Clients seeking counselors should know that all licensed counselors, regardless of their specialty area, practice under the guidelines of a professional code of ethics. Each mental health association has developed an ethical code offering rules of professional practice and procedures. Counselors are mandated to follow this ethical code which outlines the standards of excellence of practice in their field. A violation of this code of ethics can result in the forfeiture of the counselor's license. CODES OF PROFESSIONAL ETHICS (FOUNDATIONS) Counselors work in a variety of settings with a multitude of different populations. Professional values are a practice foundation and a reflection of the ethics of the counselor.
The American Counseling Association's (ACA) Preamble to their Code of Ethics tells counselors "Values inform principles. Inherently held values that guide our behaviors or exceed prescribed behaviors are deeply ingrained in the counselor and developed out of personal dedication." CODES OF PROFESSIONAL ETHICS (PURPOSE) The primary purpose of a counseling code of ethics is to support the idea that a counselor will do nothing to harm the client. The client has the right to enter a counseling relationship with specific expectations regarding the counselor's professionalism and values CODES OF PROFESSIONAL ETHICS (PURPOSE) In addition to the best practices components, the ACA code of ethics purpose includes "an ethical guide designed to assist members in constructing a professional course of action that best serves those utilizing counseling services and best promotes the values of the counseling profession." CODES OF PROFESSIONAL ETHICS (CONTENT) The counseling code of ethics for all mental health professionals includes sections outlining universally accepted themes in the counseling profession.
They include protecting client confidentiality, nondiscrimination, not engaging in sexual or social relationships with clients, and seeking supervision when necessary. CODES OF PROFESSIONAL ETHICS (CONTENT) A mandate to act if there is a concern about client safety or harm to others is also present. The National Board for Certified Counselors (NBCC) code says,
"when there is a clear or imminent danger to others, the counselor must take reasonable action to inform potential victims and/or inform responsible authorities." CODES OF PROFESSIONAL ETHICS (VIOLATIONS) Ethical codes also include sections discussing the consequences of violation of the counseling code of ethics. This is intentionally done to protect the rights of clients and create clear, appropriate boundaries for counselors to follow. The NBCC Preamble explains "it serves the purpose of having an enforceable standard for all NBCC certificants and assures those served of some resource in case of a perceived ethical violation." The American Counseling Associations Code of Ethics (1995) CODES OF PROFESSIONAL ETHICS Code of Ethics states under A.5. Personal Needs and Values that in the counseling relationship, counselors are aware of the intimacy and responsibilities inherent in the counseling relationship, maintain respect for clients, and avoid actions that seek to meet their personal needs at the expense of clients. It also stipulates that Counselors refrain from offering or accepting professional services when their physical, mental, or emotional problems are likely to harm client or others. CODES OF PROFESSIONAL ETHICS Counselors integrate and use principles as a way to monitor and reflect upon internal motivations and behavior that guide our action, especially when difficulties arise.
Remley and Herlihy (2001) suggested six principles for Counselors to consider:
CODES OF PROFESSIONAL ETHICS 6 Principles for Counselors:
Beneficence do good, promote well being and health Nonmaleficence do no harm, prevent harmful actions and affects Autonomy recognize and respect independence and self-determination Justice promote fairness and equality in dealings Fidelity be responsible to clients and honor agreements Veracity be truthful and honest in dealings CODES OF PROFESSIONAL ETHICS Counselor Competence: the ACA Code of Ethics (1995): Counselors must practice only within the boundaries of their competence, based on their education, training, supervised experience, state and national professional credentials, and appropriate professional experience (C.2., Boundaries of Competence) CODES OF PROFESSIONAL ETHICS Some important points: 1. Boundaries of Competence: a. Provide only those services for which you are qualified. b. represent accurately your professional qualifications. 2. Continuing education: a. grow professionally through involvement in continuing education. 3. Qualified for employment: a. only accept employment for which you are qualified. b. hire for professional counseling positions only those that are qualified. CODES OF PROFESSIONAL ETHICS 4. New specialty areas of practice: a. practice in a new specialty areas only after appropriate education, supervision and experience. 5. Impairment: a. seek assistance in solving problems 6. Ethical issues consultation: a. Consult with colleagues and other relevant professionals regarding ethical issues. 7. Monitor effectiveness: a. make a continual effort to monitor and improve efficacy and outcomes. CODES OF PROFESSIONAL ETHICS Client Rights and Welfare: Privacy and Confidentiality: 1. Confidentiality and Privilege Communications the concept of privacy is the foundation of clients legal right to privileged communication and the counselors responsibility to hold counseling communications confidential. privilege communication is a legal term referring to a right held by clients to prevent therapeutic information from entering into a legal proceeding. CODES OF PROFESSIONAL ETHICS Client Rights and Welfare: Privacy and Confidentiality:
2. HIPAA and the privacy rule the primary motivation for the enactment was to ensure the privacy of those that seek heal services while at the same time allowing for client information to move freely to provide the best level of care for individuals seeking professional help. the privacy rule applies to information that might identify or could be used to identify a person. CODES OF PROFESSIONAL ETHICS Client Rights and Welfare: Privacy and Confidentiality:
2. HIPAA and the privacy rule exceptions: Minors under the age of 18 Incapacitated an impairment by reason of mental illness Privilege clear and imminent danger to self or others CODES OF PROFESSIONAL ETHICS Client Welfare: The increasing use of the Internet to provide counseling interventions: Counselors must consider the appropriateness of online counseling and explain the potential limitations especially confidentiality. Counselors must only use secure sites for confidential information. professional counselors must identify, verify identities of clients, and obtain alternative methods of contacting clients in emergency situations.
CODES OF PROFESSIONAL ETHICS Client Welfare: In the individual therapy and group work Check to be sure that you are working in harmony with the other mental health professional also seeing your client Develop clear, written descriptions of what clients may expect with respect to therapeutic regime, testing and reports, record keeping, billing, scheduling, and emergencies. Share your professional code of ethics with your clients and discuss the parameters of a therapeutic relationship. Know your limitations.