Fred H. Wright, Ph.D. v. Tennessee Board of Examiners in Psychology

CourtCourt of Appeals of Tennessee
DecidedDecember 28, 2004
DocketM2003-01654-COA-R3-CV
StatusPublished

This text of Fred H. Wright, Ph.D. v. Tennessee Board of Examiners in Psychology (Fred H. Wright, Ph.D. v. Tennessee Board of Examiners in Psychology) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fred H. Wright, Ph.D. v. Tennessee Board of Examiners in Psychology, (Tenn. Ct. App. 2004).

Opinion

IN THE COURT OF APPEALS OF TENNESSEE AT NASHVILLE AUGUST 3, 2004 Session

FRED H. WRIGHT, Ph.D v. TENNESSEE BOARD OF EXAMINERS IN PSYCHOLOGY

Direct Appeal from the Chancery Court for Davidson County No. 02-3172-1 Irvin H. Kilcrease, Jr., Chancellor

No. M2003-01654-COA-R3-CV - Filed December 28, 2004

The Tennessee Board of Examiners in Psychology received a complaint from the patient of a psychologist alleging the psychologist breached the ethical duty of confidentiality by disclosing information to the patient’s sister. During the course of the investigation, the psychologist revealed that he had disclosed confidential information about the same patient to another psychologist romantically involved with the patient. The board filed charges against the psychologist alleging violations of the ethical rules governing confidentiality and documentation of therapy. Following an administrative hearing, the board placed the psychologist’s license on probation for two years subject to two conditions: (1) he complete twenty hours of continuing education training and (2) his practice be supervised during the two year probationary period by another psychologist. In addition, the board assessed a $1,000.00 civil penalty against the psychologist. The psychologist appealed the board’s decision to the Chancery Court of Davidson County which affirmed the board’s decision. The psychologist appealed to this Court. We affirm.

Tenn. R. App. P.; Appeal as of Right; Judgment of the Chancery Court Affirmed

ALAN E. HIGHERS, J., delivered the opinion of the court, in which DAVID R. FARMER , J., and HOLLY M. KIRBY , J., joined.

Erskine P. Mabee, Chattanooga, TN, for Appellant

Paul G. Summers, Attorney General & Reporter, Sue A. Sheldon, Senior Counsel, Nashville, TN, for Appellee OPINION

Factual Background and Procedural History

Fred H. Wright, Ph.D. (“Appellant” or “Dr. Wright”) has been a licensed psychologist practicing in the State of Tennessee (the “State”) since May of 1973, with a majority of his professional career spent practicing in Chattanooga, Tennessee. Except for the present action, the State has never taken disciplinary action against Dr. Wright or his license.

Dr. Wright began treating C.W.B.1 in 1976 following her release from a mental health facility. When C.W.B. came into Dr. Wright’s care, she presented mental health problems related to depression, suicidal ideation, and violent eruptions against her husband. During the course of treatment, Dr. Wright tried to meet with C.W.B. on a weekly basis, but their visits were not consistent because C.W.B. lived outside Tennessee. Dr. Wright treated C.W.B. from 1976 until 1997, approximately twenty-one years, which he described as the longest therapeutic relationship he ever had with a patient.

In November 1997, C.W.B. abruptly ended her relationship with Dr. Wright. Just prior to ending their relationship, C.W.B. learned that Dr. Wright received a telephone call from C.W.B.’s sister asking his opinion as to whether C.W.B. would qualify for Social Security disability benefits. C.W.B. and her sister had a relationship which Dr. Wright described as “terrible, hostile.” Dr. Wright conveyed to C.W.B.’s sister that he felt C.W.B. could qualify for disability benefits and commented on C.W.B.’s psychological and physical status. Dr. Wright admits that C.W.B. did not give him prior authorization to reveal to the sister that he was C.W.B.’s treating psychologist or to discuss her treatment with the sister. In fact, Dr. Wright received telephone calls from C.W.B.’s mother during the course of treating C.W.B., but he refused to reveal any information to the mother. According to Dr. Wright, he felt that, by speaking with C.W.B.’s sister, he could ameliorate any animosity between them.

After learning of Dr. Wright’s conversation with her sister, C.W.B. filed a complaint against Dr. Wright with the Tennessee Board of Examiners in Psychology (the “Board”). During the course of the Board’s investigation, Dr. Wright voluntarily disclosed to the investigator that he had previously discussed C.W.B. with a fellow psychologist as well. Apparently C.W.B. had been engaged in a romantic relationship with another psychologist, Dr. Jim Pruett (“Dr. Pruett”). Dr. Pruett called Dr. Wright and asked, “Is she capable of killing me?” Dr. Wright assured Dr. Pruett that he did not feel C.W.B. was capable of murder.

During the course of the investigation, the Board’s investigator also arrived at the conclusion that Dr. Wright had failed to maintain adequate records on C.W.B. during the course of her

1 For purposes of this appeal we will refer to the patient by her initials in order to protect her confidentiality and privacy.

-2- treatment. On May 2, 2002, the Tennessee Department of Health (the “Department”) filed a Notice of Charges and Memorandum for Assessment of Civil Penalties against Dr. Wright. The Department alleged that Dr. Wright’s conduct constituted violations of the Tennessee Psychology Practice Act, codified at section 63-11-101 et seq. of the Tennessee Code, as well as specific rules governing confidentiality.

On August 7, 2002, the Board conducted a hearing pursuant to the Tennessee Uniform Administrative Procedures Act (“UAPA”), codified at section 4-5-101 et seq. of the Tennessee Code.2 Dr. Wright appeared before the Board pro se. At the administrative hearing, Dr. Wright freely admitted that, by speaking with the sister and fellow psychologist regarding C.W.B., he breached the ethical rules governing psychologist/patient confidentiality. In addition, Dr. Wright freely admitted that he failed to satisfy the requirements in the psychology profession regarding documentation of therapy in the case of C.W.B. In fact, Dr. Wright also stated that he presently treats thirty-five to forty patients, and he admitted that, over the past twenty-one years, he failed to adequately document their therapy as well.

At the conclusion of the administrative hearing, the Board issued an order containing its findings of fact, conclusions of law, and policy statement. The Board’s order contained, in relevant part, the following sanctions:

1. Respondent’s license to practice as a psychologist in the State of Tennessee is hereby placed on PROBATION for a period of two (2) years, subject to the following terms and conditions: (a) Supervision. Within thirty (30) days from the date of the entry of this Order, Respondent must provide to a representative of the Board the name and curriculum vitae of a supervising psychologist (“Supervisor”). . . . The Supervisor shall monitor Respondent’s practice with respect to documentation practices and ethical decision making. Any and all costs relating to this supervision shall be the sole responsibility of the Respondent. Respondent shall submit or cause to be submitted reports from the Supervisor regarding Respondent’s performance by June 30th and December 31st of each year. Failure

2 The Tennessee Psychology Practice Act provides that “[a]ll proceedings for disciplinary action against a licensee or certified person under this chapter shall be conducted in accordance with the Uniform Administrative Procedures Act, compiled in title 4, chapter 5.” T EN N . C O D E A N N . § 63-11-216 (2003).

-3- to submit or have such reports submitted in a timely manner shall be considered a violation of this Order. .... The foregoing requirement for supervision of Respondent’s practice shall remain in effect for the duration of the probationary period of two (2) years under this Order. (b) Continuing education. Within the two (2) year probationary period, Respondent shall complete twenty (20) hours of continuing education in the areas of ethics and professional risk management.

2.

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