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CPLEE Exam Content

Below are all of the content areas that appear on the CPLEE exam, together with the percentages showing how they are weighted:

> Confidentiality and Privilege (14%)

This section requires you to demonstrate understanding and application of the legal and ethical requirements regarding, and limitations to, confidentiality, privilege, and mandated reporting.

Mandated Reporting 4%

Comply with mandated reporting requirements as required by legal and ethical guidelines.

  • Knowledge of legal and ethical guidelines regarding mandated reporting requirements.
  • Knowledge of the timelines for mandated reporting.
  • Knowledge of methods of mandated reporting (e.g., who, what, where, when, how).
  • Knowledge of circumstances under which confidential information may or may not be disclosed.
  • Knowledge of populations and events/circumstances requiring mandated reports.
  • Knowledge of how and when to disclose to the patient/client the requirements for mandated reporting.

Privilege 4%

Determine holder of privilege in accordance with legal and ethical guidelines.

  • Knowledge of the methods by which confidential information may be released.
  • Knowledge of how to determine who holds privilege in various situations (e.g., minors, legal proceedings, organizational settings, dependent adults).

Comply with legal and ethical regulations governing holder of privilege.

  • Knowledge of how to determine who holds privilege in various situations (e.g., minors, legal proceedings, organizational settings, dependent adults).
  • Knowledge of legal and ethical regulations governing the holder of privilege.
  • Knowledge of legal and ethical consequences for breaching privilege.

Determine exceptions to privilege in accordance with legal and ethical guidelines.

  • Knowledge of circumstances under which confidential information may or may not be disclosed.
  • Knowledge of populations and events/circumstances requiring mandated reports.

Comply with legal and ethical regulations governing exceptions to privilege.

  • Knowledge of populations and events/circumstances requiring mandated reports.
  • Knowledge of how to determine who holds privilege in various situations (e.g., minors, legal proceedings, organizational settings, dependent adults).
  • Knowledge of how and when to disclose to the patient/client or others the requirements for exceptions to privilege.

Confidentiality 6%

Maintain and protect patient/client confidentiality in accordance with legal and ethical guidelines.

  • Knowledge of circumstances under which confidential information may or may not be disclosed.
  • Knowledge of privacy and confidentiality guidelines for electronic communications.
  • Knowledge of privacy and confidentiality guidelines for telephonic communications.
  • Knowledge of how and when to clarify with other interested parties (e.g., attorneys, parents, HR departments, law enforcement) their access to protected information.

Determine limits of confidentiality according to legal and ethical guidelines.

  • Knowledge of how and when to clarify with other interested parties (e.g., attorneys, parents, HR departments, law enforcement) their access to protected information.
  • Knowledge of limits of confidentiality when required to report crimes and injuries.
  • Knowledge of how and when to disclose the limits of confidentiality to the patient/client.

Comply with Health Information Portability and Accountability Act (HIPAA) regulations as mandated by law.

  • Knowledge of settings and circumstances under which HIPAA is required.
  • Knowledge of how to maintain records under HIPAA regulations.
  • Knowledge of methods to disclose protected information under HIPAA regulations.
  • Knowledge of how and when to inform patients/clients of their rights covered by HIPAA regulations.

> Psychotherapeutic Relationships (15%)

This section requires you to demonstrate understanding and application of the legal and ethical requirements regarding informed consent, treatment of minors, sexual misconduct, multiple and exploitive relationships, termination of relationship, and telehealth.

Informed Consent (3%)

Provide and obtain informed consent in compliance with legal and ethical guidelines.

  • Knowledge of the basic elements that must be included in informed consent (e.g., limits of confidentiality, risks and benefits of treatment, HIPAA).
  • Knowledge of how and when to obtain informed consent.
  • Knowledge of the circumstances for the disclosure of information to others (e.g., third-party payers, courts, family).

Determine patient’s capacity to consent to treatment and services.

  • Knowledge of the legal standards for competency to consent to treatment.
  • Knowledge of the methods to evaluate a person’s capacity to consent.
  • Knowledge of ethical guidelines regarding providing services to patients who are incapable of giving informed consent.

Seek assent from patients who are legally incapable of giving informed consent in accordance to legal and ethical guidelines.

  • Knowledge of ethical guidelines regarding providing services to patients who are incapable of giving informed consent.
  • Knowledge of methods to obtain consent by proxy.
  • Knowledge of methods for obtaining assent from patients who are legally incapable of giving informed consent.

Treatment of Minors (3%)

Comply with legal and ethical standards in providing treatment and services to minors.

