Post on 05-Dec-2014
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Ethics UpdateFor School Social Workers
Presented by:
Gary R. Schoener, M.Eq., Licensed Psychologist Director of Consultation & Training
SCHOOL DISTRICT 2797 JANUARY 2013
• School or Agency rules & policies• Ethics codes• Codes of conduct (licensure board)• Laws & rules• Standard of care: what a reasonable &
prudent practitioner would do in the same or similar circumstances (failure = malpractice)
Standards for Conduct
Roles & Responsibilities• The school & professional as fiduciaries –
position of trust – explicit vs. implicit warranties – we set the rules• Supervisory role – the supervisor is responsible
for all actions of the supervisee done within the scope of employment – vicarious liability (respondeat superiori) vs. negligent supervision• Consultation -- is there such a thing as
negligent consultation?
NASW Ethical Principles
• Service – duty to help those in need & solve social problems• Social Justice – challenge injustice• Dignity & Worth of Person – respect both• Importance of Human Relationships –
central importance• Integrity – behave in trustworthy fashion• Competence – practice within; enhance
expertise
•Beneficence – doing good; helping•Non-maleficence – avoiding harm•Autonomy – client’s input and role• Fidelity – consistent with what
promised• Justice -- welfare of client vs. others;
fair use of resources – having a basis to proportion them
Ethical Framework
Ethical Decision-Making• It is often not what is ethical vs.
unethical, but the comparative ethicality of the options• This involves weighing which principles
are best dealt with through one option or another•What are the likely positive vs. negative
outcomes of choosing a given course of action?
Positive Outcomes Negative Outcomes
Option A ______________ _________________ ______________ _________________ ______________ _________________ Option B ______________ _________________
______________ _________________ ______________ _________________
Decision table or chart
Professional boundaries•Confidentiality•Parent-child issues• School vs. individual•Dual relationships – limit risk, avoid• Potential exploitation• Conflict of interest• Sexual/romantic involvement
Dual or multiple relationshipSocial workers should not engage in dual or multiple relationships with current or former clients in which there is a risk of exploitation or harm to the client. In instances where dual or multiple relationships are unavoidable, social workers should take steps to protect clients & are responsible for setting clear, appropriate, & culturally sensitive boundaries.
Confidentiality• The IEP Meeting & similar challenges – (a)
group discussion of confidentiality; (b) private meetings with colleagues from other fields to work out understandings.• Specific issues – who needs to know?:• Girl is pregnant • Boy involved in gang activity • Drug or alcohol abuse • Girl is sexually assaulted
Boundaries challenges•Contact w/ students not on caseload•Children/relatives of colleagues•Gifts from parents or students• Social encounters•Recovery groups•Attending funeral, graduation, etc. –
issue of how visible to be
Ethical & Practice Challenges
• Suicide intervention – related challenges:• Keeping up to date -- assessment• Having consultative resources• Safety plans• Intervening w/ dangerousness:•What do we know about assessment?• Challenge of talk, writings, internet
posts & what they mean• Duty to warn or protect
Challenges of private knowledge• CASE 1: You have a case with severe
abuse. You visit your sister and notice the family lives next door, and her kids are going over to play in the abuse house. What actions do you take if any? • CASE 2: Your brother brags to you how he
fooled child protection into closing a case, by threatening his wife and kids to deny the complaint. What action options are there? What if any should you take?
