Indiana University-Purdue University School of Education EDUC G550o1mft Internship in Counseling & Guidance Fall 2010 Instructor: William Utesch,Ph.D. Office #: Nf 240G Phone: 260/481-6003 E-mail: utesch@ipfw.edu Fax: 260/481-5408 Office Hours: Monday 12:2:00, Tuesday 11:00-2:00 Call to schedule appointments outside of normal office hours. Class Schedule & Location: Alternate Mondays 8:00-10:45, DN 134 Students will be placed into two groups with each meeting every other Monday. Course Description: PG524, G525, and permission of instructor. Counseling experience in actual school or agency situations. Under direction and supervision of the counselor, students get practice in counseling, interviewing, in-service training, orientation procedures, and data collection. Overview: The objective of internship is to allow the student an opportunity to integrate what they have learned into a community practice setting. The process of their successful professionalization will be marked by the contributions they make to their site(s) and to their student intern peers. Internship is a time of continued learning and growth beyond the university and toward a career lifestyle. Classes will consist of large group lecture, case presentation/review, video training, personal and administrative/supervisory review. Required Texts: Nelson, T.S., & Trepper, T.S. (1998).101 More Interventions in Family Therapy. Binghamton,NY:The Hayworth Press Inc.. American Psychiatric Association, (2000). The Quick Reference to the Diagnostic Criteria from DSM-IV-TR. Washington, D.C.: A.P.A.. Counselor Education Orientation Manual (“Internships in Counselor Education”) Additional Readings: Supplemental Handouts will be provided during the semester. Course Objectives: 1.3.1 Executive: Gather and review intake information, giving balanced attention to individual, family, community, cultural, and contextual factors. 1.3.2 Executive: Determine who should attend therapy and in what configuration (e.g., individual, couple, family, extrafamilial resources). 1.3.3 Executive: Facilitate therapeutic involvement of all necessary participants in treatment. 1.3.4 Executive: Explain practice setting rules, fees, rights, and responsibilities of each party, including privacy, confidentiality policies, and duty to care to client or legal guardian. 1.3.5 Executive: Obtain consent to treatment from all responsible persons. 1.3.6 Executive: Establish and maintain appropriate and productive therapeutic alliances with the clients. 1.3.7 Executive: Solicit and use client feedback throughout the therapeutic process. 1.3.8 Executive: Develop and maintain collaborative working relationships with referral resources, other practitioners involved in the clients’ care, and payers. 1.3.9 Executive: Manage session interactions with individuals, couples, families, and groups. 1.4.1 Executive: Evaluate case for appropriateness for treatment within professional scope of practice and competence. 1.5.2 Professional: Complete case documentation in a timely manner and in accordance with relevant laws and policies. 1.5.3 Professional: Develop, establish, and maintain policies for fees, payment, record keeping, and confidentiality. 2.2.1 Perceptual: Assess each clients’ engagement in the change process. 2.2.2 Perceptual: Systematically integrate client reports, observations of client behaviors, client relationship patterns, reports from other professionals, results from testing procedures, and interactions with client to guide the assessment process. 2.2.3 Perceptual: Develop hypotheses regarding relationship patterns, their bearing on the presenting problem, and the influence of extra-therapeutic factors on client systems. 2.2.4 Perceptual: Consider the influence of treatment on extra-therapeutic relationships. 2.2.5 Perceptual: Consider physical/organic problems that can cause or exacerbate emotional/interpersonal symptoms. 2.3.1 Executive: Diagnose and assess client behavioral and relational health problems systemically and contextually. 2.3.2 Executive: Provide assessments and deliver developmentally appropriate services to clients, such as children, adolescents, elders, and persons with special needs. 2.3.3 Executive: Apply effective and systemic interviewing techniques and strategies. 2.3.5 Executive: Screen and develop adequate safety plans for substance abuse, child and elder maltreatment, domestic violence, physical violence, suicide potential, and dangerousness to self and others. 2.3.6 Executive: Assess family history and dynamics using a genogram or other assessment instruments. 2.3.7 Executive: Elicit a relevant and accurate biopsychosocial history to understand the context of the clients’ problems. 2.3.8 Executive: Identify clients’ strengths, resilience, and resources. 2.3.9 Executive: Elucidate presenting problem from the perspective of each member of the therapeutic system. 2.4.1 Evaluative: Evaluate assessment methods for relevance to clients’ needs. 2.4.2 Evaluative: Assess ability to view issues and therapeutic processes systemically. 2.4.3 Evaluative: Evaluate the accuracy and cultural relevance of behavioral health and relational diagnoses. 2.4.4 Evaluative: Assess the therapist-client agreement of therapeutic goals and diagnosis. 2.5.1 Professional: Utilize consultation and supervision effectively. 3.2.1 Perceptual: Integrate client feedback, assessment, contextual information, and diagnosis with treatment goals and plan. 3.3.1 Executive: Develop, with client input, measurable outcomes, treatment goals, treatment plans, and aftercare plans with clients utilizing a systemic perspective. 3.3.2 Executive: Prioritize treatment goals. 3.3.3 Executive: Develop a clear plan of how sessions will be conducted. 3.3.4 Executive: Structure treatment to meet clients’ needs and to facilitate systemic change. 3.3.5 Executive: Manage progression of therapy toward treatment goals. 3.3.6 Executive: Manage risks, crises, and emergencies. 3.3.7 Executive: Work collaboratively with other stakeholders, including family members, other significant persons, and professionals not present. 3.3.8 Executive: Assist clients in obtaining needed care while navigating complex systems of care. 3.3.9 Executive: Develop termination and aftercare plans. 3.4.1 Evaluative: Evaluate progress of sessions toward treatment goals. 3.4.2 Evaluative: Recognize when treatment goals and plan require modification. 3.4.3 Evaluative: Evaluate level of risks, management of risks, crises, and emergencies. 3.4.4 Evaluative: Assess session process for compliance with policies and procedures of practice setting. 3.4.5 Evaluative: Monitor personal reactions to clients and treatment process, especially in terms of therapeutic behavior, relationship with clients, process for explaining procedures, and outcomes. 3.5.1 Professional: Advocate with clients in obtaining quality care, appropriate resources, and services in their community. 3.5.2 Professional: Participate in case-related forensic and legal processes. 3.5.3 Professional: Write plans and complete other case documentation in accordance with practice setting policies, professional standards, and state/provincial laws. 3.5.4 Professional: Utilize time management skills in therapy sessions and other professional meetings. 4.2.2 Perceptual: Distinguish differences between content and process issues, their role in therapy, and their potential impact on therapeutic outcomes. 4.3.1 Executive: Match treatment modalities and techniques to clients’ needs, goals, and values. 4.3.2 Executive: Deliver interventions in a way that is sensitive to special needs of clients (e.g., gender, age, socioeconomic status, culture/race/ethnicity, sexual orientation, disability, personal history, larger systems issues of the client). 4.3.4 Executive: Generate relational questions and reflexive comments in the therapy room. 4.3.5 Executive: Engage each family member in the treatment process as appropriate. 4.3.6 Executive: Facilitate clients developing and integrating solutions to problems. 4.3.7 Executive: Defuse intense and chaotic situations to enhance the safety of all participants. 4.3.8 Executive: Empower clients and their relational systems to establish effective relationships with each other and larger systems. 4.3.9 Executive: Provide psychoeducation to families whose members have serious mental illness or other disorders. 4.3.10 Executive: Modify interventions that are not working to better fit treatment goals. 4.3.11 Executive: Move to constructive termination when treatment goals have been accomplished. 4.3.12 Executive: Integrate supervisor/team communications into treatment. 4.4.3 Evaluative: Evaluate treatment outcomes as treatment progresses. 4.4.4 Evaluative: Evaluate clients’ reactions or responses to interventions. 4.4.5 Evaluative: Evaluate clients’ outcomes for the need to continue, refer, or terminate therapy. 4.4.6 Evaluative: Evaluate reactions to the treatment process (e.g., transference, family of origin, current stress level, current life situation, cultural context) and their impact on effective intervention and clinical outcomes. 4.5.1 Professional: Respect multiple perspectives (e.g., clients, team, supervisor, practitioners from other disciplines who are involved in the case). 4.5.2 Professional: Set appropriate boundaries, manage issues of triangulation, and develop collaborative working relationships. 4.5.3 Professional: Articulate rationales for interventions related to treatment goals and plan, assessment information, and systemic understanding of clients’ context and dynamics. 5.2.2 Perceptual: Recognize ethical dilemmas in practice setting. 5.2.3 Perceptual: Recognize when a legal consultation is necessary. 5.2.4 Perceptual: Recognize when clinical supervision or consultation is necessary. 5.3.1 Executive: Monitor issues related to ethics, laws, regulations, and professional standards. 