[nfbmi-talk] New Blog Post
joe harcz Comcast
joeharcz at comcast.net
Mon Aug 30 10:55:49 UTC 2010
Hi Fred and All,
This is long but important. How did the CRC at the college policy meeting
and elsewhere abide by their code of ethics? In fact they did not and
violated it over and over again. These are very well paid and supposedly
well trained professionals. Yet, it took untrained advocates to know enough
to follow the Rehab Act.
Here is that code of ethics in full:
file:///C:/Documents%20and%20Settings/Owner/Desktop/denv4br.doc
Code_Ethics_0105
CODE OF PROFESSIONAL ETHICS
FOR
REHABILITATION COUNSELORS
Adopted in June 2001 by the
Commission on Rehabilitation Counselor Certification
for its Certified Rehabilitation Counselors.
This Code is effective as of January 1, 2002.
Developed and Administered by the:
Commission on Rehabilitation Counselor Certification
300 N. Martingale Road, Suite 460
Schaumburg, IL 60173
(847) 944-1325
http://www.crccertification.com
Table with 3 columns and 25 rows
TABLE OF CONTENTS
PREAMBLE
ENFORCEABLE STANDARDS OF ETHICAL PRACTICE
01
SECTION A: THE COUNSELING RELATIONSHIP
01
A.1.
A.2.
A.3.
A.4.
A.5.
A.6.
A.7.
A.8.
A.9.
A.10.
Client Welfare 01
Respecting Diversity 01
Client Rights 01
Personal Needs and Values 02
Sexual Intimacies With Clients 02
Non-Professional Relationships With Clients 03
Multiple Clients 03
Group Work 03
Termination and Referral 03
Computer Technology 04
SECTION B: CONFIDENTIALITY
04
B.1.
B.2.
B.3.
B.4.
B.5.
Right to Privacy 04
Groups and Families 05
Records 05
Consultation 05
Alternative Communication 06
SECTION C: ADVOCACY AND ACCESSIBILITY
06
C.1.
C.2.
Advocacy 06
Accessibility 06
SECTION D: PROFESSIONAL RESPONSIBILITY
06
D.1.
D.2.
D.3.
D.4.
D.5.
D.6.
D.7.
Professional Competence 06
Legal Standards 07
Advertising and Soliciting Clients 07
Credentials 08
CRC Credential 08
Public Responsibility 08
Responsibility to Other Professionals 09
SECTION E: RELATIONSHIPS WITH OTHER PROFESSIONALS
09
E.1.
E.2.
E.3.
Relationships With Employers and Employees 09
Consultation 010
Agency and Team Relationships 010
SECTION F: EVALUATION, ASSESSMENT, AND INTERPRETATION
010
F.1.
F.2.
F.3.
F.4.
F.5.
F.6.
F.7.
F.8.
F.9.
F.10
F.11
F.12
Informed Consent 010
Release of Information to Competent Professionals 010
Research and Training 011
Proper Diagnosis of Mental Disorders 011
Competence to Use and Interpret Tests 011
Test Selection 011
Conditions of Test Administration 012
Test Scoring and Interpretation 012
Test Security 012
Obsolete Tests and Outdated Test Results 012
Test Construction 013
Forensic Evaluation 013
SECTION G: TEACHING, TRAINING, AND SUPERVISION
013
G.1.
G.2.
G.3.
Rehabilitation Counselor Educators and Trainers 013
Rehabilitation Counselor Education and Training Programs 013
Students and Supervisees 014
SECTION H: RESEARCH AND PUBLICATION
015
H.1.
H.2.
H.3.
H.4.
Research Responsibilities 015
Informed Consent 015
Reporting Results 016
Publication 017
SECTION I: ELECTRONIC COMMUNICATION AND EMERGING APPLICATIONS
017
I.1.
I.2.
Communication 017
Counseling Relationship 017
SECTION J: BUSINESS PRACTICES
018
J.1.
J.2.
J.3.
J.4.
J.5.
Billing 018
Termination 018
Client Records 018
Fees and Bartering 019
Fees for Referral 019
SECTION K: RESOLVING ETHICAL ISSUES
019
K.1.
K.2.
K.3.
Knowledge of Standards 019
K.2. Suspected Violations 019
K.3. Cooperation with Ethics Committees 020
table end
PREAMBLE
Rehabilitation counselors are committed to facilitating the personal,
social, and economic independence of individuals with disabilities. In
fulfilling
this commitment, rehabilitation counselors work with people, programs,
institutions, and service delivery systems. Rehabilitation counselors
provide services
within the Scope of Practice for Rehabilitation Counseling (see the Scope of
Practice document) and recognize that both action and inaction can be
facilitating
or debilitating. It is essential that rehabilitation counselors demonstrate
adherence to ethical standards and ensure that the standards are enforced
vigorously.
The Code of Professional Ethics for Rehabilitation Counselors, henceforth
referred to as the Code, is designed to facilitate these goals.
The fundamental spirit of caring and respect with which the Code is written
is based upon five principles of ethical behavior1. These include autonomy,
beneficence, nonmaleficence, justice, and fidelity, as defined below:
Autonomy: To honor the right to make individual decisions.
Beneficence: To do good to others.
Nonmaleficence: To do no harm to others.
Justice: To be fair and give equally to others.
Fidelity: To be loyal, honest, and keep promises.
The primary obligation of rehabilitation counselors is to their clients,
defined in the Code as individuals with disabilities who are receiving
services
from rehabilitation counselors. Regardless of whether direct client contact
occurs or whether indirect services are provided, rehabilitation counselors
are obligated to adhere to the Code. At times, rehabilitation counseling
services may be provided to individuals other than those with disabilities,
such
as a student population. In all instances, the primary obligation remains
with the client and adherence to the Code is required.
The basic objective of the Code is to promote public welfare by specifying
ethical behavior expected of rehabilitation counselors. The Enforceable
Standards
within the Code are the exacting standards intended to provide guidance in
specific circumstances and will serve as the basis for processing ethical
complaints
initiated against certificants.
Rehabilitation counselors who violate the Code are subject to disciplinary
action. Since the use of the Certified Rehabilitation Counselor (CRC)
designation
is a privilege granted by the Commission on Rehabilitation Counselor
Certification (CRCC), CRCC reserves unto itself the power to suspend or to
revoke
the privilege or to approve other penalties for a violation. Disciplinary
penalties are imposed as warranted by the severity of the offense and its
attendant
circumstances. All disciplinary actions are undertaken in accordance with
published procedures and penalties designed to assure the proper enforcement
of the Code within the framework of due process and equal protection under
the law.
________________________________________
1 Beauchamp, T.L., & Childress, J.F. (1994), 4th Ed. Principles of
Biomedical Ethics. Oxford: Oxford University Press. Kitchener, K.S. (1984).
Ethics in
Counseling Psychology: Distinctions and Directions. Counseling
Psychologists, 12 (3), 43-55.
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ENFORCEABLE STANDARDS OF ETHICAL PRACTICE
SECTION A: THE COUNSELING RELATIONSHIP
A.1. CLIENT WELFARE
a.
DEFINITION OF CLIENT. The primary obligation of rehabilitation counselors
will be to their clients, defined as individuals with disabilities who are
receiving
services from rehabilitation counselors.
b.
REHABILITATION AND COUNSELING PLANS. Rehabilitation counselors will work
jointly with their clients in devising and revising integrated, individual
rehabilitation
and counseling plans that contain realistic and mutually agreed upon goals
and are consistent with abilities and circumstances of clients.
c.
CAREER AND EMPLOYMENT NEEDS. Rehabilitation counselors will work with their
clients in considering employment that is consistent with the overall
abilities,
vocational limitations, physical restrictions, psychological limitations,
general temperament, interest and aptitude patterns, social skills,
education,
general qualifications, and cultural and other relevant characteristics and
needs of clients. Rehabilitation counselors will neither place nor
participate
in placing clients in positions that will result in damaging the interest
and the welfare of clients, employers, or the public.
d.
AUTONOMY. Rehabilitation counselors will respect the autonomy of the client
if actions such as involuntary commitment or initiation of guardianship are
taken that diminish client autonomy. The assumption of responsibility for
decision-making on behalf of the client will be taken only after careful
deliberation.
