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NAADAC:TheAssociationforAddictionProfessionalsNCCAP:TheNationalCertificationCommissionforAddictionProfessionals

CODEOFETHICS:Approved10.09.2016

PRINCIPLES

CONTENTS • IntroductiontoNAADAC/NCCAPEthicalStandards

• PrincipleI:TheCounselingRelationship• PrincipleII:ConfidentialityandPrivilegedCommunication• PrincipleIII:ProfessionalResponsibilitiesandWorkplaceStandards• PrincipleIV:WorkinginACulturally-DiverseWorld• PrincipleV:Assessment,EvaluationandInterpretation• PrincipleVI:E-Therapy,E-SupervisionandSocialMedia• PrincipleVII:SupervisionandConsultation• PrincipleVIII:ResolvingEthicalConcerns• PrincipleIX:PublicationandCommunications

INTRODUCTIONTONAADAC/NCCAPETHICALSTANDARDSi-1 NAADACrecognizesthatitsmembers,certifiedcounselors,andotherServiceProvidersliveandworkinmanydiversecommunities.NAADAChas

theresponsibilitytocreateaCodeofEthicsthatarerelevantforethicaldeliberation.Theterms“AddictionProfessionals”and“Providers”shallincludeandrefertoNAADACMembers,certifiedorlicensedcounselorsofferingaddiction-specificservices,andotherServiceProvideralongthecontinuumofcarefrompreventionthroughrecovery.“Client”shallincludeandrefertoindividuals,couples,partners,families,orgroupsdependingonthesetting.

i-2 TheNAADACCodeofEthicswaswrittentogoverntheconductofitsmembersanditistheacceptedStandardofConductforAddictionProfessionalscertifiedbytheNationalCertificationCommission.TheCodeofEthicsreflectstheidealsofNAADACanditsmembers.WhenanethicscomplaintisfiledwithNAADAC,itisevaluatedbyconsultingtheNAADACCodeofEthics.TheNAADACCodeofEthicsisdesignedasastatementofthevaluesoftheprofessionandasaguideformakingclinicaldecisions.ThisCodeisalsoutilizedbystatecertificationboardsandeducationalinstitutionstoevaluatethebehaviorofAddictionProfessionalsandtoguidethecertificationprocess.

i-3 Inadditiontoidentifyingspecificethicalstandards,NAADACrecommendsconsiderationofthefollowingwhenmakingethicaldecisions:1. Autonomy:Toallowothersthefreedomtochoosetheirowndestiny2. Obedience:Theresponsibilitytoobserveandobeylegalandethicaldirectives3. ConscientiousRefusal:Theresponsibilitytorefusetocarryoutdirectivesthatareillegaland/orunethical4. Beneficence:Tohelpothers5. Gratitude:Topassalongthegoodthatwereceivetoothers6. Competence:Topossessthenecessaryskillsandknowledgetotreattheclienteleinachosendisciplineandtoremaincurrentwith

treatmentmodalities,theoriesandtechniques7. Justice:Fairandequaltreatment,totreatothersinajustmanner8. Stewardship:Touseavailableresourcesinajudiciousandconscientiousmanner,togiveback9. HonestyandCandor:Tellthetruthinalldealingwithclients,colleagues,businessassociatesandthecommunity

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10. Fidelity:Tobetruetoyourword,keepingpromisesandcommitments11. Loyalty:Theresponsibilitytonotabandonthosewithwhomyouwork12. Diligence:Toworkhardinthechosenprofession,tobemindful,carefulandthoroughintheservicesdelivered13. Discretion:Useofgoodjudgment,honoringconfidentialityandtheprivacyofothers14. Self-improvement:Toworkonprofessionalandpersonalgrowthtobethebestyoucanbe15. Non-malfeasance:Donoharmtotheinterestsoftheclient16. Restitution:Whennecessary,makeamendstothosewhohavebeenharmedorinjured17. Self-interest:Toprotectyourselfandyourpersonalinterests.Source:White(1993)

PRINCIPLEI:THECOUNSELINGRELATIONSHIPI-1ClientWelfare

AddictionProfessionalsunderstandandaccepttheirresponsibilitytoensurethesafetyandwelfareoftheirclient,andtoactforthegoodofeachclientwhileexercisingrespect,sensitivity,andcompassion.Providersshalltreateachclientwithdignity,honor,andrespect,andactinthebestinterestofeachclient.

I-2InformedConsent

AddictionProfessionalsunderstandtherightofeachclienttobefullyinformedabouttreatment,andshallprovideclientswithinformationinclearandunderstandablelanguageregardingthepurposes,risks,limitations,andcostsoftreatmentservices,reasonablealternatives,theirrighttorefuseservices,andtheirrighttowithdrawconsentwithintimeframesdelineatedintheconsent.Providershaveanobligationtoreviewwiththeirclient-inwritingandverbally-therightsandresponsibilitiesofbothProvidersandclients.ProvidersshallhaveclientsattesttotheirunderstandingoftheparameterscoveredbytheInformedConsent.

I-3InformedConsent

InformedConsentshallinclude:a. explicitexplanationastothenatureofallservicestobeprovidedandmethodologiesandtheoriestypicallyutilized,b. purposes,goals,techniques,procedures,limitations,potentialrisks,andbenefitsofservices,c. theaddictionprofessional’squalifications,credentials,relevantexperience,andapproachtocounseling,d. righttoconfidentialityandexplanationofitslimitsincludingdutytowarn,e. policiesregardingcontinuationofservicesupontheincapacitationordeathofthecounselor,f. theroleoftechnology,includingboundariesaroundelectronictransmissionswithclientsandsocialnetworking,g. implicationsofdiagnosisandtheintendeduseoftestsandreports,h. feesandbilling,nonpayment,policiesforcollectingnonpayment,i. specificsaboutclinicalsupervisionandconsultation,j. theirrighttorefuseservices,andk. theirrighttorefusetobetreatedbyaperson-in-training,withoutfearofretribution.

I-4LimitsofConfidentiality

AddictionProfessionalsclarifythenatureofrelationshipswitheachpartyandthelimitsofconfidentialityattheoutsetofserviceswhenagreeingtoprovideservicestoapersonattherequestordirectionofathirdparty.

I-5Diversity

AddictionProfessionalsshallrespectthediversityofclientsandseektrainingandsupervisioninareasinwhichtheyareatriskofimposingtheirvaluesontoclients.

I-6Discrimination

AddictionProfessionalsshallnotpractice,condone,facilitate,orcollaboratewithanyformofdiscriminationagainstanyclientonthebasisofrace,ethnicity,color,religiousorspiritualbeliefs,age,genderidentification,nationalorigin,sexualorientationorexpression,maritalstatus,politicalaffiliations,physicalormentalhandicap,healthcondition,housingstatus,militarystatus,oreconomicstatus.

I-7LegalCompetency

AddictionProfessionalswhoactonbehalfofaclientwhohasbeenjudgedlegallyincompetentorwitharepresentativewhohasbeenlegallyauthorizedtoactonbehalfofaclient,shallactwiththeclient’sbestinterestsinmind,andshallinformthedesignatedguardianorrepresentativeofanycircumstanceswhichmayinfluencetherelationship.Providersrecognizetheneedtobalancetheethicalrightsofclientstomakechoices

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abouttheirtreatment,theircapacitytogiveconsenttoreceivetreatment-relatedservices,andparental/familial/representativelegalrightsandresponsibilitiestoprotecttheclientandmakedecisionsontheirbehalf.

I-8MandatedClients

AddictionProfessionalswhoworkwithclientswhohavebeenmandatedtocounselingandrelatedservices,shalldiscusslegalandethicallimitationstoconfidentiality.Providersshallexplainconfidentiality,limitstoconfidentiality,andthesharingofinformationforsupervisionandconsultationpurposespriortothebeginningoftherapeuticorservicerelationship.Iftheclientrefusesservices,theProvidershalldiscusswiththeclientthepotentialconsequencesofrefusingthemandatedservices,whilerespectingclientautonomy.

I-9MultipleTherapists

AddictionProfessionalsshallobtainasignedReleaseofInformationfromapotentialoractualclientiftheclientisworkingwithanotherbehavioralhealthprofessional.TheReleaseshallallowtheProvidertostrivetoestablishacollaborativeprofessionalrelationship.

I-10Boundaries

AddictionProfessionalsshallconsidertheinherentrisksandbenefitsassociatedwithmovingtheboundariesofacounselingrelationshipbeyondthestandardparameters.Consultationandsupervisionshallbesoughtanddocumented.

I-11Multiple/DualRelationships

AddictionProfessionalsshallmakeeveryefforttoavoidmultiplerelationshipswithaclient.Whenadualrelationshipisunavoidable,theprofessionalshalltakeextracaresothatprofessionaljudgmentisnotimpairedandthereisnoriskofclientexploitation.Suchrelationshipsinclude,butarenotlimitedto,membersoftheProvider’simmediateorextendedfamily,businessassociatesoftheprofessional,orindividualswhohaveaclosepersonalrelationshipwiththeprofessionalortheprofessional’sfamily.Whenextendingtheseboundaries,Providerstakeappropriateprofessionalprecautionssuchasinformedconsent,consultation,supervision,anddocumentationtoensurethattheirjudgmentisnotimpairedandnoharmoccurs.Consultationandsupervisionshallbedocumented.

I-12PriorRelationship

AddictionProfessionalsrecognizethatthereareinherentrisksandbenefitstoacceptingasaclientsomeonewithwhomtheyhaveapriorrelationship.ThisincludesanyonewithwhomtheProviderhadacasual,distant,orpastrelationship.Priortoengaginginacounselingrelationshipwithapersonfromapreviousrelationship,theProvidershallseekconsultationorsupervision.TheburdenisontheProvidertoensurethattheirjudgmentisnotimpairedandthatexploitationisnotoccurring.

I-13PreviousClient

AddictionProfessionalsconsideringinitiatingcontactwithorarelationshipwithapreviousclientshallseekdocumentedconsultationorsupervisionpriortoitsinitiation.

I-14Group

AddictionProfessionalsshallclarifywho“theclient”is,whenacceptingandworkingwithmorethanonepersonas“theclient.”ProvidershallclarifytherelationshiptheProvidershallhavewitheachperson.Ingroupcounseling,Providersshalltakereasonableprecautionstoprotectthemembersfromharm.

I-15FinancialDisclosure

AddictionProfessionalsshalltruthfullyrepresentfactstoallclientsandthird-partypayersregardingservicesrendered,andthecostsofthoseservices.

I-16Communication

AddictionProfessionalsshallcommunicateinformationinwaysthataredevelopmentallyandculturallyappropriate.Providersofferclearunderstandablelanguagewhendiscussingissuesrelatedtoinformedconsent.CulturalimplicationsofinformedconsentareconsideredanddocumentedbyProvider.

I-17TreatmentPlanning

AddictionProfessionalsshallcreatetreatmentplansincollaborationwiththeirclient.Treatmentplansshallbereviewedandrevisedonanongoingandintentionalbasistoensuretheirviabilityandvalidity.

I-18LevelofCare

AddictionProfessionalsshallprovidetheirclientwiththehighestqualityofcare.ProvidersshalluseASAMorotherrelevantcriteriatoensurethatclientsareappropriatelyandeffectivelyserved.

I-19Documentation

AddictionProfessionalsandotherServiceProvidersshallcreate,maintain,protect,andstoredocumentationrequiredperfederalandstatelawsandrules,andorganizationalpolicies.

