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Murphy Bibliography Adelman, Mara B. Counselors provide pre-termination counseling and offer appropriate referrals as needed. Providers may refer a client, with supervision or consultation, when in danger of harm by the client or by another person with whom the client has a relationship. Addiction Professionals shall make necessary coverage arrangements to accommodate interruptions such as vacations, illness, or unexpected situation. Addiction Professionals shall not abandon any client in treatment.

Addiction Professionals shall ensure that all fees charged for services are fair, reasonable, and commensurate with the services provided and with due regard for clients' ability to pay. Addiction Professionals shall not refer clients to their private practice unless the policies, at the organization at the source of the referral, allow for self-referrals. When self-referrals are not an option, clients shall be informed of other appropriate referral resources. Addiction Professionals shall not offer or accept any commissions, rebates, kickbacks, bonuses, or any form of remuneration for referral of a client for professional services, nor engage in fee splitting.

Addiction Professionals shall not use relationships with clients to promote personal gain or profit of any type of commercial enterprise. Addiction Professionals shall not withhold reports to referral agencies regarding client treatment progress or completion solely because payment has not yet been received in full for services, particularly when those reports are to courts or probation officers who require such information for legal purposes.

Reports may note that payment has not yet been made, or only partially made, for services rendered. Addiction Professionals shall clearly disclose and explain to each client, prior to the onset of services, 1 all costs and fees related to the provision of professional services, including any charges for cancelled or missed appointments, 2 the use of collection agencies or legal measures for nonpayment, and 3 the procedure for obtaining payment from the client if payment is denied by a third party payer.

Addiction Professionals shall provide the same level of professional skills and service to each client without regard to the compensation provided by a client or third party payer, and whether a client is paying full fee, a reduced fee, or has their fees waived. Addiction Professionals shall charge each client only for services actually provided to a client regardless of any oral or written contract a client has made with the addiction professional or agency. Addiction Professionals shall maintain accurate and timely clinical and financial records for each client.

Addiction Professionals shall give reasonable and written notice to clients of impending suspension of services for nonpayment. Addiction Professionals shall give reasonable and written notice to clients with unpaid balances of their intent to seek collection by agency or legal recourse—when such action is taken, Addiction Professionals shall not reveal clinical information. Addiction Professionals can engage in bartering for professional services if: 1 the client requests it, 2 the relationship is not exploitative, 3 the professional relationship is not distorted, 4 federal and state laws and rules allow for bartering, and 5 a clear written contract is established with agreement on value of item s bartered for and number of sessions, prior to the onset of services.

Providers consider the cultural implications of bartering and discuss relevant concerns with clients. Agreements shall be delineated in a written contract.

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Providers shall seek supervision or consultation and document. Addiction Professionals recognize that clients may wish to show appreciation for services by offering gifts.

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Addiction Professionals shall not engage in uninvited solicitation of potential clients who are vulnerable to undue influence, manipulation, or coercion due to their circumstances. Addiction Professionals are prohibited from engaging in a personal or romantic virtual e-relationship with current clients. Addiction Professionals understand that confidentiality and anonymity are foundational to addiction treatment and embrace the duty of protecting the identity and privacy of each client as a primary obligation. Counselors communicate the parameters of confidentiality in a culturally-sensitive manner.

Addiction Professionals shall create and maintain appropriate documentation. Providers shall ensure that records and documentation kept in any medium i. Providers shall disclose to client within informed consent how records shall be stored, maintained, and disposed of, and shall include time frames for maintaining active file, storage, and disposal. Addiction Professionals shall notify client, during informed consent, about procedures specific to client access of records. Providers shall protect the confidentiality of any others contained in the records. Providers shall limit the access of clients to their records — and provide a summary of the records — when there is evidence that full access could cause harm to the client.

A treatment summary shall include dates of service, diagnoses, treatment plan, and progress in treatment. Providers seek supervision or consultation prior to providing a client with documentation, and shall document the rationale for releasing or limiting access to records. Providers shall provide assistance and consultation to the client regarding the interpretation of counseling records.

Addiction Professionals shall encourage ongoing discussions with clients regarding how, when, and with whom information is to be shared.

AIDS (Acquired Immune Deficiency Syndrome)

Addiction Professionals shall not disclose confidential information regarding the identity of any client, nor information that could potentially reveal the identity of a client, without written consent and authorization by the client. In situations where the disclosure is mandated or permitted by state and federal law, verbal authorization shall not be sufficient except for emergencies.

Addiction Professionals and the organizations they work for ensure that confidentiality and privacy of clients is protected by Providers, employees, supervisees, students, office personnel, other staff and volunteers. Addiction Professionals, during informed consent, shall disclose the legal and ethical boundaries of confidentiality and disclose the legal exceptions to confidentiality. Confidentiality and limitations to confidentiality shall be reviewed as needed during the counseling relationship. Providers review with each client all circumstances where confidential information may be requested, and where disclosure of confidential information may be legally required.

Addiction Professionals may reveal client identity or confidential information without client consent when a client presents a clear and imminent danger to themselves or to other persons, and to emergency personnel who are directly involved in reducing the danger or threat. Counselors seek supervision or consultation when unsure about the validity of an exception. Addiction Professionals ordered to release confidential privileged information by a court shall obtain written, informed consent from the client, take steps to prohibit the disclosure, or have it limited as narrowly as possible because of potential harm to the client or counseling relationship.