5.3.2 Executive: Develop and assess policies, procedures, and forms for consistency with standards of practice to protect client confidentiality and to comply with relevant laws and regulations. 5.3.3 Executive: Inform clients and legal guardian of limitations to confidentiality and parameters of mandatory reporting. 5.3.4 Executive: Develop safety plans for clients who present with potential self-harm, suicide, abuse, or violence. 5.3.5 Executive: Take appropriate action when ethical and legal dilemmas emerge. 5.3.6 Executive: Report information to appropriate authorities as required by law. 5.3.7 Executive: Practice within defined scope of practice and competence. 5.5.1 Professional: Maintain client records with timely and accurate notes. 5.5.2 Professional: Consult with peers and/or supervisors if personal issues, attitudes, or beliefs threaten to adversely impact clinical work. Course Requirements: * ALL INTERNS ARE REQUIRED TO CARRY PROFESSIONAL LIABILITY INSURANCE BEFORE PARTICIPATING IN INTERNSHIP. IT IS RECOMMENDED THAT MEMBERSHIP IN A PROFESSIONAL ORGANIZATION (EG: AAMFT, IAMFT) BE OBTAINED. 1. A log will be maintained and handed-in weekly summarizing the intern's participation in work activities (personal, clinical & administrative) and time allocated to each activity (See Appendix D1 of the Internships Manual). Incomplete logs or logs not turned in on a weekly basis will not be counted. A closing summary of the entire internship experience will be due at the end of the internship. The final log will be kept on file. 2. Internship time requirements Agency/MFT- A minimum of twenty clock hours per week which will total at least 400 hours of face-to-face client contact by the end of the internship placement. This does not include the hours carried over from practicum which also must be completed. It is important that the at least 50% of client contact hours will be MFT service (couple or family). A minimum of 2.60 hours per week of approved MFT supervision (ie:an LMFT who has had their license for at least five years) is required for a total of 80 hours of supervision. Supervision with the university supervisor is included in this total as is Approved LMFT individual site supervision (one to two ratio)and Approved LMFT group supervision (one to six ratio). Students typically finish their internship placement in 31 weeks (September-May) if included in their 20 clock hour per week minimum they are averaging 13 face-to-face client hours per week. (see internship packet) 3. Attendance is required at seminar classes scheduled by the university supervisor every other week. 4. Interns will obtain evaluations from the on-site supervisor and Approved Supervisor (if different), at the end of the each semester for a final grade. (see internship packet) 5. Interns will fulfill all of the requirements of the "Internship Agreement".(see internship packet) 6. Interns will complete an Evaluation of Site Form at the end of the internship. (see internship packet) 7. Interns will do one formal case presentation using the course format and an edited videotape of their session. A theory and its related techniques will be demonstrated. 8. Weekly participation in Web CT is mandatory for the purposes of developing a professional community among students and will be monitored. Instructor involvement will be minimal. If participation does not occur weekly, the final grade will be reduced by one letter grade. Evaluation & Grading: Final grades will be given when all course requirements are fulfilled. STUDENTS ARE REMINDED TO RETAIN NOTES, EXAMS AND PAPERS IF THIS COURSE IS PART OF THE COMPREHENSIVE EXAM REQUIRED FOR GRADUATION. SEE THE “GRADUATE STUDENT ORIENTATION HANDBOOK” FOR FURTHER DETAILS. * The IPFW Student Handbook and the Counselor Education Orientation Handbook describe policies regarding to matters of attendance, plagiarism and grade appeal. Please familiarize yourself with these policies. * Weather Cancellations- 481-5770 or 481-6050 *If you have or acquire a disability and would like to find out what special services and accommodations may be available to you, contact services for students with disabilities in Wu 118 & 218, voice/tty. * As a professional counselor, much of your communication with other professionals will be in writing. Students are encouraged to visit the Writing Center at Kettle G35 if the quality of their writing in all assignments does not meet the standard expected of a graduate student. Students may sign up for an appointment or walk-in for help (priority is given to those with appointments). The Writing Center staff will not revise, edit, or proofread your papers for you, but will help you learn how to better to do this on your own. You can get free help brainstorming, developing, and organizing ideas, and learning how to revise and edit final drafts by visiting the writing center, Kettler g35, open daily except Saturday. If you are going to miss a class or be late, you must contact the professor. You are responsible to make-up any exams or lectures missed. More than two absences will result in a reduction of one letter grade for the course. All papers & materials submitted will be retained by the professor unless otherwise noted. Should you desire copies of submitted material, please make duplicates prior to submission. * Issues related to student diversity will be addressed in each of the courses in the Counselor Education Program. This means that differences in individuals and groups will be discussed. It is our understanding that different contexts result in different world views. Counselors must always be sensitive to the possible differences in perception and belief that exist outside of their own. Class Schedule The instructor reserves the right to modify and/or change the course syllabus as needed during the course. In case of the cancellation of a class session, the professor will modify the course syllabus to cover relevant topics. Cancelled classes will not be made up. "P"= packet "M"= manual "V"= video “A” & “B”=intern class group *Personal, Clinical & Administrative reviews will occur at each class. Class Date Topic 8/23-A & B 1 Overview : Syllabus overview Collect Paperwork Confirm site placements, phone (site & intern),directions. M= App B,E1,E2, C1 Case Presentation format and scheduling Carryover of practica hours Current caseloads Liability Insurance Review Packet Groups: A B 8/30 9/13 101/Ch. 1-11 9/20 9/27 101/Ch. 12-23 10/4 10/11 101/Ch. 24-35 10/18 10/25 101/Ch. 36-47 11/1 11/8 101/Ch. 48-59 11/15 11/22 101/Ch. 60-71 11/29 12/6 101/Ch. 72-83 12/13 – A& B 101/Ch. 84-101 Packet: 1. 2. 3. 4. 5. Practice Labor Statistics AAMFT IAMFT Associates License Intern packet (elearning) IPFW SCHOOL OF EDUCATION MISSION STATEMENT (adopted January 10, 1996) To prepare professionals in teaching, counseling, and leadership who demonstrate the capacity and willingness to continuously improve schools and related entities so that they become more effective with their clients by: _ Becoming more caring, humane, and functional citizens in a global, multicultural, democratic society; _ Improving the human condition by creating positive learning environments; _ Becoming change agents by demonstrating reflective professional practice; _ Solving client problems through clear, creative analyses; _ Assessing client performance and creating and executing effective teaching, counseling, and educational leadership by utilizing a variety of methodologies reflecting current related research; _ Utilizing interdisciplinary scholarship, demonstrating technological and critical literacy, and effectively communicating with all stakeholders. IPFW SCHOOL OF EDUCATION CONCEPTUAL FRAMEWORK: A LEARNING AND LEADERSHIP MODEL We in the School of Education are committed to the following conceptual framework for our program: 1. Democracy and Community Effective educators, such as teachers, counselors, and administrators need to be part of a dynamic educational community as a model for the climate of community they hope to create. To do this, these educators need an understanding of the moral, cultural, social, political, and economic foundations of our society. Consequently, the SOE should foster a democratic, just, inclusive learning community among its students, faculty, and staff, and with all other stakeholders in the educational enterprise. 2. Habits of Mind Effective educators realize that knowledge alone is not sufficient. They practice critical reflection in all endeavors. Within the context of a compassionate, caring community, educators foster habits of mind necessary to engage learners, such as investigating, inquiring, challenging, critiquing, questioning, and evaluating. Consequently, the SOE must integrate critical habits of mind in all aspects of the teaching/learning process. 3. Pedagogy Effective educators need to understand multiple approaches to pedagogy as well as the multiple roles of the teacher, such as facilitator, guide, role model, scholar, and motivator. Educators appreciate and are receptive to the diverse perspectives, modes of understanding, and social circumstances that they and their students bring to the educational setting. Consequently, the SOE needs to prepare educators to understand and use pedagogy creatively and thereby ensure active learning, conceptual understanding, and meaningful growth. 4. Knowledge Effective educators need to be well-grounded in the content which they expect to teach. Educators need to understand how knowledge is constructed, how the processes of inquiry are applied, how domains of knowledge are established, how disciplines can be integrated and most effectively communicated to their students. Educators also need understanding of themselves, of communities in which they intend to teach and of students. Consequently, the SOE should immerse educators in nurturing learning communities that deepen knowledge, and encourage on-going intellectual, emotional, and personal growth. 