Boundary Violations

1. Boundary Violations By Evelyn Stone, RN., BSN., M.Ed.

2. Countertransference • Reaction of staff loving, caring, hostility, hatred or anxiety • Reflect problems experienced in the past with clients from the past

3. Forms of Countertransference • Trying to help a client with matter that does not relate to the goals • Personal or social involvement with client • Trying to “Push” a client before he/she is ready • Dreaming about client • Preoccupied with client

4. What Is Boundary • Going outside the line of a therapeutic relationship • Doing something special for a client • Doing something different for a client

5. Boundary Violations • Taking a client to lunch or dinner • Professional relationship turning into a social relationship • Revealing personal information to a client • Client introduces staff member to family for the purpose of a social relationship • Client gives staff an expensive gift • Staff does business or purchase services from client

6. Violations (continued) • Staff routinely hugs a client • Has physical contact with client • Staff accepts free gifts from client’s business • Sexual contact with a client • Staff attends social functions of the client

7. (continued) • Need to defend actions with client

8. Therapeutic Alliance • Staff assume responsibility of behavior • The reason behind this behavior • Know the laws • Client exploitation • Sexual exploitation

9. Conclusion • Do not cross the “line” • Know the goals of the client • Focus on the treatment • Know the consequences for crossing the line

10. SERVICES • Nurse Assistant Course • Mental Health Hab Tech Course • Medication Aide • Medication Administration • Clients’ Rights • Confidentiality • Documentation

11. SERVICES (continued) • Medication Administration • Care of the Behaviorally Challenged • Developmental Disabilities • Client Admission • Blood Borne Pathogens • Policy Manuals