This article offers important guidance on some frequently encountered ethical issues – competency, informed consent, confidentiality, and conflicts of interest – and provides resources for you to learn more about professional ethics in your state. As a SonderMind network professional, you are expected to adhere to the highest professional and ethical standards. This article provides guidance on how to do just that. Unethical conduct may result in termination from the SonderMind network. It may also result in discipline from your licensing board. Penalties may range from fines to license revocation.
SonderMind considers professional competence a provider's ability to treat clients successfully and efficiently within the bounds of their education and experience. Providers shall only practice within the boundaries of their competence, based on their education, training, supervised experience, credentials, and appropriate professional experience. Specialty areas of practice may require additional education, training, credentials, and experience. Some pointers:
Providers must obtain informed consent before engaging in treatment. Informed consent requirements can vary by state, mode of therapy (telehealth vs. in-person), and the client's age (minor vs. adult). Check with your local board for age of consent requirements. Also, see "What Disclosures Do I Need to Provide?."
Informed consent may require addressing the following issues:
In general, behavioral health providers should keep all the content of therapy sessions strictly confidential. When you treat a client – either in person or via telehealth – make sure the space is private and secure to protect confidentiality. (See Tips for office design; Online therapy home office set up).
There are only two instances when a provider may reveal a client's confidential information: (1) when you have the client's permission, and (2) when you are subject to mandatory or permissive reporting laws.
You may be required to report a client when you believe a client is a danger to themself or others. A provider may also need to write an emergency mental health hold for a client in imminent danger of self-harm and give it to the police or EMS when they arrive. Therapists should not transport clients to a crisis or emergency facility in their personal vehicles.
Keep in mind that mandatory reporting laws vary by state and profession. While some states require providers to warn others when there is a risk of harm or danger, other states allow providers to decide what to do. Some states forbid any breach of confidentiality. There are also separate reporting requirements for minors subject to harm and abuse. Here is a 50 state survey of duty to warn laws in mental health. Check with your local board and legal counsel for specific requirements and up-to-date information.
Providers should avoid a conflict of interest. Even the appearance of a conflict of interest can weaken the efficacy of treatment and harm the client. Here are some common conflicts to watch out for:
Treating clients with opposing beliefs to your own may also create a conflict of interest. Consider being transparent about your beliefs and practices if a client inquires about these.
Read up on creating boundaries to maintain professional relationships with clients here.
Here are links and citations to the codes of conduct enacted by your local regulatory/licensing board. Boards may also rely on ethical codes developed by professional associations.
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