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I-20Advocacy

AddictionProfessionalsarecalledtoadvocateonbehalfofclientsattheindividual,group,institutional,andsocietallevels.Providershaveanobligationtospeakoutregardingbarriersandobstaclesthatimpedeaccesstoand/orgrowthanddevelopmentofclients.Whenadvocatingforaspecificclient,Providersobtainwrittenconsentpriortoengaginginadvocacyefforts.

I-21Referrals

AddictionProfessionalsshallrecognizethateachclientisentitledtothefullextentofphysical,social,psychological,spiritual,andemotionalcarerequiredtomeettheirneeds.Providersshallrefertoculturally-andlinguistically-appropriateresourceswhenaclientpresentswithanyimpairmentthatisbeyondthescopeoftheProvider’seducation,training,skills,supervisedexpertise,andlicensure.

I-22Exploitation

AddictionProfessionalsareawareoftheirinfluentialpositionswithrespecttoclients,trainees,andresearchparticipantsandshallnotexploitthetrustanddependencyofanyclient,trainee,orresearchparticipant.Providersshallnotengageinanyactivitythatviolatesordiminishesthecivilorlegalrightsofanyclient.Providersshallnotusecoercivetreatmentmethodswithanyclient, includingthreats,negative labels,orattemptstoprovoke shame or humiliation. Providers shall not impose their personal religious or political values on any client. Providers do not endorseconversiontherapy.

I-23SexualRelationships

AddictionProfessionalsshallnotengageinanyformofsexualorromanticrelationshipwithanycurrentorformerclient,noracceptasaclientanyonewithwhomtheyhaveengagedinaromantic,sexual,social,orfamilialrelationship.Thisprohibitionincludesin-personandelectronicinteractionsand/orrelationships.AddictionProfessionalsareprohibitedfromengagingincounselingrelationshipswithfriendsorfamilymemberswithwhomtheyhaveaninabilitytoremainobjective.

I-24Termination

AddictionProfessionalsshallterminateserviceswithclientswhenservicesarenolongerrequired,nolongerservetheclient’sneeds,ortheProviderisunabletoremainobjective.Counselorsprovidepre-terminationcounselingandofferappropriatereferralsasneeded.Providersmayreferaclient,withsupervisionorconsultation,whenindangerofharmbytheclientorbyanotherpersonwithwhomtheclienthasarelationship

I-25Coverage

AddictionProfessionalsshallmakenecessarycoveragearrangementstoaccommodateinterruptionssuchasvacations,illness,orunexpectedsituation.

I-26Abandonment

AddictionProfessionalsshallnotabandonanyclientintreatment.Providerswhoanticipateterminationorinterruptionofservicestoclientsshallnotifyeachclientpromptlyandseektransfer,referral,orcontinuationofservicesinrelationtoeachclient’sneedsandpreferences.

I-27Fees

AddictionProfessionalsshallensurethatallfeeschargedforservicesarefair,reasonable,andcommensuratewiththeservicesprovidedandwithdueregardforclients'abilitytopay.

I-28Self-Referrals

AddictionProfessionalsshallnotreferclientstotheirprivatepracticeunlessthepolicies,attheorganizationatthesourceofthereferral,allowforself-referrals.Whenself-referralsarenotanoption,clientsshallbeinformedofotherappropriatereferralresources.

I-29Commissions

AddictionProfessionalsshallnotofferoracceptanycommissions,rebates,kickbacks,bonuses,oranyformofremunerationforreferralofaclientforprofessionalservices,norengageinfeesplitting.

I-30Enterprises

AddictionProfessionalsshallnotuserelationshipswithclientstopromotepersonalgainorprofitofanytypeofcommercialenterprise.

I-31WithholdingRecords

AddictionProfessionalsshallnotwithholdrecordstheypossessthatareneededforanyclient’streatmentsolelybecausepaymenthasnotbeenreceivedforpastservices.

I-32WithholdingReports

AddictionProfessionalsshallnotwithholdreportstoreferralagenciesregardingclienttreatmentprogressorcompletionsolelybecausepaymenthasnotyetbeenreceivedinfullforservices,particularlywhenthosereportsaretocourtsorprobationofficerswhorequiresuchinformationforlegalpurposes.Reportsmaynotethatpaymenthasnotyetbeenmade,oronlypartiallymade,forservicesrendered.

I-33Disclosuresre:Payments

AddictionProfessionalsshallclearlydiscloseandexplaintoeachclient,priortotheonsetofservices,(1)allcostsandfeesrelatedtotheprovisionofprofessionalservices,includinganychargesforcancelledormissedappointments,(2)theuseofcollectionagenciesorlegalmeasuresfornonpayment,and(3)theprocedureforobtainingpaymentfromtheclientifpaymentisdeniedbyathirdpartypayer.

I-34 AddictionProfessionalsshallprovidethesamelevelofprofessionalskillsandservicetoeachclientwithoutregardtothecompensationprovidedbyaclientorthirdpartypayer,andwhetheraclientispayingfullfee,areducedfee,orhastheirfeeswaived.

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RegardlessofCompensationI-35BillingforActualServices

AddictionProfessionalsshallchargeeachclientonlyforservicesactuallyprovidedtoaclientregardlessofanyoralorwrittencontractaclienthasmadewiththeaddictionprofessionaloragency.

I-36FinancialRecords

AddictionProfessionalsshallmaintainaccurateandtimelyclinicalandfinancialrecordsforeachclient.

I-37Suspension

AddictionProfessionalsshallgivereasonableandwrittennoticetoclientsofimpendingsuspensionofservicesfornonpayment.

I-38UnpaidBalances

AddictionProfessionalsshallgivereasonableandwrittennoticetoclientswithunpaidbalancesoftheirintenttoseekcollectionbyagencyorlegalrecourse—whensuchactionistaken,AddictionProfessionalsshallnotrevealclinicalinformation.

I-39Bartering

AddictionProfessionalscanengageinbarteringforprofessionalservicesif:(1)theclientrequestsit,(2)therelationshipisnotexploitative,(3)theprofessionalrelationshipisnotdistorted,(4)federalandstatelawsandrulesallowforbartering,and(5)aclearwrittencontractisestablishedwithagreementonvalueofitem(s)barteredforandnumberofsessions,priortotheonsetofservices.Providersconsidertheculturalimplicationsofbarteringanddiscussrelevantconcernswithclients.Agreementsshallbedelineatedinawrittencontract.Providersshallseeksupervisionorconsultationanddocument.

I-40Gifts

AddictionProfessionalsrecognizethatclientsmaywishtoshowappreciationforservicesbyofferinggifts.Providersshalltakeintoaccountthetherapeuticrelationship,themonetaryvalueofthegift,theclient’smotivationforgivingthegift,andthecounselor’smotivationforwantingtoacceptordeclinethegift

I-41UninvitedSolicitation

AddictionProfessionalsshallnotengageinuninvitedsolicitationofpotentialclientswhoarevulnerabletoundueinfluence,manipulation,orcoercionduetotheircircumstances.

I-42Virtual

AddictionProfessionalsareprohibitedfromengaginginapersonalorromanticvirtuale-relationshipwithcurrentclients.

PRINCIPLEII:CONFIDENTIALITYANDPRIVILEGEDCOMMUNICATIONII-1Confidentiality

AddictionProfessionalsunderstandthatconfidentialityandanonymityarefoundationaltoaddictiontreatmentandembracethedutyofprotectingtheidentityandprivacyofeachclientasaprimaryobligation.Counselorscommunicatetheparametersofconfidentialityinaculturally-sensitivemanner.

II-2Documentation

AddictionProfessionalsshallcreateandmaintainappropriatedocumentation.Providersshallensurethatrecordsanddocumentationkeptinanymedium(i.e.,cloud,laptop,flashdrive,externalharddrive,tablet,computer,paper,etc.)aresecureandincompliancewithHIPAAand42CFRPart2,andthatonlyauthorizedpersonshaveaccesstothem.Providersshalldisclosetoclientwithininformedconsenthowrecordsshallbestored,maintained,anddisposedof,andshallincludetimeframesformaintainingactivefile,storage,anddisposal.

II-3Access

AddictionProfessionalsshallnotifyclient,duringinformedconsent,aboutproceduresspecifictoclientaccessofrecords.AddictionProfessionalsshallprovideaclientreasonableaccesstodocumentationregardingtheclientuponhis/herwrittenrequest.Providersshallprotecttheconfidentialityofanyotherscontainedintherecords.Providersshalllimittheaccessofclientstotheirrecords–andprovideasummaryoftherecords–whenthereisevidencethatfullaccesscouldcauseharmtotheclient.Atreatmentsummaryshallincludedatesofservice,diagnoses,treatmentplan,andprogressintreatment.Providersseeksupervisionorconsultationpriortoprovidingaclientwithdocumentation,andshalldocumenttherationaleforreleasingorlimitingaccesstorecords.Providersshallprovideassistanceandconsultationtotheclientregardingtheinterpretationofcounselingrecords.

II-4Sharing

AddictionProfessionalsshallencourageongoingdiscussionswithclientsregardinghow,when,andwithwhominformationistobeshared.

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II-5Disclosure

AddictionProfessionalsshallnotdiscloseconfidentialinformationregardingtheidentityofanyclient,norinformationthatcouldpotentiallyrevealtheidentityofaclient,withoutwrittenconsentandauthorizationbytheclient.Insituationswherethedisclosureismandatedorpermittedbystateandfederallaw,verbalauthorizationshallnotbesufficientexceptforemergencies.

II-6Privacy

AddictionProfessionalsandtheorganizationstheyworkforensurethatconfidentialityandprivacyofclientsisprotectedbyProviders,employees,supervisees,students,officepersonnel,otherstaffandvolunteers.

II-7LimitsofConfidentiality

AddictionProfessionals,duringinformedconsent,shalldisclosethelegalandethicalboundariesofconfidentialityanddisclosethelegalexceptionstoconfidentiality.Confidentialityandlimitationstoconfidentialityshallbereviewedasneededduringthecounselingrelationship.Providersreviewwitheachclientallcircumstanceswhereconfidentialinformationmayberequested,andwheredisclosureofconfidentialinformationmaybelegallyrequired.

II-8ImminentDanger

AddictionProfessionalsmayrevealclientidentityorconfidentialinformationwithoutclientconsentwhenaclientpresentsaclearandimminentdangertothemselvesortootherpersons,andtoemergencypersonnelwhoaredirectlyinvolvedinreducingthedangerorthreat.Counselorsseeksupervisionorconsultationwhenunsureaboutthevalidityofanexception.

II-9Courts

AddictionProfessionalsorderedtoreleaseconfidentialprivilegedinformationbyacourtshallobtainwritten,informedconsentfromtheclient,takestepstoprohibitthedisclosure,orhaveitlimitedasnarrowlyaspossiblebecauseofpotentialharmtotheclientorcounselingrelationship

II-10EssentialOnly

AddictionProfessionalsshallreleaseonlyessentialinformationwhencircumstancesrequirethedisclosureofconfidentialinformation.

II-11MultidisciplinaryCare

AddictionProfessionalsshallinformtheclientwhentheProviderisaparticipantinamultidisciplinarycareteamprovidingcoordinatedservicestotheclient.Theclientshallbeinformedoftheteam’smembercredentialsandduties,informationbeingshared,andthepurposesofsharingclientinformation.

II-12Locations

AddictionProfessionalsshalldiscussconfidentialclientinformationinlocationswheretheyarereasonablycertaintheycanprotectclientprivacy.

