Informed Consent

by Jordan Bateman, R.Psych.

Introduction

My name is Jordan Bateman, I am a registered Psychologist here in Alberta (#6502). My two priorities in therapy are: Safety and Change. I am purposeful about creating a warm and secure space - and to keep my clients safe! My hope is to also help all my clients create change in their lives.

What is this page really about?

Confidentiality

Other Rights

Feedback-Informed Treatment (FIT)

Confidentiality

Big word, but it’s about what information is kept private.

Limits

If I have strong reason to believe a client will harm themself, someone else, or if a child or youth is at risk of psychological/physical harm... occasionally we have to bring in more help (i.e., call children services, involve the police, etc). This is somewhat rare, but I always do my best to make it collaborative (keep the client involved).

I consult with my team members (ie., other therapists and my supervisor).


One other limit to confidentiality is the scenario where a judge orders me to release files or for me to testify in court. Again, I am careful about how much I share, and you would know before I act on anything.



Otherwise, I cannot share any of your information with anyone outside of my team without your permission.

Other rights

Therapy is completely voluntary, this means that...

you have the right to say: “no”

“yes”

“pass”

“I don’t know”

or even “good-bye Jordan, I never want to see you again!”

You pick your goals and you have the right to do all, some or none of the homework - counselling is not school.

Continued...

Ultimately, you are my boss! I work for you, and I am here to help you create change in your life.


On my main website page, there are several therapies that I draw from in my approach (e.g., CBT, ACT, DBT). Know there are alternatives! If something is not working - we can change things up! Or involve other services.

FEedback-informed treatment

I use 2 tools to measure what is working:

Outcome Rating Scale (ORS)

at the beginning of session

  • Personal well-being
  • Interpersonally
  • Socially
  • Overall well-being

Session Rating Scale (SRS)

at the end of session

  • How is our relationship
  • Goals & topics
  • Approach or method
  • Overall, was today’s session a good fit?

Why Feedback?

Creating a culture of feedback leads to effective therapy and less drop out.

Therapists have bias

  • Therapists rate sessions as being more effective compared to their clients ratings of sessions.

Drop Out

  • Feedback reduced drop-out. Usually there are a few little things that add up and then lead people to drop out of therapy. Feedback helps catch and adjust the little things!

Risks

It’s important to acknowledge there are risks: Therapists can inadvertently cause harm. I am purposeful about trying to avoid that, but therapists can sometimes reinforce negative patterns.


Additionally, therapy can bring up difficult feelings and things sometimes get worse before they get better. Feedback helps prevent these risks.


Be on the lookout

I continuously ask my clients for feedback and try to adapt the counselling experience to their needs. I invite clients to be on the lookout for things that are working well but also things that are not working.


There will likely be little things that you do not like about therapy (e.g., perhaps the sound of my voice or a certain face I made when responding). You might feel like... “it’s not worth mentioning”. But I want you to mention it!


I am not looking for perfect 10/10's when you are scoring our sessions. Life isn’t perfect, and neither am I! I want to improve as a counsellor. On top of that, feedback also develops trust!

References

Some of this information was reproduced/modified from the following work:

Villett, Caylee & McBride Dawn (2015, 2018). Top 7 Questions About Counselling.

Gothreau, Laura & McBride, Dawn (2014; 2018) from the University of Lethbridge (Master of COunselling program) somewhat based on the work by Rowland, H., McBide, D., Ellis-Toddington, J. (2010).

Miller, et al. (2012), The ICCE Manuals on Feedback-Informed Treatment (FIT), International Center for Clinical Excellence