5. Experience Effective educators learn their craft through experiences in actual educational settings. Through onsite campus activities and field-based experiences, students will observe and emulate exemplary teaching and learning. These educators will practice, collaborate, and interact with practitioners and their students. Consequently, the SOE must integrate field and/or clinical experiences that reflect the diversity of educators, students, and schools into all aspects of the curriculum, and help educators to assess and reflect on those experiences. 6. Leadership Effective educators are leaders. They have developed educational and social visions informed by historical and cultural perspectives. They strive to set the highest goals for themselves and inspire students to do likewise. Educators are enriched by the convergence of knowledge, theory and practice as they optimistically face the educational challenges of the twenty-first century. Consequently, the SOE must provide opportunities for educators to develop as leaders in their procession and in their communities. * “Educator” is broadly defined as pre-service teachers, administrators, and counselors. Dr. Utesch received his M.Ed. in Counseling from Eastern Illinois University in 1984, and a Ph.D. in Marriage and Family Therapy from Purdue University in 1989. Dr. Utesch was a community mental health administrator for nine years and has worked for twenty-five years in mental health clinical supervision, and direct clinical service in Illinois, California, and Indiana. He developed and supervised child residential, adolescent crisis, child physical abuse prevention, family reunification, and sexual abuse treatment programs. Dr. Utesch has taught at the university level for twenty one years. He has codeveloped an AAMFT accredited M.S. in Marriage, Family, and Child Counselor (MFCC) degree program at the University of San Diego (USD), Chaired the Professional Studies department at Indiana-Purdue University Fort Wayne (IPFW) , and was Director of the counselor education program there for eleven years. The counselor education program offers two Masters degree options; School Counseling & Agency/Marriage and Family Therapy. Dr. Utesch is a Past President of the Indiana Association for Marriage Family Therapy (IAMFT), and offers one of four AAMFT approved supervisor courses available in Indiana. He is an Indiana Licensed Mental Health Counselor, Licensed Marriage and Family Therapist and is currently an Associate Faculty in the counseling program at IPFW coordinating the MFT track and the Counselor Education Community Counseling Clinic. His professional interests are family systems assessment/ treatment and therapist training/supervision. Dr. Utesch maintained a small private practice for marriage, family, and child therapy at the Family Care Center in Fort Wayne for eleven years and appeared frequently on WBCL radio’s morning call-in program targeted at relational understanding. His consultations and workshops for understanding and managing self & relationships in a variety of personal and professional contexts have been given to numerous school, church, mental health, medical, and business settings. INTERNSHIP PACKET GENERAL OBJECTIVES FOR THE INTERNSHIP The overall objective of the internship is to help students learn and apply knowledge, principles, and techniques of counseling according to the values and ethics of the profession. Specific objectives for a given setting will be determined mutually by the university and on-site supervisor in cooperation with the student. During the internship the student should be able to: 1. Demonstrate the personal and professional attitudes needed to work with a diverse population of clients and staff. 2. Observe and gain perspective on well functioning programs as to their purposes and effectiveness in relation to the population they are designed to serve. 3. Demonstrate the effective use of counseling theory and practice by integrating appropriate skills with clients in the work setting. 4. Develop appropriate resource lists, becoming aware of working relationships with community agencies and resources that provide services to meet client needs. 5. Demonstrate the ability to function consistently within ethical and professional standards. 6. Demonstrate needs assessment skills, program planning, and implementation skills as appropriate to the profession. 7. Develop, implement, evaluate an individualized intervention plan for clients. 8. Grow from "trainee" to "professional practitioner" with minimal difficulty. ETHICAL CONSIDERATIONS Being an intern in a professional role may raise some questions about invasion of privacy and confidentiality. Student interns are held responsible for protecting the rights of their clients. They are expected to abide by site regulations regarding records, gaining permission to work with clients and to record sessions with clients. Recording information, including taping, is for supervisory purposes only and is kept in strict confidence. In addition, prior to placement each student is required to obtain professional liability insurance to protect themselves and the host site. The ethical standards of the American Association for Marriage & Family Therapy are the standards to which the intern subscribes. The intern is expected to respond in an ethical manner in all client and/or site contacts or relationships. Internship students are expected to support the rules and regulations of the host site. At the first session every client assigned to an intern must receive and sign a CONSENT TO RECEIVE COUNSELING FROM AN INTERN included in this packet that introduces the client to the student intern defining them as a “student intern”(Indiana Code IC25-23.6-3-2). This should be placed in the client file. If there is any compensation given to the student intern it must come directly from the internship agency and not from their clients, (Indiana Code IC25-23.6-3-1). RESPONSIBILITIES OF THE STUDENT INTERN The intern is at a point where current skills must be translated into action. Prerequisite course work has been completed. The intern must have consistently demonstrated the academic, personal, and professional skills, attitude, judgment, and maturity to participate effectively in internship activities in a specified setting. The intern also will have demonstrated appropriate independence in decision making as a self starter who initiates tasks and carries them through to completion. Assessment of these qualities is made by the Counselor Education faculty as a result of a cumulative assessment of the student's behavior both in and outside classroom settings. The student must be judged to be able to effectively participate in specific internship settings by both university and on-site supervisors. STUDENTS MUST OBTAIN THEIR OWN INTERNSHIP SITE WITH THE SUPPORT AND GUIDANCE OF THE COUNSELOR EDUCATION PROGRAM. The intern will have the following responsibilities: 1. Contact a site to set up an appointment to discuss internship possibilities after receiving permission from the university supervisor. The university has a list of approved sites that have been utilized in the past by student interns. An intern can have a maximum of two sites. 2. Complete an M.F.T. INTERNSHIP SITE AND SUPERVISION AGREEMENT (in this packet) outlining experiences the student will have with the help of the site supervisor. If site supervisor is not an Approved Supervisor, (five-year licensed marriage & family therapist or equivalent), then the student must in addition to their on-site supervisor have an offsite supervisor who is an Approved Supervisor, (five-year licensed marriage & family therapist or equivalent) and meets weekly for one hour with the student in addition to their on-site supervision meetings. Only the signature of the Approved Supervisor is required on the logs. A total of 80 hours of supervision is required to complete the entire internship. Supervision with the university supervisor is included in this total. Individual supervision is a one to two ratio and group supervision is a one to six ratio. The Approved Supervisor must be willing to oversee both sites if the intern has two. The LMFT Approved Supervisor, (five-year licensed marriage & family therapist or equivalent), can be located at or away from the internship site. According to Indiana Code IC25-23.6-8-2.7, the internship cannot be a private practice where there is no LMFT Approved Supervisor, (five-year licensed marriage & family therapist or equivalent). Any marketing done by the student to obtain clients must not appear that the student is working alone in private practice as a licensed marriage and family therapist but is part of a practice whereby they are a student intern. 3. Abide by terms of the agreement and renegotiate these terms if conditions change. 4. Complete assignments and obtain an LMFT Approved Supervisor (ie:an LMFT who has had their license for at least five years). 5. Maintain a professional commitment to the site; observe rules and policies of the site, dress appropriately, be punctual, and display responsible conduct. 6. Demonstrate the development and implementation of professional values, skills, and knowledge. 7. Maintain client confidentiality. Abide by the ethical standards appropriate to the site and the ethical standards of the American Association of Marriage and Family Therapy. 8. Make proper referrals. Professional ethics demand that cases beyond one's expertise be referred to the proper person or agency for help. Discuss such cases with the on-site supervisor and notify the university supervisor if needed. Follow up referrals. 9. Evaluate performance and learning related to the educational objectives of the internship. 