Treatment FAQ

how to ensure ethical treatment in the therapy clinic

by Ms. Telly Connelly DDS Published 2 years ago Updated 2 years ago
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Whether you meet with an in-person or online therapist, the ethical standards remain the same. Asking your therapist about their licensure, how many hours of experience they have, their billing process, or anything else that pertains to your treatment should be accepted and answered by your therapist.

Full Answer

Why is it important to know the ethical guidelines of therapy?

We believe it is important to become familiar with the basic ethical guidelines that therapists should follow before you begin therapy with a new therapist, and we encourage you to do so. Unfortunately, media portrayals of therapy do not always provide examples of ethical, effective therapy experiences and many myths about therapy persist.

Are there ethical issues when a client discontinues therapy abruptly?

However, the client discontinues therapy abruptly in response. Ethical issues do not occur randomly in a vacuum, but in particular situations where various factors make them more likely. As a result, although ethical issues can be challenging to navigate, they are not necessarily difficult to anticipate.

Are there ethical practices in addiction treatment?

Helping clients and families navigate the world of addiction treatment to avoid insurance fraud, body brokering, and other unethical practices. There are so many excellent addiction treatment centers out there that engage in ethical practices and sound clinical judgement.

What is the therapist’s ethical responsibility to the client?

If a client needs a different type of therapy, it is the therapist’s ethical responsibility to help the client find someone else, or at least let the client know that they need to find someone else. Therapists are responsible for maintaining a standard of professionalism.

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What are the 5 ethical considerations?

Ethical considerations in research are a set of principles that guide your research designs and practices. These principles include voluntary participation, informed consent, anonymity, confidentiality, potential for harm, and results communication.

What are the ethical responsibilities of a therapist?

Counselors must: Work hard to create and sustain a relationship with their clients based on trust. Obtain informed consent from clients entering a counseling relationship. Respect a client's confidentiality and privacy.

What are the ethical guidelines that Counselling profession follow?

Beneficence: Mental health and well-being should be a priority for the good of the individual and for society more broadly. Justice: Counselors should treat all people fairly and equitably. Fidelity: Counselors should honor all personal and professional commitments, promises and responsibilities.

What are the 4 ethical considerations?

There are four main principles of ethics: autonomy, beneficence, justice, and non-maleficence. Each patient has the right to make their own decisions based on their own beliefs and values. [4].

How do you work ethically and safe in counselling?

Our core principles are:Being trustworthy: honouring the trust placed in the practitioner.Autonomy: respect for the client's right to be self-governing.Beneficence: a commitment to promoting the client's wellbeing.Non-maleficence: a commitment to avoiding harm to the client.More items...

What are the 5 professional ethical principles in guidance and counseling?

The five bedrock principles of autonomy, justice, beneficence, nonmaleficence, and fidelity are each vital in and of themselves to a healthy counseling relationship. By exploring an ethical dilemma with regard to these principles, a counselor may come to a better understanding of the conflicting issues.

What is ethical practice in counseling?

Ethics are a set of moral principles or rules of conduct for an individual or group. The term ethics comes from the Greek ethos meaning custom, habit or character. Ethics determine choices made. In counselling, ethics underpin the nature and course of actions taken by the counsellor.

What are some examples of ethical issues in counseling?

Ethical Issues In Counseling With Children And AdultsMaintaining Boundaries.Professional Ability.Personal Problems.Maintaining Confidentiality.Respecting Client Differences.Getting the Authorities Involved.Maintain Their Role.Maintaining Therapy.More items...•

Why is ethical practice important in counselling?

Ethical bodies have three main functions: (1) to provide information on counselling and psychotherapy services and set standards which give the general public confidence in the profession. (2) a route to complain if they feel dissatisfied with the service they have received from a counsellor.

What are the 7 principles of healthcare ethics?

What are the 7 principles of medical ethics? This approach – focusing on the application of seven mid-level principles to cases ( non-maleficence, beneficence, health maximisation, efficiency, respect for autonomy, justice, proportionality ) – is presented in this paper.

What are the 7 codes of ethics?

Seven golden ethical principlesBe an ethical leader.Use moral courage.Consider personal and professional reputation.Set the right tone at the top.Maintain an enquiring mindset.Consider the public interest.Consider 'the right, the good and the virtuous' actions"

What is an ethical practice for a healthcare provider?

