Group Work Flashcards
1
Q
Where in the code of ethics does it talk about group work
A
A.8. Multiple Clients
* A.9. Group Work: A.9.a. Screening
A.9.b. Protecting Clients
* B.4. Group Work and Families
2
Q
Group work in schools
A
- Screen prospective group members.* *Self-
control patrol. - Best practice is to notify the parents/guardians of
students participating in groups. - Establish clear expectations of group
involvement. - Provide necessary follow up with group members.
- Be professionally competent and maintain
appropriate education, training and supervision. - Group work should be brief and solution-focused.
3
Q
Competence in group work
A
- Being competent as an individual counselor does
not mean being competent as a group leader. - One group is not like another.
- All clients are not benefited by group work.
- Have knowledge of group theory, process, and
research. - Have supervised experience in leading groups.
- Be aware of after affects.**Why Try and Crab Pots
4
Q
Informed consent in group work
A
- Purpose of group, format, procedures,
logistics, and rules. - Risks involved in group participation.
- Services that will and will not be provided in
group. - Role of counselor and other group members:
Scapegoating, group pressure to rescue
discomfort with challenging, negative effects
of group membership. - Rights and responsibilities of group
members. - Limits of Confidentiality! * Live from SNL
- Freedom to leave group.
- Individual consent signed by each group
member.
5
Q
Confidentiality and privilege in group work
A
- Counselor still must keep individual group
member’s confidentiality. - Group members are not bound by
confidentiality or privilege. - Counselor cannot guarantee confidentiality
in group work! - Limits of confidentiality apply.
- Third party disclosure and privilege.
6
Q
Concurrent individual and group work
A
- Who said what and when??
- Counselor’s favorite. North Range Behavioral
Health, Client Success Team. - Too much of a good thing.
- Money matters.
7
Q
Involuntary group work
A
- No one likes to be told what to do. **North
Range DUI Group - Advocate for what can be kept confidential.
- Advocate for what is in client’s best interest.
8
Q
Cross-cultural group work
A
- Be sensitive to diversity issues.
- No unconscious or conscious discrimination.
9
Q
Ethics of family and relational counseling
A
- Who is the client?
- The family system?
- An identified member of the family?
- Both the family and the identified client?
10
Q
Informed consent in group work
Code:
* “B.4.b. Couples and Family Counseling In
couples and family counseling, counselors
clearly define who is considered “the client”
and discuss expectations and limitations of
confidentiality. Counselors seek agreement
and document in writing such agreement
among all involved parties regarding the
confidentiality of information. In the absence
of an agreement to the contrary, the couple
or family is considered to be the client.”
A
- Counselors are ethically bound to inform
their clients of their theoretical framework,
treatment approach, confidentiality,
education and professional training, and
risks of counseling (Remley & Herlihy 2001). - A counselor must inform the family at the
outset of counseling how confidentiality will
be addressed (International Association of
Marriage and Family Counselors, 2002). - The policy must be made clear to EACH
member of the family.
11
Q
Positions on group confidentiality in family counseling
A
- Complete confidentiality with no disclosure
to other family members. - Limited confidentiality for which family
members have the right to know what may
be disclosed in advance. - Informed forced consent when a family
member is provided advanced notice that
information will be revealed. - No guarantees made about confidentiality.
12
Q
Minor children and and confidentiality
A
- Counselors have an ethical obligation to the
children and a legal obligation to the parents
or guardian (Schmidt, 2003). - Categorize the level of severity of the
information the minor is providing. - What about family secrets?
- “B.5.a. Responsibility to Clients When
counseling minor clients or adult clients who
lack the capacity to give voluntary, informed
consent, counselors protect the
confidentiality of information received—in
any medium—in the counseling relationship
as specified by federal and state laws,
written policies, and applicable ethical
standards ” (ACA, 2014).
13
Q
Parent/guardian rights
A
- “B.5.b. Responsibility to Parents and Legal
Guardians Counselors inform parents and
legal guardians about the role of counselors
and the confidential nature of the counseling
relationship, consistent with current legal
and custodial arrangements. Counselors are
sensitive to the cultural diversity of families
and respect the inherent rights and
responsibilities of parents/guardians
regarding the welfare of their
children/charges according to law.
Counselors work to establish, as appropriate,
collaborative relationships with
parents/guardians to best serve clients”
(ACA, 2014).
14
Q
What does SD say
A
- 25-5-7.3. Parents to have equal access to
records pertaining to child–Name and
address of both parents to be listed. Access
to records and information pertaining to a
minor child, including, but not limited to,
medical, dental, orthodontia, optometric and
similar health care, and school records shall
be made equally available to both parents.
Counseling, psychiatric, psychotherapy,
and other records subject to
confidentiality or privilege shall only be
released in accordance with state and
federal law; but, if available to one
parent, shall be available to both. The
parents shall make reasonable efforts to
ensure that the name and address of the
other parent is listed on all such records. *SC
and the constant game.
15
Q
Informed consent and family/relational
A
- Who gives consent on behalf of the family?
- Who in the family wants counseling?
- Can pressured family members freely give
consent? - What happens when one of the parents
refuses to provide consent?
16
Q
Critical incidents with family and couples
A
- Violence in the family.
- Divorce and child custody. A tale of two
lawyers and endless amounts of $$
17
Q
Important to consider
A
- Make sure that your clients understand the
nature of counseling and its inherent risks. - Make accurate assessments of boundaries
within the family or group. - Be prepared to assess the impact of the
disclosures on the family system or group
dynamics. - Take measures to ensure the safety of all
members of the family system or group.