10. Complete all forms for the internship. SUPERVISION SEMINAR In addition to the field experience, interns are required to attend seminars scheduled by the university supervisor. In seminar, students come together to discuss internship experiences, serve as resources for problem-solving, and explore common areas of interest or need. Audiotapes and videotapes of client sessions are employed for evaluation and class consultation. Supervision of tapes and/or live site supervision by the university supervisor are a central component of our program. Goals of the seminar are to: 1. Develop, apply, and refine knowledge and skills needed for effective services in the work site and beyond. 2. Create a system in which goals, procedures, and alternatives can be discussed and evaluated. 3. Build an interpersonal support system in which descriptive feedback serves as a source of personal and professional growth. STUDENT REQUIREMENTS WITH UNIVERSITY SUPERVISOR 1. Meetings With University Supervisor: Each student is required to meet with the university supervisor as scheduled during the semester. These meetings will be on campus unless otherwise designated. 2. Keeping a Log: Each student will maintain a log of daily tasks while on the internship site that includes a brief narrative. The log is submitted to the university supervisor weekly. 3. Professional Membership: Each student is to be an active member of AAMFT, a professional therapy association. 4. Insurance: It is expected that the student will have professional liability insurance, unless comparable arrangements have been approved in writing by the university supervisor. THE ON-SITE SUPERVISOR 1. The site's administrator will designate a staff member to serve as the on-site supervisor for the student intern. It is our policy that each on-site supervisor shall hold credentials that exceed those of the graduate student supervised. Earned degrees, licenses, and national registry certification constitute prima facie evidence of credentials. Exceptions to this policy justified in terms of experience, position, and title must be approved by the IPFW Director of Counselor Education. MFT intern supervisors must meet Indiana LMFT supervisory requirements. 2. Supervisory and orientation tasks may take relatively more time in the beginning stages of the internship. However, the internship should benefit the host site as much as it does the student. Although students are in training, they should have sufficient skills to perform many on-site responsibilities. If a student lacks initiative, skills, or other qualities essential to effectively function on the job, the university supervisor should be contacted immediately. 3. In order to achieve maximum benefit, the student should be exposed to a variety of appropriate aspects of the host institution. Ideally, the student needs to have experiences in conducting individual and group counseling sessions, consultations with staff and parents, and other activities that vary with the site's function. MFT interns must provide "MFT services" to 50% of their client population. ON-SITE SUPERVISION RESPONSIBILITIES The on-site supervisor assesses the student's progress, consults with students regarding strategies and procedures, consults with the university supervisor, and completes a written evaluation of the student at the end of the semester. The on-site supervisor has a central influence on the outcome of the internship. The relationship with the student is most meaningful in exemplifying professional behavior in daily counseling activities. The supervisor insures that relevant work experiences, on-site feedback, advising, and consultation are provided for the student counselor. Typically, the on-site supervisor will: 1. Provide structure for the student to achieve internship objectives. 2. Provide an orientation to the site and staff for the student, including policies, structure, personnel, and resources. 3. Provide access to site manuals, policy statements, and files as needed. 4. Assist the student in refining details of the internship appropriate to the specific setting including specific assignments, activities, scheduling, etc. 5. Establish regular supervision sessions with the student. These meetings are to be held weekly during hours when the student is normally scheduled to be at the site. The supervisor uses this time to provide feedback on tapes, plan tasks, and discuss other aspects of the internship experience with the student. 6. Engage in some form of visual observation of the student's activities. If one-way mirror or video equipment is not available, then the supervisor can be physically present during one or more activities. 7. Provide on-going evaluation of the performance of the student. 8. Complete a final evaluation of the student. 9. Initiate immediate contact with the university supervisor if problems are encountered with the student during the placement. INTERNSHIP DUTIES Internship Agreement will include but not be limited to: A minimum of 20 clock hours per week to earn six hours of credit in EDUC G550 and EDUC G551 at the internship site. The 20 clock hours must include at least the following: 1. Facillitate or co-facilitate a minimum of one group for at least 10 sessions. 2. Maintain a minimum of 5 long-term clients (Individual, Couples, Families). 3. Weekly participation in staff group supervision and development. 4. One hour per week of individual supervision by an LMFT Approved Supervisor. 5. Participate in the process of referring clients. 6. The intern will complete additional or alternative requirements the on-site supervisor believes are necessary. M.F.T. INTERNSHIP SITE AND SUPERVISION AGREEMENT Counselor Education-School of Education Indiana University-Purdue University Fort Wayne The following agreement is to be completed by the student, the on-site supervisor, and the university instructor. Name of Student Semester:_____________ Name/Address of Internship Site:______________________________________________ _____ Name of Internship Site Supervisor: ____________________________Phone________________ Degree(s), Certification(s), License(s)________________________________________________ Name of LMFT Approved Supervisor (if site supervisor is not approved)____________________ Approved Supervisor’s Degree and LMFT License Number Initial Licensure Date _______ Phone______________ Name of IPFW Supervisor __ Phone___________________ The student named above will provide service for a minimum of 20 clock hours per week to earn six hours of credit in EDUC G550 and EDUC G551 at the above named site. The 20 clock hours must include the following: 1. Facilitate or co-facilitate a minimum of one group for at least 10 sessions. 2. Maintain a minimum of 5 long-term clients (Individual, Couples, Families). 3. Weekly participation in staff supervision and development 4. One hour per week of individual supervision by an LMFT Approved Supervisor 5. Participate in the process of referring clients. 6. The intern will complete additional or alternative requirements the on-site supervisor believes are necessary. (Use additional pages if necessary. Explain if there are any revisions to the contract.) *If the student will work on the same days and hours each week, these days and hours are: ______________________________________________________________________________ *At the first session every client assigned to an intern must receive a letter ( included in the intern packet) that introduces the client to the student intern defining them as a “student intern”. *If there is any compensation given to the student intern it must come directly from the internship agency and not from their client(s). *The internship is complete when 400 face-to-face hours and 80 approved supervision hours* have been obtained by the student. *Additional hours may be required if hours from practicum are not complete. *A new agreement must be completed for each semester. _________________________ Signature of Student/Date __________________________________________ Signature of Signature of Site Supervisor/Date IPFW Supervisor/Date CONSENT TO RECEIVE COUNSELING FROM AN INTERN AS PART OF THEIR TRAINING IN THE I.P.F.W. COUNSELOR EDUCATION PROGRAM This is consent to receive counseling from an intern. The counselor you are about to receive services from is a graduate student in the Indiana-Purdue University Counselor Education Program. They are pursuing a master’s degree in Marriage and Family Therapy. At the end of their third year they will graduate and take the Indiana Marriage and Family Therapy Exam. When they pass the exam they will receive an Associate’s License in Marriage and Family Therapy. They will continue to work with an Associate’s license for two years in order to obtain 1000 clinical hours and then apply for a license as a Marriage and Family Therapist in Indiana. Thank you for giving them the privilege of serving you as part of their training. If you would prefer to not have an intern as your therapist, another therapist will be assigned to you. If you would like to receive services from an intern please initial each line below and sign/date at the bottom. ___ I voluntarily agree to receive counseling services from a student intern at___________________. Name of Counseling Site I understand t his permission may be revoked at any time without affecting the quality of service to me. ___ I do/do not (circle one) give permission for my sessions to be video and/or audio taped for training purposes. Recordings will be viewed by other interns and their professor during their weekly training and destroyed immediately after viewing. If anyone in the training class knows me they will not be allowed to view the tape. No other use will be made of theses recordings without my written consent. ___ I do/do not (circle one) give permission for my sessions to be supervised live by the supervising professor for training purposes. ___ I understand that the student intern is in training and if my successful treatment is beyond the scope of the intern’s ability, I may be referred to another counselor that is better equipped in responding