Disclosures

Oregon & Washington

Katie Playfair Professional Disclosure Statements

23619 NW Hillhurst Road * Ridgefield, WA 98642 * 503.610.6162 * Katie@playfairconsulting.com

Oregon LPC License: C4080 Washington LMHC License: LH60631608

The purpose of this document is to provide you with summary information about my qualifications, practice, and the rights you have, as the client of a Professional Counselor under Oregon Law (ORS 675.755 and OAR 833-050-0020) and Washington Law (WAC 246-810-031). All clients in my practice will be provided with an extensive orientation packet ahead of a first in-person appointment that expands upon each of the points, below.

Philosophy and Approach

My general approach to counseling draws from Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT). Both of these approaches require active participation from you, the client. I work collaboratively with my clients to understand their symptoms and goals and then we approach changing thoughts and actions through techniques that are supported by current evidence. This approach to therapy is often called “Evidence-Based Practice.”

Formal Education and Training

I hold a Masters Degree in counseling psychology from the Pacific University School of Professional Psychology and a Bachelors Degree in psychology from the University of California at Berkeley. My coursework and clinical training have focused on counseling adults, older adolescents, and couples, using behavioral approaches, in individual and group settings. The States of Oregon and Washington (I'm dually licensed) require I participate in regular training and other activities to maintain and improve my clinical skill. I exceed requirements for continuing education each period. 

Licensing, Ethics and Supervision

I am a Qualified Mental Health Professional and a Licensed Professional Counselor with the Oregon Board of Licensed Professional Counselors and Therapists and I abide by its Code of Ethics and that of the American Counseling Association. Please see below for more about Washington licensure. I regularly participate in supervision and consultation groups and although I do not share identifying information about my clients in those sessions, it's important for you to know that I do consult with colleagues to ensure I'm providing my clients with top-notch ethical service! 

Fees and Payment Policies

I offer one free 20-minute consultation session via phone for new clients, so that we can explore whether my skills match the challenges the client faces. Thereafter my fees are governed by my current fee schedule which is always updated here: www.playfairconsulting.com/clinical. Fees range from $125-$250 per session, depending on session type. Appointments cancelled with less than 24 hours of notice will result in the client being charged the full session fee.

As the client of an Oregon Licensed Professional Counselor, you have the following rights under OAR 833 Div100: 

  • To expect that a Licensee/Intern has met the minimal qualifications of training and experience required by state law;

  • To examine public records maintained by the Oregon Board of Professional Counselors and Therapists and to have the Board confirm credentials of a Licensee;

  • To obtain a copy of the Code of Ethics for Professional Counselors;

  • To report complaints to the Oregon Board of Professional Counselors and Therapists;

  • To be informed of the cost of professional services before receiving the services;

  • To be assured of privacy and confidentiality while receiving services as defined by rule and law, excluding the following exceptions:

  1. Reporting suspected child abuse;

  2. Reporting imminent danger to client or others;

  3. Reporting information required in court proceedings or by client’s insurance company, or other relevant agencies;

  4. Providing information concerning licensee case consultation or supervision;

  5. Defending claims brought by client against licensee;

  • Freedom from discrimination on the basis of race, religion, gender, or other unlawful category while receiving services.

Oregon Clients - How to make a complaint
You may contact the Board of Licensed Professional Counselors and Therapists at 3218 Pringle Rd SE #120, Salem, OR 97302-6312. Telephone: (503) 378-5499 Email: lpct.board@mhra.oregon.gov  Website: www.oregon.gov/OBLPCT

For additional information about this counselor or therapist, consult the Board’s website.

Washington Disclosures

WAC 246-810-031 requires the disclosure of the following information in written form by counselors to their clients. Some of this information is redundant of information found in other forms. I apologize for the redundancy but hope you understand that this is my best effort to make sure I comply with all laws governing my multi-state practice. 

Counselors practicing counseling for a fee must be licensed with the Department of Health for the protection of the public health and safety. Licensure of an individual with the department does not include a recognition of any practice standards, nor necessarily implies the effectiveness of any treatment.

Washington Clients - How to make a complaint

Washington state law requires me as a counselor to provide clients with a copy of the acts of unprofessional conduct, along with contact information for the department of health should you have any complaints against me. A copy of RCW 18.130.180 is included below, for that purpose. The contact information is: Washington State Department of Health Health Professions Quality Assurance P.O. Box 47865 Olympia, WA 98504-7865 - 360 236-4700.

