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Tarasoff Duties: A Clinical, Ethics, and Policy Patchwork


ONLINECMECNECommunicationEthics/ProfessionalismCollaborative and Team-Based CME/CEMEHP Courses

  • Overview
  • Faculty
  • Online Content & Tests


Date & Location
Monday, April 18, 2022, 12:00 AM - Friday, May 31, 2024, 11:59 PM

Course Overview

This course offers an overview of the legal and ethical issues pertaining to a therapist’s duty to warn and protect in cases where a patient may commit violence. It begins with a discussion of Tatiana Tarasoff, which established legal precedent for a duty to warn. And then, using illustrative examples and interview material, it surveys how different states implement the duty to warn and protect, provides a framework for determining when and how to intervene with a potentially violent patient, and offers ethical guidance for balancing confidentiality with the safety of patients’ potential victims.

There was no commercial support used in the development of this educational activity.

Content last reviewed: May 30, 2023


Target Audience
Specialties - ALL SPECIALTIES

Learning Objectives

By the end of this course, participants should be able to:


  1. Describe the facts of the Tarasoff case.
  2. Explain the ethical foundations of the duty to maintain confidentiality and the duty to warn and protect.
  3. Distinguish among laws and policies pertaining the duty to warn and protect in different states.
  4. Make use of the framework of the Appelbaum method in cases where Tarasoff duties may apply.

Registration

There is no registration fee but you are still required to register.

In this activity, learners will engage with the content by moving through a series of brief video lectures with links to related readings, downloadable resources, and quizzes.

The Structure of the Course
  • Introduction to Tarasoff and the Duty to Warn (6:41)
  • Legal Differences by State (6:58)
  • The Appelbaum Model (3:01)
  • The Appelbaum Model, Case Studies (4:21)
  • A Conversation with Paul S. Appelbaum (13:46)
  • Confidentiality (3:35)
Each lecture includes a list of suggested readings that provide more detail about what was discussed. Links to external readings will lead you to an abstract or, if available, the full article.

Note that closed captions are available for all video segments.
 
Successful completion of this educational activity and receipt of certificate of credit includes achieving a minimum score of 80% on the post-test.

Accreditation
In support of improving patient care, Penn Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.  
 
Physicians: Penn Medicine designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
Nurses : This program provides 1.0 NCPD Hours.

Credits
AMA PRA Category 1 Credits™ (1.00 hours), NCPD Hours (ANCC) (1.00 hours), Non-Physician Attendance / Participation (1.00 hours)

About the Instructor:

Dominic Sisti, PhD, is director of the Scattergood Program for the Applied Ethics of Behavioral Health Care and associate professor in the Department of Medical Ethics and Health Policy at the University of Pennsylvania. He holds secondary appointments in the Department of Psychiatry, where he directs the ethics curriculum in the residency program, and the Department of Philosophy. Dr. Sisti's research examines the ethics of mental health care services and policies, including long-term psychiatric care for individuals with serious mental illness, and ethical issues in prison and jail health care. He also studies the philosophical, ethical, and policy implications of defining and redefining mental disorders in the DSM. Most recently, Dr. Sisti has been studying the ethical implications of artificial intelligence and social media in the context of mental health care delivery.  

Dr. Sisti's writings have appeared in peer-reviewed journals such as JAMA, JAMA Psychiatry, Psychiatric Services, the Hastings Center Report, and the Journal of Medical Ethics. His scholarship has been featured by popular media outlets such as the New York Times, The Economist, NPR, the Philadelphia Inquirer, Slate, and The Atlantic. He is editor of three books: Health, Disease, and Illness: Concepts in Medicine (with Arthur Caplan and James McCartney, Georgetown University Press, 2004), The Case of Terri Schiavo: Ethics at the End of Life (with Arthur Caplan and James McCartney, Prometheus Books, 2006), and Applied Ethics in Mental Healthcare: An Interdisciplinary Reader (with Arthur Caplan and Hila Rimon-Greenspan, MIT Press, 2013). 

Dr. Sisti was an Edmund Pellegrino Fellow at the Center for Clinical Bioethics at Georgetown University. He received his bachelor's degree in biology from Villanova University, a Master of Bioethics from the University of Pennsylvania, and his doctorate in philosophy from Michigan State University. His research has been funded by the Thomas Scattergood Behavioral Health Foundation, the Greenwall Foundation, The Quattrone Center for the Fair Administration of Justice, the Leonard Davis Institute, and the Dana Foundation. Dr. Sisti teaches graduate courses on clinical ethics, ethics in behavioral health care, and social media, ehealth, and biomedical ethics. He has organized and led the ethics track for the American Psychiatric Association's annual meeting since 2012. 

Disclosures

The following planning committee member has reported the following relevant financial relationships with commercial interests related to the content of this educational activity:
Ezekiel J. Emanuel, MD, PhD: Leigh Bureau, Speaker Honorarium; Oak HC/FT, Salary; Nuna, Stock Shareholder.

The faculty and planning committee members listed below have disclosed that they have no relevant financial relationships with any commercial interests related to the content of this educational activity:

Steven Joffe, MD, MPH
Autumn Fiester, PhD
Dominic A. Sisti, PhD
Connie Ulrich, PhD, MSN
Amy Ashbridge, MBA
Adam Zolkover, MA
Laura C. Hart, MFA
Patricia Smith, DNP, RN, BC

The faculty reported that there will be no mention of investigational and/or off-label use of products in this presentation.
Dominic Sisti, PhD
Associate Professor of Medical Ethics & Health Policy
University of Pennsylvania
Narberth, PA

Introduction to Tarasoff and the Duty to Warn (6:41)
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Legal Differences by State (6:58)
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The Appelbaum Model (3:01)
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The Appelbaum Model, Case Studies (4:21)
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A Conversation with Paul S. Appelbaum (13:46)
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Confidentiality (3:35)
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Reference List
Once the reference list opens and the pdf is displayed, please right click on the links for them to open in a new window. 
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Tarasoff Duties Post-Test

There are 10 questions.

  • You will have 5 attempts to earn at least 80% on the post-test in order to complete the course and earn your certificate.
  • Once you have successfully completed the test, you should be prompted to complete the evaluation.

 

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Office of Continuing Medical and Interprofessional Education, Penn Medicine, JMEC, SPE, 6th Floor, 3400 Civic Center Boulevard, Building 421, Philadelphia, PA 19104-5162 
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UPenn is Joint Accredited for Interprofessional Continuing Education
In support of improving patient care, Penn Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
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