6 Objectives Distinguish between one's personal and professional activities on the Internet and other social media sites. Identify the ethical challenges that may arise from engaging in activities on the Internet and other social media sites. Develop strategies for minimizing risk of ethical violations on the Internet. Appraise their use of e-mail, record-keeping, and mobile computing devices to prevent confidentiality breaches. Recognize the need for a social media policy for one's office to address potential boundary issues with clients.
7 Ethical decision making is a continuous, active process. Ethical standards are not a cookbook. They may tell you what to do or not to do, BUT not always how. Each situation is unique. Therefore, it is imperative that all personnel learn how to “think ethically” and how to make sound legal and ethical decisions. Some of the underlying assumptions of incorporating ethical issues into practice:
8 The most complex ethical issues arise in the context of two ethical behaviors that conflict. For instance, when a counselor wants to respect the privacy and confidentiality of a client, but it is in the client’s best interest for the counselor to contact someone else about his or her care. Therapy is conducted by fallible beings, people make mistakes-hopefully, minor ones. Sometimes the answers to ethical and legal questions are elusive. Ask a dozen people, and you will likely get twelve different points of view.
10 Ethics must be practical. Clinicians/ Prevention Specialists confront an almost unimaginable diversity of situations, each with its own shifting questions, demands, and responsibilities. Every clinician/prevention specialist is unique in important ways. Every consumer is unique in important ways. Statements regarding ethics…
12 CAPT Products and Communication Manager Melanie Adler. "As substance abuse prevention professionals, we regularly face situations that involve ethics, Often it's clear how to act ethically, but sometimes it’s not. We’re not always aware of our ethical responsibilities in a given situation, or we allow our emotions to cloud our thinking." SAMHSA's Center for the Application of Prevention Technologies (CAPT) is a national substance abuse prevention training and technical assistance
13 Modeling ethical behaviors Acting ethically is as much a pro-active as reactive process. "Ethics are woven through all the work we do. While the rapid pace of technology may make the thought of jumping on board the social media train feel daunting, a well- conceived plan can help ensure a smooth ride.
14 To develop this plan, you will need to take a step back and think through why and how you intend to use social media to support your prevention efforts. Once you have a solid plan in place, you can board that train and feel confident that it will take you where you want to go!
15 With the advent of social media, people increasingly expect opportunities to : comment, share, discuss, and collaborate during their visits to cyberspace. "Social media is the dominant form and growing nature of online interaction (Katz, 2009)," providing innumerable ways to promote, enhance, and extend your prevention efforts.
19 A social media communications plan should include : Step 1. Establish Goals Step 2. Clarify Roles Step 3. Develop an Image Step 4. Select Tools Step 5. Determine Content Step 6. Evaluate and Refine Efforts Step 1. Establish Goals Step 2. Clarify Roles Step 3. Develop an Image Step 4. Select Tools Step 5. Determine Content Step 6. Evaluate and Refine Efforts
20 Ethical Framework for the Use of Social Media by Mental Health Professionals A competent practitioner working online will always adhere to at least the following minimum standards and practices in order to be considered to be working in an ethical manner. Practitioners have a sufficient understanding of their Ethics Codes and Social Media and can integrate how they relate to professional conduct online. Practitioners are mindful that Social Media activity can blur the boundaries between personal and professional lives, and they take great care to consider the potential impact of these activities on their professional relationships.
21 Autonomy -Fostering the self-determination and freedom of clients/patients to choose their own direction Beneficence -Promoting good for others Non-malfeasance -Doing no harm Justice -Being fair to all, providing equal treatment to all people and working to prevent/eliminate discrimination Fidelity (be faithful) Ethical Responsibilities
22 Social Media Interactions Practitioners are aware that all messages exchanged with consumers may become a part of the clinical and legal record, even when strictly related to housekeeping issues such as change of contact information or scheduling appointments. All therapeutic communication should offer encryption security or the equivalent. Practitioners should define the record according to the laws of their jurisdiction and according to their defined professional scope of practice.
24 Confidentiality Confidentiality concerns may deter individuals from seeking needed alcohol treatment services Drug Abuse Prevention, Treatment, and Rehabilitation Act (21 U.S.C. 1175) Section 42 of the Code of Federal Regulations, Part 2 (CFR)
30 Solutions? Be proactive and preplan (e.g., develop policies for dealing with social media opportunities) Consult colleagues Know relevant policies (e.g., school rules, local laws, ethics codes) Understand duty to commit consumers who are an acute danger to self or others Inform consumers BEFORE beginning treatment/referral (informed consent and limitations to confidentiality)
31 Prevention Dilemma’s Prevention Dilemma’s A consumer posts on your web page concerns that they are having problems with substance use… –What is your response going to be? –What resources will you refer the to? –What if they want to move to your personal facebook page? –How will you protect the consumers rights to confidentiality?
32 Another Dilemma Another Dilemma You have a consumer who attempts to contact you on your personal facebook page… –Do you accept their request? –If you do, what are the limits to the contact you will have? –How will you protect confidentiality?
33 Another???? Another???? A student posts on your facebook page that when he gets drunk he becomes violent and hits his girlfriend –What are you going to do with that information? –What level of engagement would you have with this student?
34 As a professional…. As a professional and credentialed person anything you pass on will be considered professional direction and there is an accountability for that. You are in a delicate situation where kids will tell you things they would not tell others, so please inform them and model for them appropriate and healthy limits and behaviors
35 Summary: Ethics Key points to remember: –“Be good, do good, and above all – do no harm.” –Distinguish among ethics, morals & legalities. –Client rights are always foremost. –Your ethics can greatly impact the quality of client care and the image of the profession. –Boundary issues start with the small, innocent transgressions.