  1. Counselors practicing counseling for a fee must be credentialed with the department of health for the protection of the public health and safety.

  2. Credentialing of an individual with the department of health does not include a recognition of any practice standards, nor necessarily imply the effectiveness of any treatment.

  3. The purpose of the Counselor Credentialing Act, chapter 18.19 RCW, is to:

    1. Provide protection for public health and safety; and

    2. Empower the citizens of the state of Washington by providing a complaint process against those counselors who would commit acts of unprofessional conduct.

  4. Clients have the right to choose counselors who best suit their needs and purposes.

  5. A copy of the acts of unprofessional conduct in RCW 18.130.180 and the name, address, and contact telephone number within the department of health for complaints.

Privacy and Confidentiality:

Your privacy and confidentiality are of the utmost concern to me. I am committed professionally, ethically, and personally to maintain confidentiality regarding our counseling sessions. You have a right to this confidentiality, including the fact that you are or have been a therapy client. There are certain exceptions to my responsibility to keep our sessions confidential which are itemized below.

I reserve the right to release information regarding our counseling sessions or their content under the following circumstances:

As an ongoing part of my clinical development, and in pursuit of providing you with the best care, I consult regularly with psychotherapy consultants and with other therapists who are required to keep client information confidential.

I am required by Washington state law to report suspected abuse or neglect of a child, dependent adult, or developmentally disabled person to the appropriate regulating agency. I am also required by Washington state law to inform others if a client threatens to harm herself/himself, or others. In addition, I will not keep information confidential which may jeopardize the safety of staff or clients in my office building or home. 
In the event of a subpoena, counselors may be required to disclose information to the court. It is my policy to keep minimally required notes on file regarding our counseling sessions. I do not see clients who are accessing counseling for the purpose of fulfilling court requirements.I will share information regarding our counseling sessions with a specific person (i.e. your doctor) if you provide me with a signed release form asking me to do so.
If you contact me by email, please note that our email communications will not be encrypted. By nature of the inherent limitations of Internet security, privacy and confidentiality of any email communications we have cannot be assured.

Unprofessional conduct statutes - Washington

The following conduct, act, or conditions constitute unprofessional conduct for any license holder under the jurisdiction of this chapter:

(1) The commission of any act involving moral turpitude, dishonesty, or corruption relating to the practice of the person's profession, whether the act constitutes a crime or not. If the act constitutes a crime, conviction in a criminal proceeding is not a condition precedent to disciplinary action. Upon such a conviction, however, the judgment and sentence is conclusive evidence at the ensuing disciplinary hearing of the guilt of the license holder of the crime described in the indictment or information, and of the person's violation of the statute on which it is based. For the purposes of this section, conviction includes all instances in which a plea of guilty or nolo contendere is the basis for the conviction and all proceedings in which the sentence has been deferred or suspended. Nothing in this section abrogates rights guaranteed under chapter 9.96A RCW;

(2) Misrepresentation or concealment of a material fact in obtaining a license or in reinstatement thereof;

(3) All advertising which is false, fraudulent, or misleading;

(4) Incompetence, negligence, or malpractice which results in injury to a patient or which creates an unreasonable risk that a patient may be harmed. The use of a nontraditional treatment by itself shall not constitute unprofessional conduct, provided that it does not result in injury to a patient or create an unreasonable risk that a patient may be harmed;

(5) Suspension, revocation, or restriction of the individual's license to practice any health care profession by competent authority in any state, federal, or foreign jurisdiction, a certified copy of the order, stipulation, or agreement being conclusive evidence of the revocation, suspension, or restriction;

(6) Except when authorized by *RCW 18.130.345, the possession, use, prescription for use, or distribution of controlled substances or legend drugs in any way other than for legitimate or therapeutic purposes, diversion of controlled substances or legend drugs, the violation of any drug law, or prescribing controlled substances for oneself;

(7) Violation of any state or federal statute or administrative rule regulating the profession in question, including any statute or rule defining or establishing standards of patient care or professional conduct or practice;

(8) Failure to cooperate with the disciplining authority by:

  • Not furnishing in writing a full and complete explanation covering the matter contained in the complaint filed with the disciplining authority;

  • Not responding to subpoenas issued by the disciplining authority, whether or not the recipient of the subpoena is the accused in the proceeding; or

  • Not providing reasonable and timely access for authorized representatives of the disciplining authority seeking to perform practice reviews at facilities utilized by the license holder;

(9) Failure to comply with an order issued by the disciplining authority or a stipulation for informal disposition entered into with the disciplining authority;