to my needs. ___ I understand that the student intern will comply with the laws governing the practice of marriage and family therapy and AAMFT professional ethics. This permission may be revoked at any time withthout affecting the quality of service to me. My signature below indicates that I have understood what is written above and give my consent: Client_____________________________________________ Date_____________________ A Legal Guardian’s signature is required if the client is a minor Legal Guardian_____________________________________ Date_____________________ Witness___________________________________________ Date_____________________ INDIANA UNIVERSITY-PURDUE UNIVERSITY FORT WAYNE COUNSELOR EDUCATION MFT Internship Activity Log Student Name For the week of __________________________ On-Site Supervisor____________________ or equivalent) (must be five-year licensed marriage & family therapist FACE-TO-FACE CLIENT CONTACT HOURS TOTAL 1. Total Time, Individual Session Hours THIS WEEK ___________ ________ ________ 2. Total Time, Group Session Hours ___________ 3. TOTAL INDIVIDUAL HOURS (add 1,2) ___________ ________ 4. Total Time, Family Session Hours ___________ ________ 5. Total Time, Couple Session Hours ___________ ________ 6. TOTAL MFT HOURS (add 4,5) ___________ ________ 7. TOTAL FACE-TO-FACE HOURS (add 3,6) ___________ ________ INDIVIDUAL SUPERVISION HOURS (1:2 Ratio) 8. Individual LMFT Approved Supervision Session Hours ___________ ________ 9. Individual On-Site Supervision Session Hours if not LMFT Approved.___________ ________ 10. Individual University Supervision Session Hours ___________ ________ 11. TOTAL TIME, INDIVIDUAL SUPERVISION HOURS (add 8,10) ___________ ________ GROUP SUPERVISION HOURS (1:6 Ratio) 12. Group On-Site Supervision Session Hours ___________ ________ 13. Group University Supervision Session Hours ___________ ________ 14. TOTAL TIME, GROUP SUPERVISION HOURS (add 12,13) ___________ ________ 15. TOTAL TIME SUPERVISION HOURS (add 11,14) ___________ ________ 16. TOTAL TIME, STAFF MEETINGS ___________ ________ 17. TOTAL TIME, REPORTS, CASE RECORDS, ETC. ___________ ________ 18. TOTAL TIME IN OFF-SITE PROFESSIONAL WORKSHOPS ___________ 19. TIME IN OTHER ACTIVITIES (Please list):_____________________ ________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ 20. TOTAL TIME IN INTERNSHIP ACTIVITY (add 7,11,15,16,17,18,19) ___________ ________ THIS WEEK’S SUMMARY OF THE INTERNSHIP EXPERIENCE Personal: Administrative: Performance: Other: INTERNSHIP EVALUATION Evaluation is a joint endeavor among the on-site supervisor, university supervisor, and student intern. The main purpose of evaluation is to enhance the student's learning. Therefore, evaluation is an ongoing process, with verbal and written feedback provided throughout the internship. Evaluation focuses on: (1) professional behavior, and (2) counseling competencies. Evaluation of field performance represents one component of the student's final grade. Other aspects evaluated by the university supervisor may include, but not be limited to: tape reviews, interview records, student journals, and seminar participation. A final evaluation completed by both supervisors is considered in determining the intern's grade. An appropriate grade is assigned when the student completes the requirements with a satisfactory level of proficiency. INDIANA UNIVERSITY-PURDUE UNIVERSITY FORT WAYNE COUNSELOR EDUCATION Internship Evaluation* Date: Name of Student: Name of Rater: Site: Please rate this individual on the appropriate items: Needs Improvement 1. Was punctual and conscientious in 1 Good 2 3 4 Area of NA or No Strength Observation 5 N attendance 2. Showed enthusiasm 1 2 3 4 5 N 1 2 3 4 5 N 1 2 3 4 5 N 1 2 3 4 5 N 1 2 3 4 5 N 1 2 3 4 5 N 1 2 3 4 5 N 1 2 3 4 5 N for learning about the site 3. Was skillful and courteous in relating to population served 4. Demonstrated ethical behavior 5. Was responsive to feedback from staff and peers 6. Was sensitive to site structure and policies 7. Showed an appropriate degree of independence 8. Carried out responsibilities 9. Took initiative Demonstrated skill in the following: 10. Counseling individuals 11. Group counseling 12. Counseling with 1 2 3 4 5 N 1 2 3 4 5 N 1 2 3 4 5 N 1 2 3 4 5 N 1 2 3 4 5 N 1 2 3 4 5 N off site 1 2 3 4 5 N Program development 1 2 3 4 5 N 1 2 3 4 5 N couples/families 13. Teaching/training/ guidance presentations 14. Management/ administration 15. Testing/assessment 16. Consultation--on and 17. and delivery 18. Research/evaluation 19. Other (specify) 20. Other (specify) * To be completed one week prior to each semester's end, then forwarded to university instructor. Please describe this student's most prominent professional and personal strengths: Please describe any need for growth and improvement. If possible, describe progress made to date and recommendations for the future listed in order of priority: Additional comments: Signature of Site Supervisor: Signature of Student: INDIANA UNIVERSITY-PURDUE UNIVERSITY FORT WAYNE COUNSELOR EDUCATION Evaluation of Site Form: Agency/MFT Agency Name: Address: Telephone Number: Supervisor's Name: Supervisor's Title: Student's Name: Dates of Practicum/Internship: Please check the appropriate blanks: 1. What type of counseling services are provided at your site? Hot Line Crisis Individual Couples No Fee Sliding Scale Walk In Out-Patient Brief Longer Term Family Insurance Full Fee In-Patient Home Visit Additional Comments: 2. What are the characteristics of your client population? Children Male Caucasian Adolescents Adults Geriatrics Female Hispanic Black Asian American Indian Unemployed Low Income Upper Income Additional Comments: 3. What were the major presenting problems? Behavioral Middle Income Relational Marital Drug/Alcohol Abuse Eating Disorders Court Ordered Child Abuse Adult Victims Geriatrics Career Religious Other (Please describe briefly): 4. How would you describe the major theoretical orientation? Systemic Psychoanalytic Eclectic Behavioral Humanistic Medical Other 5. What types of supervision did you participate in? Individual 6. Group Did you have opportunities to participate in: In-Service Training 7. Workshops Seminars What percentage of time did you spend counseling: Individuals 8. Staff Meetings Couples Families Groups How many hours did you spend at your site before you saw Client? 9. How was your time divided? Seeing Clients Reading Individual Supervision Writing Case Notes Not Knowing What To Do Group Supervision Other 10. Which of the following resources were available to you at your site? Books Tapes Referral Lists Files/Records Manuals Films Other Professionals Other 11. Describe the agency staff. How many: MD LMFT LCSW BA Paraprofessionals Administrative 12. Interns No Which of the following are available to you? Mail Box Shared Office Phone Desk Parking Space What was the size of your case load? Daily 15. Total Number of Staff . If so, how much? Personal Office 14. Volunteers Did you receive a stipend or any form of pay? Yes 13. LMHC Weekly Total Hours Approximately how much time did you spend on case work? Daily (or) Weekly 16. Please describe briefly your relationship and experience in supervision: 17. List briefly the advantages/disadvantages you found in working at this site: 18. General comments about your practicum/internship experience: RELEASE AND PERMISSION TO OBSERVE/TAPE ONE COUNSELING SESSION FOR THE SUPERVISION AND TRAINING OF COUNSELORS IN THE IPFW COUNSELOR EDUCATION PROGRAM The Counselor Education program at Indiana University-Purdue University Fort Wayne (IPFW) is both a service to the community and a training/research program. Your counselor has been placed at as part of an educational requirement in the Counselor Education program. They have been trained to provide quality counseling under the joint supervision of and IPFW. It is the practice of counselors in the IPFW program to require live and/or taped supervision of some counseling sessions to be observed by an IPFW Counselor Education supervisor and/or counseling student trainees. We do this to provide the utmost in professional supervision. This permission may be revoked at any time during the counseling session and the supervisor dismissed or tape removed without affecting the quality of service to the client. Please note that your counselor's IPFW supervisor is . Please note that the following counseling student trainees that will observe this tape are__________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ I (We), the undersigned, acknowledge that the purpose and value of live and/or taped supervision has been fully explained to me (us). I (We) give the supervisor for the IPFW Counselor Education program and/or the counseling student trainees, permission to observe one counseling session of me (us), live and/or taped for supervision and training purposes. All tapes will be destroyed after 14 days from their recording date. My (Our) consent to such observation is given freely and voluntarily. This release is only for counseling session # , with________________________________ ____________________________________________________________________________________ at__________________________________________________________________________________ on_______________. Date Client Date_____________ Client Date Client Date_____________ Client Date Parent/Guardian Date Counselor Date_____________ Parent/Guardian FORM III-A Verification of Marriage and Family Therapy Associate Coursework Coursework from Indiana University-Purdue University Fort Wayne Counselor Education Program, Marriage and Family Therapy Track Please list the course titles in the areas indicated below, of the graduate courses, as they appear on your transcript, that in your opinion, meet the following requirements. If the title of the course you are wishing to apply towards these requirements does not clearly reflect these content areas, you should also