The rehabilitation counselor will advocate for client resumption of
responsibility as quickly as possible.
A.2. RESPECTING DIVERSITY
a.
RESPECTING CULTURE. Rehabilitation counselors will demonstrate respect for
clients' cultural backgrounds.
b.
INTERVENTIONS. Rehabilitation counselors will develop and adapt
interventions and services to incorporate consideration of clients' cultural
perspectives
and recognition of barriers external to clients that may interfere with
achieving effective rehabilitation outcomes.
c.
NON-DISCRIMINATION. Rehabilitation counselors will not condone or engage in
discrimination based on age, color, culture, disability, ethnic group,
gender,
race, religion, sexual orientation, marital status, or socioeconomic status.
A.3. CLIENT RIGHTS
a.
DISCLOSURE TO CLIENTS. When counseling is initiated, and throughout the
counseling process as necessary, rehabilitation counselors will inform
clients,
preferably through both written and oral means, of their credentials, the
purposes, goals, techniques, procedures, limitations, potential risks, and
benefits
of services to be performed, and other pertinent information. Rehabilitation
counselors will take steps to ensure that clients understand the
implications
of diagnosis, the intended use of tests and reports, fees, and billing
arrangements. Clients have the right to (1) expect confidentiality and will
be provided
with an explanation of its limitations, including disclosure to supervisors
and/or treatment team professionals; (2) obtain clear information about
their
case records; (3) actively participate in the development and implementation
of rehabilitation counseling plans; and (4) refuse any recommended services
and be advised of the consequences of such refusal.
b.
THIRD PARTY REFERRAL. Rehabilitation counselors who have direct contact with
a client at the request of a third party will define the nature of their
relationships
and role to all rightful, legal parties with whom they have direct contact.
Direct contact is defined as any written, oral, or electronic communication.
Legal parties may include clients, legal guardians, referring third parties,
and attorneys actively involved in a matter directly related to
rehabilitation
services.
c.
INDIRECT SERVICE PROVISION. Rehabilitation counselors who are employed by
third parties as case consultants or expert witnesses, and who engage in
communication
with the individual with a disability, will fully disclose to the individual
with a disability and/or his or her designee their role and limits of their
relationship. Communication includes all forms of written or oral
interactions regardless of the type of communication tool used. When there
is no pretense
or intent to provide rehabilitation counseling services directly to the
individual with a disability, and where there will be no communication,
disclosure
by the rehabilitation counselor is not required. When serving as case
consultants or expert witnesses, rehabilitation counselors will provide
unbiased,
objective opinions. Rehabilitation counselors acting as expert witnesses
will generate written documentation, either in the form of case notes or a
report,
as to their involvement and/or conclusions.
d.
FREEDOM OF CHOICE. To the extent possible, rehabilitation counselors will
offer clients the freedom to choose whether to enter into a counseling
relationship
and to determine which professional(s) will provide counseling. Restrictions
that limit choices of clients will be fully explained. Rehabilitation
counselors
will honor the rights of clients to consent to participate and the right to
make decisions with regard to rehabilitation services. Rehabilitation
counselors
will inform clients or the clients' legal guardians of factors that may
affect decisions to participate in rehabilitation services, and they will
obtain
written consent or will acknowledge consent in writing after clients or
legal guardians are fully informed of such factors.
e.
INABILITY TO GIVE CONSENT. When counseling minors or persons unable to give
voluntary informed consent, rehabilitation counselors will obtain written
informed
consent from legally responsible parties. Where no legally responsible
parties exist, rehabilitation counselors will act in the best interest of
clients.
f.
INVOLVEMENT OF SIGNIFICANT OTHERS. Rehabilitation counselors will attempt to
enlist family understanding and involvement of family and/or significant
others
as a positive resource if (or when) appropriate. The client or legal
guardian's permission will be secured prior to any involvement of family
and/or significant
others.
A.4. PERSONAL NEEDS AND VALUES
In the counseling relationship, rehabilitation counselors will be 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.
A.5. SEXUAL INTIMACIES WITH CLIENTS
a.
CURRENT CLIENTS. Rehabilitation counselors will not have any type of sexual
intimacies with clients and will not counsel persons with whom they have had
a sexual relationship.
b.
FORMER CLIENTS. Rehabilitation counselors will not engage in sexual
intimacies with former clients within a minimum of 5 years after terminating
the counseling
relationship. Rehabilitation counselors who engage in such relationship
after 5 years following termination will have the responsibility to examine
and
document thoroughly that such relations do not have an exploitative nature,
based on factors such as duration of counseling, amount of time since
counseling,
termination circumstances, client's personal history and mental status,
adverse impact on the client, and actions by the counselor suggesting a plan
to
initiate a sexual relationship with the client after termination.
Rehabilitation counselors will seek peer consultation prior to engaging in a
sexual relationship
with a former client.
A.6. NON-PROFESSIONAL RELATIONSHIPS WITH CLIENTS
a.
POTENTIAL FOR HARM. Rehabilitation counselors will be aware of their
influential positions with respect to clients, and will avoid exploiting the
trust
and dependency of clients. Rehabilitation counselors will make every effort
to avoid non-professional relationships with clients that could impair
professional
judgment or increase the risk of harm to clients. (Examples of such
relationships include, but are not limited to, familial, social, financial,
business,
close personal relationships with clients, or volunteer or paid work within
an office in which the client is actively receiving services.) When a
non-professional
relationship cannot be avoided, rehabilitation counselors will take
appropriate professional precautions such as informed consent, consultation,
supervision,
and documentation to ensure that judgment is not impaired and no
exploitation occurs.
b.
SUPERIOR/SUBORDINATE RELATIONSHIPS. Rehabilitation counselors will not
accept as clients, superiors or subordinates with whom they have
administrative,
supervisory, or evaluative relationships.
A.7. MULTIPLE CLIENTS
When rehabilitation counselors agree to provide counseling services to two
or more persons who have a relationship (such as husband and wife, or
parents
and children), rehabilitation counselors will clarify at the outset, which
person or persons are clients and the nature of the relationships they will
have with each involved person. If it becomes apparent that rehabilitation
counselors may be called upon to perform potentially conflicting roles, they
will clarify, adjust, or withdraw from such roles appropriately.
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A.8. GROUP WORK
a.
SCREENING. Rehabilitation counselors will screen prospective group
counseling/therapy participants. To the extent possible, rehabilitation
counselors will
select members whose needs and goals are compatible with goals of the group,
who will not impede the group process, and whose well being will not be
jeopardized
by the group experience.
b.
PROTECTING CLIENTS. In a group setting, rehabilitation counselors will take
reasonable precautions to protect clients from physical or psychological
trauma.
A.9. TERMINATION AND REFERRAL
a.
ABANDONMENT PROHIBITED. Rehabilitation counselors will not abandon or
neglect clients in counseling. Rehabilitation counselors will assist in
making appropriate
arrangements for the continuation of treatment, when necessary, during
interruptions such as vacations, and following termination.
b.
INABILITY TO ASSIST CLIENTS. If rehabilitation counselors determine an
inability to be of professional assistance to clients, they will avoid
entering or
immediately terminate a counseling relationship.
c.
APPROPRIATE TERMINATION. Rehabilitation counselors will terminate a
counseling relationship, securing client agreement when possible, when it is
reasonably
clear that the client is no longer benefiting, when services are no longer
required, when counseling no longer serves the client's needs or interests,
or when there is failure to pay fees according to Section J of this
document.
d.
REFERRAL UPON TERMINATION. Rehabilitation counselors will be knowledgeable
about referral resources and suggest appropriate alternatives. If clients
decline
the suggested referral, rehabilitation counselors have the right to
discontinue the relationship.
A.10. COMPUTER TECHNOLOGY
a.
USE OF COMPUTERS. When computer applications are used in counseling
services, rehabilitation counselors will ensure that (1) the client is
intellectually,
emotionally, and physically capable of using the computer application; (2)
the computer application is appropriate for the needs of the client; (3) the
client understands the purpose and operation of the computer applications;
and (4) a follow-up of client use of a computer application is provided to
correct
possible misconceptions, discover inappropriate use, and assess subsequent
needs.
b.
EXPLANATION OF LIMITATIONS. Rehabilitation counselors will ensure that
clients are provided information as a part of the counseling relationship
that adequately
explains the limitations of computer technology.
c.
