ACA Code Flashcards
The Counseling Relationship
Primary Responsibility of the Couselor
Respect the dignity and promote the welfare of clients
The Counseling Relationship
How do we create and maintain documents
Documents should accurately reflect a clients progress and as amendments are made to documentation they must be properly noted according to agency and institutional guidelines.
The Counseling Relationship
Creating Counseling Plans
Counselors and clients work together to create plans that offer reasonable promise of success and are consistent with the clients developmental level, abilities, temperament, and circumstances of the client. They will regularly review the plans to assure continued viability and effectiveness while respecting the clients freedom of choice.
The Counseling Relationship
Client Welfare - Support Network Involvement
Counselors will consider enlisting the support and understanding of others as positive resources when appropriate and with the client’s permission.
The Counseling Relationship
Informed Consent in the Counseling Relationship - choice
Clients have the freedom to choose to enter into or remain in a counseling relationship. Counselors have the obligation to review verbally and in writing the rights and responsibilities of counselors and clients. Informed consent is ongoing and should be revisited throughout the relationship.
The Counseling Relationship
Informed Consent - Types of Information Needed 12 things
- The purposes, goals, techniques, procedures, limitations, potential risks and benefits of services
- Counselors qualifications, credentials, relevant experience and approach
- Continuation of services upon incapacitation or death
- The role of technology
- The implications of diagnosis
- The intended use of tests and reports
- Fees and billing
- Procedures for non-payment of fees
- Limits of confidentiality including how supervisors, treatment and/or interdisciplinary teams are involved
- Their rights to obtain clear information about their records
- Their rights to participate in ongoing counseling plans
- Their right to refuse services or modality changes and to be advised of the consequences of such refusal
The Counseling Relationship
Developmental and Cultural Sensitivity in Informed Consent
Counselors communicate information in ways that are culturally and developmentally appropriate. They use clear and understandable language. If the client has trouble understanding the language the counselor uses, the counselor will provide the necessary services. Counselors will adjust their informed consent according to cultural needs
The Counseling Relationship
Informed Consent - Inability to Give Consent
When clients are unable to provide consent, counselors will obtain assent from the client and include them in decision making as appropriate. Counselors must balance the ethical rights of clients, their capacity to give consent and the parental or familial rights and responsibilities to protect the client and make decision on their behalf
The Counseling Relationship
Informed Consent - Mandated Clients
Counselors discuss the required limitations to confidentiality when working with mandated clients. They explain the type of information and with whom they must share it prior to beginning counseling. If the client refuses service the counselor must do their best to discuss the consequences of refusing services
The Counseling Relationship
Clients Served by Others
If a client is in a professional relationship with other mental health professionals, they will get a release from the client to inform the other professional and establish a collaborative relationship.
The Counseling Relationship
Avoiding Harm and Imposing Values - Avoiding Harm
Counselors avoid harming clients, trainees and research participants and try to minimize or remedy unavoidable or unanticipated harm
The Counseling Relationship
Avoiding Harm and Imposing Values - Personal Values
Counselors are aware of and avoid imposing their own values, attitudes, beliefs and behaviors.
The Counseling Relationship
Prohibited Roles and Relationships - Sexual or Romantic Relationships
Sexual or romantic relationships with current clients, their romantic partners, or their family members are prohibited
The Counseling Relationship
Prohibited Roles and Relationships - Previous sexual or romantic relationships
Counselors are prohibited from engaging in counseling relationships with persons they have had a previous romantic or sexual relationship with
The Counseling Relationship
Prohibited Roles and Relationships - Sexual or Romantic Relationships with former clients
Are prohibited for a period of five years after the last professional contact. This extends to the client, their romantic partners or family members. Counselors must demonstrate forethought and document in writing if the interaction can be viewed as exploitive or if there is potential to harm the former client in any way.
The Counseling Relationship
Prohibited Roles and Relationships - Friends or Family Members
Counselors are prohibited from engaging in counseling relationships with friends and family members with whom they have the inability to remain objective.
The Counseling Relationship
Prohibited Roles and Relationships - Personal virtual relationships with current clients
Counselors are prohibited from having a virtual relationship (social media etc) with someone they have a current counseling relationship with.
The Counseling Relationship
Managing and Maintaining boundaries and Relationships - Previous Relationships
Counselors must take appropriate precautions when accepting clients that they have previous relationships with including consultation, supervision, and documentation. This includes mutual or past membership in the same organization or community, as well as causal or distant relationships.
The Counseling Relationship
Managing and Maintaining boundaries and Relationships - Extending Counseling Boundries
Counselors must consider the risks when extending the counseling relationship including addending a clients formal ceremony, purchasing a product or service, visiting a client’s ill family member. Appropriate precautions must be taken to ensure that no harm occurs.
The Counseling Relationship
Managing and Maintaining boundaries and Relationships - Documenting Boundary Extensions
Extended boundaries must be documented prior to the interaction (when feasible). Must document the rational, the potential benefit and anticipated consequences. If harm occurs the counselor must show evidence of an attempt to remedy the harm.
The Counseling Relationship
Managing and Maintaining boundaries and Relationships - Role Changes-(Individual to Family or evaluator to therapeutic etc.)
When a role changes the counselor provides informed consent and explains the clients right to refuse services related to the change. Clients must be fully informed of the anticipated consequences of the change.
The Counseling Relationship
Managing and Maintaining boundaries and Relationships - Nonprofessional Interactions or Relationships
Counselors avoid nonprofessional relationships with former clients, their romantic partners or their family members when the relationship is potentially harmful to the former client both in-person or electronic
The Counseling Relationship
Roles and Relationships at Individual, Group, Institutional and Societal Levels - Advocacy
When appropriate, counselors advocate at individual, group, institutional and societal levels to address potential barriers that inhibit the growth and development of clients
The Counseling Relationship
Roles and Relationships at Individual, Group, Institutional and Societal Levels - Confidentiality and Advocacy
Counselors obtain client consent before engaging in advocacy efforts on behalf of an identifiable client