Traditional Boundaries with regard to Information Access• Client has access to information about
the professional based on published biography or revelations, news items
• Professional only has access to information about client from disclosures or access granted through signed releases
Self-disclosure by professional
• Are you obligated to answer all of the student or parent’s questions?• There are not clear rules on this, and
there is great variability in the field•What helpful or expected?•What is risky or ill-advised?• In general, problematic if too often, too
much, too personal – Most complaint letters begin with list of alleged self-disclosures
Realities of a small community• You and client belong to same church,
same social club, same athletic club• Client lives in same building as a friend of
yours – what are the issues?• Client interacts with member of your
family, with or without knowing the connection;• Former client interacts with you or a
friend or family
Traditional Communication• Communication by traditional mail (now
called “snail mail”);• Communication by phone during limited
business hours; • Leave messages on answering machines
for later response;• Phone calls private, although a message
left might be saved;• Quick response not expected or promised
Communication in today’s world
• Expectation of being able to connect at all hours, even when professional is away from office, via cell phones, texting, etc.• Same is true for emails;• Emails and text messages create a record;• Emails can be misdirected or examined by
others – need to warn people about employer access to work computers
Electronic communications/internet
•Minnesota Dept. of Corrections – Policy 103.210 -- Electronic Communications
http://www.doc.state.mn.us/DocPolicy2/Document/103.210.htm Effective date: 5/1/12
Text Messaging• A growing number of people do texting
instead of (or in addition to) emailing;• This is an abbreviated type of message
with less information;• This the only way to quickly reach people;• Unlike a phone call, it is silent, so people
can receive and view a text without the ring of a phone
Text Messaging (continued)
• Veterans Crisis Line (800) 273-8255 or text to 838255 http://veteranscrisisline.net • Crisis Connection has a program for
texting in 7 counties in northeast Minn. – they are receiving more texts from young people in a day than they previously received as phone calls in a month. • Some use for follow-up or crisis contacts
Smartphones & Tablets & Apps• The Therapist May See You Anytime,
Anywhere (NY Times, 2/13/12)• Cognitive bias modification (CBM) using
an app for social anxiety which directs attention away from hostile faces• Nader Amir at San Diego State –
30”/week for anxiety disorder• Daniel Pine at NIMH – 40 children with
chronic anxiety
More apps
• Hazelden’s Field Guide to Life• iMedicalApps -- examines new apps•Mobilyze – “a therapist in your pocket”• Can be a source of reference information
or assist the practitioner• Can enable a client to log in personal data
and keep focused on goals• In future may use sensors
Social Networking Sites
• Facebook -- >750 million users• 92% of SNS users are on Facebook;• 50% log in on any given day; • Facebook – “friend” vs. “deferred”?• Posts from you, friend, relative, kid• 29% use MySpace; 18% Linkedin;• 50 million Twitter – 13% of SNS
Networking for support
• Pro-Ana blogs: social support, ways to cope, self-expression – but risk of exposure & question about whether it encourages (“pro-ana” on Wikipedia)• Bipolar: www.dbsalliance.org • Victims of abuse: rape and sexual assault
victim bulletin boards• Do an internet search about any
condition or problem to see what is there
More visibility issues• If you use a family photograph on
Facebook, even with the highest privacy settings people see that photo;• Even if you don’t show your family to the
world, friends or family may show your photo or a family activity;• 90% of US physicians are on Facebook or
Linked in or some social media.
Hazards Never Imagined (for staff or even clients)• Happy slapping – assaulting someone while
others film it (usually on cell phone)• Sexting – sending racy photos of yourself or
someone else • Filming and/or broadcasting a party, or other
event• Live broadcast using cell phone or camera
(privacy invasion case – Tyler Clementi suicide at Rutgers – Dharun Ravi, age 19, convicted in Feb. 2012.)
Hazards Never Imagined (cont.)• Fake profiles• Internet harassment – which can lead to
great distress the same as any type of bullying (1/3 to 1/2 of adolescents?);• Fake emails & chat screen names – so one
can harass secretly;•Massive Defriending – being shut-out by
groups of friends or classmates on a social networking site such as Facebook
Undressing your Friends (or enemies)
• FalseFlesh.com, billed as “adult image editing software” allows you to paste someone’s face onto a nude body• “Easily make any picture a
nude picture in minutes”
Cases to lose sleep over
• Draker v. Schreiber (2006, 2008) two students created My Space site with fake photos trashing Asst. Principal – Anna Draker sued them and their parents without success;•Megan Meier, driven to suicide by “Josh,”
created by the mother of a girl she was having a dispute with;
Cases (cont.)
• Ryan Hallingan, middle school student with a learning disorder was the focus of bullying & suggestions he was gay. He hanged himself after a girl who claimed to be his friend told him publicly he was a “loser” and that she had been pretending to be just like him so she could post their conversations on line and humiliate him.
Cases (cont.)