Addiction Professionals shall release only essential information when circumstances require the disclosure of confidential information. Addiction Professionals shall inform the client when the Provider is a participant in a multidisciplinary care team providing coordinated services to the client. Addiction Professionals shall discuss confidential client information in locations where they are reasonably certain they can protect client privacy. Addiction Professionals shall obtain client authorization prior to disclosing any information to third party payers i.

Addiction Professionals shall use encryption and precautions that ensure that information being transmitted electronically or other medium remains confidential. Addiction Professionals shall protect the confidentiality of deceased clients by upholding legal mandates and documented preferences of the client. Addiction Professionals, who provide group, family, or couples therapy, shall describe the roles and responsibilities of all parties, limits of confidentiality, and the inability to guarantee that confidentiality shall be maintained by all parties.

Addiction Professionals shall protect the confidentiality of any information received regarding counseling minor clients or adult clients who lack the capacity to provide voluntary informed consent, regardless of the medium, in accordance with federal and state laws, and organization policies and procedures. Parents, guardians, and appropriate third parties are informed regarding the role of the counselor, and the boundaries of confidentiality of the counseling relationship.

Providers shall maintain client confidentiality in all mediums and forms of documentation. Addiction Professionals shall obtain informed consent and written permissions and releases before videotaping, audio recording, or permitting third party observation of any client interaction or group therapy session. Clients are to be fully informed regarding recording such as purpose, who will have access, storage, and disposal of recordings.

Exceptions to restrictions on third party observations shall be limited to students in field placements, internships, practicums, or agency trainees. Addiction Professionals shall obtain informed consent and written release of information prior to recording an electronic therapy session. Prior to obtaining informed consent for recording e-therapy, the Provider shall seek supervision or consultation, and document recommendations.

Providers shall disclose to client in informed consent how e-records shall be stored, maintained, and disposed of and in what time frame. Addiction Professionals shall ensure that all written information released to others is accompanied by a stamp identifying the Federal Regulations governing such disclosure, and shall notify clients when a disclosure is made, to whom the disclosure was made, and for what purposes the disclosure was made.

Unless exceptions to confidentiality exist, Addiction Professionals shall obtain written permission from clients to disclose or transfer records to legitimate third parties. Steps are taken to ensure that receivers of counseling records are sensitive to their confidential nature. All information released shall be appropriately marked as confidential.


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Addiction Professionals who receive confidential information about any client past, present or potential shall not disclose that information without obtaining written permission from the client past, present or potential allowing for such release. Addiction Professionals, who are part of integrative care teams, shall not release confidential client information to external care team members without obtaining written permission from the client allowing such release. Addiction Professionals shall store, safeguard, and dispose of client records in accordance with state and federal laws, accepted professional standards, and in ways which protect the confidentiality of clients.

Providers shall appoint a records custodian when identified as appropriate, in their Will or other document.

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Addiction Professionals shall share, with a consultant, information about a client for professional purposes. Only information pertaining to the reason for the consultation shall be released. Addiction Professionals, when consulting with colleagues or referral sources, shall not share confidential information obtained in clinical or consulting relationships that could lead to the identification of a client, unless the Provider has obtained prior written consent from the client.

Information shall be shared only in appropriate clinical settings and only to the extent necessary to achieve the purposes of the consultation. Addiction Professionals shall conduct themselves with integrity. Providers aspire to maintain integrity in their professional and personal relationships and activities. Regardless of medium, Providers shall communicate to clients, peers, and the public honestly, accurately, and appropriately. Addiction Professionals shall not engage in, endorse or condone discrimination against prospective or current clients and their families, students, employees, volunteers, supervisees, or research participants based on their race, ethnicity, age, disability, religion, spirituality, gender, gender identity, sexual orientation, marital or partnership status, language preference, socioeconomic status, immigration status, active duty or veteran status, or any other basis.

Addiction Professionals shall provide services that are nondiscriminatory and nonjudgmental. Providers shall not exploit others in their professional relationships. Providers shall maintain appropriate professional and personal boundaries. Addiction Professionals shall not participate in, condone, or be associated with any form of dishonesty, fraud, or deceit. Addiction Professionals shall not engage in any criminal activity. Addiction Professionals shall not engage in or condone any form of harassment, including sexual harassment. Addiction Professionals intentionally differentiate between current, active memberships and former or inactive memberships with NAADAC and other professional associations.

Addiction Professionals shall claim and present only those educational degrees and specialized certifications that they have earned from the appropriate institutions or organizations.

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Providers shall not imply doctoral-level competence until their doctoral title or degree is awarded. The accreditations of a specific institution of higher learning or degree program shall be accurately represented. Addiction Professionals shall claim and promote only those licenses and certifications that are current and in good standing. Addiction Professionals shall ensure that their credentials and affiliations are identified accurately. Providers shall correct all references to their credentials and affiliations that are false, deceptive, or misleading.

Addiction Professionals shall advocate for accuracy in statements made by self or others about the addiction profession. Addiction Professionals shall not misrepresent professional qualifications, education, experience, memberships or affiliations.