ACCESS TO COMPUTER APPLICATIONS. Rehabilitation counselors will provide
reasonable access to computer applications in counseling services.
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SECTION B: CONFIDENTIALITY
B.1. RIGHT TO PRIVACY
a.
RESPECT FOR PRIVACY. Rehabilitation counselors will respect clients' rights
to privacy and will avoid illegal and unwarranted disclosures of
confidential
information.
b.
CLIENT WAIVER. Rehabilitation counselors will respect the right of the
client or his/her legally recognized representative to waive the right to
privacy.
c.
EXCEPTIONS. When disclosure is required to prevent clear and imminent danger
to the client or others, or when legal requirements demand that confidential
information be revealed, the general requirement that rehabilitation
counselors keep information confidential will not apply. Rehabilitation
counselors
will consult with other professionals when in doubt as to the validity of an
exception.
d.
CONTAGIOUS, FATAL DISEASES. Rehabilitation counselors will become aware of
the legal requirements for disclosure of contagious and fatal diseases in
their
jurisdiction. In jurisdictions where allowable, a rehabilitation counselor
who receives information will confirm that a client has a disease known to
be
communicable and/or fatal. If allowable by law, the rehabilitation counselor
will disclose this information to a third party, who by his or her
relationship
with the client is at high risk of contracting the disease. Prior to
disclosure, the rehabilitation counselor will ascertain that the client has
not already
informed the third party about his or her disease and that the client is not
intending to inform the third party in the immediate future.
e.
COURT-ORDERED DISCLOSURE. When court ordered to release confidential
information without a client's permission, rehabilitation counselors will
request to
the court that the disclosure not be required due to potential harm to the
client or counseling relationship.
f.
MINIMAL DISCLOSURE. When circumstances require the disclosure of
confidential information, rehabilitation counselors will endeavor to reveal
only essential
information. To the extent possible, clients will be informed before
confidential information is disclosed.
g.
EXPLANATION OF LIMITATIONS. When counseling is initiated and throughout the
counseling process as necessary, rehabilitation counselors will inform
clients
of the limitations of confidentiality and will identify foreseeable
situations in which confidentiality must be breached.
h.
WORK ENVIRONMENT. Rehabilitation counselors will make every effort to ensure
that a confidential work environment exists and that subordinates including
employees, supervisees, clerical assistants, and volunteers maintain the
privacy and confidentiality of clients.
i.
TREATMENT TEAMS. If client treatment will involve the sharing of client
information among treatment team members, the client will be advised of this
fact
and will be informed of the team's existence and composition.
j
CLIENT ASSISTANTS. When a client is accompanied by an individual providing
assistance to the client (e.g., interpreter, personal care assistant, etc.),
rehabilitation counselors will ensure that the assistant is apprised of the
need to maintain confidentiality.
B.2. GROUPS AND FAMILIES
a.
GROUP WORK. In group work, rehabilitation counselors will clearly define
confidentiality and the parameters for the specific group being entered,
explain
its importance, and discuss the difficulties related to confidentiality
involved in group work. The fact that confidentiality cannot be guaranteed
will
be clearly communicated to group members.
b.
FAMILY COUNSELING. In family counseling, unless otherwise directed by law,
information about one family member will not be disclosed to another member
without
permission. Rehabilitation counselors will protect the privacy rights of
each family member.
B.3. RECORDS
a.
REQUIREMENT OF RECORDS. Rehabilitation counselors will maintain records
necessary for rendering professional services to their clients and as
required by
laws, regulations, or agency or institution procedures.
b.
CONFIDENTIALITY OF RECORDS. Rehabilitation counselors will be responsible
for securing the safety and confidentiality of any counseling records they
create,
maintain, transfer, or destroy whether the records are written, taped,
computerized, or stored in any other medium.
c.
PERMISSION TO RECORD OR OBSERVE. Rehabilitation counselors will obtain and
document written or recorded permission from clients prior to electronically
recording or observing sessions. When counseling clients who are minors or
individuals who are unable to give voluntary, informed consent, written or
recorded
permission of guardians must be obtained.
d.
CLIENT ACCESS. Rehabilitation counselors will recognize that counseling
records are kept for the benefit of clients, and therefore provide access to
records
and copies of records when requested by clients, unless prohibited by law.
In instances where the records contain information that may be sensitive or
detrimental to the client, the rehabilitation counselor has a responsibility
to adequately interpret such information to the client. In situations
involving
multiple clients, access to records will be limited to those parts of
records that do not include confidential information related to another
client.
e.
DISCLOSURE OR TRANSFER. Rehabilitation counselors will obtain written
permission from clients to disclose or transfer records to legitimate third
parties
unless exceptions to confidentiality exist as listed in Section B.1.
B.4. CONSULTATION
a.
RESPECT FOR PRIVACY. Information obtained in a consulting relationship will
be discussed for professional purposes only with persons clearly concerned
with
the case. Written and oral reports will present data germane to the purposes
of the consultation, and every effort will be made to protect client
identity
and to avoid undue invasion of privacy.
b.
COOPERATING AGENCIES. Before sharing information, rehabilitation counselors
will make efforts to ensure that there are defined policies in other
agencies
serving the counselor's clients that effectively protect the confidentiality
of information.
B.5. ALTERNATIVE COMMUNICATION
Rehabilitation counselors will make every effort to ensure that methods of
exchanging information that utilize alternative means of communication
(i.e.,
facsimile, cellular telephone, computer, or videoconferencing) will be
conducted in such a manner that ensures protection of client
confidentiality. If
confidentiality cannot be ensured, client or guardian permission must be
obtained.
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table end
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SECTION C: ADVOCACY AND ACCESSIBILITY
C.1. ADVOCACY
a.
ATTITUDINAL BARRIERS. Rehabilitation counselors will strive to eliminate
attitudinal barriers, including stereotyping and discrimination, toward
individuals
with disabilities and to increase their own awareness and sensitivity to
such individuals.
b.
ADVOCACY WITH COOPERATING AGENCIES. Rehabilitation counselors will remain
aware of actions taken by cooperating agencies on behalf of their clients
and
will act as advocates of such clients to ensure effective service delivery.
c.
EMPOWERMENT. Rehabilitation counselors will provide the client with
appropriate information and will support their efforts at self-advocacy both
on an individual
and an organizational level.
C.2. ACCESSIBILITY
a.
COUNSELING PRACTICE. Rehabilitation counselors will demonstrate, in their
practice, an appreciation of the need to provide necessary accommodations,
including
accessible facilities and services, to individuals with disabilities.
b.
BARRIERS TO ACCESS. Rehabilitation counselors will identify physical,
communication, and transportation barriers to clients and will communicate
information
on barriers to public and private authorities to facilitate removal of
barriers to access
c.
REFERRAL ACCESSIBILITY. Rehabilitation counselors, as advocates for
individuals with disabilities, will ensure, prior to referring clients to
programs,
facilities, or employment settings, that they are appropriately accessible.
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table end
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SECTION D: PROFESSIONAL RESPONSIBILITY
D.1. PROFESSIONAL COMPETENCE
a.
BOUNDARIES OF COMPETENCE. Rehabilitation counselors will practice only
within the boundaries of their competence, based on their education,
training, supervised
experience, state and national professional credentials, and appropriate
professional experience. Rehabilitation counselors will demonstrate a
commitment
to gain knowledge, personal awareness, sensitivity, and skills pertinent to
working with a diverse client population. Rehabilitation counselors will not
misrepresent their role or competence to clients.
b.
REFERRAL. Rehabilitation counselors will refer clients to other specialists
as the needs of the clients dictate.
c.
NEW SPECIALTY AREAS OF PRACTICE. Rehabilitation counselors will practice in
specialty areas new to them only after appropriate education, training, and
supervised experience. While developing skills in new specialty areas,
rehabilitation counselors will take steps to ensure the competence of their
work
and to protect clients from possible harm.
d.
RESOURCES. Rehabilitation counselors will ensure that the resources used or
accessed in counseling are credible and valid (e.g., web link, books used in
Bibliotherapy, etc.).
e.
