- NEW NEW STANDARDS OF CARE & RESOURCES FOR BOUNDARIES, DUAL RELATIONSHIPS, GIFTS, CONFLICTS OF INTEREST, BARTERING, ETC.; PRACTICAL GUIDES, REFERENCES, & OTHER RESOURCES
Making thoughtful, informed decisions about whether to cross a particular boundary with a client can sometimes be a real challenge for most of us.
Boundary crossing can enrich psychotherapy, serve the treatment plan, and strengthen the therapist-client working relationship.
They can also undermine the therapy, disrupt the therapist-patient alliance, and even cause harm to clients.
I've just updated and expanded a web section of resources that may be helpful in thinking through issues and choices about whether to cross various boundaries under different circumstances with different clients.
This set of resources is intended to make it easier for clinicians keep up with the evolving standards of care, research, and creative approaches to multiple relationships, bartering, and other boundary issues.
The resources fall into 5 major ares:
- PROFESSIONAL STANDARDS
I've collected excerpts addressing boundary issues from the the ethics codes & other formal professional standards (with links to the original documents) published by professional associations including the American Association for Marriage and Family Therapy (AAMFT); American Association of Christian Counselors; American Association of Pastoral Counselors; American Association of Sex Educators, Counselors and Therapists; American Board of Examiners in Clinical Social Work; American Counseling Association; American Mental Health Counselors Association; American Music Therapy Association; American Psychoanalytic Association; American Psychological Association; American School Counselor Association; Association of State and Provincial Psychology Boards; Australian Association of Social Workers; Australian Psychological Society; British Association for Counselling & Psychotherapy; British Association of Social Workers; British Columbia Association of Clinical Counsellors; Canadian Counselling Association; Canadian Psychological Association [with quotes from both the current 3rd edition and the draft 4th edition of the CPA Ethics Code]; European Association for Body- Psychotherapy; Irish Association for Counseling & Therapy; National Association of Social Workers; & Psychological Society of Ireland;
- QUOTES & INFORMATION FROM ARTICLES, BOOKS, & STUDIES ADDRESSING BOUNDARY ISSUES
I've gathered quotes from a variety of research studies and other published articles and books on boundaries in clinical work.
- DECISION-MAKING GUIDES
Included are those by Michael Gottlieb, by Janet Sonne, & by Jeffrey Younggren.
- LINKS TO FULL-TEXT ARTICLES ON DUAL RELATIONSHIPS, MULTIPLE RELATIONSHIPS, AND OTHER BOUNDARY TOPICS
The article are from *American Psychologist*, *Professional Psychology*, *American Journal of Psychiatry*, etc. Among those included are : "A Practical Approach to Boundaries in Psychotherapy: Making Decisions, Bypassing Blunders, and Mending Fences"; "Misuses and Misunderstandings of Boundary Theory in Clinical and Regulatory Settings"; "The Concept of Boundaries in Clinical Practice: Theoretical and Risk-Management Dimensions"; "A Study Calling for Changes in the APA Ethics Code regarding Dual Relationships, Multiple Relationships, & Boundary Decisions"; "Dual Relationships Between Therapist and Client: A National Study of Psychologists, Psychiatrists, and Social Workers"; "Dual Relationships: Trends, Stats, Guides, and Resources"; & "Nonsexual Multiple Relationships & Boundaries in Psychotherapy."
- LINKS TO RELATED RESOURCES.
- PROFESSIONAL STANDARDS
- NEW Ethics Codes & Practice Guidelines — Ethical Standards & Practice Guidelines for Assessment, Therapy, Counseling, & Forensic Practice
This is a web page of links to over 170 ethics codes, standards of care, and practice guidelines in the areas of therapy, counseling, forensics, and assessment. The links lead to complete copies of formal codes, standards, and guidelines addressing:
- specific areas of practice (e.g., online psychotherapy, forensic, rehabilitation, neuropsychology, school psychology, group therapy, body work, hypnotherapy. employee assistance, pastoral counseling, equine-assisted psychotherapy, biofeedback, pre-employment psychological assessments, custody evaluations, diminished capacity assessments, end-of-life decisions; evaluation of sex abuse in children);
- specific aspects of practice (e.g., supervision, managed care, duty to protect, record keeping, email communication with patients);
- specific theoretical orientations (e.g., Christian Association for Psychological Studies; Canadian Psychoanalytic Society); and
- different professions (e.g., psychologists, psychiatrists, social workers, counselors).