  • Knowledge of the conditions under which a minor may be treated without parental or guardian consent.
  • Knowledge of how to communicate to parents/guardians the legal and ethical issues (e.g., progress in treatment, limits of confidentiality) involved in the treatment of minors.
  • Knowledge of how to explain legal and ethical issues (e.g., limits of confidentiality) to minors in developmentally appropriate language.
  • Knowledge of the methods of establishing agreement between parent/guardian and minor about sharing treatment information.

Sexual Misconduct (3%)

Determine behaviors that constitute sexual misconduct as prohibited by legal regulations and ethical standards.

  • Knowledge of the legal regulations and ethical standards governing sexual conduct with students, supervisees, trainees, and patients/clients.
  • Knowledge of when and how to seek consultation to determine actions that comply with legal and ethical regulations pertaining to sexual misconduct.

Educate patients about their rights regarding sexual misconduct.

  • Knowledge of how to educate patients about legal and ethical regulations related to sexual misconduct.
  • Knowledge of actions the patient/client may take against the perpetrator of sexual misconduct, and the potential risks and benefits of these actions.

Adhere to legal and ethical standards regarding sexual misconduct.

  • Knowledge of the legal penalties and ethical consequences of sexual misconduct.
  • Knowledge of the potential harm to a patient of sexual misconduct.

Multiple and Exploitative Relationships(3%)

Determine behaviors that constitute multiple or exploitative relationships prohibited by legal and ethical standards.

  • Knowledge of behaviors that constitute multiple relationships prohibited by legal and ethical standards.
  • Knowledge of behaviors that could possibly lead to an exploitative relationship prohibited by legal and ethical standards.
  • Knowledge of when and how to seek consultation to determine actions that comply with legal and ethical regulations pertaining to multiple and exploitative relationships.

Comply with legal and ethical regulations governing multiple and exploitative relationships.

  • Knowledge of behaviors that constitute multiple relationships prohibited by legal and ethical standards.
  • Knowledge of behaviors that could possibly lead to an exploitative relationship prohibited by legal and ethical standards.
  • Knowledge of corrective actions to take if one determines the presence of a multiple or exploitative relationship.

Termination of Relationship(2%)

Determine when termination with the patient is indicated.

  • Knowledge of indicators (e.g., accomplishing therapy goals, session limits, lack of progress) for termination.
  • Knowledge of setting goals and measures to evaluate progress

Adhere to legal and ethical guidelines in the abandonment, interruption, or termination of treatment.

  • Knowledge of the legal and ethical guidelines governing the procedures for interrupting treatment.
  • Knowledge of the legal and ethical guidelines governing the termination of treatment.
  • Knowledge of legal and ethical guidelines governing abandonment of patient.

Telehealth (1%)

Comply with legal and ethical standards regarding the provision of professional services via telehealth.

  • Knowledge of applying the legal and ethical standards of treatment to the provision of professional services via telehealth.
  • Knowledge of when and how to seek consultation to determine actions that comply with legal and ethical regulations pertaining to the provision of professional services via telehealth.

> Interpersonal Relationships (14%)

This section requires you to demonstrate understanding and application of the legal and ethical requirements regarding personal, professional, and cultural competencies related to consulting and other psychological services.

Industrial/Organizational Consulting 3%

Comply with legal and ethical standards for providing professional services to organizations.

  • Knowledge of the ethical guidelines for the planning, development, and implementation of professional services.
  • Knowledge of legal and ethical issues in designing and implementing assessments within organizational settings

Psychological Consulting (3%)

Adhere to legal and ethical standards when providing and engaging in psychological consultation (e.g., colleagues, supervisees, teachers, agencies, academics, allied health professionals).

  • Knowledge of the legal and ethical standards relevant to psychological consultation.
  • Knowledge of the legal and ethical standards of protecting confidentiality when engaging in psychological consultation.

Personal Impairments (e.g., mental health, physical health, substance abuse) (3%)

Determine the impact of personal issues on one’s ability to provide professional services.

  • Knowledge of personal limitations impacting one’s competence to provide professional services.
  • Knowledge of when and how to seek consultation to determine whether personal issues impact one’s ability to provide professional services.

Cultural Competence (5%)

Assess cultural competency for providing services to diverse populations.

  • Knowledge of the APA guidelines related to the provision of treatment for diverse cultural populations.
  • Knowledge of the impact of culture on psychological practice.
  • Knowledge of when and how to seek consultation, education, and training to develop competency for treating diverse cultural populations.

Comply with legal and ethical regulations pertaining to non-discrimination.

