Clinical Supervision Handbook - CAMH Knowledge Exchange ..
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Ethical Considerations in <strong>Clinical</strong> <strong>Supervision</strong><br />
• client rights<br />
• confidentiality and privacy<br />
• informed consent<br />
• service delivery<br />
• boundary issues and conflicts of interest<br />
• documentation<br />
• defamation of character<br />
• client records<br />
• supervision<br />
• staff development and training<br />
• consultation<br />
• client referral<br />
• fraud<br />
• termination of services and client abandonment<br />
• practitioner impairment<br />
• evaluation and research.<br />
STANDARD OF CARE<br />
Dr. Reamer points to the principle of “standard of care,” which he defines as “what<br />
an ordinary, reasonable, and prudent professional, with the same or similar training,<br />
would have done under the same or similar circumstances.” He considers this the<br />
most important sentence in clinical supervision. It can guide discussion of complex<br />
clinical dilemmas. Dr. Reamer cites two types of standards of care.<br />
• A “substantive” standard of care is one that is widely accepted across clinical<br />
practice settings, for instance, the norm that dating clients is indefensible on<br />
ethical grounds.<br />
• “Procedural” standards of care cover processes that are invoked with difficult,<br />
ethically complex scenarios—cases in which experienced clinicians and practice<br />
leaders commonly disagree about what constitutes the best course of action.<br />
Activities that encompass procedural standards of care include consulting with<br />
colleagues and supervisors; reviewing relevant ethical standards; reviewing relevant<br />
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