- NEW Ken Pope - Resources For Coronary Heart Disease. A resource to make it a little easier for clinicians, researchers, and others to keep up with the evolving research on psychological factors related to the causes of, treatments for, and recovery from coronary heart disease.
This web page provides the citations for and excerpts from 80 recent studies of the psychological aspects of coronary heart disease development, treatment, and recovery published in peer-reviewed journals. All of the studies were published in 2013-16.
The studies are diverse, focusing on cognitive and emotional factors, optimistic and pessimistic styles, prayer, PTSD, post-traumatic growth, complicated grief, cognitive training, mindfulness based interventions, acceptance-based behavior therapy, psychological factors linked to prognosis, social support, purpose in life, Type D personality, quality of life, "illness cognition," and so on.
- Report of the CPA Task Force on Evidence-Based Practice of Psychological Treatments (2012)
- Canadian Psychological Association (CPA) position on the Entry to Practice for Professional Psychology in Canada (2012)
- Planning a Career in Psychology (2009)
- Guidelines for Ethical Psychological Practice with Women (2007)
- Professional Practice Guidelines for School Psychologists in Canada (2007)
- Cost-Effectiveness of Psychological Interventions (2002)
- Enhancing the Experience of Children and Youth in Today's Schools: The Role of Psychology in Canadian Schools (2002)
- Enhancing the Experience of Children and Youth in Today's Schools: The Role of Psychology in Canadian Schools - A Position Paper (2002)
- Highly Qualified Personnel: The Important Contribution of the Social Sciences and Humanities in Canada (2002)
- Productivity, Culture and Society: The Essential Contribution of Psychology as a Social Science (2002)
- Guidelines for Non-Discriminatory Practice (Revised 2001)
- Practice Guidelines for Providers of Psychological Services (2001)
- A Joint Position Statement by the CPA and the Canadian Association of School Psychologists on the Canadian Press Coverage of the Province-wide Achievement Test Results (2000)
- Canadian Code of Ethics for Psychologists (2000)
- Effectiveness and Costs of Clinical Psychology Services: A Business Plan (1995)
Government and Non-Government Reports
Government of Canada Report
- Changing Directions, Changing Lives: The Mental Health Strategy for Canada Unveiled (May 2012)
- The Human Face of Mental Health and Mental Illness in Canada 2006
Office of the Correctional Investigator of Canada (OCI)
- 2010-2011 Annual Report
- 2009-2010 Annual Report
- 2008-2009 Annual Report
- Under Warrant: A Review of the Implementation of the Correctional Service of Canada's Mental Health Strategy (September 2010)
Canadian Institute for Health Information (CIHI)
- Return on Investment: Mental Health Promotion and Mental Illness Prevention (March 2011)
- Health Care in Canada (2010)
- Exploring Positive Mental Health (March 2009)
- Mental Health, Delinquency and Criminal Activity (April 2008)
- Mental Health and Homelessness (August 2007)
- Hospital Mental Health Services in Canada, 2005-2006
- A Report on Mental Illnesses in Canada, 2002
- The Burden of Neurological Diseases, Disorders and Injuries in Canada
- Prescriptive Authority Task Force
- Supply and Demand Task Force
- Psychology and Public Policy: An Advocacy Guide for Psychologists (1999)
- Strengthening Health Care in Canada: A series of Briefs on Health Care in Canada
- Strengthening Medicare:The Role of Psychology in the Health of Canadians and in the Development of the Canadian Health Care System (1999) Prepared for the Canadian Psychological Association by Dr. Richard Allon, Chair, Professional Affairs, and Dr. John Service, Executive Director in collaboration with the Sections of the Canadian Psychological Association.