II-13Payers

AddictionProfessionalsshallobtainclientauthorizationpriortodisclosinganyinformationtothirdpartypayers(i.e.,Medicaid,Medicare,insurancepayers,privatepayors).

II-14Encryption

AddictionProfessionalsshalluseencryptionandprecautionsthatensurethatinformationbeingtransmittedelectronicallyorothermediumremainsconfidential.

II-15Deceased

AddictionProfessionalsshallprotecttheconfidentialityofdeceasedclientsbyupholdinglegalmandatesanddocumentedpreferencesoftheclient.

II-16AllParties

AddictionProfessionals,whoprovidegroup,family,orcouplestherapy,shalldescribetherolesandresponsibilitiesofallparties,limitsofconfidentiality,andtheinabilitytoguaranteethatconfidentialityshallbemaintainedbyallparties.

II-17MinorsandOthers

AddictionProfessionalsshallprotecttheconfidentialityofanyinformationreceivedregardingcounselingminorclientsoradultclientswholackthecapacitytoprovidevoluntaryinformedconsent,regardlessofthemedium,inaccordancewithfederalandstatelaws,andorganizationpoliciesandprocedures.Parents,guardians,andappropriatethirdpartiesareinformedregardingtheroleofthecounselor,andtheboundariesofconfidentialityofthecounselingrelationship.

II-18StorageandDisposal

AddictionProfessionalsshallcreateand/orabidebyorganizational,andstateandfederal,policiesandproceduresregardingthestorage,transfer,anddisposalofconfidentialclientrecords.Providersshallmaintainclientconfidentialityinallmediumsandformsofdocumentation.

II-19VideoRecording

AddictionProfessionalsshallobtaininformedconsentandwrittenpermissionsandreleasesbeforevideotaping,audiorecording,orpermittingthirdpartyobservationofanyclientinteractionorgrouptherapysession.Clientsaretobefullyinformedregardingrecordingsuchaspurpose,whowillhaveaccess,storage,anddisposalofrecordings.Exceptionstorestrictionsonthirdpartyobservationsshallbelimitedtostudentsinfieldplacements,internships,practicums,oragencytrainees.

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II-20Recordinge-therapy

AddictionProfessionalsshallobtaininformedconsentandwrittenreleaseofinformationpriortorecordinganelectronictherapysession.Priortoobtaininginformedconsentforrecordinge-therapy,theProvidershallseeksupervisionorconsultation,anddocumentrecommendations.Providersshalldisclosetoclientininformedconsenthowe-recordsshallbestored,maintained,anddisposedofandinwhattimeframe.

II-21FederalRegulationsStamp

AddictionProfessionalsshallensurethatallwritteninformationreleasedtoothersisaccompaniedbyastampidentifyingtheFederalRegulationsgoverningsuchdisclosure,andshallnotifyclientswhenadisclosureismade,towhomthedisclosurewasmade,andforwhatpurposesthedisclosurewasmade.

II-22TransferRecords

Unlessexceptionstoconfidentialityexist,AddictionProfessionalsshallobtainwrittenpermissionfromclientstodiscloseortransferrecordstolegitimatethirdparties.Stepsaretakentoensurethatreceiversofcounselingrecordsaresensitivetotheirconfidentialnature.AddictionProfessionalsshallensurethatallinformationreleasedmeetsrequirementsof42CFRPart2andHIPAA.Allinformationreleasedshallbeappropriatelymarkedasconfidential.

II-23WrittenPermission

AddictionProfessionalswhoreceiveconfidentialinformationaboutanyclient(past,presentorpotential)shallnotdisclosethatinformationwithoutobtainingwrittenpermissionfromtheclient(past,presentorpotential)allowingforsuchrelease.

II-24MultidisciplinaryCare

AddictionProfessionals,whoarepartofintegrativecareteams,shallnotreleaseconfidentialclientinformationtoexternalcareteammemberswithoutobtainingwrittenpermissionfromtheclientallowingsuchrelease.

II-25Diseases

AddictionProfessionalsadheretorelevantfederalandstatelawsconcerningthedisclosureofaclient’scommunicableandlife-threateningdiseasestatus.

II-26StorageandDisposal

AddictionProfessionalsshallstore,safeguard,anddisposeofclientrecordsinaccordancewithstateandfederallaws,acceptedprofessionalstandards,andinwayswhichprotecttheconfidentialityofclients.

II-27TemporaryAssistance

AddictionProfessionals,whenservingclientsofanotheragencyorcolleagueduringatemporaryabsenceoremergency,shallservethoseclientswiththesameconsiderationandconfidentialityasthataffordedtheprofessional’sownclients.

II-28Termination

AddictionProfessionalsshalltakereasonableprecautionstoprotectclientconfidentialityintheeventofthecounselor’sterminationofpractice,incapacity,ordeath.Providersshallappointarecordscustodianwhenidentifiedasappropriate,intheirWillorotherdocument.

II-29Consultation

AddictionProfessionalsshallshare,withaconsultant,informationaboutaclientforprofessionalpurposes.Onlyinformationpertainingtothereasonfortheconsultationshallbereleased.Providersshallprotecttheclient’sidentityandpreventbreachestotheclient’sprivacy.AddictionProfessionals,whenconsultingwithcolleaguesorreferralsources,shallnotshareconfidentialinformationobtainedinclinicalorconsultingrelationshipsthatcouldleadtotheidentificationofaclient,unlesstheProviderhasobtainedpriorwrittenconsentfromtheclient.Informationshallbesharedonlyinappropriateclinicalsettingsandonlytotheextentnecessarytoachievethepurposesoftheconsultation.

PRINCIPLEIII:PROFESSIONALRESPONSIBILITIESANDWORKPLACESTANDARDSIII-1Responsibility

AddictionProfessionalsshallabidebytheNAADACCodeofEthics.AddictionProfessionalshavearesponsibilitytoread,understandandfollowtheNAADACCodeofEthicsandadheretoapplicablelawsandregulations.

III-2Integrity

AddictionProfessionalsshallconductthemselveswithintegrity.Providersaspiretomaintainintegrityintheirprofessionalandpersonalrelationshipsandactivities.Regardlessofmedium,Providersshallcommunicatetoclients,peers,andthepublichonestly,accurately,andappropriately.

III-3Discrimination

AddictionProfessionalsshallnotengagein,endorseorcondonediscriminationagainstprospectiveorcurrentclientsandtheirfamilies,students,employees,volunteers,supervisees,orresearchparticipantsbasedontheirrace,ethnicity,age,disability,religion,spirituality,gender,gender

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identity,sexualorientation,maritalorpartnershipstatus,languagepreference,socioeconomicstatus,immigrationstatus,activedutyorveteranstatus,oranyotherbasis.

III-4Nondiscriminatory

AddictionProfessionalsshallprovideservicesthatarenondiscriminatoryandnonjudgmental.Providersshallnotexploitothersintheirprofessionalrelationships.Providersshallmaintainappropriateprofessionalandpersonalboundaries.

III-5Fraud

AddictionProfessionalsshallnotparticipatein,condone,orbeassociatedwithanyformofdishonesty,fraud,ordeceit.

III-6Violation

AddictionProfessionalsshallnotengageinanycriminalactivity.AddictionProfessionalsandServiceProvidersshallbeinviolationofthisCodeandsubjecttoappropriatesanctions,uptoandincludingpermanentrevocationoftheirNAADACmembershipandNCCAPcertification,ifthey:1. Failtodiscloseconvictionofanyfelony.2. FailtodiscloseconvictionofanymisdemeanorrelatedtotheirqualificationsorfunctionsasanAddictionProfessional.3. EngageinconductwhichcouldleadtoconvictionofafelonyormisdemeanorrelatedtotheirqualificationsorfunctionsasanAddiction

Professional.4. Areexpelledfromordisciplinedbyotherprofessionalorganizations.5. Havetheirlicensesorcertificatessuspendedorrevoked,orareotherwisedisciplinedbyregulatorybodies.6. Continuetopracticeaddictioncounselingwhileimpairedtodosoduetophysicalormentalcauses7. Continuetopracticeaddictioncounselingwhileimpairedabuseofalcoholorotherdrugs.8. Continuetoidentifythemselvesasacertifiedorlicensedaddictionprofessionalafterbeingdeniedcertificationorlicensure,orallowingtheir

certificationorlicensetolapse9. FailtocooperatewiththeNAADACorNCCAPEthicsCommitteesatanypointfromtheinceptionofanethicscomplaintthroughthe

completionofallproceduresregardingthatcomplaint.

III-7Harassment

AddictionProfessionalsshallnotengageinorcondoneanyformofharassment,includingsexualharassment.

III-8Membership

AddictionProfessionalsintentionallydifferentiatebetweencurrent,activemembershipsandformerorinactivemembershipswithNAADACandotherprofessionalassociations.

III-9Credentials

AddictionProfessionalsshallclaimandpresentonlythoseeducationaldegreesandspecializedcertificationsthattheyhaveearnedfromtheappropriateinstitutionsororganizations.ProvidersshallnotimplyMaster’slevelcompetenceuntiltheirMaster’sdegreeisawarded.Providersshallnotimplydoctoral-levelcompetenceuntiltheirdoctoraltitleordegreeisawarded.Theaccreditationsofaspecificinstitutionofhigherlearningordegreeprogramshallbeaccuratelyrepresented.

III-10Credentials

AddictionProfessionalsshallclaimandpromoteonlythoselicensesandcertificationsthatarecurrentandingoodstanding.

III-11AccuracyofRepresentation

AddictionProfessionalsshallensurethattheircredentialsandaffiliationsareidentifiedaccurately.Providersshallcorrectallreferencestotheircredentialsandaffiliationsthatarefalse,deceptive,ormisleading.AddictionProfessionalsshalladvocateforaccuracyinstatementsmadebyselforothersabouttheaddictionprofession.

III-12Misrepresentation

AddictionProfessionalsshallnotmisrepresentprofessionalqualifications,education,experience,membershipsoraffiliations.Providersshallacceptemploymentonthebasisofexistingcompetenciesorexplicitintenttoacquirethenecessarycompetence.

III-13ScopeofPractice

AddictionProfessionalsshallprovideserviceswithintheirscopeofpracticeandcompetency,andshallofferservicesthatarescience-based,evidence-based,andoutcome-driven.Providersshallengageincounselingpracticesthataregroundedinrigorousresearchmethodologies.Providersshallmaintainadequateknowledgeofandadheretoapplicableprofessionalstandardsofpractice.

III-14BoundariesofCompetence

AddictionProfessionalsshallpracticewithintheboundariesoftheircompetence.Competenceshallbeestablishedthrougheducation,training,skills,andsupervisedexperience,stateandnationalprofessionalcredentialsandcertifications,andrelevantprofessionalexperience.

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III-15Proficiency

AddictionProfessionalsshallseekanddevelopproficiencythroughrelevanteducation,training,skills,andsupervisedexperiencepriortoindependentlydeliveringspecialtyservices.Providersengageinsupervisedexperienceandseekconsultationtoensurethevalidityoftheirworkandprotectclientsfromharmwhendevelopingskillsinnewspecialtyareas.

III-16EducationalAchievement

AddictionProfessionalsrecognizethatthehighestlevelsofeducationalachievementarenecessarytoprovidethelevelofserviceclientsdeserve.Providersembracetheneedforformalandspecializededucationasavitalcomponentofprofessionaldevelopment,competency,andintegrity.Providerspursueknowledgeofnewdevelopmentswithintheaddictionandbehavioralhealthprofessionsandincreasecompetencythroughformaleducation,training,andsupervisedexperience.

