Diálogo Digital - Resolução 06/2019, que institui regras para a elaboração de documentos

Changes in Psychological Documentation: Resolution 6 of 2019

Introduction to the Dialogue

• Daniela Zanini introduces herself as a psychologist and coordinator of the advisory commission on psychological evaluation at the Federal Council of Psychology, initiating a digital dialogue about changes in documentation rules under Resolution 6 of 2019.

Purpose of the Event

• The event aims to discuss the changes brought by Resolution 6 of 2019, which will take effect on June 29. It is broadcast live on Facebook and YouTube to assist psychologists with understanding these changes.

Key Questions Addressed

• The discussion will clarify various questions regarding psychological documents, such as:

• Differences between psychological reports and assessments.

• Validity periods for produced documents.

• Definition and purpose of multiprofessional reports.

Participants Introduced

• Two key participants are introduced:

• 12 Lei Alves Pinheiro: Psychologist and educator from Pitágoras College, involved in traffic psychology, organizational psychology, and clinical psychology.

• Mariângela Calderaria Oliveira: Psychologist with expertise in social psychology and education, currently an adjunct coordinator at PUC Paraná.

Engagement with Audience

• Viewers can participate by sending questions via social media platforms using #diálogo cfp or through email communication.

Reflections on Collaborative Efforts

Contributions from Participants

• Lei expresses gratitude for being part of this significant conversation about the resolution's development, highlighting its long-awaited nature due to previous resolutions not meeting emerging demands.

Importance of Collaboration

• Lei emphasizes that creating this resolution was challenging but rewarding due to contributions from diverse professionals including researchers and educators.

Addressing Information Gaps

• Lei notes that many difficulties faced by professionals stem from a lack of information access. The goal is for this resolution to aid practitioners effectively.

Understanding the New Resolution

Mariângela's Perspective

• Mariângela shares her appreciation for participating in this important work after years in practice. She acknowledges it as a unique opportunity within her professional journey.

Continuation of Discussions

• She highlights that discussions leading up to this resolution were built upon previous dialogues where psychologists across Brazil contributed suggestions regarding earlier regulations.

Expanding Professional Practice

• Mariângela points out that while prior resolutions focused narrowly on psychological assessment, the new one broadens professional practice scope for psychologists.

The Role Beyond Resolutions

Need for Clinical Reasoning Development

• There’s an emphasis on developing clinical reasoning skills among professionals beyond just adhering to resolutions; effective practice requires ongoing learning and adaptation.

Conclusion on Professional Competence

Resolution and Professional Guidance

Overview of the Resolution

• The resolution addresses both revisions from previous resolutions and introduces new elements to guide professional practice.

• Emphasizes the importance of updating guidelines to reflect current needs in professional settings.

Questions and Engagement

• Participants can engage by submitting questions via social media or email, fostering real-time interaction.

Inquiry on Multi-Professional Reports

Letícia Salgado Almeida's Question

• Letícia, a basic health care worker, inquires about handling reports requested from various sectors like mental health and public services.

Response on Report Structure

• Mariângela clarifies that the resolution distinguishes between psychological reports and multi-professional reports based on public feedback highlighting this need.

Purpose of Reports

• Reports are intended for ongoing interventions where psychologists document their observations over time rather than formal evaluations.

Multi-Professional Collaboration

Guidelines for Team Autonomy

• The resolution provides guidelines for psychologists working within interdisciplinary teams, emphasizing team autonomy in deciding report formats.

Documenting Contributions

• Each professional’s contributions should be clearly outlined in the report, ensuring clarity regarding each member's role during interventions.

Addressing Similar Concerns

Francine's Inquiry

• A similar question arises regarding guidance for social workers concerning multi-professional reporting practices.

Team Decision-Making

• It is reiterated that teams have the autonomy to decide how documents are produced collaboratively without imposing one profession’s standards over another.

Specific Case Discussion

Isabela Sutiã e Ferreira's Situation

• Isabela shares her experience needing to provide a document for a psychiatrist regarding an eight-year-old patient she previously treated.

Importance of Reporting Process

• Mariângela advises that even without formal requests from doctors, issuing a psychological report detailing past observations is appropriate.

Clarification on Evaluation vs. Intervention

Distinction Between Processes

• The discussion highlights that therapeutic processes involve evaluative components distinct from structured assessments leading to formal diagnoses or reports.

Discussion on Psychological Evaluation Validity

Importance of Document Validity in Psychological Services

• The evaluation process during psychotherapy is crucial, as it informs the analysis and report generated by the professional.

• A question arises regarding Article 17, which discusses the validity period of psychological service documents; there is confusion about whether to include this validity in reports.

• The resolution states that if no normative definition exists, psychologists must indicate a validity period based on service objectives, procedures used, and conclusions drawn.

Controversy Surrounding Validity Period

• The issue of document validity has been contentious since Resolution 07/2003; awareness around its importance has recently increased.

• Psychologists need to understand the nature of their evaluations and how they relate to existing normative definitions, especially in specific contexts like traffic assessments.

Dynamic Nature of Psychological Phenomena

• Psychologists must recognize that they are dealing with dynamic psychological phenomena that can change over time.

• Evaluations may be misused if families continue to rely on outdated reports for diagnoses or conditions that have changed.

Implications of Report Validity

• It’s essential for psychologists to consider the implications of their reports; these documents capture a static moment in an individual's life but should reflect ongoing dynamics.

• The term "validity" should not merely refer to a fixed timeframe but rather encompass the evolving nature of psychological assessments.

Consequences of Misinterpretation

• Failing to indicate that a psychological report represents a snapshot can lead to significant consequences for individuals affected by those evaluations.

• Psychologists must acknowledge their responsibility in producing documents that accurately represent dynamic psychological states rather than static observations.