QUALIFIED FOR EMPLOYMENT. Rehabilitation counselors will accept employment
only for positions for which they are qualified by education, training,
supervised
experience, state and national professional credentials, and appropriate
professional experience. Rehabilitation counselors will hire only
individuals
who are qualified and competent for professional rehabilitation counseling
positions.
f.
MONITOR EFFECTIVENESS. Rehabilitation counselors will take reasonable steps
to seek peer supervision to evaluate their efficacy as rehabilitation
counselors.
g.
ETHICAL ISSUES CONSULTATION. Rehabilitation counselors will take reasonable
steps to consult with other rehabilitation counselors or related
professionals
when they have questions regarding their ethical obligations or professional
practice.
h.
CONTINUING EDUCATION. Rehabilitation counselors will engage in continuing
education to maintain a reasonable level of awareness of current scientific
and
professional information in their fields of activity. They will take steps
to maintain competence in the skills they use, will be open to new
techniques,
and will develop and maintain competence for practice with the diverse
and/or special populations with whom they work.
i.
IMPAIRMENT. Rehabilitation counselors will refrain from offering or
rendering professional services when their physical, mental, or emotional
problems are
likely to harm the client or others. They will seek assistance for problems,
and, if necessary, will limit, suspend, or terminate their professional
responsibilities.
D.2. LEGAL STANDARDS
a.
LEGAL VERSUS ETHICAL. Rehabilitation counselors will obey the laws and
statutes of the legal jurisdiction in which they practice unless there is a
conflict
with the Code, in which case they should seek immediate consultation and
advice.
b.
LEGAL LIMITATIONS. Rehabilitation counselors will be familiar with and
observe the legal limitations of the services they offer to clients. They
will discuss
these limitations as well as all benefits available to clients they serve in
order to facilitate open, honest communication and avoid unrealistic
expectations.
D.3. ADVERTISING AND SOLICITING CLIENTS
a.
ACCURATE ADVERTISING. Advertising by rehabilitation counselors shall not be
restricted. Rehabilitation counselors will advertise or will represent their
services to the public by identifying their credentials in an accurate
manner that is not false, misleading, deceptive, or fraudulent.
Rehabilitation counselors
will only advertise the highest degree earned which is in counseling or a
closely related field from a college or university that was accredited when
the
degree was awarded by one of the regional accrediting bodies recognized by
the Council on Higher Education Accreditation.
b.
TESTIMONIALS. Rehabilitation counselors who use testimonials will not
solicit them from clients or other persons who, because of their particular
circumstances,
may be vulnerable to undue influence. Full disclosure of uses and the
informed consent of the client or guardian will be obtained. Use of
testimonials
will be for a specified and agreed upon period of time.
c.
STATEMENTS BY OTHERS. Rehabilitation counselors will make reasonable efforts
to ensure that statements made by others about them or the profession of
rehabilitation
counseling are accurate.
d.
RECRUITING THROUGH EMPLOYMENT. Employed rehabilitation counselors will not
use their institutional affiliations or relationship with their employers to
recruit clients, supervisees, or consultees for their separate private
practices.
e.
PRODUCTS AND TRAINING ADVERTISEMENTS. Rehabilitation counselors who develop
products related to their profession or conduct workshops or training events
will ensure that the advertisements concerning these products or events are
accurate and disclose adequate information for consumers to make informed
choices.
f.
PROMOTING TO THOSE SERVED. Rehabilitation counselors will not use
counseling, teaching, training, or supervisory relationships to promote
their products
or training events in a manner that is deceptive or would exert undue
influence on individuals who may be vulnerable. Rehabilitation counselors
may adopt
textbooks they have authored for instructional purposes.
D.4. CREDENTIALS
a.
CREDENTIALS CLAIMED. Rehabilitation counselors will claim or will imply only
professional credentials possessed and are responsible for correcting any
known
misrepresentations of their credentials by others. Professional credentials
include graduate degrees in counseling or closely related fields,
accreditation
of graduate programs, national voluntary certifications, government-issued
certifications or licenses, or any other credential that might indicate to
the
public specialized knowledge or expertise in counseling.
b.
CREDENTIAL GUIDELINES. Rehabilitation counselors will follow the guidelines
for use of credentials that have been established by the entities that issue
the credentials.
c.
MISREPRESENTATION OF CREDENTIALS. Rehabilitation counselors will not
attribute more to their credentials than the credentials represent, and will
not imply
that other rehabilitation counselors are not qualified because they do not
possess certain credentials.
d.
DOCTORAL DEGREES FROM OTHER FIELDS. Rehabilitation counselors who hold a
master's degree in counseling or a closely related field, but hold a
doctoral degree
from other than counseling or a closely related field, will not use the
title "Dr." in their practices and will not announce to the public in
relation
to their practice or status as a rehabilitation counselor that they hold a
doctorate.
D.5. CRC CREDENTIAL
a.
ACTING ON BEHALF OF CRCC. Certified Rehabilitation Counselors will not
write, speak, nor act in ways that lead others to believe the counselor is
officially
representing CRCC unless the Commission has granted permission in writing.
b.
SUPPORT OF CANDIDATES. Certified Rehabilitation Counselors will not initiate
or support the candidacy of an individual for certification by CRCC if the
individual is known to engage in professional practices that violate the
Code of Professional Ethics for Rehabilitation Counselors.
D.6. PUBLIC RESPONSIBILITY
a.
SEXUAL HARASSMENT. Rehabilitation counselors will not engage in sexual
harassment. Sexual harassment is defined as sexual solicitation, physical
advances,
or verbal or nonverbal conduct that is sexual in nature, that occurs in
connection with professional activities or roles, and that either (1) the
rehabilitation
counselor knows or is told the act is unwelcome, offensive, or creates a
hostile workplace environment; or (2) is sufficiently severe or intense to
be
perceived as harassment to a reasonable person within the context in which
it occurs. Sexual harassment may consist of a single intense or severe act
or
multiple persistent or pervasive acts.
b.
REPORTS TO THIRD PARTIES. Rehabilitation counselors will be accurate,
timely, and objective in reporting their professional activities and
opinions to appropriate
third parties including courts, health insurance companies, those who are
the recipients of evaluation reports, and others.
c.
MEDIA PRESENTATIONS. When rehabilitation counselors provide advice or
comment by means of public lectures, demonstrations, radio or television
programs,
prerecorded tapes, printed articles, mailed material, or other media, they
will take reasonable precautions to ensure that (1) the statements are based
on appropriate professional counseling literature and practice; (2) the
statements are otherwise consistent with the Code of Professional Ethics for
Rehabilitation
Counselors; and (3) the recipients of the information are not encouraged to
infer that a professional rehabilitation counseling relationship has been
established.
d.
CONFLICTS OF INTEREST. Rehabilitation counselors will not use their
professional positions to seek or receive unjustified personal gains, sexual
favors,
unfair advantage, or unearned goods or services.
e.
DISHONESTY. Rehabilitation counselors will not engage in any act or omission
of a dishonest, deceitful or fraudulent nature in the conduct of their
professional
activities.
D.7. RESPONSIBILITY TO OTHER PROFESSIONALS
a.
DISPARAGING COMMENTS. Rehabilitation counselors will not discuss in a
disparaging way the competency of other professionals or agencies, or the
findings
made, the methods used, or the quality of rehabilitation plans.
b.
PERSONAL PUBLIC STATEMENTS. When making personal statements in a public
context, rehabilitation counselors will clarify that they are speaking from
their
personal perspectives and that they are not speaking on behalf of all
rehabilitation counselors or the profession.
c.
CLIENTS SERVED BY OTHERS. When rehabilitation counselors learn that their
clients have an ongoing professional relationship with another
rehabilitation
or treating professional, they will request release from clients to inform
the other professionals and strive to establish positive and collaborative
professional
relationships. File reviews, second-opinion services, and other indirect
services are not considered ongoing professional services.
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SECTION E: RELATIONSHIPS WITH OTHER PROFESSIONALS
E.1. RELATIONSHIPS WITH EMPLOYERS AND EMPLOYEES
a.
NEGATIVE CONDITIONS. Rehabilitation counselors will alert their employers to
conditions that may be potentially disruptive or damaging to the counselor's
professional responsibilities or that may limit their effectiveness.
b.
EVALUATION. Rehabilitation counselors will submit regularly to professional
review and evaluation by their supervisor or the appropriate representative
of the employer.
c.