III-17ContinuingEducation

AddictionProfessionalsshallpursueandengageincontinuingeducationandprofessionaldevelopmentopportunitiesinordertomaintainandenhanceknowledgeofresearch-basedscientificdevelopmentswithintheprofession.Providersshalllearnandutilizenewproceduresrelevanttotheclientstheyareworkingwith.Providersshallremaininformedregardingbestpracticesforworkingwithdiversepopulations.

III-18Self-Monitoring

AddictionProfessionalsarecontinuouslyself-monitoringinordertomeettheirprofessionalobligations.Providersshallengageinself-careactivitiesthatpromoteandmaintaintheirphysical,psychological,emotional,andspiritualwell-being.

III-19Scientific

AddictionProfessionalsshallusetechniques,procedures,andmodalitiesthathaveascientificandempiricalfoundation.Providersshallutilizecounselingtechniquesandproceduresthataregroundedintheory,evidence-based,outcome-drivenand/oraresearch-supportedpromisingpractice.Providersshallnotusetechniques,procedures,ormodalitiesthathavesubstantialevidencesuggestingharm,evenwhentheseservicesarerequested.

III-20Innovation

AddictionProfessionalsshalldiscussanddocumentpotentialrisks,benefitsandethicalconcernspriortousingdevelopingorinnovativetechniques,procedures,ormodalitieswithaclient.Providersshallminimizeanddocumentanypotentialrisksorharmwhenusingdevelopingand/orinnovativetechniques,procedures,ormodalities.Providershallseekanddocumentsupervisionand/orconsultationpriortopresentingtreatmentoptionsandriskstoaclient.

III-21MulticulturalCompetency

AddictionProfessionalsshalldevelopmulticulturalcounselingcompetencybygainingknowledgespecifictomulticulturalism,increasingawarenessofculturalidentificationsofclients,evolvingculturalhumility,displayingadispositionfavorabletodifference,andincreasingskillspertinenttobeingaculturally-sensitiveProvider

III-22MultidisciplinaryCare

AddictionProfessionalsshallworktoeducatemedicalprofessionalsaboutsubstanceusedisorders,theneedforprimarytreatmentofthesedisorders,andtheneedtolimittheuseofmoodalteringchemicalsforpersonsinrecovery.

III-23MedicalProfessionals

AddictionProfessionalsshallrecognizetheneedfortheuseofmoodalteringchemicalsinlimitedmedicalsituations,andwillworktoeducatemedicalprofessionalstolimit,monitor,andcloselysupervisetheadministrationofsuchchemicalswhentheiruseisnecessary.

III-24CollaborativeCare

AddictionProfessionalsshallcollaboratewithotherhealthcareprofessionalsinprovidingasupportiveenvironmentforanyclientwhoreceivesprescribedmedication.

III-25MultidisciplinaryCare

Collaborativemultidisciplinarycareteamsarefocusedonincreasingtheclient’sfunctionalityandwellness.AddictionProfessionalswhoaremembersofmultidisciplinarycareteamsshallworkwithteammemberstoclarifyprofessionalandethicalobligationsoftheteamasawholeanditsindividualmembers.Ifethicalconcernsdevelopasaresultofateamdecision,Providersshallattempttoresolvetheconcernwithintheteamfirst.Ifresolutioncannotbereachedwithintheteam,Providersshallpursueanddocumentsupervisionand/orconsultationtoaddresstheirconcernsconsistentwithclientwell-being.

III-26Collegial

AddictionProfessionalsareawareoftheneedforcollegialityandcooperationinthehelpingprofessions.Providersshallactingoodfaithtowardscolleaguesandotherprofessionals,andshalltreatcolleaguesandotherprofessionalswithrespect,courtesy,honesty,andfairness.

III-27CollaborativeCare

AddictionProfessionalsshalldeveloprespectfulandcollaborativerelationshipswithotherprofessionalswhoareworkingwithaspecificclient.Providersshallnotofferprofessionalservicestoaclientwhoisincounselingwithanotherprofessional,exceptwiththeknowledgeanddocumentedapprovaloftheotherprofessionalsorfollowingterminationofserviceswiththeotherprofessionals.

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III-28Qualified

Addictionprofessionalsshallworktopreventthepracticeofaddictionscounselingbyunqualifiedandunauthorizedpersons,andshallnotemployindividualswhodonothaveappropriateandrequisiteeducation,training,licensureand/orcertificationinaddictions.

III-29Advocacy

Providersshallbeadvocatesfortheirclientsinthosesettingswheretheclientisunabletoadvocateforthemselves.

III-30Advocacy

AddictionProfessionalsareawareofsociety’sprejudiceandstigmatowardspeoplewithsubstanceusedisorders,andwillinglyengageinthelegislativeprocess,educationalinstitutions,andpublicforumstoeducatepeopleaboutaddictivedisordersandadvocateforopportunitiesandchoicesforourclients.

III-31Advocacy

AddictionProfessionalsshalladvocateforchangesinpublicpolicyandlegislationtoimproveopportunitiesandchoicesforallpersonswhoselivesareimpairedbysubstanceusedisorders.

III-32Advocacy

AddictionProfessionalsshallinformthepublicoftheimpactofsubstanceusedisordersthroughactiveparticipationincivicaffairsandcommunityorganizations.Providersshallacttoguaranteethatallpersons,especiallythedisadvantaged,haveaccesstotheopportunities,resources,andservicesrequiredtotreatandmanagetheirdisorders.Providersshalleducatethepublicaboutsubstanceusedisorders,whileworkingtodispelnegativemyths,stereotypes,andmisconceptionsaboutsubstanceusedisordersandthepeoplewhohavethem.

III-33PresentKnowledge

AddictionProfessionalsshallrespectthelimitsofpresentknowledgeinpublicstatementsconcerningaddictionstreatment,andshallreportthatknowledgeaccuratelyandwithoutdistortionormisrepresentationtothepublicandtootherprofessionalsandorganizations.

III-34Organizationalvs.Private

AddictionProfessionalsshalldistinguishclearlybetweenstatementsmadeandactionstakenasaprivateindividualandstatementsmadeandactionstakenasarepresentativeofanagency,group,organization,ortheaddictionprofession.

III-35PublicCommentsNAADAC

AddictionProfessionalsshallmakenopubliccommentsdisparagingNAADACortheaddictionsprofession.Theterm“publiccomments”shallinclude,butisnotlimitedto,anyandallformsoforal,written,andelectroniccommunicationwhichmaybeaccessibletoanyonewhoisorisnotaNAADACmember.

III-36PublicCommentsSUDs

AddictionProfessionalsshallmakenopubliccommentsdisparagingpersonswhohavesubstanceusedisorders.Theterm“publiccomments”shallinclude,butisnotlimitedto,allformsoforal,written,andelectroniccommunicationwhichmaybeaccessibletoanyonewhoisnotaNAADACmember.

III-37PublicCommentsLegislative

AddictionProfessionalsshallmakenopubliccommentsdisparagingthelegislativeprocess,oranypersoninvolvedinthelegislativeprocess.Theterm“publiccomments”shallinclude,butisnotlimitedto,allformsoforal,written,andelectroniccommunicationwhichmaybeaccessibletoanyonewhoisnotaNAADACmember.

III-38Development

AddictionProfessionalsactivelyparticipateinlocal,stateandnationalassociationsthatpromoteprofessionaldevelopment.

III-39Policy

AddictionProfessionalsshallsupporttheformulation,development,enactment,andimplementationofpublicpolicyandlegislationconcerningtheaddictionprofessionandourclients.

III-40Parity

AddictionProfessionalsshallworkforparityininsurancecoverageforsubstanceusedisordersasprimarymedicaldisorders.

III-41Impairment

AddictionProfessionalsshallrecognizetheeffectofimpairmentonprofessionalperformanceandshallseekappropriateprofessionalassistanceforanypersonalproblemsorconflictsthatmayimpairworkperformanceorclinicaljudgment.Providersshallcontinuouslymonitorthemselvesforsignsofimpairmentphysically,psychologically,socially,andemotionally.Providers,withtheguidanceofsupervisionorconsultation,shallseekappropriateassistanceintheeventtheyareprofessionallyimpaired.Providersshallabidebystatutorymandatesspecifictoprofessionalimpairmentwhenaddressingone’sownimpairment.

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III-42Impairment

AddictionProfessionalsshallofferandprovideassistanceandconsultationasneededtopeers,coworkers,andsupervisorswhoaredemonstratingprofessionalimpairment,andintervenetopreventharmtoclients.Providersshallabidebystatutorymandatesspecifictoreportingtheprofessionalimpairmentofpeers,coworkers,andsupervisors.

III-43Referrals

AddictionProfessionalsshallnotreferclients,orrecruitcolleaguesorsupervisors,fromtheirplacesofemploymentorprofessionalaffiliationtotheirprivatepracticewithoutpriordocumentedauthorization.Providersshalloffermultiplereferraloptionstoclientswhenreferralsarenecessary.Providerswillseeksupervisionorconsultationtoaddressanypotentialorrealconflictsofinterest.

III-44Termination

AddictionProfessionalsshallcreateawrittenplan,policyorProfessionalWillforaddressingsituationsinvolvingtheProvider’sincapacitation,terminationofpractice,retirement,ordeath.

III-45Representation

AddictionProfessionalsandOrganizationsofferingeducation,trainings,seminars,andworkshopsshallaccuratelyandhonestlyrepresenttheirNAADAC-approvededucationproviderstatus.ProvidersandorganizationsshallmeetallrequirementsputforthbyNAADACiftheyintendtopromoteactiveproviderstatus.

III-46Promotion

AddictionProfessionalsshallensurethatpromotionsandadvertisementsconcerningtheirworkshops,trainings,seminars,andproductsthattheyhavedevelopedforuseinthedeliveryofservicesareaccurateandprovideampleinformationsoconsumerscanmakeinformedchoices.AddictionProfessionalsshallnotusetheircounseling,teaching,trainingorsupervisoryrelationshipstodeceptivelyorundulypromotetheirproductsortrainingevents.

III-47Testimonials

AddictionProfessionalsshallbethoughtfulwhentheysolicittestimonialsfromformerclientsoranyotherpersons.Providersshalldiscusswithclientstheimplicationsofandpotentialconcerns,regardingtestimonials,priortoobtainingwrittenpermissionfortheuseofspecifictestimonials.Providersshallseekconsultationorsupervisionpriortoseekingatestimonial.

III-48Reports

AddictionProfessionalsshalltakecaretoaccurately,honestlyandobjectivelyreportprofessionalactivitiesandjudgmentstoappropriatethirdparties(i.e.,courts,probation/parole,healthcareinsuranceorganizationsandproviders,recipientsofevaluationreports,referralsources,professionalorganizations,regulatoryagencies,regulatoryboards,ethicscommittees,etc.).

III-49Advice

AddictionProfessionalsshalltakereasonableprecautions,whenofferingadviceorcomments(usinganyplatformincludingpresentationsandlectures,demonstrations,printedarticles,mailedmaterials,televisionorradioprograms,videooraudiorecordings,technology-basedapplications,orothermedia),toensurethattheirstatementsarebasedonacademic,research,andevidence-based,outcome-drivenliteratureandpractice.TheadviceorcommentsshallbeconsistentwiththeNAADACCodeofEthics.

III-50DualRelationship

WhenAddictionProfessionalsarerequiredbylaw,institutionalpolicy,orextraordinarycircumstancestoserveinmorethanoneroleinjudicialoradministrativeproceedings,theyshallclarifyroleexpectationsandtheparametersofconfidentialitywiththeircolleagues.

