Ethics And Boundary Issues – from CE4Less

Ethics And Boundary Issues

Author: Heidi Dalzell, Ph.D., Teresa Crowe, MSW, Ph.D., and Beth Russell, PhD
(Click author’s name for bio)

Course Created: 2020

Practice Level: Intermediate

No book to buy Duration: 5 hours

Course Summary

This free intermediate-level course provides information on ethics and professional boundaries for mental health professionals.  Updated to reflect the most current professional codes of ethics (NASW, APA, NBCC, ACA, and AMHCA), the course explores common ethical dilemmas. Special attention is paid to boundary violations and topics including informed consent, confidentiality, mandated reporting, and HIPAA. Case studies throughout the learning materials highlight key learning points.

Course Format

This course contains downloadable online lessons (PDF) and a practice test. When you’re ready, purchase the course by clicking the “Add To Cart” button. This will let you take the test, complete the course evaluation, and receive your certificate for CE credits.

Learning Objectives

  • Recognize common ethical dilemmas, the link between ethical and legal issues, and how ethical problems occur.
  • Explain the major ethical principles of mental and behavioral health professionals.
  • Discuss confidentiality and limits of confidentiality in varied contexts including social media, age of consent, mandated reporting, and HIPAA.
  • Identify ethical issues related to public representations (advertising).
  • Describe the Tarasoff and Ewing rulings related to the professional duty to protect.
  • Explain the significance of competence and the steps a provider should take to maintain competence.
  • Discuss informed consent in relation to ethics and boundaries.
  • Identify the dynamics of dual relationships and the ethical violations related to sexual relationships with clients.
  • Recognize the role of ethical practice in the context of involuntary treatment.
  • Describe ethical decision-making including such important considerations as risk tolerance, cultural humility, and specific decision-making models.

Course Syllabus

  • Introduction
  • Professional Codes of  Ethics
    • Ethics vs Law
    • Ethical Principles
  • Confidentiality
    • Social Media and Confidentiality
    • Confidentiality and Minors (Age of Consent)
    • Mandated Reporting
    • Health Insurance Portability and Accountability Act (HIPAA)
  • Public Representations (Advertising)
  • Duty to Protect (Tarasoff and Ewing)
  • Achieving and Maintaining Competence -Cultural Competence and Non-Discrimination in Providing Services
  • Informed Consent
  • Multiple or Non-sexual Dual Relationships
    • Case Example
    • Giving and Receiving Gifts
    • Bartering in Psychotherapy Practice
    • Business Relationships with Former
    • Unintentional Dual Relationships
    • Friendships with Former Clients
    • Physical Contact with Clients
    • Online Relationships
    • Client Role in Multiple Relationships
    • Therapist Consequences for Boundary Violations
  • Sexual Relationships with Clients
    • Consequences to the Therapist of Sexual Boundary Violations
    • Consequences to the Client of Sexual Boundary Violations
  • Involuntary Treatment
  • Ethical Decision-Making
    • Types of Ethical Dilemmas
    • Risk Tolerance
    • Cultural Humility – A Framework for Understanding Ethics
    • Decision-Making Models
    • Avoiding Common Ethical Pitfalls and Dilemmas
  • Summary

This organization, CE4Less, provider #1115, is approved as a provider for social work continuing education by the Association Of Social Work Boards (ASWB), through the Approved Continuing Education ACE) program. Ce4Less maintains responsibility for the program. ASWB Approval Period: 8/8/2018-8/8/2021. Social workers should contact their regulatory board To determine course approval. Social workers participating In this course will receive continuing education clock hours.

We are committed to providing our learners with unbiased information. Ce4Less never accepts commercial support and our authors have no significant financial or other conflicts of interest pertaining to the material

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Published by Ohio Forensic Evaluation Center Directors Association

We offer Ohio's Courts of Common Pleas and the other criminal justice and mental health related services in our regions evidence-based, expertly crafted mental health opinions, and promote the ideals of objectivity and excellence in all forensic evaluation opinions proffered. We strive to promote this standard through the work of our centers and to our colleagues and consultants outside of our centers through training and supervision. Further, we never fail to consider the community's safety, as well as the individual's need for the most clinically appropriate interventions, as we are crafting these opinions and conducting our training. Additionally, we serve our colleagues in the state hospitals, the prison system and the state and county Mental Health and Addiction Services Boards, Developmental Disability Boards, Probation Departments and Municipal Courts to find effective solutions to many of our risk of violence and community mental health safety issues. We are proud to serve the courts of Ohio, and appreciate the ongoing recognition we receive for our work.

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