Considerations for Formal Assessments

• When using formal assessment tools like psychological tests, it's important to adhere to guidelines regarding retesting intervals and other procedural considerations.

Questions Regarding Multidisciplinary Reports

Clarification on Multi-professional Reports

• A query was raised about creating multi-professional reports under Article 12; specifically concerning evaluations needed for student placements in special education settings.

Evaluation Processes in Psychology

Psychological Evaluation Reports

• The distinction between a psychological report and a psychological evaluation is emphasized, noting that an album (a comprehensive document) must be issued during the evaluation process.

• In cases of intelligence assessments, if adaptive characteristics are inactive, a report can be issued detailing the procedures followed.

• It is highlighted that while psychologists can suggest structures for multiprofessional reports, they do not interfere with other professionals' categories.

• A multiprofessional evaluation may result in a document where the psychologist's involvement is crucial; this applies particularly to special schools with multidisciplinary teams.

• Psychologists must adhere to specific items outlined in their evaluations when involved in multiprofessional assessments.

Accessing New Regulations

• New rules regarding psychological evaluations will be available on federal and regional council websites, ensuring transparency and accessibility of information.

• After completing a psychological evaluation for diagnostic purposes, it is necessary to issue a psychological report following established norms including identification and analysis of findings.

Documentation Standards

• All theoretical and technical materials used during evaluations should be cited within the documentation; footnotes are recommended for references to maintain clarity without cluttering the main text.

• The declaration of attendance remains unchanged under new regulations but has been refined for specificity regarding its issuance based on professional interactions.

Handling Requests in Educational Settings

• When dealing with requests for psychological reports from educational institutions where supervisors or interns are unavailable, guidelines dictate that the responsible technician assumes accountability for documentation.

• The responsible technician must ensure compliance with normative guidelines concerning document retention, which generally requires keeping records for at least five years.

Differentiating Between Documents

Understanding Psychological Assessment Documents

The Role of Atestados in Evaluation Processes

• Atestados serve as objective responses in evaluation processes, but producing one does not eliminate the need for comprehensive study and integration of knowledge gained throughout the assessment.

• While atestados are more straightforward documents, the process of integrating results is essential and should be part of any psychological evaluation.

• Atestados are particularly useful when dealing with large groups, facilitating psychologists' work by providing a standardized document that summarizes evaluations.

Differences Between Atestados and Laudos

• Laudos have greater depth than atestados; they require detailed descriptions of psychological phenomena and contextualization of findings within the broader study.

• The main distinction lies in the level of detail: laudos provide a deeper analysis while atestados remain more concise. However, both require thorough investigation.

Guidelines for Issuing Laudos to Companies

• When issuing laudos for selection purposes, it is crucial to describe testing procedures used, especially if the organization lacks psychologists on staff.

• Including references to tests is important since it allows recipients to understand the basis for conclusions drawn from assessments.

Importance of Qualitative Analysis

• Psychologists have autonomy in how they present data; using tables or graphs can enhance clarity but must be accompanied by qualitative analysis to support conclusions effectively.

• It’s vital that psychologists integrate quantitative data with qualitative insights to ensure comprehensive understanding during selection processes.

Addressing Common Questions About Atestados

• Atestados can indicate temporary patient leave; however, if an extended absence (over 15 days) is necessary, referral to appropriate services is recommended.

Understanding Psychological Reports and Their Context

The Nature of Psychological Opinions

• The term "opinion" can be ambiguous; psychologists provide opinions based on their professional assessments.

• A psychological opinion is a specific document addressing a problem raised by an institution or authority, responding to particular questions within the field of psychology.

Distinction Between Reports and Opinions

• Psychologists may conduct evaluations or interventions related to issues such as psychological reports stemming from forensic assessments.

• For instance, if a judge questions the role of a father in a child's life, the psychologist responds with an opinion that addresses this specific inquiry.

Legal Context and Urgent Situations

• In domestic violence cases, psychologists are often asked to prepare documents clarifying the situation and identifying needs for protective measures.

• These documents must be prepared quickly for judicial review, emphasizing the urgency in certain psychological evaluations.

Transitioning from Opinion to Report

• Recent changes in regulations raise questions about whether certain documents should now be classified as psychological reports instead of opinions.

• It’s crucial that these reports contain all relevant information organized clearly, regardless of format (itemized or narrative).

Importance of Accurate References

• When preparing psychological reports, it is essential to include technical details about instruments used, including authorship and publication data.

• Using up-to-date manuals is critical; outdated references can lead to improper practices among professionals.

Citing Legal Frameworks

• References in psychological reports can extend beyond academic sources; legal statutes and guidelines may also need citation when relevant.

• All materials referenced during report preparation must be documented thoroughly to ensure credibility and compliance with standards.

Closing Remarks on Professional Practice

• As discussions conclude, there’s an emphasis on the importance of ongoing dialogue regarding regulatory frameworks affecting psychology practice.

Overview of Normative Documents in Professional Psychology

Importance of Normative Documents

• The discussion emphasizes the significance of normative documents that assist professionals in their daily activities, highlighting their origin from Resolution 01/2009.

• It is noted that psychology faces ongoing emerging demands, and these documents are intended to provide updated guidance for producing professional documentation.

Acknowledgments and Collaborative Efforts

• Gratitude is expressed towards all technical participants who contributed over several months, acknowledging the challenges faced during this collaborative effort.

• The resolution is recognized as a product of collective work initiated in 2015, involving a dedicated group focused on identifying and addressing professional demands.

Contributions from Key Individuals

• Specific individuals such as Jonathan, Show, Rodrigo, Mariângela, Andréa Esmeraldo, and others are acknowledged for their roles in constructing the resolution through careful listening to community needs.

Goals of the New Resolution