III-51IllegalPractices

WhenAddictionProfessionalsbecomeawareofinappropriate,illegal,discriminatory,and/orunethicalpolicies,proceduresandpracticesattheiragency,organization,orpractice,theyshallalerttheiremployers.Whenthereisthepotentialforharmtoclientsorlimitationsontheeffectivenessofservicesprovided,Providersshallseeksupervisionand/orconsultationtodetermineappropriatenextstepsandfurtheraction.ProvidersandSupervisorsshallnotharassorterminateanemployeeorcolleaguewhohasactedinaresponsibleandethicalmannertoexposeinappropriateemployeremployeepolicies,proceduresand/orpractices.

III-52Supervision

AddictionProfessionals,actingintheroleofSupervisororConsultant,shalltakereasonablestepstoensurethattheyhaveappropriateresourcesandcompetencieswhenprovidingsupervisoryorconsultationservices.Supervisorsorconsultantsshallprovideappropriatereferralstoresourceswhenrequestedorneeded.

III-53Supervision

AddictionProfessionalsofferingsupervisoryorconsultationservicesshallhaveanobligationtoreviewwiththeconsultee/supervisee,inwritingandverbally,therightsandresponsibilitiesofboththeSupervisory/Consultantandsupervisee/consultee.Providersshallinformallpartiesinvolvedaboutthepurposeoftheservicestobeprovided,costs,risksandbenefits,andthelimitsofconfidentiality.

III-54Credit

AddictionProfessionalsshallgiveappropriatecredittotheauthorsorcreatorsofallmaterialsusedintheircourseoftheirwork.Providersshallnotplagiarizeanotherperson’swork.

PRINCIPLEIV:WORKINGINACULTURALLYDIVERSEWORLD

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IV-1Knowledge

AddictionProfessionalsshallbeknowledgeableandawareofcultural,individual,societal,androledifferencesamongsttheclientstheyserve.Providersshallofferservicesthatdemonstrateappropriaterespectforthefundamentalrights,dignityandworthofallclients.

IV-2CulturalHumility

Addictionservicesalongthecontinuumofcareareofferedindiversesettingstodiverseclients.AddictionProfessionalsshalldemonstrateculturalhumility.Providersshallmaintainaninterpersonalstancethatisother-orientedandacceptingoftheculturalidentitiesoftheotherperson(client,colleague,peer,employee,employer,volunteer,supervisor,supervisee,andothers).

IV-3Meanings

AddictionProfessionalsshallrecognizeandbesensitivetothediverseculturalmeaningsassociatedwithconfidentialityandprivacy.Providersshallbeopentoandrespectdifferingopinionsregardingdisclosureofinformation.

IV-4PersonalBeliefs

AddictionProfessionalsshalldevelopanunderstandingoftheirownpersonal,professional,andculturalvaluesandbeliefs.Providersshallrecognizewhichpersonalandprofessionalvaluesmaybeinalignmentwithorconflictwiththevaluesandneedsoftheclient.Providersshallnotuseculturalorvaluesdifferencesasareasontoengageindiscrimination.Providersshallseeksupervisionand/orconsultationtoaddressareasofdifferenceandtodecreasebias,judgment,andmicroaggressions.

IV-5Heritage

AddictionProfessionalspracticingculturalhumilityshallbeopentothevalues,norms,andculturalheritageoftheirclientsandshallnotimposehisorhervalues/beliefsontheclient.

IV-6Credibility

AddictionProfessionalspracticingculturalhumilityshallbecredible,capable,andtrustworthy.Providersshalluseaculturalhumilityframeworktoconsiderdiversityofvalues,interactionalstyles,andculturalexpectations.

IV-7Roles

Addictionprofessionalsshallrespecttherolesoffamilymembers,socialsupports,andcommunitystructures,hierarchies,valuesandbeliefswithintheclient’sculture.Providersshallconsidertheimpactofadversesocial,environmental,adpoliticalfactorsinassessingconcernsanddesigninginterventions.

IV-8Methodologies

AddictionProfessionalsshallusemethodologies,skills,andpracticesthatareevidence-basedandoutcome-drivenforthepopulationsbeingserviced.Providerswillseekongoingprofessionaldevelopmentopportunitiestodevelopspecializedknowledgeandunderstandingofthegroupstheyserve.Providersshallobtainthenecessaryknowledgeandtrainingtomaintainhumilityandsensitivitywhenworkingwithclientsofdiversebackgrounds.

IV-9Advocacy

AddictionProfessionalsadvocatefortheneedsofthediversepopulationstheyserve.

IV-10Recruitment

AddictionProfessionalssupportandadvocatefortherecruitmentandretentionofProfessionalsandotherServiceProviderswhorepresentdiverseculturalgroups.

IV-11LinguisticDiversity

AddictionProfessionalsshallprovideoradvocatefortheprovisionofprofessionalservicesthatmeettheneedsofclientswithlinguisticdiversity.Providersshallprovideoradvocatefortheprovisionofprofessionalservicesthatmeettheneedsofclientswithdiversedisabilities.

IV-12NeedsDriven

AddictionProfessionalsshallrecognizethatconventionalcounselingstylesmaynotmeettheneedsofallclients.Providersshallopenadialoguewiththeclienttodeterminethebestmannerinwhichtoservicetheclient.Providersshallseeksupervisionandconsultationwhenworkingwithindividualswithspecificculturally-drivenneeds.

PRINCIPLEV:ASSESSMENT,EVALUATIONANDINTERPRETATIONV-1Assessment

AddictionProfessionalsshalluseassessmentsappropriatelywithinthecounselingprocess.Theclients’personalandculturalcontextsaretakenintoconsiderationwhenassessingandevaluatingaclient.Providersshalldevelopanduseappropriatementalhealth,substanceusedisorder,andotherrelevantassessments.

V-2Validity-Reliability

AddictionProfessionalsshallutilizeonlythoseassessmentinstrumentswhosevalidityandreliabilityhavebeenestablishedforthepopulationtested,andforwhichtheyhavereceivedadequatetraininginadministrationandinterpretation.Counselorsusingtechnology-assistedtestinterpretationsaretrainedintheconstructbeingmeasuredandthespecificinstrumentbeingusedpriortousingitstechnology-basedapplication.Counselorstakereasonablemeasurestoensuretheproperuseofassessmenttechniquesbypersonsundertheirsupervision.

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V-3Validity

AddictionProfessionalsshallconsiderthevalidity,reliability,psychometriclimitations,andappropriatenessofinstrumentswhenselectingassessments.Providersshallusedatafromseveralrelevantassessmenttoolsand/orinstrumentstoformconclusions,diagnoses,andrecommendations.

V-4Explanation

AddictionProfessionalsshallexplaintoclientsthenatureandpurposesofeachassessmentandtheintendeduseofresults,priortoadministrationoftheassessment.Providersshallofferthisexplanationintermsandlanguagethattheclientorotherlegallyauthorizedpersoncanunderstand.

V-5Administration

AddictionProfessionalsshallprovideanappropriateenvironmentfreefromdistractionsfortheadministrationofassessments.Providersshallensurethattechnologically-administeredassessmentsarefunctioningappropriatelyandprovidingaccurateresults.

V-6CulturalInfluences

AddictionProfessionalsrecognizeandunderstandthatcultureinfluencesthemannerinwhichclients’concernsaredefinedandexperienced.Providersareawareofhistoricaltraumasandsocialprejudicesinthemisdiagnosisandpathologizingofspecificindividualsandgroups.Providersshalldevelopawarenessofprejudicesandbiaseswithinselfandothers,andshalladdresssuchbiasesinthemselvesorothers.Providersshallconsidertheclient’sculturalexperienceswhendiagnosingandtreatmentplanningformentalhealthandsubstanceusedisorders.

V-7Diagnosing

AddictionProfessionalsshallprovideproperdiagnosisofmentalhealthandsubstanceusedisorders,withintheirscopeandlicensure.Assessmenttechniquesusedtodetermineclientplacementforcareshallbecarefullyselectedandappropriatelyused.

V-8Results

AddictionProfessionalsshallconsidertheclient’swelfare,explicitunderstandings,andpreviousagreementsindeterminingwhenandhowtoprovideassessmentresults.Providersshallincludeaccurateandappropriateinterpretationsofdatawhenthereisareleaseofindividualorgroupassessmentresults.

V-9MisusingResults

AddictionProfessionalsshallnotmisuseassessmentresultsandinterpretations.Providersshallrespecttheclient’srighttoknowtheresults,interpretationsanddiagnosesmadeandstrivetoprovideresults,interpretations,anddiagnosesinamannerthatisunderstandableanddoesnotcauseharm.Providersshalladoptpracticesthatpreventothersfrommisusingtheresultsandinterpretations.

V-10NotNormed

AddictionProfessionalsshallselectanduse,withcaution,assessmenttoolsandtechniquesnormedonpopulationsotherthanthatoftheclient.Providersshallseeksupervisionorconsultationwhenusingassessmenttoolsthatarenotnormedtotheclient’sculturalidentities.

V-11Referral

AddictionProfessionalsshallprovidespecificandrelevantdataabouttheclient,whenreferringaclienttoathirdpartyforassessment,toensurethatappropriateassessmentinstrumentsareused.

V-12Security

AddictionProfessionalsshallmaintaintheintegrityandsecurityoftestsandassessmentdata,therebyaddressinglegalandcontractualobligations.Providersshallnotappropriate,reproduce,ormodifypublishedassessmentsorpartsthereofwithoutwrittenpermissionfromthepublisher.

V-13Forensic

AddictionProfessionalsconductinganevaluationshallinformtheclient,verballyandinwriting,thatthecurrentrelationshipisforthepurposesofevaluation.Theevaluationisnottherapeutic.Entitiesorindividualswhowillreceivetheevaluationreportareidentified,priortoconductingtheevaluation.Providersperformingforensicevaluationsshallobtainwrittenconsentfromthosebeingevaluatedorfromtheirlegalrepresentativeunlessacourtordersevaluationstobeconductedwithoutthewrittenconsentoftheindividualsbeingevaluated.informedwrittenconsentshallbeobtainedfromaparentorguardianpriortoevaluation.whenthechildoradultlacksthecapacitytogivevoluntaryconsent.

V-14Forensic

AddictionProfessionalsconductingforensicevaluationsshallprovideverifiableobjectivefindingsbasedonthedatagatheredduringtheassessment/evaluationprocessandreviewofrecords.Providersformunbiasedprofessionalopinionsbasedonthedatagatheredandanalysisduringtheassessmentprocesses.

V-15Forensic

AddictionProfessionalsshallnotevaluate,forforensicpurposes,currentorformerclients,spousesorpartnersofcurrentorformerclients,ortheclients’familymembers.Providersshallnotprovidecounselingtotheindividualstheyareevaluating.Providersshallavoidpotentiallyharmfulpersonalorprofessionalrelationshipswiththefamilymembers,romanticpartners,andclosefriendsofindividualstheyareevaluating.

PRINCIPLEVI:E-THERAPY,E-SUPERVISION,ANDSOCIALMEDIA

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VI-1Definition

“E-Therapy”and“E-Supervision”shallrefertotheprovisionofservicesbyanAddictionProfessionalusingtechnology,electronicdevices,andHIPAA-compliantresources.Electronicplatformsshallincludeandarenotlimitedto:land-basedandmobilecommunicationdevices,faxmachines,webcams,computers,laptopsandtablets.E-therapyande-supervisionshallincludeandarenotlimitedto:tele-therapy,real-timevideo-basedtherapyandservices,emails,texting,chatting,andcloudstorage.ProvidersandClinicalSupervisorsareawareoftheuniquechallengescreatedbyelectronicformsofcommunicationandtheuseofavailabletechnology,andshalltakestepstoensurethattheprovisionofe-therapyande-supervisionissafeandasconfidentialaspossible.

