physician assistant, specialist assistant and unlicensed resident physician. Who Files Complaints?

How do I file a complaint against a medical provider in New York?

To discuss filing a misconduct complaint against a physician, physician assistant, or specialist assistant, contact the Office of Professional Medical Conduct, NYS Department of Health, Riverview Center 150 Broadway, Suite 355 Albany, New York 12204-2719. Phone: 518-402-0836 or 1-800-663-6114.

How many physician assistants can a physician supervise in NY?

four PAsIn New York State, a physician may employ or supervise no more than four PAs in the physician's practice; in a correctional facility, no more than six PAs; and, in a facility licensed pursuant to PHL Article 28, no more than six PAs.

How do I file a complaint against a hospital in NYC?

How do I file a complaint about a health care provider, hospital or nursing home? The New York State Department of Health (NYSDOH) oversees health care providers, hospitals and nursing homes. Please contact the NYSDOH at 1-800-804-5447 or through e-mail at hospinfo@health.state.ny.us.

How do I file a complaint against a psychiatrist in NY?

You may call that office at 1-800-663-6114 (Monday through Friday 9:00 am to 5:00 pm eastern) or e-mail the office at opmc@health.ny.gov. All other complaints should be sent to one of OPD's offices. Sending the complaint to the wrong agency will delay the investigation.

Is a physician assistant above a nurse practitioner?

Is NP higher than PA? Neither profession ranks "higher" than the other. Both occupations work in the healthcare field, but with different qualifications, educational backgrounds, and responsibilities. They also work in different specialties.

What can physician assistants not do?

PAs, on the other hand, usually work in doctors' offices and hospitals. Although they do have a lot of autonomy in their role, PAs cannot practice independently. They can diagnose illnesses and injuries, prescribe medication, perform procedures, and design treatment plans under doctor supervision. The Michael E.

How do I complain about hospital negligence?

How can you make a complaint about your treatment?The first option is often to use the complaints procedure of the hospital or general practice surgery where you were treated.Alternatively, you can contact the Health Service Ombudsman or the regulatory body of the professional involved.More items...•

What is complaint procedure?

A customer complaints procedure is a systematic method used by organisations for receiving, recording and responding to complaints made by their customers to ensure that complaints are responded to efficiently and effectively and learnt from. For the purposes of this procedure, customers are external customers.

How do I file a complaint with NYU Langone?

If you're trying to reach Patient Relations. Opens in a new tab at Tisch Hospital, please call 212-263-6906. For Patient Relations at NYU Langone Orthopedic Hospital, please call 212-598-6336. For Patient Relations at NYU Langone Hospital—Brooklyn, please call 718-630-7314.

How do I lodge a complaint with the Department of health?

The numbers for the call centre are (011) 488-4394 or 4351 or 4366 or 4445. The centre, which will be managed by staff members, will operate day and night, seven days a week. Gauteng MEC for Health Qedani Mahlangu ensured that the complaints lodged with the centre will be processed within 48 hours.

How do I report social services for misconduct?

Stage 1: local resolution To make a formal complaint about the Children and Families Service, please email children.complaints@hackney.gov.uk or tel 020 8356 5800.

How many psychiatrists are there in New York?

The state with the highest number of psychiatrists was California (5,935) and the state with the fewest was Wyoming (42) (Table 1). The national average was 806.5 psychiatrists per state. The county with the most psychiatrists was New York, New York (1,802).

What is professional misconduct?

Professional misconduct is the failure of a licensed professional to meet expected standards of practice. The Board of Regents, which licenses individuals in more than 50 professions defined in Education Law, is responsible for the final disposition of all disciplinary matters.

What is the penalty for refusing to serve a client?

A range of penalties that includes censure and reprimand, fines (up to $10,000 for each violation), suspensions and/or probationary terms may be imposed on licensees who have committed misconduct.

What is gross negligence?

Engaging in acts of gross incompetence or gross negligence on a single occasion, or negligence or incompetence on more than one occasion. Permitting or aiding an unlicensed person to perform activities requiring a license.

Can you file a complaint by phone in New York?

Note: Complaints must be submitted in writing and cannot be filed by phone. See instructions and the Complaint Form. To ensure public protection in New York State, the New York State Education Department's Office of the Professions (OP) investigates and prosecutes professional misconduct in all professions except medicine ...

What is a false report?

Willfully making or filing a false report, or failing to file a report required by law or by the department of health or the education department, or willfully impeding or obstructing such filing, or inducing another person to do so;

How long do you have to keep obstetrical records?

