Preamble. Introduction The purpose of this Code is to establish and maintain standards for Addiction Counsellors, who are members of the Addiction Counsellors of Ireland, and to inform and protect members of the public seeking and using their services. In joining the Addiction Counsellors of Ireland, Members commit themselves to comply with the Code of Practice and Ethics for their professional activities as well as any behaviour which may impinge on these activities. Whilst this Code cannot resolve all ethical and practice related issues, it aims to provide a framework for addressing such issues. Depending on the issue involved, Counsellors may find that parts of the Code may be in conflict. In such circumstances, Counsellors may find they have to choose which part of the Code best applies. All Members of the Addiction Counsellors of Ireland are subject to the Irish Law and where applicable, to EU Law and their practice must conform to these. The Association of Addiction Counsellors has a Complaints procedure in place. Statement of Working Principles for Counselling This statement of Working Principles for Counselling unifies all the Codes for Counsellors, Trainers and Supervisors. It is applicable to counselling research, the use of counselling skills, and the management of these services within the Addiction Counsellors of Ireland and is intended to inform the practice of each Member. In this statement the term “counsellor” is used generically to refer to anyone with responsibility for the provision of counselling and counselling services. The client may be an individual, group or other specifiable social unit. It is accepted that names may be substituted for “counsellor” and “client” in the practice-setting according to local understanding. Practitioners are required to use a formal procedure in examining ethical aspects of their work and ethical principles are well suited to examining the justification for particular decisions and actions. However, reliance on principles alone may detract from the importance of the Counsellor’s personal qualities and their ethical significance in Code of Ethics Version 2 Created by GH:TJ: KM 4th June 2013 the counselling or therapeutic relationship. The provision of a culturally sensitive and appropriate service is also a fundamental ethical concern. Cultural factors are often more easily understood and responded to in terms of value. Professional values, therefore, are becoming an increasingly significant way of expressing ethical commitment. Definition of Counselling Addiction counselling seeks to provide the client, which may include concerned persons, with opportunities to explore, discover and clarify ways of recovery from addictive substances/behaviours. The overall aim is to provide an opportunity for the client to work towards living in a more satisfying and resourceful way. Addiction counselling includes the giving of time, attention and respect in a confidential, therapeutic relationship. This includes work with individuals, couples or groups known as “clients.” The Counsellor’s role is to facilitate the client’s growth in ways which respect the person’s values, personal resources and capacity for selfdetermination, leading to lifelong recovery. Only when both parties explicitly agree to enter into a counselling relationship and a contract is agreed between the counsellor and client does it become counselling. Regardless of the theoretical approaches used by individual Counsellors, there are ethical issues which are common to all counselling situations. Values of Addiction Counselling The fundamental values of counselling include a commitment to: Code of Ethics Version 2 Created by GH:TJ: KM 4th June 2013 Respect for human rights and promotion of each person’s dignity Ensure the relationship Enhance the quality of professional knowledge and its application Alleviate personal distress and suffering Foster a sense of self that is meaningful to the person(s) relationships integrity of the counsellor-client Appreciate the variety of human experience and culture Striving for the fair and adequate provision of counselling services. Values inform principles and represent an important way of expressing a general ethical commitment that becomes more precisely defined and action orientated when expressed as a principle. Ethical principles of addiction counselling Principles direct the attention to important ethical responsibilities. Each principle is described below and followed by examples of good practice that have been developed in response to that principle. Ethical decisions that are strongly supported by one or more of these principles without any contradiction from others may be regarded as reasonably well founded. However, practitioners will encounter circumstances in which it is impossible to reconcile all the applicable principles and choosing between principles may be required. A counsellor’s obligation is to consider all the relevant circumstance with as much care as is reasonably possible and to be appropriately accountable for decisions made. Fidelity: honouring the trust placed in the counsellor Being trustworthy is regarded as fundamental to understanding and resolving ethical issues. Counsellors who adopt this principle, act in accordance with the trust placed in them; regard confidentiality as an obligation arising from the client’s trust and restrict any disclosure of confidential information about clients to furthering the purposes for which it was originally disclosed. Autonomy: respect for the client’s right to be self-governing