VI-2Competency

AddictionProfessionalswhochoosetoengageintheuseoftechnologyfore-therapy,distancecounseling,ande-supervisionshallpursuespecializedknowledgeandcompetencyregardingthetechnical,ethical,andlegalconsiderationsspecifictotechnology,socialmedia,anddistancecounseling.Competencyshallbedemonstratedthroughmeanssuchasspecializedcertificationsandadditionalcourseworkand/ortrainings.

VI-3InformedConsent

AddictionProfessionals,whoareofferinganelectronicplatformfore-therapy,distancecounseling/casemanagement,e-supervisionshallprovideanElectronic/TechnologyInformedConsent.Theelectronicinformedconsentshallexplaintherightofeachclientandsuperviseetobefullyinformedaboutservicesdeliveredthroughtechnologicalmediums,andshallprovideeachclient/superviseewithinformationinclearandunderstandablelanguageregardingthepurposes,risks,limitations,andcostsoftreatmentservices,reasonablealternatives,theirrighttorefuseservicedeliverythroughelectronicmeans,andtheirrighttowithdrawconsentatanytime.Providershaveanobligationtoreviewwiththeclient/supervisee–inwritingandverbally–therightsandresponsibilitiesofbothProvidersandclients/supervisees.Providersshallhavetheclient/superviseeattesttotheirunderstandingoftheparameterscoveredbytheElectronic/TechnologyInformedConsent.

VI-4InformedConsent

Athoroughe-therapyinformedconsentshallbeexecutedatthestartofservices.Atechnology-basedinformedconsentdiscussionshallinclude:• distancecounselingcredentials,physicallocationofpractice,andcontactinformation;• risksandbenefitsofengagingintheuseofdistancecounseling,technology,and/orsocialmedia;• possibilityoftechnologyfailureandalternatemethodsofservicedelivery;• anticipatedresponsetime;• emergencyprocedurestofollow;• whenthecounselorisnotavailable;• timezonedifferences;• culturaland/orlanguagedifferencesthatmayaffectdeliveryofservices;and• possibledenialofinsurancebenefits;andsocialmediapolicy.

VI-5Verification

AddictionProfessionalswhoengageintheuseofelectronicplatformsforthedeliveryofservicesshalltakereasonablestepstoverifytheclient’s/supervisee’sidentitypriortoengaginginthee-therapyrelationshipandthroughoutthetherapeuticrelationship.Verificationcaninclude,butisnotlimitedto,pictureids,codewords,numbers,graphics,orothernondescriptidentifiers.

VI-6LicensingLaws

AddictionProfessionalsshallcomplywithrelevantlicensinglawsinthejurisdictionwheretheProvider/ClinicalSupervisorisphysicallylocatedwhenprovidingcareandwheretheclient/superviseeislocatedwhenreceivingcare.Emergencymanagementprotocolsareentirelydependentuponwheretheclient/superviseereceivesservices.Providers,duringinformedconsent,shallnotifytheirclients/superviseesofthelegalrightsandlimitationsgoverningthepracticeofcounseling/supervisionacrossstatelinesorinternationalboundaries.Mandatoryreportingandrelatedethicalrequirementssuchasdutytowarn/notifyaretiedtothejurisdictionwheretheclient/superviseeisreceivingservices.

VI-7State&FederalLaws

AddictionProfessionalsutilizingtechnology,socialmedia,anddistancecounselingwithintheirpracticerecognizethattheyaresubjecttostateandfederallawsandregulationsgoverningthecounselor’spracticinglocation.Providersutilizingtechnology,socialmedia,anddistancecounselingwithintheirpracticerecognizethattheyshallbesubjecttolawsandregulationsintheclient’s/supervisee’sstateofresidencyandshallbesubjecttolawsandregulationsinthestatewheretheclient/superviseeislocatedduringtheactualdeliveryofservices.

VI-8Non-Secured

AddictionProfessionalsrecognizethatelectronicmeansofcommunicationarenotsecure,andshallinformclients,students,andsuperviseesthatremoteservicesusingelectronicmeansofdeliverycannotbeentirelysecuredorconfidential.Providerswhoprovideservicesviaelectronictechnologyshallfullyinformeachclient,student,orsuperviseeofthelimitationsandrisksregardingconfidentialityassociatedwithelectronical

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delivery,includingthefactthatelectronicexchangesmaybecomepartofclinical,academic,orprofessionalrecords.Effortsshallbemadetoensureprivacysoclinicaldiscussionscannotbeoverheardbyothersoutsideoftheroomwheretheservicesareprovided.Internet-basedcounselingshallbeconductedonHIPAA-compliantservers.Therapyshallnotoccurusingtext-basedoremail-baseddelivery.

VI-9Assess

AddictionProfessionalsshallassessanddocumenttheclient’s/supervisee’sabilitytobenefitfromandengageine-therapyservices.Providersshallconsidertheclient’s/supervisee’scognitivecapacityandmaturity,pastandcurrentdiagnoses,communicationsskills,levelofcompetenceusingtechnology,andaccesstothenecessarytechnology.Providersshallconsidergeographicaldistancetonearestemergencymedicalfacility,efficacyofclient’ssupportsystem,currentmedicalandbehavioralhealthstatus,currentorpastdifficultieswithsubstanceabuse,andhistoryofviolenceorself-injuriousbehavior.

VI-10Access

AddictionProfessionalsshallinformclientsthatotherindividuals(i.e.,colleagues,supervisors,staff,consultants,informationtechnologists)mighthaveauthorizedorunauthorizedaccesstosuchrecordsortransmissions.Providersusecurrentencryptionstandardswithintheirwebsitesandfortechnology-basedcommunications.Providerstakereasonableprecautionstoensuretheconfidentialityofinformationtransmittedandstoredthroughanyelectronicmeans.

VI-11MultidisciplinaryCare

AddictionProfessionalsshallacknowledgeanddiscusswiththeclientthatoptimalclinicalmanagementofclientsmaydependoncoordinationofcarebetweenamultidisciplinarycareteam.Providersshallexplaintoclientsthattheymayneedtodevelopcollaborativerelationshipswithlocalcommunityprofessionals,suchastheclient’slocalprimarycareproviderandlocalemergencyserviceproviders,asthiswouldbeinvaluableincaseofemergencies.

VI-12LocalResources

AddictionProfessionalsshallbefamiliarwithlocalin-personmentalhealthresourcesshouldtheProviderexerciseclinicaljudgmenttomakeareferralforadditionalsubstanceabuse,mentalhealth,orotherappropriateservices.

VI-13Boundaries

AddictionProfessionalsshallappreciatethenecessityofmaintainingaprofessionalrelationshipwiththeirclients/supervisees.Providersshalldiscuss,establishandmaintainprofessionaltherapeuticboundarieswithclients/superviseesregardingtheappropriateuseandapplicationoftechnology,andthelimitationsofitsusewithinthecounseling/supervisoryrelationship.

VI-14Capability

AddictionProfessionalsshalltakereasonablestepstodeterminewhethertheclient/superviseephysically,intellectually,emotionally,linguisticallyandfunctionallycapableofusinge-therapyplatformsandwhethere-therapy/e-supervisionisappropriatefortheneedsoftheclient/supervisee.Providersandclients/superviseesshallagreeonthemeansofe-therapy/e-supervisiontobeusedandthestepstobetakenincaseofatechnologyfailure.Providersverifythatclients/superviseesunderstandthepurposeandoperationoftechnologyapplicationsandfollowupwithclients/superviseestocorrectpotentialconcerns,discoverappropriateuse,andassesssubsequentsteps.

VI-15MissingCues

AddictionProfessionalsshallacknowledgethedifferencebetweenface-to-faceandelectroniccommunication(nonverbalandverbalcues)andhowthesecouldinfluencethecounseling/supervisionprocess.Providersshalldiscusswiththeirclient/superviseehowtopreventandaddresspotentialmisunderstandingsarisingfromthelackofvisualcuesandvoiceinflectionswhencommunicatingelectronically.

VI-16Records

AddictionProfessionalsunderstandtheinherentdangersofelectronichealthrecords.ProvidersareresponsibleforensuringthatcloudstoragesitesinuseareHIPAAcompliant.Providersinformclients/superviseesofthebenefitsandrisksofmaintainingrecordsinacloud-basedfilemanagementsystem,anddiscussthefactthatnothingthatiselectronicallysavedonaCloudisconfidentialandsecure.Cloud-basedfilemanagementshallbeencrypted,secured,andHIPAA-compliant.Providersshalluseencryptionprogramswhenstoringortransmittingclientinformationtoprotectconfidentiality.

VI-17Records

AddictionProfessionalsshallmaintainelectronicrecordsinaccordancewithrelevantstateandfederallawsandstatutes.Providersshallinformclientsonhowrecordswillbemaintainedelectronicallyand/orphysically.Thisincludes,butisnotlimitedto,thetypeofencryptionandsecurityusedtostoretherecordsandthelengthoftimestorageofrecordsismaintained.

VI-18Links

AddictionProfessionalswhoprovidee-therapyservicesand/ormaintainaprofessionalwebsiteshallprovideelectroniclinkstorelevantlicensureandcertificationboardsandprofessionalmembershiporganizations(i.e.,NAADAC)toprotecttheclient’s/supervisee’srightsandaddressethicalconcerns.

VI-19Friends

AddictionProfessionalsshallnotacceptclients’“friend”requestsonsocialnetworkingsitesoremail(fromFacebook,MySpace,etc.),andshallimmediatelydeleteallpersonalandemailaccountstowhichtheyhavegrantedclientaccessandcreatenewaccounts.WhenProviderschooseto

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maintainaprofessionalandpersonalpresenceforsocialmediause,separateprofessionalandpersonalwebpagesandprofilesarecreatedthatclearlydistinguishbetweentheprofessionalandpersonalvirtualpresence.

VI-20SocialMedia

AddictionProfessionalsshallclearlyexplaintotheirclients/supervisees,aspartofinformedconsent,thebenefits,inherentrisksincludinglackofconfidentiality,andnecessaryboundariessurroundingtheuseofsocialmedia.Providersshallclearlyexplaintheirpoliciesandproceduresspecifictotheuseofsocialmediainaclinicalrelationship.Providersshallrespecttheclient’s/supervisee’srightstoprivacyonsocialmediaandshallnotinvestigatetheclient/superviseewithoutpriorconsent.

PRINCIPLEVII:SUPERVISIONANDCONSULTATIONVII-1Responsibility

AddictionProfessionalswhoteachandprovideclinicalsupervisionaccepttheresponsibilityofenhancingprofessionaldevelopmentofstudentsandsuperviseesbyprovidingaccurateandcurrentinformation,timelyfeedbackandevaluations,andconstructiveconsultation.

VII-2Training

AddictionProfessionalsshallcompletetrainingspecifictoclinicalsupervisionpriortoofferingorprovidingclinicalsupervisiontostudentsorotherprofessionals.

VII-3CodeofEthics

Supervisorsandsupervisees,includinginternsandstudents,shallberesponsibleforknowingandfollowingtheNAADACCodeofEthics.