The language of ethics related to healthcare, also commonly called bioethics, is applied across all practice settings, and four basic principles are commonly accepted. These principles include (1) autonomy, (2) beneficence, (3) nonmaleficence, and (4) justice.

How to accept a new client?

You may perform an assessment to understand a potential client's needs and determine you're equipped to help. From this point forward, you move into a client/therapist relationship. It is your responsibility, as the therapist in this relationship, to set boundaries and expectations.

Is it ethical to run a practice?

Whether you're just getting started or manage a well-established practice, running an ethical practice is always a top-of-mind concern. However, between state requirements, HIPAA regulations, and your drive to provide the best care possible, navigating the inky waters of documentation and regulation can seem like a chore. When you're just getting started, you can easily build your practice on an ethical foundation by creating intake forms to share with future clients.

Is a covered entity required by HIPAA?

It's required by HIPAA regulations for any "Covered Entity.". Covered entity rules and laws change often and vary from state to state. To learn more about covered entities and determine if your practice is covered, read more here. That said, knowing whether you're a covered entity or not can be tricky.

How to resolve unethical practices?

One one way resolve this issue of unethical practices is to report them when you find them!

Why is it important to note that the majority of treatment centers are above board and have very noble missions.?

It is important to note that the majority of treatment centers are above board and have very noble missions. It is the shady business practices of a few that ruin it for those who are out to treat those who are suffering. The fraudulent practices grab clients away with glitzy marketing from those who run ethical and clinically sound programs.

Can you report an unethical business to insurance?

You can even report directly to insurance companies, which will impact how they interact with the unethical business.

What is the ethical responsibility of a counselor?

A counselor has an ethical responsibility to practice only within the scope of his or her professional competence. Some typical indicators of competence include education, experience, training, and certification (Pope and Vasquez, 1998). Competence in one clinical area doesn't necessarily translate to another. Counselors with extensive experience treating general psychiatric disorders aren't necessarily competent to meet the specific needs of addicted clients, just as addiction counselors without advanced training don't always adequately recognize signs of psychiatric disorders. Cross-referral between such specialists is necessary in such situations.

What are the six core ethical guidelines?

What follows are six core ethical guidelines that are sufficiently broad and context-free to serve as a useful frame of reference in day-to-day counseling practice. These six guidelines are to provide informed consent; to operate in a competent and theoretically sound manner; to insure confidentiality of client information;

Why is informed consent important?

Informed consent is a fundamental bedrock of ethical practice, because it helps to assure the client's autonomy in matters that affect the entire course and direction of counseling. Counselors may not always fully appreciate the lengths they must go in order to insure that important decisions about treatment issues are truly made from a basis of informed choice. Rather than being a one-time event, informed consent is an on-going collaborative effort between client and counselor for establishing and continuously monitoring the goals and strategies of counseling as well as the roles, rights and responsibilities of all parties. (Tjeltveit, 1999)

Why is it important to have a counselor?

It is widely accepted that counselors have a general obligation to warn or protect people whom a client places in imminent harm. The right to confidential treatment is therefore balanced by the need to insure the safety of others. The beginning of the counseling relationship is the most appropriate time for a client to learn about these limits on confidentiality as well as any safeguards necessary to protect others, such as policies on notifying law enforcement personnel if a habitual DUI offender drives to a counseling appointment while intoxicated.

What is informed consent in addiction counseling?

Informed consent also includes information about the anticipated duration of treatment and any situations that could result in a counselor prematurely terminating services. In addition, clients should know the policy for resolving disputes as well as all pertinent financial aspects of the counseling relationship; counselors should also be open to discussing their background and theoretical orientation (Houston-Vega and Nuehring, 1997). This is so much information that a counselor may choose to convey it by a combination of verbal and written means.

Why should counselors disclose personal information?

Consultation with colleagues and supervisors can help insure that the true purpose for disclosing personal information is to meet the emotional needs of the client rather than the counselor. One helpful guideline is for a counselor to reveal information about a personal life problem only well after it has been resolved, and not while it is an ongoing issue (Hunter and Struve, 1998).

Why should counselors be candid about their addictions?