(10) Aiding or abetting an unlicensed person to practice when a license is required;

(11) Violations of rules established by any health agency;

(12) Practice beyond the scope of practice as defined by law or rule;

(13) Misrepresentation or fraud in any aspect of the conduct of the business or profession;

(14) Failure to adequately supervise auxiliary staff to the extent that the consumer's health or safety is at risk;

(15) Engaging in a profession involving contact with the public while suffering from a contagious or infectious disease involving serious risk to public health;

(16) Promotion for personal gain of any unnecessary or inefficacious drug, device, treatment, procedure, or service;

(17) Conviction of any gross misdemeanor or felony relating to the practice of the person's profession. For the purposes of this subsection, conviction includes all instances in which a plea of guilty or nolo contendere is the basis for conviction and all proceedings in which the sentence has been deferred or suspended. Nothing in this section abrogates rights guaranteed under chapter 9.96A RCW;

(18) The procuring, or aiding or abetting in procuring, a criminal abortion;

(19) The offering, undertaking, or agreeing to cure or treat disease by a secret method, procedure, treatment, or medicine, or the treating, operating, or prescribing for any health condition by a method, means, or procedure which the licensee refuses to divulge upon demand of the disciplining authority;

(20) The willful betrayal of a practitioner-patient privilege as recognized by law;

(21) Violation of chapter 19.68 RCW or a pattern of violations of RCW 41.05.700(8), 48.43.735(8), 48.49.020, 48.49.030, 71.24.335(8), or 74.09.325(8);

(22) Interference with an investigation or disciplinary proceeding by willful misrepresentation of facts before the disciplining authority or its authorized representative, or by the use of threats or harassment against any patient or witness to prevent them from providing evidence in a disciplinary proceeding or any other legal action, or by the use of financial inducements to any patient or witness to prevent or attempt to prevent him or her from providing evidence in a disciplinary proceeding;

(23) Current misuse of:

(a) Alcohol;

(b) Controlled substances; or

(c) Legend drugs;

(24) Abuse of a client or patient or sexual contact with a client or patient;

(25) Acceptance of more than a nominal gratuity, hospitality, or subsidy offered by a representative or vendor of medical or health-related products or services intended for patients, in contemplation of a sale or for use in research publishable in professional journals, where a conflict of interest is presented, as defined by rules of the disciplining authority, in consultation with the department, based on recognized professional ethical standards;

(26) Violation of RCW 18.130.420;

(27) Performing conversion therapy on a patient under age eighteen;

(28) Violation of RCW 18.130.430.

[ 2021 c 157 § 7; 2020 c 187 § 2; 2019 c 427 § 17. Prior: 2018 c 300 § 4; 2018 c 216 § 2; 2010 c 9 § 5; 2008 c 134 § 25; 1995 c 336 § 9; 1993 c 367 § 22; prior: 1991 c 332 § 34; 1991 c 215 § 3; 1989 c 270 § 33; 1986 c 259 § 10; 1984 c 279 § 18.]

NOTES:

*Reviser's note: RCW 18.130.345 was repealed by 2015 c 205 § 5.

Conflict with federal requirements—2021 c 157: See note following RCW 74.09.327.

Findings—Intent—Effective date—2019 c 427: See RCW 48.49.003 and 48.49.900.

Intent—Finding—2018 c 300: "(1) The legislature intends to regulate the professional conduct of licensed health care providers with respect to performing conversion therapy on patients under age eighteen.

(2) The legislature finds and declares that Washington has a compelling interest in protecting the physical and psychological well-being of minors, including lesbian, gay, bisexual, and transgender youth, and in protecting its minors against exposure to serious harms caused by conversion therapy." [ 2018 c 300 § 1.]

Construction—2018 c 300: "This act may not be construed to apply to:

(1) Speech that does not constitute performing conversion therapy by licensed health care providers on patients under age eighteen;

(2) Religious practices or counseling under the auspices of a religious denomination, church, or organization that do not constitute performing conversion therapy by licensed health care providers on patients under age eighteen; and

(3) Nonlicensed counselors acting under the auspices of a religious denomination, church, or organization." [ 2018 c 300 § 2.]

Intent—2010 c 9: See note following RCW 69.50.315.

Finding—Intent—Severability—2008 c 134: See notes following RCW 18.130.020.

Application to scope of practice—Captions not law—1991 c 332: See notes following RCW 18.130.010.

Severability—1986 c 259: See note following RCW 18.130.010.