This principle emphasises the importance of the client’s commitment to participating in counselling, usually on a voluntary basis. Counsellors who respect their client’s autonomy ensure accuracy in advertising or information given in advance of services offered; seek freely given and adequately informed consent; engage in explicit contracting in advance of any commitment by the client; protect privacy; protect confidentiality; normally make any disclosures of confidential information conditional on the consent of the person concerned and inform the client in advance of foreseeable conflicts of interest. Beneficence: a commitment to promoting the client’s well-being The principle of beneficence means acting in the best interests of the client based on professional assessment. It directs attention to working strictly within one’s limits of competence and providing service on the basis of Code of Ethics Version 2 Created by GH:TJ: KM 4th June 2013 adequate training or experience. There is an obligation to use regular and ongoing supervision to enhance the quality of the service provided and to commit to updating practice by continuing professional development. An obligation to act in the best interests of a client may become paramount when working with clients whose capacity for autonomy is diminished because of immaturity, lack of understanding, extreme distress, serious disturbance or other significant personal constraints. Non-maleficence: a commitment to avoiding harm to the client Non-maleficence involves: avoiding sexual, financial, emotional, or any other form of client exploitation; avoiding incompetence or malpractice; not providing services when unfit to do so due to illness, personal circumstances or intoxication. The Counsellor has an ethical responsibility to strive to mitigate any harm caused to a client even when the harm is unavoidable or unintended. Counsellors have a personal responsibility to challenge, where appropriate, the incompetence or malpractice of others; and to contribute to any investigation and/or adjudication concerning professional practice which falls below that of a reasonably competent Counsellor and/or risks bringing discredit upon the profession. Justice: the fair and impartial treatment of all clients and the provision of adequate services The principle of justice requires being just and fair to all clients and respecting their human rights and dignity. Justice in the distribution of services requires the ability to determine impartially the provision of services for clients and the ability to appreciate differences between people; to be committed to equality of opportunity, and avoiding discrimination against people or groups contrary to their legitimate personal or social characteristics. Counsellors have a duty to strive to ensure a fair provision of counselling services, accessible and appropriate to the needs of potential clients. Self-respect: fostering the Counsellor’s self-knowledge and care for self The principles of self-respect mean that the Counsellor appropriately applies all the above principles as entitlements for self. This includes seeking counselling or therapy and other opportunities for personal development as required. There is an ethical responsibility to use supervision for appropriate personal and professional support and development, and to seek training and other opportunities for continuing personal development. The principle of self-respect encourages active engagement in life-enhancing activities and relationships that are independent of relationships in counselling. Personal qualities: personal qualities to which counsellors are strongly encouraged to aspire to include: Code of Ethics Version 2 Created by GH:TJ: KM 4th June 2013 Empathy: the ability to communicate understanding of another person’s experience from that person’s perspective Sincerity: a personal commitment to consistency between what is professed and what is done Integrity: personal straightforwardness, honesty and congruence Resilience: the capacity to work with the client’s concerns without being personally diminished Respect: showing appropriate esteem to others and their understanding of themselves Humility: the ability to assess accurately and acknowledge one’s own strengths and weaknesses Competence: the effective deployment of the skills and knowledge needed to do what is required Fairness: the consistent application of appropriate criteria to inform decisions and actions Wisdom: possession of sound judgement that informs practice Courage: the capacity to act in spite of known fears, risks and uncertainty Code of Ethics Version 2 Created by GH:TJ: KM 4th June 2013 Code of Ethics Counselling is a non-exploitative activity and, as such, is underpinned by integrity, impartiality and respect. Counsellors are obliged to work ethically whether the counselling is paid for by the client or offered free by an Organisation or the Counsellor. Counsellors shall have regard for the client’s beliefs and values. The service offered shall not be minimised or diminished by any bias regarding gender, sexual orientation, disability, race, religion or politics, ethnicity, social standing or class. The Counsellor shall take all reasonable steps to ensure the client’s safety during counselling. Counsellors must not abuse their client’s trust in order to gain sexual, emotional, financial or any other kind of personal advantage. The terms on which counselling is being offered must be made clear to clients before counselling begins. Regular reviews must be agreed at this