10.58.03.05

.05 The Counseling Relationship.

A. Client Welfare and Rights.

(1) A counselor shall:

(a) Inform clients of the purposes, goals, techniques, procedures, limitations, potential risks, and benefits of services to be performed;

(b) Explain to clients the implications of diagnosis, the intended use of tests and reports, fees, and billing arrangements;

(c) Document attempts to inform other professional persons concurrently providing mental health services to a client;

(d) Assist clients in making appropriate arrangements for the continuation of treatment due to interruptions including but not limited to vacations and extended illness; and

(e) Make appropriate referrals.

(2) A counselor may not:

(a) Place or participate in placing clients in positions that may result in damaging the interests and the welfare of clients, employees, employers, or the public;

(b) Condone or engage in discrimination based on age, color, culture, disability, ethnic group, gender, race, religion, sexual orientation, marital status, or socioeconomic status;

(c) Abandon or neglect clients in counseling; or

(d) Foster dependent counseling relationships.

B. Dual Relationships.

(1) A counselor shall:

(a) Avoid dual relationships with clients; and

(b) Take appropriate measures, including but not limited to, informed consent, consultation, supervision, and documentation to ensure that judgment is not impaired and no exploitation occurs if a dual relationship cannot be avoided.

(2) A counselor may not:

(a) Exploit trust and dependency in relationships with supervisees, employees, research participants, students, or volunteers; or

(b) Accept as clients superiors or subordinates with whom a counselor has administrative, supervisory, or evaluative relationships.

C. Multiple Clients.

(1) A counselor shall clarify the unit of treatment in a counselor's written records as:

(a) Individual;

(b) Couple;

(c) Family;

(d) Group; or

(e) Any combination of §C(1)(a)—(d) of this regulation.

(2) A counselor shall identify in the written records individuals present in sessions, but not a part of the unit of treatment.

(3) A counselor shall communicate limitations on confidentiality to all clients.

D. Termination and Referral.

(1) Termination may occur if:

(a) Services are no longer requested by a client;

(b) Counseling no longer serves a client's needs or interests;

(c) A counselor is unable to competently and ethically perform duties;

(d) A client does not pay the fees charged; or

(e) Agency or institution limits do not allow further counseling services.

(2) A counselor may terminate a counseling relationship only after:

(a) Securing a client's agreement; or

(b) If a client does not agree to termination, offering an appropriate referral.