Consider the following scenario:

Currently you are working with couple who are dating and considering cohabitating. In the current session, one partner discloses that they went to a wedding over the weekend. While there that partner discloses that she became anxious since the bride and all the other females in the wedding party were much more petite than her. She drank too much to cope. When the two partners were ready to leave, she discovers that her partner posted a photo on Instagram of her drunk. She says, "Take me to a high building so I can jump off."

For this discussion's initial post, address the following:

• What might be some assessment questions you would ask to assess for suicidality and/or homicidality?
• Describe the statute in TN for mental health professionals to initiate involuntary hospitalization of clients for suicidal or homicidal tendencies.
• What is the thresholdor what are the criteriafor involuntary hospitalization in TN? Who do you contact in your county or state to transport a suicidal client?
• How might the AAMFT Code of Ethics be applied in your actions as a marriage and family therapist in this vignette?

In addition, draft a short case note (see details below) in this discussion describing the legal and ethical responsibilities taken.

Maintaining Appropriate Documentation and Case Notes

In the latter part of your initial discussion post, address the legal and ethical issues of maintaining appropriate documentation and case notes.

There is a saying among therapists: "If it is not in the case notes, it did not happen!" In the above vignette, you will explore the importance of accurate case documentation in the practice of therapy.

Refer to the Record Keeping Guidelines. (2007). American Psychologist, 62(9), 993-1004. the professional ethical standards, and your state's statutes regarding this topic.

• What must your case notes about the couple's therapy session and the threat of suicide include to satisfy ethical and legal requirements?
• What issues, if any, should a therapist avoid documenting?
• How would you document any actions in regard to duty to warn or protect or child abuse/neglect (and cite relevant laws)?

Do not include any information on therapy or treatment plans. Rather, document any details needed to cover every legal and ethical requirement. Feel free to make up any details about your session to ensure you have addressed all required documentation.