A counselor who is candid about being "in recovery" may give clients hope and reduce the shame that inevitably accompanies addiction. However, too much disclosure can be intrusive and distracting for some clients, and can even inadvertently generate unrealistic expectations or a sense of inadequacy (Bloomgarden, 2000). Counselors should therefore carefully reveal information about their personal addiction experience only in as much detail as is necessary to meet a compelling and clearly defined clinical need.

What are the principles of a therapist?

6 Principles. 1. The therapist practices a client-centered approach. Regarding the care of the client , this approach indicates that the client’s wishes and needs are placed higher in priority to what the the rapist considers most important. 2. The therapist holds the client in high esteem. The therapist respects the individuality ...

Why are there laws against massage therapists?

Due to massage therapists violating ethics, especially choices regarding ethical dilemmas, laws have been created to protect the general public.

Why does a massage therapist transfer?

Transference may occur if the massage therapist provides the space for certain clients to perform any of the acts noted above. Usually these acts are unconscious, as the client feels completely comfortable with his or her therapist. However, boundaries are in question at this point.

What is the role of a therapist in a therapeutic relationship?

The therapist respects the individuality of each client and honors his or her dignity as a human being. 3. The therapist expresses empathy toward the client. In the therapeutic relationship, empathy embodies the ability to understand the perspective of a client expressing concerns, ...

What is active listening therapy?

The therapist practices active listening. This type of listening involves intending to truly understand what the client is expressing via verbal and nonverbal communication.

What is therapeutic relationship?

The therapeutic relationship is the proper space to communicate and work with clients in order to facilitate their healing journey; the topic of professional ethics in the massage field is an ever-present topic of significance and must be taken into account when addressing the therapeutic relationship.

What is mindful monitoring in therapy?

The therapist remains acutely aware of the needs of the client during the session. Aspects pertaining to the client’s sensory sensitivities during a session, including nonverbal cues and perceptions of touch, are mindfully monitored.

Why is it important for a therapist to maintain boundaries?

Sometimes clients may blur or attempt to blur the lines because of how the therapist-clientrelationship develops. For example, a client might form a strong attachment to their therapist who appears to be more than professional . It is important for the therapist to maintain and re-establish boundaries as needed.

What is a specific therapist?

A specific therapist may be skilled in working with children, helping people with marriage problems, or using specific types of treatment such as cognitive-behavioral therapy. It is essential that a therapist only provide the therapy that they have been trained to provide. If a client needs a different type of therapy, ...

How to work with a therapist?

When working with a therapist, keep in mind the above ethical standards that your therapist must maintain. Whether you meet with an in-person or online therapist, the ethical standards remain the same. Asking your therapist about their licensure, how many hours of experience they have, their billing process, or anything else that pertains to your treatment should be accepted and answered by your therapist. If your therapist seems less than forthcoming, it might be time to consider seeking a new therapist who is more open.

What happens if a therapist discontinues therapy?

If the therapist discontinues services, it could be considered abandonment.

What is a therapist responsible for?

Every therapist – and indeed, every medical professional – is responsible for maintaining the confidentiality of their clients. This means they're responsible for keeping all personal information confidential, including intake forms, client notes, and contact information.

Why do clients blur their lines?

Sometimes clients may blur or attempt to blur the lines because of how the therapist-clientrelationship develops. For example, a client might form a strong attachment to their therapist who appears to be more than professional. It is important for the therapist to maintain and re-establish boundaries as needed.

What is the job of a therapist?

Therapists are responsible for maintaining a standard of professionalism. They must keep their personal and professional lives as separate as possible. This can be difficult in some instances, and mental health professionals are only human. This means that things will happen in their lives that may affect their ability to be an effective counselor for their clients. When these things happen, the therapist must find a way to work through the issue at hand.

What are the principles of ethics in APA?

These general principles of ethics are intended to guide our decision-making when confronted with ethical dilemmas. In essence, these general principles are the underlying values of our profession that should be reflected in all we do. They are based on Beauchamp and Childress’s (2013) principles of biomedical ethics. These include:

What are the principles of biomedical ethics?

These include: Beneficence: The need to do good, be helpful, and provide benefit to others in our professional interactions with them. Nonmaleficence: Taking steps to minimize or avoid exploitation of, and harm to, those we serve.

What are ethical decision making models?