DISCRIMINATION. Rehabilitation counselors, as either employers or employees,
will engage in fair practices with regard to hiring, promotion, or training.
d.
EXPLOITATIVE RELATIONSHIPS. Rehabilitation counselors will not engage in
exploitative relationships with individuals over whom they have supervisory,
evaluative,
or instructional control or authority.
e.
EMPLOYER POLICIES. In those instances where rehabilitation counselors are
critical of policies, they will attempt to affect change through
constructive
action within the organization. Where such change cannot be affected,
rehabilitation counselors will take appropriate further action. Such action
may include
referral to appropriate certification, accreditation, or state licensure
organizations or termination of employment.
E.2. CONSULTATION
a.
CONSULTATION AS AN OPTION. Rehabilitation counselors may choose to consult
with professionally competent persons about their clients. In choosing
consultants,
rehabilitation counselors will avoid placing the consultant in a conflict of
interest situation that will preclude the consultant from being a proper
party
to the counselor's efforts to help the client. If rehabilitation counselors
are engaged in a work setting that compromises this consultation standard,
they will consult with other professionals whenever possible to consider
justifiable alternatives.
b.
CONSULTANT COMPETENCY. Rehabilitation counselors will be reasonably certain
that they have, or the organization represented has, the necessary
competencies
and resources for giving the kind of consulting services needed and that
appropriate referral resources are available.
E.3. AGENCY AND TEAM RELATIONSHIPS
a.
CLIENT AS A TEAM MEMBER. Rehabilitation counselors will ensure that clients
and/or their legally recognized representative are afforded the opportunity
for full participation in their own treatment team.
b.
COMMUNICATION. Rehabilitation counselors will ensure that there is fair
mutual understanding of the rehabilitation plan by all agencies cooperating
in the
rehabilitation of clients and that any rehabilitation plan is developed with
such mutual understanding.
c.
DISSENT. Rehabilitation counselors will abide by and help to implement team
decisions in formulating rehabilitation plans and procedures, even when not
personally agreeing with such decisions, unless these decisions breach the
Code.
d.
REPORTS. Rehabilitation counselors will attempt to secure from other
specialists appropriate reports and evaluations, when such reports are
essential for
rehabilitation planning and/or service delivery.
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SECTION F: EVALUATION, ASSESSMENT, AND INTERPRETATION
F.1. INFORMED CONSENT
a.
EXPLANATION TO CLIENTS. Prior to assessment, rehabilitation counselors will
explain the nature and purposes of assessment and the specific use of
results
in language the client (or other legally authorized person on behalf of the
client) can understand. Regardless of whether scoring and interpretation are
completed by rehabilitation counselors, by assistants, or by computer or
other outside services, rehabilitation counselors will take reasonable steps
to
ensure that appropriate explanations are given to the client.
b.
RECIPIENTS OF RESULTS. The client's welfare, explicit understanding, and
prior agreement will determine the recipients of test results.
Rehabilitation counselors
will include accurate and appropriate interpretations with any release of
test results.
F.2. RELEASE OF INFORMATION TO COMPETENT PROFESSIONALS
a.
MISUSE OF RESULTS. Rehabilitation counselors will not misuse assessment
results, including test results and interpretations, and will take
reasonable steps
to prevent the misuse of such by others.
b.
RELEASE OF RAW DATA. Rehabilitation counselors will ordinarily release data
(e.g., protocols, counseling or interview notes, or questionnaires) in which
the client is identified only with the consent of the client or the client's
legal representative. Such data will be released only to persons recognized
by rehabilitation counselors as competent to interpret the data.
F.3. RESEARCH AND TRAINING
a.
DATA DISGUISE REQUIRED. Use of data derived from counseling relationships
for purposes of training, research, or publication will be confined to
content
that is disguised to ensure the anonymity of the individuals involved.
b.
AGREEMENT FOR IDENTIFICATION. Identification of a client in a presentation
or publication will be permissible only when the client has agreed in
writing
to its presentation or publication.
F.4. PROPER DIAGNOSIS OF MENTAL DISORDERS
a.
PROPER DIAGNOSIS. Rehabilitation counselors qualified to provide proper
diagnosis of mental disorders will take special care when doing so.
Assessment techniques
(including personal interview) used to determine client care (e.g., locus of
treatment, type of treatment, or recommended follow-up) will be carefully
selected and appropriately used.
b.
CULTURAL SENSITIVITY. Disability, socioeconomic, and cultural experience of
clients will be considered when diagnosing mental disorders.
F.5. COMPETENCE TO USE AND INTERPRET TESTS
a.
LIMITS OF COMPETENCE. Rehabilitation counselors will recognize the limits of
their competence and perform only those testing and assessment services for
which they have been trained. They will be familiar with reliability,
validity, related standardization, error of measurement, and proper
application of
any technique utilized. Rehabilitation counselors using computer-based test
interpretations will be trained in the construct being measured and the
specific
instrument being used prior to using this type of computer application.
Rehabilitation counselors will take reasonable measures to ensure the proper
use
of psychological assessment techniques by persons under their supervision.
b.
APPROPRIATE USE. Rehabilitation counselors will be responsible for the
appropriate application, scoring, interpretation, and use of assessment
instruments,
whether they score and interpret such tests themselves or use computerized
or other services.
c.
DECISIONS BASED ON RESULTS. Rehabilitation counselors will be responsible
for decisions involving individuals or policies that are based on assessment
results
and will have a thorough understanding of educational and psychological
measurement, including validation criteria, test research, and guidelines
for test
development and use.
d.
ACCURATE INFORMATION. Rehabilitation counselors will provide accurate
information and avoid false claims or misconceptions when making statements
about
assessment instruments or techniques. Special efforts will be made to avoid
utilizing test results to make inappropriate diagnoses or inferences.
F.6. TEST SELECTION
a.
APPROPRIATENESS OF INSTRUMENTS. Rehabilitation counselors will carefully
consider the validity, reliability, psychometric limitations, and
appropriateness
of instruments when selecting tests for use in a given situation or with a
particular client.
b.
REFERRAL INFORMATION. If a client is referred to a third party provider for
testing, the rehabilitation counselor will provide specific referral
questions
and sufficient objective data about the client so as to ensure that
appropriate test instruments are utilized.
c.
CULTURALLY DIVERSE POPULATIONS. Rehabilitation counselors will be cautious
when selecting tests for disability or culturally diverse populations to
avoid
inappropriateness of testing that may be outside of socialized behavioral or
cognitive patterns or functional abilities.
d.
NORM DIVERGENCE. Rehabilitation counselors will be cautious in using
assessment techniques, making evaluations, and interpreting the performance
of populations
not represented in the norm group on which an instrument was standardized
and will disclose such information.
F.7. CONDITIONS OF TEST ADMINISTRATION
a.
ADMINISTRATION CONDITIONS. Rehabilitation counselors will administer tests
under the same conditions that were established in the test standardization.
When tests are not administered under standard conditions, as may be
necessary to accommodate modifications for clients with disabilities or when
unusual
behavior or irregularities occur during the testing session, those
conditions will be noted in interpretation.
b.
COMPUTER ADMINISTRATION. When a computer or other electronic methods are
used for test administration, rehabilitation counselors will be responsible
for
ensuring that programs function properly to provide clients with accurate
results.
c.
UNSUPERVISED TEST-TAKING. Rehabilitation counselors will not permit
unsupervised or inadequately supervised use of tests or assessments unless
the tests
or assessments are designed, intended, and validated for self-administration
and/or scoring.
F.8. TEST SCORING AND INTERPRETATION
a.
REPORTING RESERVATIONS. In reporting assessment results, rehabilitation
counselors will indicate any reservations that exist regarding validity or
reliability
because of the circumstances of the assessment or the inappropriateness of
the norms for the person tested.
b.
DIVERSITY IN TESTING. Rehabilitation counselors will place test results and
their interpretations in proper perspective considering other relevant
factors
including age, color, culture, disability, ethnic group, gender, race,
religion, sexual orientation, marital status, and socioeconomic status.
c.
RESEARCH INSTRUMENTS. Rehabilitation counselors will exercise caution when
interpreting the results of research instruments possessing insufficient
technical
data to support respondent results. The specific purposes for the use of
such instruments will be stated explicitly to the examinee.
d.
