Term
Ethical Code:
Section "A" summary |
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Definition
THE COUNSELING RELATIONSHIP:
~Counselor encourages client growth and promote welfare through healthy relationships
~Explore cultural backgrounds and explore own values and beliefs |
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A.1: WELFARE OF THOSE SERVED BY COUNSELOR
A.1.a: "Primary Responsiblity" respect the dignity and promote client welfare
A.1.b "Records" Keep accurate records on client progress and correct them if needed.
A.1.c: "Counseling plans" Counselor and client work together at devising a plan to promote success. Update and visit plan to be be effective
A.1.d "Support Network Involvement" Use other resources(friends, family, religious) as support when appropriate with client consent.
A.1.e "employment needs" When the client needs to be placed in a job, needs to be consistent with client's needs. |
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INFORMED CONSENT IN RELATIONSHIP
A.2.a "Informed Consent" Client can choose to leave or enter relationship. Counselor should inform client verbally and writing about responsibilities for both parties. Continue to review through relationship. |
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A.2.b Types of Info Needed" Counselors explain to clients all services provided.
~Inform clients of: purposes, goals, techniques, procedures, limitations, potential risks, and benefits of services; qualifications, credentials,and relevant experience; continuation of services death of a counselor ~Also inform: clients understand the implications of diagnosis, the intended use of tests and reports, fees, and billing arrangements ~confidentiality limits, obtain info from records, right to refuse service |
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"Developmental and Cultural Sensitivity
~Communicate in developmentally and culturally appropriate ways
~Get an Interpreter if needed and adjust forms to suit clients
A.2.d "Inability to give Consent" Need a guardian's consent when counseling minors or unable adults |
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CLIENTS SERVED BY OTHERS
~If clients is seeing another mental health professional, should request release from client to communicate with the other counselor. (collaborative professional relationships) |
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Avoiding Harm and Imposing Values
A.4.a "avoiding harm" (clients, trainees, and research participants)
A.4.b "Personal values" Be aware of own values, beliefs, attitude, etc and avoid imposing values that do not match counseling goals. Respect diversity of client |
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Roles and Relationships with Clients
A.5.a "Current clients" No sexual relationships with the client or anyone connected to them
A.5.b "Former Clients" Wait 5 years form last session before entering in, but avoid if this will cause harm. |
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A.5.c "nonprofessional interactions or relationships(not sexual)" Nonprofessional relationships with anyone connected to the client should be avoided unless potentially beneficial.
A.5.d "potentially beneficial interactions" Document prior to including rationale, benefit, consequences. Client should give consent, and if harm is done, counselor should try and remedy. |
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A.5.e "Role changes in the professional relationship"
~If the counselor's role changes, the clients mus consent and hear the rights to refuse services.
Examples of role change:
1.chng from ind. to relationship or family counseling
2. chg form counselor to researcher
3.change from counselor to mediator role (all vise versa)
4. change from a non-forensic eval role to therapeutic
~clients must be fully informed |
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ROLES AND RELATIONSHIPS AT INDV, GROUP, INSTITUTIONAL AND SOCIETAL LEVELS
A.6.a "Advocacy" Advocate when appropriate to examine barriers for development
A.6.b "confidentiality and advocacy"
~obtain client consent prior to engaging in advocacy for an identifiable client to improve services and remove barriers for growth. |
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"Multiple clients"
~if counselor agrees to provide counseling to two or more people with relationship, counselor clarifies nature of relationships/role to each person.
~if roles start to conflict, the counselor will clarify, adjust, or withdraw roles |
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GROUP WORK
A.8.a "Screening" select members whose needs and goals are similar, who will not take away from the group, and who will not be jeopardized by the group
A.8.b "protecting clients" in group setting, need to take precautions to protect clients from physical, emotional, or psychological trauma. |
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End of Life care for terminally ill clients
~Enable clients to make informed decisions
~Counselor may choose not to work with client
~counselor can break confidentiality depending on state laws, consult first |
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Fees and Bartering
~Est fees that consider ses of the area
~Assist in making an appropriate fee structure
~If not payed, offer opportunity to pay
~Bartering should look at culture, relationship, and exploitive nature
~Gifts: can be a sign of respect, but examine motivation before accepting and declining |
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TERMINATION
~Do not abandon! Assist in finding appropriate treatment
~if decline referral, then you can discontinue
~Always recommend other services
~Use appropriate process to transfer client
~terminate when the client no longer needs it or is being harmed by continuous counseling |
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Technology in counseling
~Use appropriate services
~do not violate any laws for the website
~Inform client of benefits and limitations of using technology |
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| Confidentiality, Privileged Communication, and Privacy |
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RESPECT FOR CLIENTS:
B.1.a: Multicultural/Diversity considerations
~keep awareness/sensitivity about cultural meanings of confidentiality and privacy
B.1.b: Respect for privacy: use info helpful to counseling process
B.1.c:Respect confidentiality:don't share w/o consent or legal justification
B.1.d:Explanation of Limitations-Inform clients of confidentiality limitations |
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EXCEPTIONS TO CONFIDENTIALITY
B2.a:Danger/legal requir: conf is broken to protect or legal demand
B2.b: Contagious/life-treatening diseases:confirm disease before informing 3rd party of disease
B2.c:Court ordered disclosure: obtain permission to preserve relationship
B2.d: Minimal disclosure: only essential info to be given |
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INFO SHARED WITH OTHERS:
A: Subordinates: ensure privacy around others
B: Treatment teams: inform client about team, what will be shared and the purpose of the team.