submit additional supporting documentation, such as course descriptions from your college or university’s catalog. Twenty-seven (27) Semester hours or forty-one (41) quarter hours of graduate coursework that must include graduate course credits with material in at least the following content areas: Theoretical Foundations of Marriage and Family Therapy Name of Institution Hours Course Number Course Title Credit IPFW EDUC G504 Counseling Theories & Techniques II 3 Credit Major Models of Marriage and Family Therapy Name of Institution Hours Course Number Course Title IPFW EDUC G567 Introduction to Marriage and Family Counseling 3 Name of Institution Hours Course Number Course Title Credit IPFW EDUC P575 Developing Human Potential 3 Individual Development Family Development and Family Relationships Name of Institution Hours Course Number Course Title Credit IPFW EDUC P575 Developing Human Potential 3 Name of Institution Hours Course Number Course Title Credit IPFW EDUC G563 Foundations of Mental Health Counseling Clinical Problems 3 Collaboration with Other Disciplines Name of Institution Hours Course Number Course Title IPFW EDUC G563 Foundations of Mental Health Counseling Credit 3 IPFW EDUC G502 Professional Orientation and Ethics 3 Sexuality Name of Institution Hours Course Number Course Title IPFW 3 EDUC G570 Human Sexuality Credit Gender and Sexual Orientation Name of Institution Hours Course Number Course Title IPFW 3 EDUC G570 Human Sexuality Credit IPFW 3 EDUC G575 Multicultural Counseling Issues of Ethnicity, Race, Socioeconomic Status, and Culture Name of Institution Hours Course Number Course Title Credit IPFW 3 EDUC G575 Multicultural Counseling Name of Institution Hours Course Number Course Title Credit IPFW EDUC G503 Counseling Theories & Techniques I 3 IPFW EDUC G504 Counseling Theories & Techniques II 3 IPFW EDUC G567 Introduction to Marriage and Family Counseling 3 IPFW 3 EDUC G532 Introduction to Group Counseling Therapy Techniques Behavioral Research that Focuses on the Interpretation and Application of Research Data as it Applies to Clinical Practice Name of Institution Hours Course Number Course Title IPFW 3 EDUC G590MFT Research in Counseling & Guidance (MFT) IPFW EDUC G590 Research in Counseling & Guidance Credit 3 TOTAL: 10 Courses in the content areas representing a total of 30 credit hours The previously mentioned content areas may be combined into any one (1) graduate level course, if the applicant can prove that the coursework was devoted to each content area. One graduate level course of two (2) semester hours or three (3) quarter hours in the following areas. Legal, Ethical, and Professional Standards Issues in the Practice of Marriage and Family Therapy or and Equivalent Course Approved by the Board. Name of Institution Hours Course Number Course Title IPFW 3 EDUC G502 Professional Orientation and Ethics Credit Appraisal and Assessment for Individual or interpersonal Disorder or Dysfunction. Name of Institution Hours Course Number Course Title Credit IPFW EDUC G505 Individual Appraisal: Principles and Procedures 3 I, The undersigned applicant for Marriage and Family Therapist’s licensure, do hereby certify that I have also completed the following: A clinical practicum in Marriage and Family Therapy of at least five hundred (500) hours of Face-to-face client hours with individuals, couples and families for the purpose of assessment and intervention, that was conducted over a period of one (1) year at an average rate of ten (10) hours of clinical contact per week. Of the five hundred (500) hours, no more than fifty percent (50%) of this time was spent with individuals. This practicum also included a minimum of one hundred (100) hours of supervision administered by a Licensed Marriage and Family Therapist who has at least five (5) years of experience as a qualified supervisor. Practicum and Internship Experience Name of Institution Hours Course Number Course Title Credit IPFW 3 EDUC G524 Practicum in Counseling IPFW EDUC G525 Advanced Counseling Practicum 3 IPFW EDUC G525 Advanced Counseling Practicum 3 IPFW EDUC G550 Internship in Counseling & Guidance 3 IPFW EDUC G550 Internship in Counseling & Guidance 3 AAMFT Code of Ethics Effective July 1, 2001 Preamble The Board of Directors of the American Association for Marriage and Family Therapy (AAMFT) hereby promulgates, pursuant to Article 2, Section 2.013 of the Association's Bylaws, the Revised AAMFT Code of Ethics, effective July 1, 2001. The AAMFT strives to honor the public trust in marriage and family therapists by setting standards for ethical practice as described in this Code. The ethical standards define professional expectations and are enforced by the AAMFT Ethics Committee. The absence of an explicit reference to a specific behavior or situation in the Code does not mean that the behavior is ethical or unethical. The standards are not exhaustive. Marriage and family therapists who are uncertain about the ethics of a particular course of action are encouraged to seek counsel from consultants, attorneys, supervisors, colleagues, or other appropriate authorities. Both law and ethics govern the practice of marriage and family therapy. When making decisions regarding professional behavior, marriage and family therapists must consider the AAMFT Code of Ethics and applicable laws and regulations. If the AAMFT Code of Ethics prescribes a standard higher than that required by law, marriage and family therapists must meet the higher standard of the AAMFT Code of Ethics. Marriage and family therapists comply with the mandates of law, but make known their commitment to the AAMFT Code of Ethics and take steps to resolve the conflict in a responsible manner. The AAMFT supports legal mandates for reporting of alleged unethical conduct. The AAMFT Code of Ethics is binding on Members of AAMFT in all membership categories, AAMFT-Approved Supervisors, and applicants for membership and the Approved Supervisor designation (hereafter, AAMFT Member). AAMFT members have an obligation to be familiar with the AAMFT Code of Ethics and its application to their professional services. Lack of awareness or misunderstanding of an ethical standard is not a defense to a charge of unethical conduct. The process for filing, investigating, and resolving complaints of unethical conduct is described in the current Procedures for Handling Ethical Matters of the AAMFT Ethics Committee. Persons accused are considered innocent by the Ethics Committee until proven guilty, except as otherwise provided, and are entitled to due process. If an AAMFT Member resigns in anticipation of, or during the course of, an ethics investigation, the Ethics Committee will complete its investigation. Any publication of action taken by the Association will include the fact that the Member attempted to resign during the investigation. Contents 1. Responsibility to clients 2. Confidentiality 3. Professional competence and integrity 4. Responsibility to students and supervisees 5. Responsibility to research participants 6. Responsibility to the profession 7. Financial arrangements 8. Advertising Principle I Responsibility to Clients Marriage and family therapists advance the welfare of families and individuals. They respect the rights of those persons seeking their assistance, and make reasonable efforts to ensure that their services are used appropriately. 1.1. Marriage and family therapists provide professional assistance to persons without discrimination on the basis of race, age, ethnicity, socioeconomic status, disability, gender, health status, religion, national origin, or sexual orientation. 1.2 Marriage and family therapists obtain appropriate informed consent to therapy or related procedures as early as feasible in the therapeutic relationship, and use language that is reasonably understandable to clients. The content of informed consent may vary depending upon the client and treatment plan; however, informed consent generally necessitates that the client: (a) has the capacity to consent; (b) has been adequately informed of significant information concerning treatment processes and procedures; (c) has been adequately informed of potential risks and benefits of treatments for which generally recognized standards do not yet exist; (d) has freely and without undue influence expressed consent; and (e) has provided consent that is appropriately documented. When persons, due to age or mental status, are legally incapable of giving informed consent, marriage and family therapists obtain informed permission from a legally authorized person, if such substitute consent is legally permissible. 1.3 Marriage and family therapists are aware of their influential positions with respect to clients, and they avoid exploiting the trust and dependency of such persons. Therapists, therefore, make every effort to avoid conditions and multiple relationships with clients that could impair professional judgment or increase the risk of exploitation. Such relationships include, but are not limited to, business or close personal relationships with a client or the client’s immediate family. When the risk of impairment or exploitation exists due to conditions or multiple roles, therapists take appropriate precautions. 1.4 Sexual intimacy with clients is prohibited. 1.5 Sexual intimacy with former clients is likely to be harmful and is therefore prohibited for two years following the termination of therapy or last professional contact. In an effort to avoid exploiting the trust and dependency of clients, marriage and family therapists should not engage in sexual intimacy with former clients after the two years following termination or last professional contact. Should therapists engage in sexual intimacy with former clients following two years after termination or last professional contact, the burden shifts to the therapist to demonstrate that there has been no exploitation or injury to the former client or to the client’s immediate family. 