professional orientation and ethical practice Flashcards
new code of ethics 5 values
Enhance human development
Embrace diversity & multicultural factors
Promote social justice
Safeguard integrity of counseling relationship
Practice counseling in ethical manner
6 foundational principles
Autonomy- client has the right to control their life
Nonmaleficence- not causing harm
Beneficience- practice for good of client & society
Justice- fairness & equality for clients
Fidelity- counselor keeps promises
Veracity- helper is truthful
NBCC
National Certified Counselor. A generic certification for counselors. Lasts for 5 years.
CACREP
Counsel for accreditation and related educational programs
APGA
American personnel and guidance association (became AACD and then ACA)
NCSC
national certification for school counselors
scope of practice
counselors should only practice using techniques for which they have been trained. Counselors should not attempt to treat clients for which they have no training.
ethics
the standards of conduct imposed by the ACA and NBCC. Not laws or universal principles. Do not spell out penalties for violations.
most ethical dilemmas are related to…
confidentiality
Tarasoff v Board of Regents of the University of California 1969
illuminated duty to warn a client in “clear and imminent danger”. A report must be made within 24 hours. A responsible helper will warn an intended victim.
suicidal warning signs
Repeatedly joking about killing one’s self
Giving away prized possessions
Depressed for extended period
Previous suidie attempt
Very detailed suicide plan for future
suicide stats
10th leading cause of death in US.
2nd or 3rd leading cause of death for ages 15-24.
Firearms account for more suicide than all the other methods put together.
More likely in rural areas.
More likely in times of recession.
When a famous person dies by suicide the national rate shows increase.
Privileged communication-
information said to counselor will not be divulged outside the counseling setting without the client’s permission. A legal term that implies therapeutic interaction will not be available for public inspection. Client is the holder of the privilege. Not applicable in cases of child abuse, neglect, exploitation; suicide or homicide threats; criminal intentions; clients in dire need of hospitalization; or in cases where counselor is the victim of malpractice lawsuit. Does not apply to minors or those who are mentally incompetent.
exceptions to confidentiality
Client requests release of information
A court orders a relaease of information
Supervision
Clerical assistants who process client information
Client raises issue of counselors competence in malpractice lawsuit
Insurance company requests
“Qualified” in regards to privileged communications
exceptions may exist. Privileged communication is based on licensure status rather than one’s graduate degree or certification credentials.
When a client’s condition indicates that there is a clear and imminent danger or serious and foreseeable harm to the client and others
the counselor must take reasonable personal action or inform responsible authorities.
Hedlund case -
suggests that therapist should warn others (i.e. third parties) who also may be in danger.
Legal court order for records
- do not need to get a signed release from client if a) law requires it, b) the client is in clear and foreseeable harm
EPPP
examination for professional practice in psychology (counselors do not take this). EPPP is to psychologists what NCE is to counselors.
NBCC can do the following if you have violated professional ethics:
revoke your license, remove your name from the list of NCCs in the US, revoke your NCC status
impaired
deterioration in the ability to function as a counselor
certification
recognizes that you have reached a given level of competence and are authorized to use a given title
sliding fee scales
ethical and legal but it’s difficult to administer them in a fair manner.
FERPA -
family educational rights and privacy act (1974 aka Buckley Amendment). A parent can see minor’s education records and an adult can view their own educational records
CRC
certified rehabilitation counselor which need at least a maser’s in rehab counseling
CORE
council on rehabilitation and education
registry
list of providers
abandonment
when counselor stops providing services and does not refer the client to another helper
duel relationship now updated to
noncounseling roles and relationships
To continue to hold NCC…
will need specified amount of continuing education before recertification. 100 hours of professional development during a five-year period.
sexual attraction to client aka
countertransference
countertransference
indication of unresolved problems on the part of the helper
NBCC code and sexual harrassment
ven one inappropriate behavior on the part of the helper constitutes sexual harassment.
sexual harrassment implications
loss of licensure, unlikely to be defended by liability insurance; A counselor should never have a sexual relationship with a current client, it is considered illegal in most areas of the country.
PHI
protected health information
HIPAA
a client can request unencrypted PHI
AACD
american assoc. for counseling and development
NBCC
1982 formed, national board for certified counselors
CAC
computer assisted counseling. having a software program that counsels clients