TESTING SERVICES. Rehabilitation counselors who provide test scoring and
test interpretation services to support the assessment process will confirm
the
validity of such interpretations. The interpretation of assessment data will
be related to the particular goals of evaluation. Rehabilitation counselors
will accurately describe the purpose, norms, validity, reliability, and
applications of the procedures and any special qualifications applicable to
their
use.
e.
AUTOMATED TESTING SERVICES. The public offering of an automated test
interpretation service will be considered a professional-to-professional
consultation.
The formal responsibility of the consultant will be to the consultee, but
the ultimate and overriding responsibility will be to the client.
F.9. TEST SECURITY
Rehabilitation counselors will maintain the integrity and security of tests
and other assessment techniques consistent with legal and contractual
obligations.
Rehabilitation counselors will not appropriate, reproduce, or modify
published tests or parts thereof without acknowledgment and permission from
the publisher.
F.10. OBSOLETE TESTS AND OUTDATED TEST RESULTS
Rehabilitation counselors will not use data or test results that are
obsolete or outdated for the current purpose. Rehabilitation counselors will
make every
effort to prevent the misuse of obsolete measures and test data by others.
F.11. TEST CONSTRUCTION
Rehabilitation counselors will use established scientific procedures,
relevant standards, and current professional knowledge for test design in
the development,
publication, and utilization of educational and psychological assessment
techniques.
F.12. FORENSIC EVALUATION
When providing forensic evaluations, the primary obligation of
rehabilitation counselors will be to produce objective findings that can be
substantiated
based on information and techniques appropriate to the evaluation, which may
include examination of the individual with a disability and/or review of
records.
Rehabilitation counselors will define the limits of their reports or
testimony, especially when an examination of the individual with a
disability has
not been conducted.
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SECTION G: TEACHING, TRAINING, AND SUPERVISION
G.1. REHABILITATION COUNSELOR EDUCATORS AND TRAINERS
a.
RELATIONSHIP BOUNDARIES WITH STUDENTS AND SUPERVISEES. Rehabilitation
counselors will clearly define and maintain ethical, professional, and
social relationship
boundaries with their students and supervisees. They will be aware of the
differential in power that exists and the student or supervisee's possible
incomprehension
of that power differential. Rehabilitation counselors will explain to
students and supervisees the potential for the relationship to become
exploitive.
b.
SEXUAL RELATIONSHIPS. Rehabilitation counselors will not engage in sexual
relationships with students or supervisees and will not subject them to
sexual
harassment.
c.
SUPERVISION PREPARATION. Rehabilitation counselors will supervise only
within the boundaries of their competence, based on their education,
training, supervised
experience, state and national professional credentials, and appropriate
professional experience. Rehabilitation counselors who are doctoral students
serving
as practicum or internship supervisors will be adequately prepared and
supervised by the training program.
d.
RESPONSIBILITY FOR SERVICES TO CLIENTS. Rehabilitation counselors who
supervise the rehabilitation counseling services of others will perform
direct supervision
sufficient to ensure that rehabilitation counseling services provided to
clients are adequate and do not cause harm to the client.
e.
ENDORSEMENT. Rehabilitation counselors will not endorse students or
supervisees for certification, licensure, employment, or completion of an
academic or
training program if they believe students or supervisees are not qualified
for the endorsement. Rehabilitation counselors will take reasonable steps to
assist students or supervisees who are not qualified for endorsement to
become qualified.
G.2. REHABILITATION COUNSELOR EDUCATION AND TRAINING PROGRAMS
a.
ORIENTATION. Prior to admission, rehabilitation counselor educators will
orient prospective students to the counselor education or training program's
expectations,
including but not limited to the following: (1) the type and level of skill
acquisition required for successful completion of the training, (2) subject
matter to be covered, (3) basis for evaluation, (4) training components that
encourage self-growth or self-disclosure as part of the training process,
(5) the type of supervision settings and requirements of the sites for
required clinical field experiences, (6) student evaluation and dismissal
policies
and procedures, and (7) up-to-date employment prospects for graduates.
b.
EVALUATION. Rehabilitation counselor educators will clearly state, in
advance of training, to students and internship supervisees, the levels of
competency
expected, appraisal methods, and timing of evaluations for both didactic and
experiential components. Rehabilitation counselor educators will provide
students
and internship supervisees with periodic performance appraisal and
evaluation feedback throughout the training program.
c.
TEACHING ETHICS. Rehabilitation counselor educators will teach students and
internship supervisees the ethical responsibilities and standards of the
profession
and the students' and supervisees' professional ethical responsibilities.
d.
PEER RELATIONSHIPS. When students are assigned to lead counseling groups or
provide clinical supervision for their peers, rehabilitation counselor
educators
will take steps to ensure that students placed in these roles do not have
personal or adverse relationships with peers and that they understand they
have
the same ethical obligations as counselor educators, trainers, and
supervisors. Rehabilitation counselor educators will make every effort to
ensure that
the rights of peers are not compromised when students are assigned to lead
counseling groups or provide clinical supervision.
e.
VARIED THEORETICAL POSITIONS. Rehabilitation counselor educators will
present varied theoretical positions so that students may make comparisons
and have
opportunities to develop their own positions. Rehabilitation counselor
educators will provide information concerning the scientific bases of
professional
practice.
f.
FIELD PLACEMENTS. Rehabilitation counselor educators will develop clear
policies within their training program regarding field placement and other
clinical
experiences. Rehabilitation counselor educators will provide clearly stated
roles and responsibilities for the student and the site supervisor.
Rehabilitation
counselor educators will confirm that site supervisors will be qualified to
provide supervision and are informed of their professional and ethical
responsibilities
in this role. Rehabilitation counselor educators will not accept any form of
professional services, fees, commissions, reimbursement, or remuneration
from
a site for student placement.
g.
DIVERSITY IN PROGRAMS. Rehabilitation counselor educators will respond to
their institution and program's recruitment and retention needs for training
program
administrators, faculty, and students with diverse backgrounds and special
needs.
G.3. STUDENTS AND SUPERVISEES
a.
LIMITATIONS. Rehabilitation counselors, through ongoing evaluation and
appraisal, will be aware of the academic and personal limitations of
students and
supervisees that might impede performance. Rehabilitation counselors will
assist students and supervisees in securing remedial assistance when needed,
and will dismiss students or supervisees who are unable to provide competent
service due to academic or personal limitations. Rehabilitation counselors
will seek professional consultation and document their decision to dismiss
or to refer students or supervisees for assistance. Rehabilitation
counselors
will advise students and supervisees of appeals processes as appropriate.
b.
SELF-GROWTH EXPERIENCES. Rehabilitation counselor educators, when designing
training groups or other experiences conducted by the rehabilitation
counselor
educators themselves, will inform students of the potential risks of
self-disclosure. Rehabilitation counselor educators will respect the privacy
of students
by not requiring self-disclosure that could reasonably be expected to be
harmful and student evaluation criteria will not include the level of the
student's
self-disclosure.
c.
COUNSELING FOR STUDENTS AND SUPERVISEES. If students or supervisees request
counseling, supervisors or rehabilitation counselor educators will provide
them
with acceptable referrals. Supervisors or rehabilitation counselor educators
will not serve as rehabilitation counselors to students or supervisees over
whom they hold administrative, teaching, or evaluative roles unless this is
a brief role associated with a training experience.
d.
CLIENTS OF STUDENTS AND SUPERVISEES. Rehabilitation counselors will make
every effort to ensure that clients are aware of the services rendered and
the
qualifications of the students and supervisees rendering those services.
Clients will receive professional disclosure information and will be
informed
of the limits of confidentiality. Client permission will be obtained in
order for the students and supervisees to use any information concerning the
counseling
relationship in the training process.
e.
PROFESSIONAL DEVELOPMENT. Rehabilitation counselors who employ or supervise
individuals will provide appropriate working conditions, timely evaluations,
constructive consultations, and suitable opportunities for experience and
training.
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SECTION H: RESEARCH AND PUBLICATION
H.1. RESEARCH RESPONSIBILITIES
a.
USE OF HUMAN PARTICIPANTS. Rehabilitation counselors will plan, design,
conduct, and report research in a manner that reflects cultural sensitivity,
is
culturally appropriate, and is consistent with pertinent ethical principles,
federal and state/provincial laws, host institutional regulations, and
scientific
standards governing research with human participants.
b.