- Strengthening Primary Care:The Contribution of the Science and Practice of Psychology(2000) Prepared for the Canadian Psychological Association by Dr. Samuel F. Mikail, Dr. Patrick McGrath, and Dr. John Service.
- Strengthening Pharmacare:The Contribution of the Science and Practice of Psychology(2001) Prepared for the Canadian Psychological Association by Dr. David Nussbaum, Dr. Samuel F. Mikail, Dr. John Service, and Dr. Louise Balfour.
- Strengthening Home and Community Care:The Contribution of the Science and Practice of Psychology(2001) Prepared for the Canadian Psychological Association by Dr. John C. Service, Dr. Richard Allon, and Dr. Samuel F. Mikail.
- Strengthening Rural Health:The Contribution of the Science and Practice of Psychology(2002) Prepared for the Professional Affairs Committee of the Canadian Psychological Association by Dr. Robert D. McIlwraith and Dr. Karen G. Dyck.
- The Cost-Effectiveness of Psychological Interventions
- Empirically Supported Treatments in Psychology: Recommendations for Canadian Professional Psychology
- Geographic Locations Survey of Clinical Psychologists in Canada
- Liability Risks in Interdisciplinary Care: Thinking Outside the Box (Conference Board of Canada, April 2007)
- Working with the Media - A Guide for Psychologists (2005)
- Canadian Code of Ethics for Psychologists
Canadian Psychology Associations
- Canadian Academy of Psychologists in Disability Assessment
- Canadian Association of School Psychologists
- Canadian Council of Professional Psychology Programs
- Canadian Society for Brain, Behaviour and Cognitive Science
- Council of Canadian Departments of Psychology
International Psychology Associations
- American Board of Pediatric Neuropsychology
- American Board of Professional Psychology
- American Psychological Association
- American Psychological Association of Graduate Students
- American Psychological Society
- Association of Black Psychologists
- Association of Psychology Postdoctoral and Internship Centers
- Association of State and Provincial Psychology Boards
- Australian Psychological Society
- British Psychological Society
- National Register of Health Service Providers in Psychology
- Colombian Association of Psychology Faculties
- National Association of School Psychologists
Psychology Resource Sites
The Roundtable is an instrument of information analysis and ideas concerning the linkage between business, the economy, mental health and work.
A web site of The Global Social Change Research Project.
As the professional arm of the International Network on Personal Meaning, ISEPP is a multi- and interdisciplinary organisation dedicated to encouraging and advancing research and education in existential psychology and psychotherapy.
The mandate of the restructured unit is to promote and support mental health and reduce the burden of mental health problems and disorders, by contributing to the development, synthesis, dissemination and application of knowledge, and the development, implementation and evaluation of policies, programs and activities designed to promote mental health and address the needs of people with mental health problems or disorders.
CIHI is an independent, pan-Canadian, not-for-profit organization working to improve the health of Canadians and the health care system by providing quality, reliable and timely health information.
Making the Internet a practical tool for research and collaboration within the healthcare community.
A Health Canada publication that provides reliable information on a range of health-related topics.
Run by psychologist Dr. John Grohol, it is an information service providing an excellent selection of links under "Mental Health & Psychology Resources," "What is...?," and "Have I got...?".
PsychNet-UK is a privately owned web site developed to provide access to a host of sites which may be often sought by persons engaged in the mental health professions.
A service organization within the Psychology Department at Southern Illinois University at Carbondale which provides professional services in applied research, evaluation, and consulting.
This website offers a new perspective on this disorder, one based on current clinical and neuroscience research. It presents a model of ADD/ADHD as essentially a problem with executive functions, the management system of the brain. It describes how a child or adult with ADD/ADHD can focus very well on a few activities that intensely interest them, yet be unable to focus adequately on most other tasks of daily life. It explains how ADD/ADHD often looks like a weakness in willpower, but isn't.
The Canadian Association for Adolescent Health (CAAH) seeks to ensure that Youth receive the best possible health care and services. CAAH offers quality health information to help youth make choices and stay healthy.
A bilingual regional mental health promotion and intervention program run by youth, for youth.