  • Knowledge of legal and ethical regulations pertaining to non-discrimination.
  • Knowledge of personal bias and how it impacts clinical practice.
  • Knowledge of when and how to seek consultation to determine whether personal biases impact one’s ability to provide professional services.

> Intervention, Evaluation, and Assessments (14%)

This section requires you to demonstrate understanding and application of the legal and ethical requirements regarding the provision of crisis interventions, forensic services, and other psychological evaluations and assessments.

Involuntary Treatment (4%)

Determine when to initiate involuntary treatment evaluations.

  • Knowledge of the criteria for involuntary treatment.
  • Knowledge of the legal and ethical responsibilities when initiating involuntary treatment evaluations.
  • Knowledge of methods for involuntary treatment evaluations.

Comply with legal and ethical regulations regarding involuntary treatment/services.

  • Knowledge of the legal and ethical responsibilities when initiating involuntary treatment evaluations.
  • Knowledge of the legal and ethical issues regarding the patient’s right to refuse treatment/services.
  • Knowledge of when and how to seek consultation to determine whether patient meets the legal standards for involuntary treatment/services.
  • Knowledge of when and how to collaborate with other health care providers to ensure the safety of patient and continuity of care.
  • Knowledge of who has the responsibility and authority to initiate involuntary treatment/services.

Duty to Protect (3%)

Determine the duty to protect of imminent danger/violence in accordance with legal and ethical guidelines.

  • Knowledge of the criteria for determining a duty to protect.
  • Knowledge of the methods to evaluate imminent danger/violence to others.

Comply with legal and ethical regulations regarding the duty to protect.

  • Knowledge of the procedures to follow subsequent to a determination of the duty to protect.

Psychological Testing (4%)

Adhere to legal and ethical standards for storing, administering, scoring, and interpreting psychological tests.

  • Knowledge of the ethical standards regarding testing, scoring, and interpretation procedures (e.g., test validity, reliability, cultural and linguistic appropriateness tests).
  • Knowledge of test security practices and copyright requirements.
  • Knowledge of the utility and limitations of test data.

Adhere to legal and ethical standards for release of psychological findings.

  • Knowledge of the legal and ethical standards regarding the release of findings of psychological evaluations.
  • Knowledge of how to communicate test findings in clear language to patient/clients/others

Forensic Services (3%)

Comply with legal and ethical standards pertaining to forensic assessments, evaluations, and treatments/services.

  • Knowledge of legal and ethical standards for evaluating and disseminating forensic results to patients/clients and third-parties.
  • Knowledge of the ethical standards of informed consent and limitations of confidentiality in evaluating and treating forensic cases.

> Records (11%)

This section requires you to demonstrate understanding and application of the legal and ethical requirements regarding documentation, recordkeeping, and release of records.

General Requirements (2%)

Document patient/client assessment and treatment as mandated by legal and ethical guidelines.

  • Knowledge of the legal and ethical guidelines governing the documentation of patient/client assessment and treatment.

Retention of Records (3%)

Comply with mandated recordkeeping laws and ethical guidelines.

  • Knowledge of state and federal regulations, and ethical guidelines governing recordkeeping.
  • Knowledge of legal requirements for maintaining security of patient/client records.
  • Knowledge of legal requirements of HIPAA.

Dispose of records according to legal and ethical guidelines.

  • Knowledge of the legal and ethical guidelines pertaining to the timelines required for retention of records.
  • Knowledge of the legal and ethical guidelines pertaining to the methods of record disposal.

Release of Records (4%)

Maintain legal and ethical guidelines for the release and exchange of protected health information and psychotherapy records.

  • Knowledge of the legal and ethical guidelines pertaining to the disclosure of protected health information.
  • Knowledge of HIPAA regulations pertaining to the release and exchange of protected health information and psychotherapy records.

Assess the need to withhold records as required by legal and ethical standards.

  • Knowledge of the legal and ethical guidelines pertaining to the psychologist’s and the patient’s/client’s rights to withhold records.

Comply with laws and regulations regarding exceptions for the release of protected health information.

  • Knowledge of conditions under which withholding records is warranted or required.

Electronic Recordkeeping (2%)

Secure electronic records as mandated by state and federal regulations.

  • Knowledge of the state and federal regulations pertaining to securing electronic records.
  • Knowledge of the methods to ensure electronic records are maintained and released according to the state and federal regulations and ethical guidelines.

> Administrative Issues (5%)

This section requires you to demonstrate understanding and application of the legal and ethical requirements regarding referrals, fee arrangements, and notice to consumers.

Fees and Arrangements (3%)

Establish financial arrangements and agreements in compliance with legal and ethical regulations.