1.6 Marriage and family therapists comply with applicable laws regarding the reporting of alleged unethical conduct. 1.7 Marriage and family therapists do not use their professional relationships with clients to further their own interests. 1.8 Marriage and family therapists respect the rights of clients to make decisions and help them to understand the consequences of these decisions. Therapists clearly advise the clients that they have the responsibility to make decisions regarding relationships such as cohabitation, marriage, divorce, separation, reconciliation, custody, and visitation. 1.9 Marriage and family therapists continue therapeutic relationships only so long as it is reasonably clear that clients are benefiting from the relationship. 1.10 Marriage and family therapists assist persons in obtaining other therapeutic services if the therapist is unable or unwilling, for appropriate reasons, to provide professional help. 1.11 Marriage and family therapists do not abandon or neglect clients in treatment without making reasonable arrangements for the continuation of such treatment. 1.12 Marriage and family therapists obtain written informed consent from clients before videotaping, audio recording, or permitting third-party observation. 1.13 Marriage and family therapists, upon agreeing to provide services to a person or entity at the request of a third party, clarify, to the extent feasible and at the outset of the service, the nature of the relationship with each party and the limits of confidentiality. Principle II Confidentiality Marriage and family therapists have unique confidentiality concerns because the client in a therapeutic relationship may be more than one person. Therapists respect and guard the confidences of each individual client. 2.1 Marriage and family therapists disclose to clients and other interested parties, as early as feasible in their professional contacts, the nature of confidentiality and possible limitations of the clients’ right to confidentiality. Therapists review with clients the circumstances where confidential information may be requested and where disclosure of confidential information may be legally required. Circumstances may necessitate repeated disclosures. 2.2 Marriage and family therapists do not disclose client confidences except by written authorization or waiver, or where mandated or permitted by law. Verbal authorization will not be sufficient except in emergency situations, unless prohibited by law. When providing couple, family or group treatment, the therapist does not disclose information outside the treatment context without a written authorization from each individual competent to execute a waiver. In the context of couple, family or group treatment, the therapist may not reveal any individual’s confidences to others in the client unit without the prior written permission of that individual. 2.3 Marriage and family therapists use client and/or clinical materials in teaching, writing, consulting, research, and public presentations only if a written waiver has been obtained in accordance with Subprinciple 2.2, or when appropriate steps have been taken to protect client identity and confidentiality. 2.4 Marriage and family therapists store, safeguard, and dispose of client records in ways that maintain confidentiality and in accord with applicable laws and professional standards. 2.5 Subsequent to the therapist moving from the area, closing the practice, or upon the death of the therapist, a marriage and family therapist arranges for the storage, transfer, or disposal of client records in ways that maintain confidentiality and safeguard the welfare of clients. 2.6 Marriage and family therapists, when consulting with colleagues or referral sources, do not share confidential information that could reasonably lead to the identification of a client, research participant, supervisee, or other person with whom they have a confidential relationship unless they have obtained the prior written consent of the client, research participant, supervisee, or other person with whom they have a confidential relationship. Information may be shared only to the extent necessary to achieve the purposes of the consultation. Principle III Professional Competence and Integrity Marriage and family therapists maintain high standards of professional competence and integrity. 3.1 Marriage and family therapists pursue knowledge of new developments and maintain competence in marriage and family therapy through education, training, or supervised experience. 3.2 Marriage and family therapists maintain adequate knowledge of and adhere to applicable laws, ethics, and professional standards. 3.3 Marriage and family therapists seek appropriate professional assistance for their personal problems or conflicts that may impair work performance or clinical judgment. 3.4 Marriage and family therapists do not provide services that create a conflict of interest that may impair work performance or clinical judgment. 3.5 Marriage and family therapists, as presenters, teachers, supervisors, consultants and researchers, are dedicated to high standards of scholarship, present accurate information, and disclose potential conflicts of interest. 3.6 Marriage and family therapists maintain accurate and adequate clinical and financial records. 3.7 While developing new skills in specialty areas, marriage and family therapists take steps to ensure the competence of their work and to protect clients from possible harm. Marriage and family therapists practice in specialty areas new to them only after appropriate education, training, or supervised experience. 3.8 Marriage and family therapists do not engage in sexual or other forms of harassment of clients, students, trainees, supervisees, employees, colleagues, or research subjects. 3.9 Marriage and family therapists do not engage in the exploitation of clients, students, trainees, supervisees, employees, colleagues, or research subjects. 3.10 Marriage and family therapists do not give to or receive from clients (a) gifts of substantial value or (b) gifts that impair the integrity or efficacy of the therapeutic relationship. 3.11 Marriage and family therapists do not diagnose, treat, or advise on problems outside the recognized boundaries of their competencies. 3.12 Marriage and family therapists make efforts to prevent the distortion or misuse of their clinical and research findings. 3.13 Marriage and family therapists, because of their ability to influence and alter the lives of others, exercise special care when making public their professional recommendations and opinions through testimony or other public statements. 3.14 To avoid a conflict of interests, marriage and family therapists who treat minors or adults involved in custody or visitation actions may not also perform forensic evaluations for custody, residence, or visitation of the minor. The marriage and family therapist who treats the minor may provide the court or mental health professional performing the evaluation with information about the minor from the marriage and family therapist’s perspective as a treating marriage and family therapist, so long as the marriage and family therapist does not violate confidentiality. 3.15 Marriage and family therapists are in violation of this Code and subject to termination of membership or other appropriate action if they: (a) are convicted of any felony; (b) are convicted of a misdemeanor related to their qualifications or functions; (c) engage in conduct which could lead to conviction of a felony, or a misdemeanor related to their qualifications or functions; (d) are expelled from or disciplined by other professional organizations; (e) have their licenses or certificates suspended or revoked or are otherwise disciplined by regulatory bodies; (f) continue to practice marriage and family therapy while no longer competent to do so because they are impaired by physical or mental causes or the abuse of alcohol or other substances; or (g) fail to cooperate with the Association at any point from the inception of an ethical complaint through the completion of all proceedings regarding that complaint. Principle IV Responsibility to Students and Supervisees Marriage and family therapists do not exploit the trust and dependency of students and supervisees. 4.1 Marriage and family therapists are aware of their influential positions with respect to students and supervisees, and they avoid exploiting the trust and dependency of such persons. Therapists, therefore, make every effort to avoid conditions and multiple relationships that could impair professional objectivity or increase the risk of exploitation. When the risk of impairment or exploitation exists due to conditions or multiple roles, therapists take appropriate precautions. 4.2 Marriage and family therapists do not provide therapy to current students or supervisees. 4.3 Marriage and family therapists do not engage in sexual intimacy with students or supervisees during the evaluative or training relationship between the therapist and student or supervisee. Should a supervisor engage in sexual activity with a former supervisee, the burden of proof shifts to the supervisor to demonstrate that there has been no exploitation or injury to the supervisee. 4.4 Marriage and family therapists do not permit students or supervisees to perform or to hold themselves out as competent to perform professional services beyond their training, level of experience, and competence. 4.5 Marriage and family therapists take reasonable measures to ensure that services provided by supervisees are professional. 4.6 Marriage and family therapists avoid accepting as supervisees or students those individuals with whom a prior or existing relationship could compromise the therapist’s objectivity. When such situations cannot be avoided, therapists take appropriate precautions to maintain objectivity. Examples of such relationships include, but are not limited to, those individuals with whom the therapist has a current or prior sexual, close personal, immediate familial, or therapeutic relationship. 