stage. The counsellor-client relationship is the foremost ethical concern. This relationship also reflects upon colleagues, other Associations and members of the wider community. These will be considered in this Code under different headings. The practice of counselling depends on gaining and honouring the trust of clients. Keeping trust requires: Attentiveness to the quality of listening and respect offered to clients Culturally appropriate ways of communicating that are courteous and clear Respect for privacy and dignity Careful attention to client consent and confidentiality. Code of Ethics Version 2 Created by GH:TJ: KM 4th June 2013 2. Confidentiality Confidentiality is a means of providing the client with safety and privacy. As a general principle Counsellors must not reveal confidential material concerning clients. Confidentiality can only be broken where required by law, or if the Counsellor has reason to believe the client(s) will cause physical harm to themselves or others or be themselves in danger of such harm. Before such disclosure is made, every effort shall be made to get the client’s consent, and the Counsellor should consult their supervisor or experienced colleague. Minimise any breach of confidentiality by conveying only the information that is relevant and necessary. However, in emergencies, Counsellors shall make their own judgement as to what action is best. Communications made on the basis of client consent do not constitute a breach of confidentiality. Client consent is the preferred way of resolving any dilemmas over confidentiality. Confidential information about clients may be shared within teams where the client has consented or knowingly accepted a service on this basis. The disclosure enhances the quality of service available to clients or improves service quality. Care must be taken to ensure that personally identifiable information is not transmitted through overlapping networks of confidential relationships. Any agreement between the Counsellor and client may be reviewed and changed by joint negotiations. Agreements between Counsellor and client about confidentiality continue after the client’s death unless there are overriding legal or ethical considerations. Special care is required when writing about specific counselling situations for case studies or publication. When a report is requested by a doctor, probation officers, courts etc., a mutual agreement is negotiated with the client and a signed consent is obtained. Every possible care must be taken to protect the rights of children where a counsellor has knowledge or suspicion that a child is being abused or is at risk at home. Where a client reports sexual abuse as presently occurring, then the safety of the child must take priority and steps outlined in the current Children First (2011) guidelines issued by the Department of Health & Children, must be followed. (See link to Children First Guidelines/Legislation). When working with minors, Counsellors are legally obliged to have Garda clearance and operate fully and consistently within the terms of the current Code of Ethics Version 2 Created by GH:TJ: KM 4th June 2013 Children First (2011) guidelines issued by the Department of Health & Children. (See link to Children First Guidelines/Legislation). Counsellors have a responsibility to inform themselves of the current statutory obligations (and any changes therein) in Child Protection legislation. Discuss the limits of confidentiality with the client, including the implications for confidentiality of the supervisory relationship, at the time of initial contracting. In a situation where a Counsellor is in any doubt about their legal rights/obligations, or where a current crime is disclosed, the Counsellor should seek legal advice and/or contact their Supervisor and/or their Association for guidance. 3. Competence Counsellors should have received adequate training before commencing counselling, and should maintain on-going professional development (See link to CPD training). It is an indication of the competence of counsellors that, where applicable, they recognise their lack of training or expertise to work with a client and make an appropriate referral. Counsellors shall take all reasonable steps to monitor and develop their own competence and ensure they work within the level of that competency. This includes having on-going supervision from a Supervisor who is appropriately trained and experienced. Counsellors must cease work when their functioning is impaired due to illness, alcohol, drugs, gambling or any other process or behavioural addictions. Where personal problems or emotional difficulties impinge on their ability to function, they should seek advice from appropriate professionals to help them decide if they should limit, suspend or terminate their counselling activity. In some circumstances, the decision to limit or suspend practice may lie with the Counsellor’s Clinical Supervisor or the employing organisation. Commitment to good practice requires Counsellors to keep up-to-date with latest knowledge and respond to changing circumstances. They are expected to monitor their own need for continuing professional development and engage in appropriate educational practices. 