Some decision-making models are quite broad and others are more specific. For example, Younggren and Gottlieb (2004) developed an ethical decision-making model that is specifically focused on boundary and multiple relationship situations. A more general type of ethical decision-making model described by the Markkula Center for Applied Ethics is the practice-based model. This type of model guides us through a series of steps to systematically work through the dilemma. These typically include: 1 Recognize the ethical issues. 2 Get the facts. 3 Evaluate alternative courses of action. 4 Make a decision and test it. 5 Act and reflect on the outcome.

What is justice in healthcare?

Justice: Providing all individuals equal access to needed treatment and treating clients fairly and not singling anyone out for preferential or substandard care.

Why is it important to consult with colleagues?

Yet, a thoughtful consultation with a colleague can provide us with input that we might not have considered on our own. While we are not required to follow the guidance our colleagues provide, these consultations may assist us to make the best decisions possible, providing us with additional issues and perspectives to consider as we go through our decision-making process.

Is it ethical to be a psychotherapist?

Psychotherapists endeavor to be ethical in all their professional roles and interactions. Yet, being ethical is not always easy. While there are regularly occurring situations that are clearly ethical or unethical, many of situations we may face constitute ethical dilemmas. These are situations with no readily apparent, ...

When making such decisions, always consider the regulatory environment.?

When making such decisions, always consider the regulatory environment. Each practice setting brings with it a range of laws, regulations, rules, and policies that must be considered when making decisions about our obligations. For example, the laws, regulations, rules, and policies may vary somewhat when practicing in a Federal prison, a state hospital, a county mental health center, and a private practice.

What are ethical dilemmas for a psychotherapist?

Psychotherapists and counsellors confront several ethical dilemmas as they tend to provide effective services. There has been much debate among psychotherapists and counsellors alike around the utility of therapeutic contracts. Some view contracts as being restrictive to the therapeutic process and often hindering the work done in sessions. In contrast, many counsellors and psychotherapists use those agreements to revisit specific therapeutic topics and establish the guidelines necessary for this professional arrangement. No matter the opinion or preference of contracts, the development of written and/or verbal consent of specific topics in psychotherapy remains essential. This remains one of the formal features of the arrangement and starting relationship in current counselling and psychotherapy practice. This paper aims to discuss the necessity and ethical demand of therapeutic contract in counselling and psychotherapy practice.

Who sought a rational approach to implementing informed consent within the practice of psychotherapy?

Thomas G Gutheil. The authors sought a rational approach to implementing informed consent within the practice of psychotherapy. The history of informed consent in psychotherapy was reviewed to define a common synthesis that maximizes the potential benefits and minimizes the potential hazards.

What is exposure based anxiety therapy?

A counselor developing a new exposure-based form of anxiety therapy is working with a client with severe post-traumatic stress. There is promising evidence suggesting the therapy is effective for reducing mild anxiety, but it is unknown whether the therapy is effective in more extreme cases.

What is a counselor's role in referring a client to a trusted colleague?

The counselor feels they may benefit from referring the client to a trusted colleague who specializes in helping individuals with substance use issues who are struggling to engage with therapy. The counselor contacts the colleague and arranges an appointment within their client’s schedule.

What is a counselor assigned to a teenager?

A counselor is assigned a teenage client after both the client and their family consent to therapy for issues with low mood. After the first session together, it is apparent that the client has been withholding information about their mental health from their family and is showing symptoms typical of clinical depression.

What happens when a client is informed?

When the client is informed, the client is upset and does not wish to be seen by the colleague. The counselor replies that rescheduling is not possible, and they should consider the appointment a necessary part of therapy.

Can therapy be concluded after a successful result?

This can be a challenging transition even when therapy is concluded after a successful result. Like any relationship, the one between a counselor and client can become strained when the time comes for it to end.

Can you work without a code of ethics?

However, when practicing counseling or psychotherapy, working without a defined counseling code of ethics is a bit like sailing a ship without using a compass. You might trust your intuitive sense of direction, but more often than not, you’ll end up miles off course.

Do ethical issues occur randomly?

Ethical issues do not occur randomly in a vacuum, but in particular situations where various factors make them more likely. As a result, although ethical issues can be challenging to navigate, they are not necessarily difficult to anticipate.

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