101PD SAMPLEChapter 1 — Consent, Confidentiality, and Privilege (12 of 75 Q) High-yield review. Full doctrine: Treatise Ch. 1. Practice material — not affiliated with the BBS, Pearson VUE, or NASW. §1.0 The exam frame - 75 Q / 90 min; 50 scored + 25 pretest; pass/fail; fail → numeric score + 90-day wait; $150/attempt; Pearson VUE. ASWs take each renewal year until passed. - 2024 plan (all three professions): 1A 16 · 1B 16 · 1C 12 · 2A 16 · 2B 24 · 2C 16. Cultural competence lives in 2A. Official sources: BBS statutes/regs + NASW Code. - Read the call: required (statute) ≠ ethical (standard) ≠ first (assess) ≠ best (least-breach client welfare). §1.1 Pre-service disclosures - Fees + basis before services (§4992.3 ground). Changes re-agreed. - ASW disclosure before any services: unlicensed + under supervision (§4996.18) — supervisor named; ads carry full title + number + supervised status + supervisor. - Board consumer notice; ownership disclosure for practice names; all-party recording consent (Pen C §632); agency information flows disclosed (teams, courts, funders, POs). §1.2 Informed consent - Capacity + knowledge + voluntariness + verified comprehension (teach-back, interpreters); documented; revisited at material changes. - Mandated contexts: compelled vs chosen vs reported — told honestly. Capacity flux: maximize participation, lawful surrogates, re-engage. Minors assent. - Consent never authorizes unlawful acts or waives reporting. §1.3 Minors - Default: custodial parent/guardian; joint legal custody → either unless the order says both; caregiver affidavit (Fam C §6550); emancipated = adult (§7002); foster youth → dependency orders. - H&S §124260: 12+, documented maturity — no danger element; LCSW/ASW covered. - Fam C §6924: 12+, maturity plus danger or abuse/incest victim. - Both: involve parents unless documented inappropriate after consulting the minor; parents not liable unless participating. - Self-consented care → the minor holds records/authorization rights; parent-consented → parent access subject to detriment denial (§123115(a)(2)). §1.4 Confidentiality (CMIA) - Civ C §56 et seq.; the fact of treatment is confidential; breach = discipline + liability. - §56.11 authorization: 14-point or handwritten, separate, uses/recipients, expiration, revocable. - Conjoint record: every adult signs. Secrets policy set at intake governs individual disclosures. Groups: member agreements, limits disclosed. Collaterals aren't clients. - Teams: need-to-know inside the entity; authorization to cross agency lines. Death → personal representative. §1.5 Privilege (Evid C §§1010–1015) - §1010 includes ASWs/trainees · §1011 patient = anyone consulting (intake calls count) · §1012 interest-furthering third parties safe (conjoint members, interpreters). - Patient holds (§1013); clinician must claim (§1015); waiver = holder's voluntary act (§912); one holder's waiver ≠ another's; personal representative after death. §1.6 Records - Inspect 5 working days · copies 15 days · ≤$0.25/page · summary 10 working days (→30) · addendum 250 words · never hostage to bills. - Mental-health refusal: documented substantial risk + designated-professional inspection alternative (§123115(b)). - Retention: 7 years from termination; minors 7 years past 18 (B&P §4993). §1.7 Subpoena vs order - Subpoena = demand → notify holder, assert privilege; comply on waiver/authorization or court order; order