  • Knowledge of the limitation of services based on patient’s financial situation and third-party payers.
  • Knowledge of the legal and ethical guidelines regarding referrals and fees.

Comply with laws and regulations related to referrals and fees.

  • Knowledge of the limitation of services based on patient’s financial situation and third-party payers.
  • Knowledge of the legal and ethical guidelines regarding referrals and fees.
  • Knowledge of the legal and ethical guidelines pertaining to changes to a patient’s/client’s financial status.

Barter (1%)

Apply legal and ethical standards to evaluate when bartering with patients/clients is counterindicated or exploitative.

  • Knowledge of the legal and ethical standards pertaining to bartering with patients/clients.

Notice to Consumers (1%)

Provide notices to consumers in compliance with legal and ethical regulations.

  • Knowledge of the legal and ethical regulations pertaining to notices to consumers.

> Professional Issues (15%)

This section requires you to demonstrate understanding and application of the legal and ethical requirements regarding scope of practice, professional conduct, and discipline.

Competence Boundaries (3%)

Provide professional services within the scope of competence and practice.

  • Knowledge of the need for education, training, and supervised experience to provide services in a new area of practice or specialization.
  • Knowledge of one’s own professional competence and limitations.

Professional Consultation (3%)

Determine situations that require professional consultation.

  • Knowledge of one’s own professional competence and limitations.
  • Knowledge of resources available for professional consultation.
  • Knowledge of how and when to seek professional consultation.

Peer Infractions (3%)

Comply with professional guidelines for responding to legal and ethical violations by colleagues.

  • Knowledge of legal and ethical violations by colleagues that require the psychologist to respond formally or informally.
  • Knowledge of the ethical guidelines for informal resolution of ethical violations.
  • Knowledge of the ethical guidelines for reporting ethical violations.
  • Knowledge of the ethical guidelines regarding cooperating with ethics committees and filing improper complaints.

Advertising/Marketing (1%)

Comply with legal and ethical guidelines for advertising and marketing.

  • Knowledge of the legal and ethical guidelines for advertising and other public statements.
  • Knowledge of the penalties associated with violations of advertising and other public statements.

Disciplinary Actions (e.g., suspension, revocation) (3%)

Determine situations that could result in disciplinary actions by the Board of Psychology.

  • Knowledge of situations that may result in disciplinary actions by the Board of Psychology.
  • Knowledge of disciplinary actions and sanctions the Board of Psychology can take for violations.

Conflicts of Interest (2%)

Assess for conflict of interest in professional relationships.

  • Knowledge of situations that would constitute a conflict of interest in professional practice.

> Scientific Research and Publication (4%)

his section requires you to demonstrate understanding and application of the legal and ethical requirements regarding research, publication, and other public media.

Adhere to the legal and ethical guidelines for proposing, conducting, and publishing scientific research.

  • Knowledge of the legal and ethical guidelines for proposing, conducting, and publishing scientific research.
  • Knowledge of steps to protect identity of participants/subjects in research, consultation, writings, lectures, or other public media.

> Teaching, Training, and Supervision (8%)

This section requires you to demonstrate understanding and application of the legal and ethical requirements regarding teaching, training, and supervision.

Teaching and Supervision (3%)

Develop education, training, and supervision programs/courses that comply with ethical regulations.

  • Knowledge of the ethical guidelines for education, training, and supervision.
  • Knowledge of the ethical guidelines pertaining to accuracy of course content and program description.
  • Knowledge of the ethical guidelines pertaining to assessing the performance of students.

Inform students of their rights and responsibilities pertaining to the rules and requirements of training programs.

  • Knowledge of the ethical guidelines pertaining to mandatory individual or group therapy.
  • Knowledge of the ethical guidelines pertaining to student disclosure of personal information.

Maintain professional boundaries and conduct with students.

  • Knowledge of the ethical guidelines pertaining to sexual relationships and other exploitative behaviors with students and supervisees.

Professional Continuing Education (1%)

Comply with professional continuing education requirements and maintain competency for standard of practice.

  • Knowledge of state regulations governing professional continuing education requirements.
  • Knowledge of the ethical guidelines for developing and maintaining professional competence.

Supervision of Pre-licensed Clinicians (4%)

Comply with state regulations, and legal and ethical standards pertaining to pre-licensure practice in psychology.

  • Knowledge of state regulations, and legal and ethical standards pertaining to pre-licensure practice in psychology (e.g., trainees, interns, psychological assistants, registered psychologists, post docs).
  • Knowledge of the ethical guidelines pertaining to assessing the performance of supervisees.

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