ethical and professional issues in group practice

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    ETHICAL AND PROFESSIONAL ISSUES IN

    GROUP PRACTICE

    Corey Chapter 3

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    Informed Consent

    Informed consent is a legal procedure to

    ensure that a patient or client knows all of the

    risks and costs involved in a treatment

    Members have a right to receive basic info

    before joining a group and duringthe course

    of the group

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    RIGHTS OF GROUP PARTICIPANTS

    Pregroup disclosures:

    1. Statement regarding purpose of the group

    2. Description of group format, procedures,ground rules

    3. Initial interview

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    PRE-GROUP DISCLOSURES

    4. Opportunity to seek info about the group, to

    pose questions and explore concerns

    5. Discussion of cultural fit

    6. Information about the group leader

    education, training, qualifications

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    PRE-GROUP DISCLOSURES

    7. Details: fees, length of group, frequency,

    duration, group goals, techniques employed

    8. Psychological Risks

    9. Confidentiality and its limitations

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    PRE-GROUP DISCLOSURES

    10. Clarification of services

    11. Help in developing personal goals

    12. Division of responsibility between leader

    and participants

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    PRE-GROUP DISCLOSURES

    13. Rights and Responsibilities of group

    members

    Responsibilities:Regular attendancePunctuality

    Be willing to talk about self

    Taking risks

    FeedbackMaintaining confidentiality

    Asking for what one needs

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    PRE-GROUP DISCLOSURESClients Rights

    Freedom to leave a group

    Freedom from coercion and pressure

    Right to Confidentiality

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    CLIENTS RIGHTS DURING THE GROUPGuidance concerning what is expected of

    them

    Notice of research

    Right to stop recording

    Assistance from group leader in translating

    group learning into action outside

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    CLIENTS RIGHTS DURINGTHE GROUPOpportunities to debrief

    Crisis consultation/referral

    Observance of confidentiality Freedom from having values imposed

    Right to Dignity and respect

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    INVOLUNTARY GROUPS

    Extra effort to be made to detail:

    Nature and goals of group

    Procedures to be used

    Rights and responsibilities

    Limits of confidentiality

    Effect level of participation will have on critical

    decisions about them outside of the group

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    ETHICS OF GROUP LEADERS ACTIONS

    Personal relationships between leaders and

    members

    Socialising among group members

    Impact of leaders values counselors are awareof their own values, attitudes, beliefs, and behaviors and

    how these apply in a diverse society, and avoid imposing

    their values on their clients - ACAUses & misuses of Group Techniques

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    GROUP LEADER COMPETENCE

    Ways to enhance professional competence:

    1. Remain current and increase knowledge

    2.

    Seek professional help for yourself3. Use consultation and supervision

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    GROUP LEADER COMPETENCE

    2 levels of competencies:

    Areas of knowledge:Identifying ones strengths, weaknesses and values

    Describe typical stages of group developmentDescribe facilitative and debilitative roles and behaviours of group members

    Know the therapeutic factors

    Be aware of ethical issues

    Understand the importance of group and member evaluation

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    Skill Competencies:Open and close group sessions

    Model appropriate behaviours for gorup members

    Engage in appropriate self-disclosure

    Give and receive feedbackHelp members to attribute meaning to their experience in gorup

    Help integrate and apply learning

    Demonstrate ability to apply ethical standards

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    3 IMPORTANT ADJUNCTS TO GROUP LEADER

    TRAINING

    1. Personal Psychotherapy

    2. Self-Exploration Groups

    3. Participation in Experiential TrainingWorkshops

    ONE OF THE BEST WAYS TO LEARN HOW

    TO ASSIST GROUP MEMBERS IN THEIR

    STRUGGLES IS TO PARTICIPATE

    YOURSELF AS A GROUP MEMBER OF A

    GROUP.