VII-4InformedConsent

Informedconsentisanintegralpartofsettingupasupervisoryrelationship.Supervisoryinformedconsentshallincludediscussionregardingclientprivacyandconfidentiality,etc.Termsofsupervisoryrelationshipandfeesshallbenegotiatedbysupervisorandsupervisee,andshallbedocumentedinthesupervisorycontract.

VII-5InformedConsent

Superviseesshallprovideclientswithawrittenprofessionaldisclosurestatement.Superviseesshallinformclientsabouthowthesupervisionprocessinfluencesthelimitsofconfidentiality.Superviseesshallinformclientsaboutwhoshallhaveaccesstotheirclinicalrecords,andwhenandhowtheserecordswillbestored,transmitted,orotherwisereviewed.

VII-6InformedConsent

ClinicalSupervisorsshallcommunicatetothesupervisee,duringsupervisioninformedconsent,proceduresforhandlingclient/clinicalcrises.Alternateproceduresarealsocommunicatedanddocumentedintheeventthatthesuperviseeisunabletoestablishcontactwiththesupervisorduringaclient/clinicalcrisis.

VII-7Policies

ClinicalSupervisorsshallinformsuperviseesofpoliciesandprocedurestowhichsupervisorsshalladhere.Supervisorsshallinformsuperviseesregardingthemechanismsfordueprocessappealofsupervisoractions.

VII-8Multiculturalism

ClinicalSupervisorsshallbecognizantofandaddresstheroleofmulticulturalisminthesupervisoryrelationshipbetweensupervisorandsupervisee.

VII-9Multiculturalism

Educatorsandsitesupervisorsshallofferdidacticlearningcontentandexperientialopportunitiesrelatedtomulticulturalismandculturalhumilitythroughouttheirprograms.

VII-10Diversity

Educatorsandsitesupervisorsshallmakeeveryattempttorecruitandretainadiversefacultyandstaff.Educatorsandsitesupervisorsshallmakeeveryattempttorecruitandretainadiversestudentbody,demonstratingtheircommitmenttoserveadiversecommunity.Educatorsandsitesupervisorsshallrecognizeandvaluethediversetalentsandabilitiesthatstudentsbringtotheirtrainingexperience.

VII-11Diversity

Educatorsandsitesupervisorsshallprovideappropriateaccommodationsthatmeettheneedsoftheirdiversestudentbodyandsupportwell-beingandacademicperformance.

VII-12Boundaries

ClinicalSupervisorsshallintentionallydeveloprespectfulandrelevantprofessionalrelationshipsandmaintainappropriateboundarieswithclinicians,students,interns,andsupervisees,inallvenues.Supervisorsshallstriveforaccuracyandhonestyintheirassessmentsofstudents,interns,andsupervisees.

VII-13Boundaries

ClinicalSupervisorsclearlydefineandmaintainethicalprofessional,personal,andsocialboundarieswiththeirsupervisees.Supervisorsshallnotenterintoaromantic/sexual/nonprofessionalrelationshipwithcurrentsupervisees,whetherin-personand/orelectronically.

VII-14Confidentiality

ClinicalSupervisorsshallnotdiscloseconfidentialinformationinteachingorsupervisionwithouttheexpressedwrittenconsentofaclient,andonlywhenappropriatestepshavebeentakentoprotectclient’sidentityandconfidentiality.

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VII-15Monitor

ClinicalSupervisorsshallmonitortheservicesprovidedbysupervisees.Supervisorsshallmonitorclientwelfare.Supervisorsshallmonitorsuperviseeperformanceandprofessionaldevelopment.Supervisorsshallempowerandsupportsuperviseesastheypreparetoserveadiverseclientpopulation.Supervisorsshallhaveanethicalandmoralresponsibilitytounderstand,adhereto,andpromotetheNAADACCodeofEthics.

VII-16Treatment

Educatorsandsitesupervisorsshallassumetheprimaryobligationofassistingstudentstoacquireethics,knowledge,andskillsnecessarytotreatsubstanceuseandaddictivebehavioraldisorders

VII-17Impairment

Supervisees,includinginternsandstudents,shallmonitorthemselvesforsignsphysical,psychological,and/oremotionalimpairment.Supervisees,includinginternsandstudents,shallseeksupervisionandrefrainfromprovidingprofessionalserviceswhileimpaired.Supervisees,internsandstudentsshallnotifytheirinstitutionalprogramoftheimpairmentandshallseekappropriateguidanceandassistance.

VII-18Clients

Supervisees,internsandstudents,shalldisclosetoclientstheirstatusasstudentsandsupervisees,andshallprovideanexplanationastohowtheirstatusaffectsthelimitsofconfidentiality.Supervisees,internsandstudentsshalldisclosetoclientscontactinformationfortheClinicalSupervisor.Informedconsentisobtainedinwriting,andincludestheclient’srighttorefusetobetreatedbyaperson-in-training.

VII-19Disclosures

Supervisees,internsandstudentsshallseekanddocumentclinicalsupervisionpriortodisclosingpersonalinformationtoaclient.

VII-20Observations

ClinicalSupervisorsshallprovideanddocumentregularsupervisionsessionswiththesupervisee.Supervisorsshallregularlyobservethesuperviseeinsessionusingliveobservationsoraudioorvideotapes.Supervisorsshallprovideongoingfeedbackregardingthesupervisee’sperformancewithclientsandwithintheagency.Supervisorsshallregularlyschedulesessionstoformallyevaluateanddirectthesupervisee.

VII-21Gatekeepers

ClinicalSupervisorsareawareoftheirresponsibilitiesasgatekeepers.Throughongoingevaluation,Supervisorsshalltracksuperviseelimitationsthatmightimpedeperformance.Supervisorsshallassistsuperviseesinsecuringtimelycorrectiveassistanceasneeded,includingreferralofsuperviseetotherapywhenneeded.Supervisorsmayrecommendcorrectiveactionordismissalfromtrainingprograms,appliedcounselingsettings,andstateorvoluntaryprofessionalcredentialingprocesseswhenasuperviseeisunabletodemonstratethattheycanprovidecompetentprofessionalservices.Supervisorsshallseeksupervision-of-supervisionand/orconsultationanddocumenttheirdecisionstodismissorrefersuperviseesforassistance.

VII-22Education

Educatorsandsitesupervisorsshallensurethattheireducationalandtrainingprogramsaredesignedtoprovideappropriateknowledgeandexperiencesrelatedtoaddictionsthatmeettherequirementsfordegrees,licensure,certification,andotherprogramgoals.

VII-23Education

Educatorsandsitesupervisorsshallprovideeducationandtraininginanethicalmanner,adheringtotheNAADACCodeofEthics,regardlessoftheplatform(traditional,hybrid,and/oronline).Educatorsandsitesupervisorsshallserveasprofessionalrolesmodelsdemonstratingappropriatebehaviors.

VII-24Current

Educatorsandsitesupervisorsshallensurethatprogramcontentandinstructionarebasedonthemostcurrentknowledgeandinformationavailableintheprofession.Educatorsandsitesupervisorsshallpromotetheuseofmodalitiesandtechniquesthathaveanempiricalorscientificfoundation.

VII-25Evaluation

Educatorsandsitesupervisorsshallensurethatstudents’performancesareevaluatedinafairandrespectfulmannerandonthebasisofclearlystatedcriteria.

VII-26DualRelationships

Educatorsandsitesupervisorsshallavoiddualrelationshipsand/ornonacademicrelationshipswithstudents,interns,andsupervisees.

VII-27DualRelationships

ClinicalSupervisorsshallnotactivelysuperviserelatives,romanticorsexualpartners,norpersonalfriends,nordevelopromantic,sexual,orpersonalrelationshipswithstudentsorsupervisees.Consultationwithathirdpartywillbeobtainedpriortoengaginginadualsupervisoryrelationship.

VII-28e-supervision

ClinicalSupervisors,usingtechnologyinsupervision(e-supervision),shallbecompetentintheuseofspecifictechnologies.Supervisorsshalldialoguewiththesuperviseeabouttherisksandbenefitsofusinge-supervision.Supervisorsshalldeterminehowtoutilizespecificprotections(i.e.,encryption)necessaryforprotectingtheconfidentialityofinformationtransmittedthroughanyelectronicmeans.Supervisorsandsuperviseesshallrecognizethatconfidentialityisnotguaranteedwhenusingtechnologyasacommunicationanddeliveryplatform.

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VII-29Harassment

ClinicalSupervisorsshallnotcondoneorparticipateinsexualharassmentorexploitationofcurrentorprevioussupervisees.

VII-30Distance

Issuesuniquetotheuseofdistancesupervisionshallbeincludedinthedocumentationasnecessary.

VII-31Termination

Policiesandproceduresforterminatingasupervisoryrelationshipshallbedisclosedinthesupervisioninformedconsent.

VII-32Counseling

ClinicalSupervisorsshallnotprovidecounselingservicestosupervisees.Supervisorsshallassistsuperviseebyprovidingreferralstoappropriateservicesuponrequest.

VII-33Endorsement

ClinicalSupervisorsshallrecommendsuperviseesforcompletionofanacademicortrainingprogram,employment,certificationand/orlicensurewhenthesuperviseedemonstratesqualificationforsuchendorsement.ClinicalSupervisorsshallnotendorsesuperviseesbelievedtobeimpaired.ClinicalSupervisorsshallnotendorsesuperviseeswhowereunabletoprovideappropriateclinicalservices.

PRINCIPLEVIII:RESOLVINGETHICALCONCERNSVIII-1CodeofEthics

AddictionProfessionalsshalladheretoandupholdtheNAADACCodeofEthics,andshallbeknowledgeableregardingestablishedpoliciesandproceduresforhandlingconcernsrelatedtounethicalbehavior,atboththestateandnationallevels.Providersstrivetoresolveethicaldilemmaswithdirectandopencommunicationamongallpartiesinvolvedandseeksupervisionand/orconsultationwhennecessary.Providersincorporateethicalpracticeintotheirdailyprofessionalwork.Providersengageinongoingprofessionaldevelopmentregardingethicalandlegalissuesincounseling.Providersareprofessionalswhoactethicallyandlegally.Providersareawarethatclientwelfareandtrustdependonahighlevelofprofessionalconduct.AddictionProfessionalsholdotherproviderstothesameethicalandlegalstandardsandarewillingtotakeappropriateactiontoensurethatthesestandardsareupheld.

VIII-2Understanding

AddictionProfessionalsshallunderstandandendorsetheNAADACCodeofEthicsandotherapplicableethicscodesfromprofessionalorganizationsorcertificationandlicensurebodiesofwhichtheyaremembers.Lackofknowledgeormisunderstandingofanethicalresponsibilityisnotadefenseagainstachargeofunethicalconduct.

VIII-3DecisionMakingModel

AddictionProfessionalsshallutilizeanddocument,whenappropriate,anethicaldecision-makingmodelwhenfacedwithanethicaldilemma.Aviableethicaldecision-makingmodelshallincludebutisnotlimitedto:(a)supervisionand/orconsultationregardingtheconcern;(b)considerationofrelevantethicalstandards,principles,andlaws;(c)generationofpotentialcoursesofaction;(d)deliberationofrisksandbenefitsofeachpotentialcourseofaction;(e)selectionofanobjectivedecisionbasedonthecircumstancesandwelfareofallinvolved;and(f)reflection,andre-directionifnecessary,afterimplementingthedecision.

VIII-4Jurisdiction

TheNAADACandNCCAPEthicsCommitteesshallhavejurisdictionoverallcomplaintsfiledagainstanypersonholdingorapplyingforNAADACmembershiporNCCAPcertification.