4.7 Marriage and family therapists do not disclose supervisee confidences except by written authorization or waiver, or when mandated or permitted by law. In educational or training settings where there are multiple supervisors, disclosures are permitted only to other professional colleagues, administrators, or employers who share responsibility for training of the supervisee. Verbal authorization will not be sufficient except in emergency situations, unless prohibited by law. Principle V Responsibility to Research Participants Investigators respect the dignity and protect the welfare of research participants, and are aware of applicable laws and regulations and professional standards governing the conduct of research. 5. 1 Investigators are responsible for making careful examinations of ethical acceptability in planning studies. To the extent that services to research participants may be compromised by participation in research, investigators seek the ethical advice of qualified professionals not directly involved in the investigation and observe safeguards to protect the rights of research participants. 5. 2 Investigators requesting participant involvement in research inform participants of the aspects of the research that might reasonably be expected to influence willingness to participate. Investigators are especially sensitive to the possibility of diminished consent when participants are also receiving clinical services, or have impairments which limit understanding and/or communication, or when participants are children. 5.3 Investigators respect each participant’s freedom to decline participation in or to withdraw from a research study at any time. This obligation requires special thought and consideration when investigators or other members of the research team are in positions of authority or influence over participants. Marriage and family therapists, therefore, make every effort to avoid multiple relationships with research participants that could impair professional judgment or increase the risk of exploitation. 5.4 Information obtained about a research participant during the course of an investigation is confidential unless there is a waiver previously obtained in writing. When the possibility exists that others, including family members, may obtain access to such information, this possibility, together with the plan for protecting confidentiality, is explained as part of the procedure for obtaining informed consent. Principle VI Responsibility to the Profession Marriage and family therapists respect the rights and responsibilities of professional colleagues and participate in activities that advance the goals of the profession. 6.1 Marriage and family therapists remain accountable to the standards of the profession when acting as members or employees of organizations. If the mandates of an organization with which a marriage and family therapist is affiliated, through employment, contract or otherwise, conflict with the AAMFT Code of Ethics, marriage and family therapists make known to the organization their commitment to the AAMFT Code of Ethics and attempt to resolve the conflict in a way that allows the fullest adherence to the Code of Ethics. 6.2 Marriage and family therapists assign publication credit to those who have contributed to a publication in proportion to their contributions and in accordance with customary professional publication practices. 6.3 Marriage and family therapists do not accept or require authorship credit for a publication based on research from a student’s program, unless the therapist made a substantial contribution beyond being a faculty advisor or research committee member. Coauthorship on a student thesis, dissertation, or project should be determined in accordance with principles of fairness and justice. 6.4 Marriage and family therapists who are the authors of books or other materials that are published or distributed do not plagiarize or fail to cite persons to whom credit for original ideas or work is due. 6.5 Marriage and family therapists who are the authors of books or other materials published or distributed by an organization take reasonable precautions to ensure that the organization promotes and advertises the materials accurately and factually. 6.6 Marriage and family therapists participate in activities that contribute to a better community and society, including devoting a portion of their professional activity to services for which there is little or no financial return. 6.7 Marriage and family therapists are concerned with developing laws and regulations pertaining to marriage and family therapy that serve the public interest, and with altering such laws and regulations that are not in the public interest. 6.8 Marriage and family therapists encourage public participation in the design and delivery of professional services and in the regulation of practitioners. Principle VII Financial Arrangements Marriage and family therapists make financial arrangements with clients, third-party payors, and supervisees that are reasonably understandable and conform to accepted professional practices. 7.1 Marriage and family therapists do not offer or accept kickbacks, rebates, bonuses, or other remuneration for referrals; fee-for-service arrangements are not prohibited. 7.2 Prior to entering into the therapeutic or supervisory relationship, marriage and family therapists clearly disclose and explain to clients and supervisees: (a) all financial arrangements and fees related to professional services, including charges for canceled or missed appointments; (b) the use of collection agencies or legal measures for nonpayment; and (c) the procedure for obtaining payment from the client, to the extent allowed by law, if payment is denied by the third-party payor. Once services have begun, therapists provide reasonable notice of any changes in fees or other charges. 7.3 Marriage and family therapists give reasonable notice to clients with unpaid balances of their intent to seek collection by agency or legal recourse. When such action is taken, therapists will not disclose clinical information. 7.4 Marriage and family therapists represent facts truthfully to clients, third-party payors, and supervisees regarding services rendered. 7.5 Marriage and family therapists ordinarily refrain from accepting goods and services from clients in return for services rendered. Bartering for professional services may be conducted only if: (a) the supervisee or client requests it, (b) the relationship is not exploitative, (c) the professional relationship is not distorted, and (d) a clear written contract is established. 7.6 Marriage and family therapists may not withhold records under their immediate control that are requested and needed for a client’s treatment solely because payment has not been received for past services, except as otherwise provided by law. Principle VIII Advertising Marriage and family therapists engage in appropriate informational activities, including those that enable the public, referral sources, or others to choose professional services on an informed basis. 8.1 Marriage and family therapists accurately represent their competencies, education, training, and experience relevant to their practice of marriage and family therapy. 8.2 Marriage and family therapists ensure that advertisements and publications in any media (such as directories, announcements, business cards, newspapers, radio, television, Internet, and facsimiles) convey information that is necessary for the public to make an appropriate selection of professional services. Information could include: (a) office information, such as name, address, telephone number, credit card acceptability, fees, languages spoken, and office hours; (b) qualifying clinical degree (see subprinciple 8.5); (c) other earned degrees (see subprinciple 8.5) and state or provincial licensures and/or certifications; (d) AAMFT clinical member status; and (e) description of practice. 8.3 Marriage and family therapists do not use names that could mislead the public concerning the identity, responsibility, source, and status of those practicing under that name, and do not hold themselves out as being partners or associates of a firm if they are not. 8.4 Marriage and family therapists do not use any professional identification (such as a business card, office sign, letterhead, Internet, or telephone or association directory listing) if it includes a statement or claim that is false, fraudulent, misleading, or deceptive. 8.5 In representing their educational qualifications, marriage and family therapists list and claim as evidence only those earned degrees: (a) from institutions accredited by regional accreditation sources recognized by the United States Department of Education, (b) from institutions recognized by states or provinces that license or certify marriage and family therapists, or (c) from equivalent foreign institutions. 8.6 Marriage and family therapists correct, wherever possible, false, misleading, or inaccurate information and representations made by others concerning the therapist's qualifications, services, or products. 8.7 Marriage and family therapists make certain that the qualifications of their employees or supervisees are represented in a manner that is not false, misleading, or deceptive. 8.8 Marriage and family therapists do not represent themselves as providing specialized services unless they have the appropriate education, training, or supervised experience. Violations of this Code should be brought in writing to the attention of: AAMFT Ethics Committee 112 South Alfred Street, Alexandria, VA 22314 Phone: (703) 838-9808 - Fax: (703) 838-9805 email: ethics@aamft.org