4. Responsibilities To review and evaluate the effectiveness of their professional activities. Code of Ethics Version 2 Created by GH:TJ: KM 4th June 2013 Behave in professional activities in such a manner as not to undermine public confidence in the profession. Counsellors are expected to take all reasonable steps to ensure that the client suffers neither physical nor psychological harm during counselling. Counsellors are responsible for setting and monitoring boundaries in the counselling relationship, and making these explicit to the client. Clients should be offered privacy for counselling sessions and should not be observed by anyone other than the Counsellor without the client having given informed consent. Counselling occurs in an environment that is supportive, so attention must be paid to physical space. It is a condition of Accreditation by the Addiction Counsellors of Ireland that the applicant is covered by Professional Indemnity Insurance as well as Public Liability Insurance. If a Counsellor suspects misconduct by another Counsellor which cannot be resolved or remedied after discussion with the Counsellor concerned, there is a responsibility to ensure that necessary steps are taken to resolve the matter. This may involve implementing the Complaints Procedure without breaches of confidentiality other than those necessary to resolve the complaint. Counsellors are responsible for communicating the terms on which counselling is being offered, including availability, the degree of confidentiality offered, and their expectation of clients regarding fees and cancelled appointments. The communication of terms and negotiation over these should be agreed by the client and Counsellor before the client incurs any financial liability. An assessment fee may be charged. Counsellors are obliged to be aware of and understand any legal requirements concerning their work; consider these consciously and be legally and professionally accountable for their practice. Records of counselling sessions are kept filed and subject to the statutory regulations under the Data Protection Act and Freedom of Information Act and clients should be made aware of this. At the client’s request, information should be given about access to these records, their availability to other people, and the degree of security with which they are kept. Code of Ethics Version 2 Created by GH:TJ: KM 4th June 2013 Client Autonomy This principle respects the client’s right to be self-governing. It emphasises the importance of the client’s commitment to participating in counselling, usually on a voluntary basis. 6. Counsellors are responsible for working in ways which promote the client’s control over his/her own life; respects the client’s ability to make decisions and change in the light of his/her own beliefs and values and to make decision and/or changes which promote the client’s desire to enter/maintain recovery. It is the client’s choice whether or not to participate in counselling. Reasonable steps should be taken in the course of the counselling relationship to ensure that the Counsellor and client are given the opportunity to mutually review the terms on which counselling is being offered. Any publicity material and all written and oral information must accurately reflect the nature of the service on offer, as well as the training, qualifications and relevant experience of the Counsellor. Only Accredited Counsellors may claim membership of the Association of Addiction Counsellors of Ireland relationship. Counsellor will not be involved with the client in friendship, formal business relationship, sexual relationship or training relationship while the counselling is current. Counsellors must avoid unnecessary conflicts of interest and are expected to make explicit to the client any such conflicts. If the client is currently engaged in any other therapeutic or similar relationship, the Counsellor must obtain the client’s permission before conferring with them. Counsellors remain accountable for relationships with former clients and must exercise caution over entering into friendships, formal business relationships or sexual relationships. The Counsellor is expected to wait at least two years before entering into a friendship, formal business relationship or sexual relationship. Counselling Supervision/Consultative Support 6.1.1 It is a breach of the requirements of the Addiction Counsellors of Ireland for Counsellors to practice without regular Counselling Supervision. Counselling Supervision refers to a formal arrangement which enables Counsellors/Therapists to discuss their counselling on a regular basis with one or more people who have an understanding of Counselling Supervision. Its Code of Ethics Version 2 Created by GH:TJ: KM 4th June 2013 purpose is to ensure the efficacy of the counsellor-client relationship. This relationship carries an appropriate confidentiality. Counsellors who also have line managers owe them appropriate managerial accountability for their work. The counselling supervisor role should be independent of the line manager role. However, where the counselling supervisor is also the line manager, the Counsellor should also have access to independent consultative support. The discussion of cases within supervision/consultative support should take place without revealing the personal identity of the client. Advertising/public Statements When announcing counselling services, counsellors should limit the information to name, relevant qualifications, address, contact details, hours available, and a brief listing of the services offered and theoretical orientation. All such information should be accurate in every detail. Counsellors should not display an affiliation with this Association in a manner which falsely implies the endorsement or verification of this Association. Code of Ethics Version 2 Created by GH:TJ: KM 4th June 2013