~Confidential settings should be ensure for privacy
C: 3rd party payers: disclose info that client authorized
D: Transmitting Conf. info: take every precaution to ensure confidentiality(ex: technology)
E:Deceased Clients: protect conf. within legal requirements. |
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GROUPS AND FAMILY CONF.
B4.a: Group work: explain importance of conf.
B4.b:Couples and family counseling: clearly define who the "client" is and discuss expectations and limitations of conf. |
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CLIENTS LACKING CAPACITY TO GIVE INFORMED CONSENT:
A:Minors/lacking adults: maintain their conf. based on state laws
B:Parents/guardians: inform parents of the conf. counseling relationship but keep a collaborative relationship open.
C: Release of conf. info: explain on the level of their understanding about disclosure of info to 3rd party. (get their permission) |
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RECORDS
a~Secure them in a safe location
b~get permission to record
c~get permission for someone to observe
d~let client have access to records if it will not cause harm. (block out info of others that are involved with the group)
e~help interpret record for client
f~get permission to transfer or disclose record
g~Store records after termination/dispose in a way that maintains conf.
h~protect conf. after termination/death |
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Professional Responsiblity
~self-care to maintain and promote well-being to meet professional responsibility |
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Knowledge of standards:
~need to read and understand the ACA code of ethics |
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Professional competence:
a ~Practice within competency level, training, education
b ~Specialty areas: practice in new areas only after education, training, and supervision completed(do not cause harm)
c ~Accept employment only for what you are qualified for
d ~improve/monitor effectiveness
e ~Consult with others about ethical obligations
f ~Continue education and keep up new information
g ~suspend practicing if counselor becomes impaired
h ~Plan with colleague on how to transfer files/clients if counselor dies |
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"Advertising and soliciting to clients"
A~Accurate Advertising:Identify accurate credentials
B~Do not use testimonials from clients that can be vulnerable to harm from them
C~Use accurate statements by others
D~Do not recruit for private practice through your job
E~Accurately advertise your own product/training
F~Do not promote products through counseling or training sessions(can use a textbook that authored for instruction) |
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Professional Qualifications
A~Accurately represent yourself and qualifications
B~Claim credentials/licenses that are current
C~Differentiate between earned and honorary degrees
D~Do not imply doctoral level competence with a masters degree
E ~state the accreditation status of program
F ~Differentiate accurate membership with associations |
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Nondiscrimination:
~Do not discriminate based on age, culture, ethnicity, race, religion, etc |
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Relationships with other Professionals:
A: Different approaches:Respect approaches that are different from yours
B:Network with colleagues from other disciplines to serve clients
C:Interdisciplinary teamwork: When working with a team, keep the focus on how to serve the client
D: When serving in a judiciary role, define role and maintain confidentiality
E:If team of colleagues is unable to find solution, should look elsewhere to best serve client
F: Select staff based on their skills
G: Alert employers of inappropriate practices
H: do not harass or dismiss employee who acted ethically |
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Consultation:
A: Ensure proper competencies when acting as consultant
B: Have a clear understanding when working as consultant
C: Goals: Growth toward self-direction encouraged
D: Consultant should review Conf. rights of counselor and client |
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| Evaluation, assessment, and Interpretation |
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General:
1: Assessment: valid/reliable test
2: Client welfare: don't misuse assessment/interpretations. respect client right to know |
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Competence to use interpret assessment instruments
1: limits of competence: use only what one has been trained for
2: Appropriate use: responsible application of assessments
3: Decisions based on results: counselor responsible for decisions involving indvid/policies based on assessment results |
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Informed consent in assessments
A: Explanation to clients: explain purpose of assessment before testing
B: recipients of results: consider client's welfare before showing people |
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Release of data to qualified professionals:
a: release assessment data only w/client consent |
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Diagnosis of Mental Disorders:
a: Proper diagnosis: take special care to provide proper diagnosis
b: Cultural Sensitivity: SES and cultural experience considered when diagnosing
d:Recognize social and cultural prejudices
e: refrain from diagnosing if this will cause harm to client |
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| What is the purpose of Ethics? |
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~Guidelines for Mental health professionals
~resource for ethical decisions
~broad and general guidelines
~use own ethical awareness to problem solve and interpret
~be aware of limitations
~not blueprints/ need own judgement
~Primary purpose: safeguard welfare of clients/best interests
~safeguard professionals to provide the best service |
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| 5 main purposes of the code of ethics |
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1:Can clarify the nature of ethical responsibilities; constant for all
2: supports mission of the counseling association
3:est principles to define ethical behavior and good practices
4:ethical guide to provide a professional course of action to promote good values in the profession
5: basis for ethical complaints initiated against members |
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| -Duty to warn the individual before releasing client with intent to harm |
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| *Know limitations of confidentiality |
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-legal
-protect from harm
-consultations, get consent from
-treatment team with consent
-working under supervision
-assistants handle confidential info |
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