NCT: Ethics and Confidentiality

Vocabulary

100

Define CONFIDENTIALITY as described in the CRCC Code of Ethics

A promise to respect privacy of clients by not disclosing information that is revealed/disclosed to VRC except under agreed-upon conditions; keeping PII private at all times

200

Define ACCESSIBILITY as described in the CRCC Code of Ethics

Access to a site, facility, work environment, service, or program that is easy to approach, enter, operate, participate in, and/or use safely with dignity by a person with a disability

300

Define BRACKETING as described in the CRCC Code of Ethics

Intentional separation and setting aside personal values from professional values to ensure ethical and appropriate services are provided to all clients

400

Define CONFLICT OF INTEREST as described in the CRCC Code of Ethics

Situation in which financial or personal considerations have the potential to compromise or bias professional judgment and objectivity - 

give an example of a conflict of interest for another 100 pts!

500

Define CULTURAL HUMILITY as described in the CRCC Code of Ethics

Lifelong process of self-reflection and self-critique whereby the individual not only learns about another’s culture but starts with an examination of their own beliefs and cultural identities

Application

100

Share an example of how a VRC might practice the principle of AUTONOMY with a client

Providing support for a specific type of training request by the client

Supporting a client’s selection of a particular vocational objective

Providing a client requested information about job opportunities in the local community

Providing clients with complete information to enable them to make informed choices

200

Describe 2 ways in which a VRC may encounter a CONFLICT OF INTEREST when serving a client

(Examples shared must be different than any previously provided)

• Personal relationship with client or relationship with a close relative/friend of client
• Second job in addition to BRS
• Appointed or elected to political office
• Owning business from which client services may be purchased

300

Describe a situation in which a client may be unable to provide legal consent AND 2 important  ethical considerations when working with such a client

Minors or limited capacity preventing voluntary informed consent

• Include clients in decision-making as appropriate
• Inform parents/legal guardians re: confidential nature of counseling relationship
• Embrace diversity of family systems
• Balance ethical rights of clients to make choices, cognitive/legal capacity of clients to give consent/assent and legal rights and responsibilities of guardians to protect clients and make decisions on their behalf

400

Describe 3 ways in which a VRC can practice developmentally and multiculturally appropriate communications with clients

Consider accessibility  and cognitive needs of client

• Provide qualified Interpreters
• Hire qualified Translators
• Contract skilled and culturally competent tutors
• provide CART services
• Assistive Technology - Screen readers, Dragon, etc.
• Accessible electronic platforms (Teams vs. ZOOM)

Earn another 100 points by sharing what the acronym CART means

500

Describe 5 ethical behaviors related to CLIENT RECORDS AND DOCUMENTATION

• Record sufficient and timely documentation to facilitate delivery/continuity of services
• Ensure documentation accurately reflects progress and services provided to client
• Correct any errors according to organizational policies
• Ensure records/documentation in any format are secure and only authorized persons have access – PAPERLESS environments, especially when working remotely
• Provide reasonable client access to records when requested by clients or legal representatives, unless prohibited by law – be mindful of releasing third party information stamped not for release and information that may trigger/harm client

How is this Un/Ethical?

100

Family Business

Confidentiality

Beneficence

Justice

Autonomy

200

OOS1 Determination

Justice

Fidelity

Non-maleficence

Veracity

300

Successful Closure

Autonomy

Veracity

Justice

Beneficence

400

DAILY DOUBLE!!

In TWO minutes: Create a scenario in which at least 4 of the core values are effectively demonstrated on behalf of a client.

500

Self-Employment

Autonomy 

Non-maleficence 

Justice

Beneficence

Double Time

100

List and define the 6 Core Values in the CRCC Code of Ethics

• Autonomy: respect rights of clients to be self-governing within their social/cultural network
• Beneficence: do good to others; promote well-being of clients
• Fidelity: to be faithful: keep promises and honor the trust placed in VRCs by Clients
• Justice: to be fair in the treatment of all clients; provide appropriate services to all
• Nonmaleficence: do no harm to others
• Veracity: be honest and truthful

200

Describe 6 ways in which a VRC should respect a client’s confidentiality

• Respect for Privacy – solicit private information from client ONLY when beneficial to rehabilitative counseling process
• Respect for Confidentiality – never releasing client information without a signed client release unless court order or required by law
• Multiculturalism and Diversity – develop and maintain awareness and sensitivity of client’s cultural understanding/meanings of confidentiality (use of interpreters – local vs. phone/video)
• Permission to Record – obtain permission in advance of recording any meeting/communication and having ongoing conversations about when, why, who client information can be shared, consider legal and clinical implications and destroy records within jurisdictional requirements
• Explanation of limits of confidentiality – share with clients when confidentiality may not be able to be maintained
• Disclosure to Employers – obtain written consent from client before disclosing relevant information to prospective and current employers; educate clients, employers and others about privacy rights, confidentiality; share only job-relevant information about the client to parties who have a need to know
• When speaking with peers for advice or resources, always speak about case in de-identified terms (avoid using names or any PII)

300

New Horizons

Confidentiality

Veracity

Fidelity

400

You have observed a co-worker behaving in an unethical manner toward another co-worker on a Friday at 4:45pm. What do you do?

Depending on situation:

Ask to speak with co-worker and share what you observed and why you feel it was unethical

Contact your supervisor to schedule time to meet and share your observations if unable to address directly with co-worker

Write down what you observed/heard if the situation is discriminatory (protected classes) and immediately report to a supervisor on duty

EARN AN EXTRA 200 PTS BY NAMING ALL 8 FEDERAL PROTECTED CLASSES

500

Opportunity

Which core values have you not/demonstrated?