The Psychometrist, the Instagram Account, and the Signed Report

What may continue. A trained technician may administer and mechanically score standardized instruments under a licensed psychologist's supervision, following the manuals exactly, if the psychologist selects the battery, conducts the clinical interview, reviews the raw data, interprets the results, integrates history and collateral information, formulates diagnosis, and retains responsibility for the report.

What must stop.

• Independent interpretation and diagnostic conclusions by Kyle, including full draft reports that Dr. Nguyen signs without substantive review. A signature on work not actually reviewed is a misrepresentation.
• Feedback to parents about diagnostic findings. Discussing results and recommendations is clinical practice and must be done by the licensed psychologist or a properly supervised trainee within their authorized scope.
• Any title, business card, or website language implying Kyle is a psychologist; Kentucky protects the title, and unlicensed practice is a Board matter.

Supervision requirements. Verify Kyle's training, provide a written role description and supervision plan, observe administration periodically, review every report before signature, and document supervision. Dr. Nguyen should also ensure that test materials are secured and that Kyle is not using the title "psychometrist" in a way that suggests independent practice.

This is a serious test-security breach. Posting actual items compromises the validity of the instruments for every future examinee and violates the Ethics Code's test-security standard (9.11), the publishers' copyrights, and the practice's obligations to the children and adults it evaluates.

Immediate steps:

• Direct Kyle in writing to remove the posts and preserve screenshots for the practice's records before deletion.
• Determine whether any current or former client saw the posts or had exposure that could invalidate scores; if so, consider whether re-evaluation is needed and disclose to affected families as appropriate.
• Notify the test publishers, who may require withdrawal of compromised materials or may have their own security protocols.
• Review whether Kyle's account existed before hire or was created with practice materials; either way, address it in supervision and consider disciplinary action.
• Retrain Kyle on test security and document it; add a written policy covering social media, secure storage, and copying of protocols.

Dr. Nguyen should also examine his own conduct: lax review made the breach possible and may have allowed invalid data into signed reports. The remediation should include auditing recent reports for adequacy of supervision, not just removing the posts.

Supervision problems. Monthly review of 10 percent of notes is not adequate oversight for a clinician conducting intakes and weekly psychotherapy. Intake assessment, diagnosis, risk screening, and treatment planning carry the most risk, and they are precisely where supervision must be most direct.

Corrections:

• Establish a written supervision contract specifying frequency, format, and documentation.
• Meet at least weekly for individual supervision, with direct observation or recording of sessions periodically.
• Review all intakes and diagnostic formulations before finalization.
• Co-sign with a clear indication of the supervisor's role, and maintain a supervision log with dates and content.
• Ensure the supervisor is licensed in Kentucky and qualified for the supervisee's scope, and that the supervisee's title and disclosure to clients accurately describe supervised status.

Billing problems. Listing Dr. Nguyen as the rendering provider for testing that Kyle performed may misrepresent the service and can create fraud exposure, depending on payer rules and the degree of Dr. Nguyen's actual involvement. Claims must reflect who rendered what, with correct modifiers and supervision attestations where permitted. Dr. Nguyen should audit recent claims, correct errors, self-disclose where appropriate, and get compliance advice before continuing the arrangement.