DEVIATION FROM STANDARD PRACTICES. Rehabilitation counselors will seek
consultation and observe stringent safeguards to protect the rights of
research participants
when a research problem suggests a deviation from standard acceptable
practices.
c.
PRECAUTIONS TO AVOID INJURY. Rehabilitation counselors who conduct research
with human participants will be responsible for the participants' welfare
throughout
the research and will take reasonable precautions to avoid causing injurious
psychological, physical, or social effects to their participants.
d.
PRINCIPAL RESEARCHER RESPONSIBILITY. While ultimate responsibility for
ethical research practice lies with the principal researcher, rehabilitation
counselors
involved in the research activities will share ethical obligations and bear
full responsibility for their own actions.
e.
MINIMAL INTERFERENCE. Rehabilitation counselors will take precautions to
avoid causing disruptions in participants' lives due to participation in
research.
f.
DIVERSITY. Rehabilitation counselors will be sensitive to diversity and
research issues with culturally diverse populations and they will seek
consultation
when appropriate.
H.2. INFORMED CONSENT
a.
TOPICS DISCLOSED. In obtaining informed consent for research, rehabilitation
counselors will use language that is understandable to research participants
and that (1) accurately explains the purpose and procedures to be followed;
(2) identifies any procedures that are experimental or relatively untried;
(3) describes the attendant discomforts and risks; (4) describes the
benefits or changes in individuals or organizations that might reasonably be
expected;
(5) discloses appropriate alternative procedures that would be advantageous
for participants; (6) offers to answer any inquiries concerning the
procedures;
(7) describes any limitations of confidentiality; and (8) instructs that
participants are free to withdraw their consent and to discontinue
participation
in the project at any time.
b.
DECEPTION. Rehabilitation counselors will not conduct research involving
deception unless alternative procedures are not feasible and the prospective
value
of the research justifies the deception. When the methodological
requirements of a study necessitate concealment or deception, the
investigator will be
required to explain clearly the reasons for this action as soon as possible.
c.
VOLUNTARY PARTICIPATION. Participation in research is typically voluntary
and without any penalty for refusal to participate. Involuntary
participation
will be appropriate only when it can be demonstrated that participation will
have no harmful effects on participants and is essential to the
investigation.
d.
CONFIDENTIALITY OF INFORMATION. Information obtained about research
participants during the course of an investigation will be confidential.
When the possibility
exists that others may obtain access to such information, ethical research
practice requires that the possibility, together with the plans for
protecting
confidentiality, will be explained to participants as a part of the
procedure for obtaining informed consent.
e.
PERSONS INCAPABLE OF GIVING INFORMED CONSENT. When a person is incapable of
giving informed consent, rehabilitation counselors will provide an
appropriate
explanation, obtain agreement for participation, and obtain appropriate
consent from a legally authorized person.
f.
COMMITMENTS TO PARTICIPANTS. Rehabilitation counselors will take reasonable
measures to honor all commitments to research participants.
g.
EXPLANATIONS AFTER DATA COLLECTION. After data are collected, rehabilitation
counselors will provide participants with full clarification of the nature
of the study to remove any misconceptions. Where scientific or human values
justify delaying or withholding information, rehabilitation counselors will
take reasonable measures to avoid causing harm.
h.
AGREEMENTS TO COOPERATE. Rehabilitation counselors who agree to cooperate
with another individual in research or publication will incur an obligation
to
cooperate as agreed.
i.
INFORMED CONSENT FOR SPONSORS. In the pursuit of research, rehabilitation
counselors will give sponsors, institutions, and publication channels the
same
opportunity for giving informed consent that they accord to individual
research participants. Rehabilitation counselors will be aware of their
obligation
to future researchers and will ensure that host institutions are given
feedback information and proper acknowledgment.
H.3. REPORTING RESULTS
a.
INFORMATION AFFECTING OUTCOME. When reporting research results,
rehabilitation counselors will explicitly mention all variables and
conditions known to
the investigator that may have affected the outcome of a study or the
interpretation of data.
b.
ACCURATE RESULTS. Rehabilitation counselors will plan, conduct, and report
research accurately and in a manner that minimizes the possibility that
results
will be misleading. They will provide thorough discussions of the
limitations of their data and alternative hypotheses. Rehabilitation
counselors will
not engage in fraudulent research, distort data, misrepresent data, or
deliberately bias their results.
c.
OBLIGATION TO REPORT UNFAVORABLE RESULTS. Rehabilitation counselors will
make available the results of any research judged to be of professional
value even
if the results reflect unfavorably on institutions, programs, services,
prevailing opinions, or vested interests.
d.
IDENTITY OF PARTICIPANTS. Rehabilitation counselors who supply data, aid in
the research of another person, report research results, or make original
data
available will take due care to disguise the identity of respective
participants in the absence of specific authorization from the participants
to do otherwise.
e.
REPLICATION STUDIES. Rehabilitation counselors will be obligated to make
sufficient original research data available to qualified professionals who
may
wish to replicate the study.
H.4. PUBLICATION
a.
RECOGNITION OF OTHERS. When conducting and reporting research,
rehabilitation counselors will be familiar with and give recognition to
previous work on
the topic, observe copyright laws, and give full credit to those to whom
credit is due.
b.
CONTRIBUTORS. Rehabilitation counselors will give credit through joint
authorship, acknowledgment, footnote statements, or other appropriate means
to those
who have contributed significantly to research or concept development in
accordance with such contributions. The principal contributor will be listed
first
and minor technical or professional contributions are acknowledged in notes
or introductory statements.
c.
STUDENT RESEARCH. For an article that is substantially based on a student's
dissertation or thesis, the student will be listed as the principal author.
d.
DUPLICATE SUBMISSION. Rehabilitation counselors will submit manuscripts for
consideration to only one journal at a time. Manuscripts that are published
in whole or in substantial part in another journal or published work will
not be submitted for publication without acknowledgment and permission from
the
previous publication.
e.
PROFESSIONAL REVIEW. Rehabilitation counselors who review material submitted
for publication, research, or other scholarly purposes will respect the
confidentiality
and proprietary rights of those who submitted it.
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SECTION I: ELECTRONIC COMMUNICATION AND EMERGING APPLICATIONS
I.1. COMMUNICATION
a.
COMMUNICATION TOOLS. Rehabilitation counselors will be held to the same
level of expected behavior as defined by the Code of Professional Ethics for
Rehabilitation
Counselors regardless of the form of communication they choose to use (i.e.,
cellular phones, electronic mail, facsimile, video, audio-visual).
b.
IMPOSTERS. In situations where it is difficult to verify the identity of the
rehabilitation counselor, the client, or the client's guardian,
rehabilitation
counselors will take steps to address imposter concerns, such as using code
words, numbers, or graphics.
c.
CONFIDENTIALITY. Rehabilitation counselors will ensure that clients are
provided sufficient information to adequately address and explain the limits
of:
(1) computer technology in the counseling process in general; and (2) the
difficulties of ensuring complete client confidentiality of information
transmitted
through electronic communication over the Internet through on-line
counseling.
I.2. COUNSELING RELATIONSHIP
a.
ETHICAL/LEGAL REVIEW. Rehabilitation counselors will review pertinent legal
and ethical codes for possible violations emanating from the practice of
distance
counseling and supervision. Distance counseling is defined as any counseling
that occurs at a distance through electronic means, such as web-counseling,
tele-counseling, or video-counseling.
b.
SECURITY. Rehabilitation counselors will use encryption methods whenever
possible. If encryption is not made available to clients, clients must be
informed
of the potential hazards of unsecured communication on the Internet. Hazards
may include authorized or unauthorized monitoring of transmissions and/or
records of sessions.
c.
RECORDS PRESERVATION. Rehabilitation counselors will inform clients whether
the records are being preserved, how they are being preserved, and how long
the records are being maintained.
d.
SELF-DESCRIPTION. Rehabilitation counselors will provide information about
themselves as would be available if the counseling were to take place
face-to-face
(e.g., possibly ethnicity or gender).
e.
