Professional Orientation, Licensing, And Credentialing

 

 


1. Describe the ethical issues encountered by counselors who work in private or public mental health organizations or school settings.
2. Determine professional organizations, preparation standards, and credentials relevant to the practice of clinical mental health counseling or school counseling. [CACREP 5.F.2.n, 5.C.2.k]
3. Determine the requirements for credentialing, licensure, certification, accreditation practices, and standards, including tiered levels, in the state in which the counselor in training plans to practice clinical mental health counseling or school counseling and how public policy affects the requirements. [CACREP 2.F.1.g]
4. Describe the key roles and functions of clinical mental health counseling or school counseling licensure/certification and credentialing boards and how such boards attempt to protect the public from substandard counseling practices. [CACREP 2.F.1.i, 5.G.2.l]
5. Describe steps that counselors can take to minimize their professional liability and the likelihood that complaints will be filed against them for failing to maintain a professional standard of care.

Janet has been seen by you for treatment of depression. During her intake assessment, she disclosed that she was in AA and had been sober for six months. Janet seems to be happy with her progress, but after a few sessions, she seems to be noncommunicative and upset. After six sessions, she discontinues therapy with you. You learn that she has engaged another counselor who treats alcohol use and co-occurring disorders. This morning you received notice from your licensing board that Janet filed a complaint against you alleging that you attempted to treat Janet’s addiction to alcohol and that you did not have the expertise necessary to do so. You are a licensed professional counselor, but you have not obtained training in addictions. Based on this information, answer the following questions:
• Does Janet have a valid complaint? Why or why not?
• How would you respond to the licensing board complaint?
• How would you avoid this type of complaint in the future?
• How might this impact the school counselor’s role if this were a student in the school setting?
In your response, you must include 

Sample Answer

 

 

 

 

 

 

Ethical Issues in Mental Health and School Settings

Counselors navigate a complex landscape of ethical obligations that often vary by setting:

Confidentiality vs. Duty to Warn: In both settings, counselors must decide when the risk of harm to self or others overrides a client’s right to privacy. In schools, this is further complicated by the legal rights of parents versus the student’s trust.

Boundaries of Competence: Treating conditions without specific training (as seen in the Janet scenario) is a major ethical breach.

Dual Relationships: Common in school settings or small towns, where the counselor may also be the student’s coach or a neighbor.

Informed Consent: Ensuring clients (or minors/guardians in schools) fully understand the nature of therapy, costs, and limits to confidentiality.