VIII-5Investigations

TheNAADACandNCCAPEthicsCommitteesshallhaveauthoritytoconductinvestigations,issuerulings,andinvokedisciplinaryactioninanyinstanceofallegedmisconductbyanaddictionprofessional.

VIII-6Participation

AddictionProfessionalsshallberequiredtocooperatewiththeimplementationoftheNAADACCodeofEthics,andtoparticipatein,andabideby,anydisciplinaryactionsandrulingsbasedontheCode.FailuretoparticipateorcooperateisaviolationoftheNAADACCodeofEthics.

VIII-7Cooperation

AddictionProfessionalsshallassistintheprocessofenforcingtheNAADACCodeofEthics.Providersshallcooperatewithinvestigations,proceedings,andrequirementsoftheNAADACandNCCAPEthicsCommittees,ethicscommitteesofotherprofessionalassociations,and/orlicensingandcertificationboardshavingjurisdictionoverthosechargedwithaviolation.

VIII-8AgencyConflict

AddictionProfessionalsshallseekanddocumentsupervisionand/orconsultationintheeventthatethicalresponsibilitiesconflictwithagencypoliciesandprocedures,stateand/orfederallaws,regulations,and/orothergoverninglegalauthority.Supervisionand/orconsultationshallbesuedtodeterminethenextbeststeps.

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VIII-9Crossroads

AddictionProfessionalsmayfindthemselvesatacrossroadswhenthedemandsofanorganizationwheretheProviderisaffiliatedposesaconflictwiththeNAADACCodeofEthics.Providersshalldeterminethenatureoftheconflictandshalldiscusstheconflictwiththeirsupervisororotherrelevantpersonattheorganizationinquestion,expressingtheircommitmenttotheNAADACCodeofEthics.Providersshallattempttoworkthroughtheappropriatechannelstoaddresstheconcern.

VIII-10ViolationswithoutHarm

Whenthereisevidencetosuggestthatanotherproviderisviolatingorhasviolatedanethicalstandardandharmhasnotoccurred,AddictionProfessionalsshallattempttofirstresolvetheissueinformallywiththeotherprovideriffeasible,providedsuchactiondoesnotviolateconfidentialityrightsthatmaybeinvolved.

VIII-11ViolationswithHarm

AddictionProfessionalsshallreportunethicalconductorunprofessionalmodesofpractice-leadingtoharm-whichtheybecomeawareoftotheappropriatecertifyingorlicensingauthorities,stateorfederalregulatorybodies,and/orNAADAC.Providersshallseeksupervision/consultationpriortothereport.Providersshalldocumentsupervision/consultationandreportifmade.

VIII-12Non-Respondent

MembersoftheNAADACorNCCAPEthicsCommittees,HearingPanels,BoardsofDirectors,MembershipCommittees,Officers,orStaffshallnotbenamedasarespondentunderthesepoliciesandproceduresasaresultofanydecision,action,orexerciseofdiscretionarisingdirectlyfromtheirconductorinvolvementincarryingoutadjudicationresponsibilities.

VIII-13Consultation

AddictionProfessionalsshallseekconsultationanddirectionfromsupervisors,consultantsortheNAADACEthicsCommitteewhenuncertainaboutwhetheraparticularsituationorcourseofactionmaybeinviolationoftheNAADACCodeofEthics.Providersconsultwithpersonswhoareknowledgeableaboutethics,theNAADACCodeofEthics,andlegalrequirementsspecifictothesituation.

VIII-14Retaliation

AddictionProfessionalsshallnotinitiate,participatein,orencouragethefilingofanethicsorgrievancecomplaintasameansofretaliationagainstanotherperson.Providersshallnotintentionallydisregardorignorethefactsofthesituation.

PRINCIPLEIX:RESEARCHANDPUBLICATIONIX-1Research

Researchandpublicationshallbeencouragedasameanstocontributetotheknowledgebaseandskillswithintheaddictionsandbehavioralhealthprofessions.Researchshallbeencouragedtocontributetotheevidence-basedandoutcome-drivenpracticesthatguidetheprofession.Researchandpublicationprovideanunderstandingofwhatpracticesleadtohealth,wellness,andfunctionality.ResearchersandAddictionProfessionalsmakeeveryefforttobeinclusivebyminimizingbiasandrespectingdiversitywhendesigning,executing,analyzing,andpublishingtheirresearch.

IX-2Participation

AddictionProfessionalssupporttheeffortsofresearchersbyparticipatinginresearchwheneverpossible.

IX-3Consistent

Researchersplan,design,conduct,andreportresearchinamannerthatisconsistentwithrelevantethicalprinciples,federalandstatelaws,internalreviewboardexpectations,institutionalregulations,andscientificstandardsgoverningresearch.

IX-4Confidentiality

Researchersareresponsibleforunderstandingandadheringtostate,federal,agency,orinstitutionalpoliciesorapplicableguidelinesregardingconfidentialityintheirresearchpractices.Informationobtainedaboutparticipantsduringthecourseofresearchisconfidential.

IX-5Independent

Researchers,whoareconductingindependentresearchwithoutgovernancebyaninstitutionalreviewboard,areboundtothesameethicalprinciplesandfederalandstatelawspertainingtothereviewoftheirplan,design,conduct,andreportingofresearch.

IX-6Protect

Researchersshallseeksupervisionand/orconsultationandobservenecessarysafeguardstoprotecttherightsofresearchparticipants,especiallywhentheresearchplan,designandimplementationdeviatesfromstandardoracceptablepractices.

IX-7Welfare

Researcherswhoconductresearchareresponsiblefortheirparticipants’welfare.Researchersshallexercisereasonableprecautionsthroughoutthestudytoavoidcausingphysical,intellectual,emotional,orsocialharmtoparticipants.Researcherstakereasonablemeasurestohonorallcommitmentsmadetoresearchparticipants.

IX-8InformedConsent

ResearchersshalldefertoanInstitutionalReviewBoardorHumanSubjectsCommitteetoensurethatInformedConsentisobtained,researchprotocolsarefollowed,participantsarefreeofcoercion,confidentialityismaintained,anddeceptivepracticesareavoided,exceptwhendeceptionisessentialtoresearchprotocolandapprovedbytheBoardorCommittee.

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IX-9Accurate

Researchersshallcommittothehigheststandardsofscholarship,andshallpresentaccurateinformation,disclosepotentialconflictsofinterest,andmakeeveryefforttopreventthedistortionormisuseoftheirclinicalandresearchfindings.

IX-10Students

Researchersshalldisclosetostudentsand/orsuperviseewhowishtoparticipateintheirresearchactivitiesthatparticipationintheresearchwillnotaffecttheiracademicstandingorsupervisoryrelationship.

IX-11Clients

Researchersmayconductresearchinvolvingclients.Researchersshallprovideaninformedconsentprocessallowingclientstofreely,withoutintimidationorcoercion,choosewhethertoparticipateintheresearchactivities.Researchersshalltakenecessaryprecautionstoprotectclientsfromadverseconsequencesiftheychoosetodeclineorwithdrawfromparticipation.

IX-12Consents

Researchersshallprovideappropriateexplanationsregardingtheresearchandobtainapplicableconsentsfromaguardianorlegallyauthorizedrepresentativepriortoworkingwitharesearchparticipantwhoisnotcapableofgivinginformedconsent.

IX-13Explanation

Oncedatacollectioniscompleted,Researchersshallprovideparticipantswithafullexplanationregardingthenatureoftheresearchinordertoremoveanymisconceptionsparticipantsmighthaveregardingthestudy.Researchersshallengageinreasonableactionstoavoidcausingharm.Scientificorhumanvaluesmayjustifydelayingorwithholdinginformation.Researchersshallseekanddocumentsupervisionand/orconsultationpriortodelayingorwithholdinginformationfromaparticipant.

IX-14Outcomes

Uponcompletionofdatacollectionandanalysis,Researchersshallinformsponsors,institutions,andpublicationentitiesregardingtheresearchproceduresandoutcomes.Researchersshallensurethattheappropriateentitiesaregivenpertinentinformationandacknowledgment.

IX-15TransferPlan

Researchersshallcreateawritten,accessibleplanforthetransferofresearchdatatoanidentifiedcolleagueintheeventoftheirincapacitation,retirement,ordeath.

IX-16Diversity

Researchersshallreportresearchfindingsaccuratelyandwithoutdistortion,manipulation,ormisrepresentationofdata.Researchersshalldescribetheextenttowhichresultsareapplicabletodiversepopulations.

IX-17Verification

Researchersshallnotwithholddata,fromwhichtheirresearchconclusionsweredrawn,fromcompetentprofessionalsseekingtoverifysubstantiveclaimsthroughreanalysis.Researchersareobligatedtomakeavailablesufficientoriginalresearchinformationtoqualifiedprofessionalswhowishtoreplicateorextendthestudy.

IX-18DataAvailability

Researchers,whosupplydata,aidinresearchbyanotherresearcher,reportresearchresults,ormakeoriginaldataavailable,shallintentionallydisguisetheidentityofparticipantsintheabsenceofwrittenauthorizationfromtheparticipantsallowingreleaseoftheiridentity.

IX-19Errors

Researchersshalltakereasonablestepstocorrectsignificanterrorsfoundintheirpublishedresearch,usingacorrectionerratumorthroughotherappropriatepublicationavenues.

IX-20Publication

AddictionProfessionalswhoauthorbooks,journalarticles,orothermaterialswhicharepublishedordistributedshallnotplagiarizeorfailtocitepersonsforwhomcreditfororiginalideasorworkisdue.Providersshallacknowledgeandgiverecognition,inpresentationsandpublications,topreviousworkonthetopicbyselfandothers.

IX-21Theft

AddictionProfessionalsshallregardasthefttheuseofcopyrightedmaterialswithoutpermissionfromtheauthororpaymentofroyalties.

IX-22e-publishing

AddictionProfessionalsshallrecognizethatenteringdataontheinternet,socialmediasites,orprofessionalmediasitesconstitutespublishing.

IX-23Advertising

AddictionProfessionalswhoauthorbooksorothermaterialsdistributedbyanagencyororganizationshalltakereasonableprecautionstoensurethattheorganizationpromotesandadvertisesthematerialsaccuratelyandfactually.

IX-24Credit

AddictionProfessionalsshallassignpublicationcredittothosewhohavecontributedtoapublicationinproportiontotheircontributionsandinaccordancewithcustomaryprofessionalpublicationpractices.

IX-25StudentMaterial

AddictionProfessionalsshallseekastudent’spermissionandlistthestudentasleadauthoronmanuscriptsorprofessionalpresentations,inanymedium,thataresubstantiallybasedonastudent’scoursepapers,projects,dissertations,ortheses.Thestudentreservestherighttowithholdpermission.

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IX-26Submissions

AddictionProfessionalsandResearchersshallsubmitmanuscriptsforconsiderationtoonejournalorpublicationatatime.Providersandresearchersshallobtainpermissionfromtheoriginalpublisherpriortosubmittingmanuscriptsthatarepublishedinwholeorinsubstantialpartinonejournalorpublishedworktoanotherpublisher.

IX-27Proprietary

AddictionProfessionalswhoreviewmaterialsubmittedforpublication,research,orotherscholarlypurposesshallrespecttheconfidentialityandproprietaryrightsofthosewhosubmittedit.Providerswhoserveasreviewersshallmakeeveryefforttoonlyreviewmaterialsthatarewithintheirscopeofcompetencyandtoreviewmaterialswithoutprofessionalorpersonalbias.