• Ghyslain Raza, the “Star Wars Kid,” a Canadian adolescent made a video in 2002 pretending to fight with a light saber as a school project. Another student posted it, adding music, and 900 million saw it on the web. Raza was taunted repeatedly and dropped out of school. After treatment for depression he got support, some from the internet, graduated law school, and heads a foundation for preservation.
Cases (cont.)
• Jesse Logan, Ohio teenager, sent nude pictures of herself to her boyfriend. After they broke up he sent them to other girls who circulated them on line. She was called a slut & ridiculed and started skipping school. Jesse went public with her story via a TV interview in May 2008, but two months later hanged herself. A classic example of the dangers of sexting.
Cases (cont.)
• 4/21/11 Buffalo, NY. Police invade home with assault rifles; throw man on floor; call him a “pervert” and “pedophile” and confiscate all computers and cell phones in the house including those of his wife and daughter. He did not have a passcode on his wireless router and it was utilized by someone nearby to download pornography. This can be done by neighbor, or from a car.
Other networking issues
• Caring Bridge – sites related to illness: therapist’s illness?; posting on client’s bridge?;• Blogs -- posting responses;• Sites focused on special interests: • Client alerts you to site• You encounter client on a site• Former client alerts you to site
Google & Net Research • Should you “Google” a client?• Emergency Situation – identity issue;• Client denies suicide history but has
prior attempts;• Reality check on claims by client;• Checking on criminal justice history;• Screening for sex offenders
Google & Net Research (cont.)
•What if the client googles you? • Intern entering therapy googles her
therapist and then wonders if she’s “blown it” by doing this.•What if they tell you? What if you
suspect?• Sites that evaluate professionals –
YELP has >25 million hits a month
Some thoughts
• The internet creates a “small town” or ethnic subgroup for all of us;•With some areas of work such as criminal
justice, there may be greater challenges – clientele, role of security;• Health care rating sites are likely to grow
and include more therapists – healthgrades.com, vitals.com
Self protection• Be aware of your web-presence • “Google” yourself• If there is false information, contact site
administrator to get things changed• Should you control on-line presence by
expanding it? Should you post your own www.google/com/profile?• Collegial discussion – develop standards
On line reviews• It’s hard to know what they mean – they
are not systematic;• The data about your work or practice may
be in error or outdates;•Many times there are only a few who do
a review so there can be a heavy influence of just a few ratings• Consumers focus on manner – civility,
perceived warmth, etc.
Consent and Disclosure•What ground rules will you have for a
given school or program for googling?• If you do “Google” someone, will you
disclose this to them?•What rules if any will you ask clients to
follow as regards the internet?• Will you ask them to maintain any
privacy or respect any boundaries?
Communications & Social Media Policy (examples)• Email: Email only to arrange or modify
appointments. Do not email content or important things we should discuss face to face…..• Rating or review sites: Info. on them is
questionable; I cannot respond to them and do not need positive ratings; ask me about any concerns you have about my services.
Communications & Social Media Policy (continued)• Text messaging: please do not use to
contact me – leave phone message for time changes, etc.; email not as good but at …. • Internet interaction: do not use wall
postings or other means of communication on the internet – none are private• Blog or Twitter: I do not follow you on
either – if there are things you want to share, bring them to a session
Communications & Social Media Policy (continued)• Friending: It is my practice to not accept
contact or “friend” requests from clients on social networking sites such as Facebook or Linkedin. They can compromise privacy and also complicate our helping relationship.•Website or Facebook Page: If you have
questions, bring them in a session. Please don’t interact on the internet.
Communications & Social Media Policy (continued)• Search Engines: I do not research my
clients on Google or other search engines. There may be occasions where you will direct me to look up something related to your life or experience, and if so we can discuss it at a future meeting. If you choose to check me out on the web I would note that not all information is accurate, and would suggest that we discuss anything which you find troubling.
Communications & Social Media Policy (continued)• Recording: Unless we have specifically
discussed it, there will be no recording of our meetings or any phone conversation. All of our discussions are private.• Records: I will maintain the records of our
work together as confidential although some billing-related information may be communicated securely. Please remember that any notes you make can compromise your privacy if not carefully protected.