Boundaries in Clinical Practice: Top Ethical Challenges

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Boundary issues present some of the largest challenges you’ll face as a clinician. How you communicate and interact can be interpreted differently by each client. Your professional liability is at risk by not following clear guidelines and best practices when it comes to boundaries.

This recording will provide you with answers to the top challenges you face. You’ll get guidance on the following ethical boundary pitfalls:

• Social Media
• Email & Text
• Self-Disclosure
• Gifts & Receiving Gifts
• Contact Outside of Session
• Dual Relationships
• Financial & Business Boundaries

Avoid ethical entanglements that risk your professional liability!

1. Determine how the ACA Code of Ethics applies to boundary setting in private practice/clinical practice.
2. Analyze ethical dilemmas clinicians face surrounding boundary setting with respect to utilizing technology with clients in clinical practice.
3. Articulate the financial burdens clinicians experience that could cause ethical dilemmas in clinical practice.
4. Utilize ethical practices to ensure client safety, maintain confidentiality, and obtain informed consent when utilizing telemental health services.
5. Determine how counselor impairment influences the therapeutic relationship and identify ethical strategies to minimize the potential impact on the client.
6. Formulate clear ethical guidelines to address the potential for a dual relationship with a client in a clinical setting.

SETTING THE STAGE FOR BEST PRACTICES

• Having a Code of Ethics to Follow
• Boundary Contexts and Why They Matter
• Setting up a Peer Group to Seek Counsel for Ethical Dilemmas
• The “Always Do No Harm to Your Clients” Rule

TOP BOUNDARY CHALLENGES AND ETHICAL TRAPS

• Self-Disclosure – A Slippery Slope
• Giving & Receiving Gifts
• Physical Contact & Proximity in Session
• Language Usage in Session
• Contact Outside of Sessions
• Minors & Parents
• Handling Clients Who Lack Boundary Skills

TECHNOLOGY AND BOUNDARIES

• Social Media – How to Avoid Ethical Issues
• Email, Texting, & Phone Call Boundary Challenges
• Telehealth and the Impact on Boundaries

PRIVATE PRACTICE ETHICAL IMPLICATIONS & GRAY AREAS

• Impact of Isolation on Boundaries
• Why Private Practice Heightens All Boundary Concerns
• Policies & Procedures that Can Reduce Ethical Boundary Issues

DUAL RELATIONSHIPS (FRIENDS, FAMILY, STUDENTS, EMPLOYEES, BUSINESS, ACQUAINTANCE)

• Developing a Strategy for Dual Relationships
• Evaluate Your Ability to Handle the Dual Relationship at Hand
• Creating a Proper Treatment Plan that Assists with Boundary Concerns
• Top Mistakes Clinicians Make Regarding Dual Relationships

FINANCIAL & BUSINESS – NAVIGATING BOUNDARY ISSUES

• Self-Referral Policies & Procedures
• Collection Process for Nonpayment of fees
• Fee Establishing & Transparency Guidelines
• Sliding Scales & Bartering
• Confidentiality & Privacy Concerns

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