Obstetrical records and records of minor patients must be retained for at least six years, and until one year after the minor patient reaches the age of eighteen years; Failing to exercise appropriate supervision over persons who are authorized to practice only under the supervision of the licensee;

What is a willful violation of section two hundred thirty?

A willful violation by a licensee of subdivision eleven of section two hundred thirty of the public health law; A violation of section twenty-eight hundred three-d, twenty-eight hundred five-k or subparagraph (ii) of paragraph (h) of subdivision ten of section two hundred thirty of the public health law; or.

What is a willful or grossly negligent failure to comply with substantial provisions of federal, state, or local laws

A willful or grossly negligent failure to comply with substantial provisions of federal, state, or local laws, rules, or regulations governing the practice of medicine; Exercising undue influence on the patient, including the promotion of the sale of services, goods, appliances, or drugs in such manner as to exploit the patient for ...

What is a professional superiority claim?

makes claims of professional superiority which cannot be substantiated by the licensee, who shall have the burden of proof; or. offers bonuses or inducements in any form other than a discount or reduction in an established fee or price for a professional service or product.

Who is responsible for the daily management and operational affairs of a hospital?

The daily management and operational affairs of the hospital shall be the responsibility of the chief executive officer.

How long do you have to keep obstetrical records?

Obstetrical records and records of minor patients must be retained for at least six years, and until one year after the minor patient reaches the age of eighteen years; 33. Failing to exercise appropriate supervision over persons who are authorized to practice only under the supervision of the licensee; 34.

What is a Practicing the Profession with Negligence?

Practicing the profession fraudulently or beyond its authorized scope; 3. Practicing the profession with negligence on more than one occasion; 4. Practicing the profession with gross negligence on a particular occasion; 5.

When can a holder of a patient's medical records disclose information?

The holder of the records may disclose information when the patient has communicated a serious threat of serious physical injury against a reasonably identifiable victim, the person with knowledge of the threat may disclose the threat to the potential victim or to any law enforcement officer, or both.

When did California impose a legal duty on psychotherapists?

California courts imposed a legal duty on psychotherapists to warn third parties of patients’ threats to their safety in 1976 in Tarasoff v. The Regents of the University of California.

What is the duty of a mental health professional to protect against violent behavior?

A mental health professional has the duty to warn of or take reasonable precautions to provide protection from violent behavior only if the patient communicates an actual threat of physical violence by specific means and against a clearly identified or reasonably identifiable victim.

When does the duty to predict, warn, or take reasonable precautions to provide protection from, violent behavior arise?

The duty to predict, warn of, or take reasonable precautions to provide protection from, violent behavior arises only when a client or other person has communicated to the licensee a specific, serious threat of physical violence against a specific, clearly identified or identifiable potential victim.

What is client privilege in behavioral health?

Behavioral health professional - client privilege does not extend when the professional has a duty to (1) inform victims and appropriate authorities that a client's condition indicates a clear and imminent danger to the client or others; or (2) to report information required by law.

What is the responsibility of mental health professionals to communicate the threat to the victim?

Mental health professionals must make a reasonable effort to communicate, in timely manner, the threat to the victim and notify the law enforcement agency closest to the patient's or victim's residence and supply a requesting law enforcement agency with any information concerning the threat.

Who is immune from failure to warn or protect from a patient's threatened or actual violent behavior?

June 2, 2000. Any physician, clinical psychologist, or qualified examiner is immune from failure to warn or protect from a patient's threatened or actual violent behavior except where the patient has communicated a serious threat of physical violence against a reasonably identifiable victim or victims.

What happens if a therapist fails to take reasonable steps to protect the intended victim from harm?

“If a therapist fails to take reasonable steps to protect the intended victim from harm, he or she may be liable to the intended victim or his family if the patient acts on the threat ,” Reischer said.

Do you have to report child abuse to a therapist?

“If a client experienced child abuse but is now 18 years of age then the therapist is not required to make a child abuse report, unless the abuser is currently abusing other minors,” Mayo said.

Can a therapist report a patient's intent to harm someone else?

A therapist may be forced to report information disclosed by the patient if a patient reveals their intent to harm someone else. However, this is not as simple as a patient saying simply they “would like to kill someone,” according to Jessica Nicolosi, a clinical psychologist in Rockland County, New York. There has to be intent plus a specific identifiable party who may be threatened.

Do therapists have to disclose information in court?

For instance, Reed noted that even if a wife is cheating on her husband and they are going through a divorce, the therapist has no legal obligation whatsoever to disclose that information in court. The last thing a therapist wants to do is defy their patient’s trust.