CONSUMER PROTECTION. Rehabilitation counselors will provide information to
the client regarding all appropriate certification bodies and licensure
boards
to facilitate consumer protection, such as links to websites.
f.
CRISIS CONTACT. Rehabilitation counselors will provide the name of at least
one agency or counselor-on-call for purposes of crisis intervention within
the
client's geographical region.
g.
UNAVAILABILITY. Rehabilitation counselors will provide clients with
instructions for contacting them when they are unavailable through
electronic means.
h.
INAPPROPRIATE USE. Rehabilitation counselors will mention at their websites
or in their initial contacts with potential clients those presenting
problems
they believe to be inappropriate for distance counseling.
i.
TECHNICAL FAILURE. Rehabilitation counselors will explain to clients the
possibility of technology failure and will provide an alternative means of
communication.
j.
POTENTIAL MISUNDERSTANDINGS. Rehabilitation counselors will explain to
clients how to prevent and address potential misunderstandings arising from
the lack
of visual cues and voice intonations from the counselor or client.
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table end
Table with 2 columns and 17 rows
SECTION J: BUSINESS PRACTICES
J.1. BILLING
Rehabilitation counselors will establish and maintain billing records that
accurately reflect the services provided and the time engaged in the
activity,
and that clearly identify who provided the service.
J.2. TERMINATION
Rehabilitation counselors in fee for service relationships may terminate
services with clients due to nonpayment of fees under the following
conditions:
a) the client was informed of payment responsibilities and the effects of
nonpayment or the termination of payment by a third party, and b) the client
does not pose an imminent danger to self or others. As appropriate,
rehabilitation counselors will refer clients to another qualified
professional to address
issues unresolved at the time of termination.
J.3. CLIENT RECORDS
a.
ACCURATE DOCUMENTATION. Rehabilitation counselors will establish and will
maintain documentation that accurately reflects the services provided and
that
identifies who provided the service. If case notes need to be altered, it
will be done so in a manner that preserves the original note and will be
accompanied
by the date of change, information that identifies who made the change, and
the rationale for the change.
b.
SUFFICIENT DOCUMENTATION. Rehabilitation counselors will provide sufficient
documentation in a timely manner (e.g., case notes, reports, plans).
c.
PRIVACY. Documentation generated by rehabilitation counselors will protect
the privacy of clients to the extent that it is possible and appropriate,
and
will include only relevant information.
d.
MAINTENANCE. Rehabilitation counselors will maintain records necessary for
rendering professional services to their clients and as required by
applicable
laws, regulations, or agency/institution procedures. Subsequent to file
closure, records will be maintained for the number of years consistent with
jurisdictional
requirements or for a longer period during which maintenance of such records
is necessary or helpful to provide reasonably anticipated future services
to the client. After that time, records will be destroyed in a manner
assuring preservation of confidentiality.
J.4. FEES AND BARTERING
a.
ADVANCE UNDERSTANDING. Rehabilitation counselors will clearly explain to
clients, prior to entering the counseling relationship, all financial
arrangements
related to professional services including the use of collection agencies or
legal measures for nonpayment.
b.
ESTABLISHING FEES. In establishing fees for professional rehabilitation
counseling services, rehabilitation counselors will consider the financial
status
and locality of clients. In the event that the established fee structure is
inappropriate for a client, assistance will be provided in attempting to
find
comparable services of acceptable cost.
c.
BARTERING DISCOURAGED. Rehabilitation counselors will ordinarily refrain
from accepting goods or services from clients in return for rehabilitation
counseling
services because such arrangements create inherent potential for conflicts,
exploitation, and distortion of the professional relationship.
Rehabilitation
counselors will participate in bartering only if the relationship is not
exploitative, if the client requests it, if a clear written contract is
established,
and if such arrangements are an accepted practice in the client's community
or culture.
J.5. FEES FOR REFERRAL
a.
ACCEPTING FEES FROM AGENCY CLIENTS. Rehabilitation counselors will not
accept a private fee or other remuneration for rendering services to persons
who
are entitled to such services through the rehabilitation counselor's
employing agency or institution. However, the policies of a particular
agency may
make explicit provisions for agency clients to receive rehabilitation
counseling services from members of its staff in private practice. In such
instances,
the clients will be informed of other options open to them should they seek
private rehabilitation counseling services.
b.
REFERRAL FEES. Rehabilitation counselors will neither give nor receive
commissions, rebates or any other form of remuneration when referring
clients for
professional services.
Back to contents
table end
Table with 2 columns and 14 rows
SECTION K: RESOLVING ETHICAL ISSUES
K.1. KNOWLEDGE OF STANDARDS
Rehabilitation counselors are responsible for learning the Code and should
seek clarification of any standard that is not understood. Lack of knowledge
or misunderstanding of an ethical responsibility will not be used as a
defense against a charge of unethical conduct.
K.2. SUSPECTED VIOLATIONS
a.
CONSULTATION. When uncertain as to whether a particular situation or course
of action may be in violation of the Code of Professional Ethics for
Rehabilitation
Counselors, rehabilitation counselors will consult with other rehabilitation
counselors who are knowledgeable about ethics, with colleagues, and/or with
appropriate authorities, such as CRCC, state licensure boards, or legal
counsel.
b.
ORGANIZATION CONFLICTS. If the demands of an organization with which
rehabilitation counselors are affiliated pose a conflict with the Code of
Professional
Ethics for Rehabilitation Counselors, rehabilitation counselors will specify
the nature of such conflicts and express to their supervisors or other
responsible
officials their commitment to the Code of Professional Ethics for
Rehabilitation Counselors. When possible, rehabilitation counselors will
work toward
change within the organization to allow full adherence to the Code of
Professional Ethics for Rehabilitation Counselors.
c.
INFORMAL RESOLUTION. When rehabilitation counselors have reasonable cause to
believe that another rehabilitation counselor is violating an ethical
standard,
they will attempt to resolve the issue informally with the other
rehabilitation counselor if feasible, providing that such action does not
violate confidentiality
rights that may be involved.
d.
REPORTING SUSPECTED VIOLATIONS. When an informal resolution is not
appropriate or feasible, rehabilitation counselors, upon reasonable cause,
will take
action such as reporting the suspected ethical violation to state or
national ethics committees or CRCC, unless this action conflicts with
confidentiality
rights that cannot be resolved.
e.
UNWARRANTED COMPLAINTS. Rehabilitation counselors will not initiate,
participate in, or encourage the filing of ethics complaints that are
unwarranted or
intended to harm a rehabilitation counselor rather than to protect clients
or the public.
K.3. COOPERATION WITH ETHICS COMMITTEES
Rehabilitation counselors will assist in the process of enforcing the Code
of Professional Ethics for Rehabilitation Counselors. Rehabilitation
counselors
will cooperate with investigations, proceedings, and requirements of the
CRCC Ethics Committee or ethics committees of other duly constituted
associations
or boards having jurisdiction over those charged with a violation.
Back to contents
Acknowledgements - CRCC recognizes the American Counseling Association for
permitting the Commission to adopt, in part, the ACA Code of Ethics and
Standards
of Practice.
A copy of CRCC's Guidelines and Procedures for Processing Complaints along
with a Complaint Form may be obtained from CRCC's web site at
www.crccertification.com
or by contacting CRCC at:
CRCC
300 N. Martingale Road, Suite 460
Schaumburg, IL 60173
(847) 944-1325
Adopted: 6/01 Effective: 1/02
table end
----- Original Message -----
From: "Fred Wurtzel" <f.wurtzel at comcast.net>
To: "'NFB of Michigan Internet Mailing List'" <nfbmi-talk at nfbnet.org>
Sent: Sunday, August 29, 2010 6:12 PM
Subject: [nfbmi-talk] New Blog Post
> Hello,
>
>
>
> I have revised my little essay about the cost of consumer involvement. It
> is now posted on our website/blog at
> http://nfbmi.blogspot.com/2010/08/reflections-on-cost-of-consumer.html.;
>
>
>
> In this way others may view this and other matters to do with the NFBM. i
> invite/encourae anyone interested to send me items for posting. Our
> website
> format will soon change. Our Blog will remain as a link on our site. So,
> feel free to join in and take part in making our website a living,
> breathing
> example of our spirit and philosophy.
>
>
>
> Warmest Regards,
>
>
>
> Fred
>
> _______________________________________________
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