Ethics, Multicultural Competence, and Wellness


Ivey et. al Chapter 2

Lori Streu, Ed. S/LPC


Counselors who work ethically and intentionally will find...
*smoother sessions
*client will be protected
*a sense of trust is fostered



Counseling ethics summarized:
"Do no harm to your clients; treat them responsibly with full awareness of the social contest of helping."





Competence

Ask yourself:
Am I qualified to do this?

"Counselors practice only within the boundaries of their competence, based on their education, training, supervised experience, state and national professional credentials, and appropriate professional experience."



Confidentiality

What happens here STAYS here...
except...


HIPAA Privacy

Healthy Insurance Portability and Accountability Act (1996)

1. Protected health information
* past/present/future
*physical or mental
*individually identifiable info (name/address/dob/ssn)

2. De-identified health information
*no restrictions



Informed Consent

Inform clients of...

*potential risks
*potential benefits
*implications of diagnosis
*fees/fee collection process
*record keeping
*limits of confidentiality
*participate in treatment planning
*right to refuse treatment
*must be advised of consequences of refusal
*when working with children--typically need parental permission





Power in counseling...

*the counseling relationship automatically puts the counselor in a more powerful position
*dual relationships/conflict of interest





Multicultural Competence
(3 key components)

*awareness
*knowledge
*skills


Multicultural Awareness

*you are a cultural being
*understand there are always differences that may exist
*you must work to be the most effective with clients who are different from you
*accept that privilege is a power given to people through cultural assumptions and stereotypes




Multicultural Knowledge

*important to be aware of our negative emotional reactions and biases towards those different from us
*work to gain knowledge about various cultural groups, their history, and their present concerns
*recognize that traditional counseling techniques may not work for all people
*become involved in the client's community for a more thorough understanding
*microaggressions (large and small insults and slights)



Multicultural Skills

*if your first response doesn't work--try another!
*work to expand your knowledge and skills that are sensitive to diversity