Should clients withhold anything from their therapist?

“Clients should not withhold anything from their therapist, because the therapist is only obligated to report situations in which they feel that another individual, whether it be the client or someone else, is at risk,” said Sophia Reed, a nationally certified counselor and transformation coach.

Why report a colleague who is incompetent?

Reporting a colleague who is incompetent or who engages in unethical behavior is intended not only to protect patients , but also to help ensure that colleagues receive appropriate assistance from a physician health program or other service to be able to practice safely and ethically.

Why is medicine a self-regulated profession?

Medicine has a long tradition of self-regulation, based on physicians’ enduring commitment to safeguard the welfare of patients and the trust of the public. The obligation to report incompetent or unethical conduct that may put patients at risk is recognized in both the ethical standards of the profession and in law and physicians should be able ...

Who Files Complaints?

  1. More than half of all complaints about physicians and physician assistants come from the public— patients, friends and family members.
  2. State law requires health facilities, including health maintenance organizations, to report disciplinary actions that they take against medical professionals and any other instances of …
  1. More than half of all complaints about physicians and physician assistants come from the public— patients, friends and family members.
  2. State law requires health facilities, including health maintenance organizations, to report disciplinary actions that they take against medical professionals and any other instances of possible mis...
  3. All licensed health professionals, including physicians, physician assistants, and specialist assistants, are requiredby state law to report colleagues whom they suspect may be guilty of misconduct...
  4. If the colleague is affiliated with a hospital, a report can be made to the facility's professional practices committee, which must then inform OPMC. If the colleague is not affiliated with a hospi...

What Complaints Are Not Misconduct?

  • Many complaints received by OPMC arise from failed communication. Typically, these do not constitute misconduct, but they do point out basic problems in the doctor/patient relationship which, if left uncorrected, ultimately could lead to serious problems. Misunderstandings about diagnoses, treatments, referrals, and billing, as well as concerns about rudeness and a perceive…
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How Does The Process Work?

  1. Written complaints are reviewed by OPMC investigative and medical staff.
  2. Complaints that raise possible misconduct issues are assigned to investigators. OPMC medical coordinators provide clinical guidance. Typically, complainants, doctors, and others involved are interv...
  3. Licensees who are under investigation are expected to cooperate in the investigative process…
  1. Written complaints are reviewed by OPMC investigative and medical staff.
  2. Complaints that raise possible misconduct issues are assigned to investigators. OPMC medical coordinators provide clinical guidance. Typically, complainants, doctors, and others involved are interv...
  3. Licensees who are under investigation are expected to cooperate in the investigative process, to participate fully and openly in the interview process and to make records relevant to an inquiry ava...
  4. If appropriate, complaints that raise issues outside OPMC's jurisdiction are referred to the appropriate agency. Complainants are notified of that action by letter. If a physician was contacted, he...

What Are The Penalties For Misconduct?

  • The board has the authority to take certain actions against a physician's license. Those actions include: 1. revocation. 2. suspension. There are a variety of suspension options, including an actual or partial suspension for a fixed period of time or an actual or partial suspension until a physician completes retraining, education or rehabilitation. 3. license limitation to a specified ar…
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How to Reach Us

  1. New York State Department of Health Office of Professional Medical Conduct Riverview Center 150 Broadway, Suite 355 Albany, New York 12204
  2. Phone:
  3. Web site address: www.health.ny.gov/professionals/doctors/conduct/
  4. e-mail address: opmc@health.ny.gov
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§6530. Definitions of Professional misconduct.

  • Each of the following is professional misconduct, and any licensee found guilty of such misconduct under the procedures prescribed in section two hundred thirty of the public health law shall be subject to penalties as prescribed in section two hundred thirty-a of the public health law except that the charges may be dismissed in the interest of jus...
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§6531. Additional Definition of Professional Misconduct, Limited Application.

  • Notwithstanding any inconsistent provision of this article or any other provisions of law to the contrary, the license or registration of a person subject to the provisions of this article and article one hundred thirty-one-B of this chapter may be revoked, suspended, or annulled or such person may be subject to any other penalty provided in section two hundred thirty-a of the public health …
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§6532. Enforcement, Administration and Interpretation of This article.

  • The board of professional medical conduct and the department of health shall enforce, administer and interpret this article. Before issuing a declaratory ruling pursuant to section two hundred four of the state administrative procedure act with respect to this article, the department of health shall fully consult with the department of education. Neither the commissioner of education, the …
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