As service providers and advocates, psychologists and other mental health providers need to ensure that their services adequately meet legal and ethical obligations.

To improve compliance with the Americans With Disabilities Act and to better meet the needs of individuals with disabilities:

  • Do not deny your services to a client with a disability. You may refer him/her if that individual requires treatment outside of your area of specialization.
  • Do not separate out or give unequal service to clients with disabilities unless you must do so to provide a service that is as effective as that provided to those without disabilities.
  • Watch for criteria that screen out clients with disabilities. For instance, do not require a driver's license for payment by check. Use policies, practices, and procedures in your office that can be modified for those with disabilities, such as making sure service animals are permitted in your office.
  • Provide auxiliary aids and services, such as readers, sign-language interpreters, Braille materials, large-print materials, videotapes and audiotapes, and computers when necessary to effectively communicate with your clients with disabilities. You may use alternative forms of communication, such as notepads and pencils, when these forms are as effective.
  • Evaluate your office for structural and architectural barriers that prevent individuals with disabilities from getting the services they need from you. Change these barriers when they can be readily changed (without much difficulty or expense).
  • Look at ramps, parking spaces, curb cuts, shelving, elevator control buttons, width of doorways, levered door handles, width of toilet partitions, height of toilet seats, high-pile carpeting, and ensure that rooms are large enough to maneuver a walker or wheelchair.
  • When building new offices or remodeling, hire an architect or contractor familiar with ADA requirements.

Information contained in the Compliance Issues section was obtained from the following sources:

Americans With Disabilities Act, 42 U.S.C. Sections 12101-12213 (1995).
Americans With Disabilities Act, 42 U.S.C. Section 12181(7)(F) (1995).
Americans With Disabilities Act, 42 U.S.C. Section 12182(b)(2)(A)(iii) (1995).
Americans With Disabilities Act, 42 U.S.C. Section 12182(b)(2)(A)(iv) (1995).
Americans With Disabilities Act, 42 U.S.C. Section 12182(b)(2)(A)(v) (1995).
Americans With Disabilities Act, 42 U.S.C. SectionSection 12181-12189 (1995).

Golden, M. (1995). Americans With Disabilities Act of 1990: Implications for the medical field. Journal of Legal Medicine, 18, 2-13.

Mahoney, R. E., & Gibofsky A. (1992). Changes in existing protection and impact on the private health services provider. Journal of Legal Medicine, 13, 51-74.

Miltko, S. M. (1995). The need for professional discretion: Health professionals under the Americans With Disabilities Act. Northwestern University Law Review, 89, 1731-1767.

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