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Lori Ashcraft, PhD Recovery Innovations Inc.

Ethical Standards and Practice for Peer Support. Lori Ashcraft, PhD Recovery Innovations Inc. Outline/Agenda. Introduction Agenda Training Objectives Definitions Ethical Dilemmas Ethical Standards Appropriate Boundaries References.

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Lori Ashcraft, PhD Recovery Innovations Inc.

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  1. Ethical Standards and Practice for Peer Support Lori Ashcraft, PhDRecovery Innovations Inc.

  2. Outline/Agenda • Introduction • Agenda • Training Objectives • Definitions • Ethical Dilemmas • Ethical Standards • Appropriate Boundaries • References

  3. Training Objectives • Define Ethics and Boundaries • Gain awareness and have a clear understanding of Recovery Innovations Statement of Ethics • Demonstrate an ability to utilize ethical decision-making principles to resolve ethical dilemmas. • Identify specific ethical standards. • Identify when ethical dilemmas are present in working with individuals. • Recognize and adhere to appropriate boundaries.

  4. Definitions • ETHICS - The principles of conduct governing an individual or a group; a guiding philosophy • BOUNDARIES - Something that indicates or fixes a limit or extent

  5. Ethical Dilemmas • Ethical dilemmas occur when two or more ethical standards conflict • Ethical dilemmas always involve a choice

  6. RECOVERY INNOVATIONS CODE OF CONDUCT AND STATEMENT OF ETHICS Ethical Standards

  7. Steps in Ethical Decision Making 1. Define the problem/What is the “Big Picture”? 2. Identify who’s involved 3. Identify the issues involved 4. Consider & define options/What are the ramifications of the situation? Positive and negative. 5. Choose a plan of action/What are the steps we need to take to resolve this? 6. Evaluate the results 7. Document

  8. Use the 3-Step Checklist to determine if what you are doing or saying is Ethical: Step 1: Is it LEGAL? Step 2: Is the decision that is being made in the best interest of the person you are serving? Step 3: Would you do the same thing if a loved one, friend or boss was watching? Practice Ethical Decision-Making

  9. Ethical Standards What are behaviors, actions, or practices that you think would be an ethical violation?

  10. Commitment to Individuals • Primary responsibility is to individuals • Must also maintain responsibility to the larger society

  11. Commitment to Individuals Role plays Discuss the Scenarios with participants

  12. Self-Determination • Respect and promote the right to plan and carry out their life • Encourage individuals to make their own treatment decisions • Encourage individuals to actively participate in service planning • Individuals are the experts in their own lives • Treat Individuals with Respect and Dignity

  13. Self-Determination • Respect and promote right to self-determination in goal development • Encourage individuals to make their own treatment decisions • Encourage individuals to actively participate in treatment planning • Individuals are the experts in their own life • Treat Individuals with Respect and Dignity

  14. Empowerment • Inform individuals of options and resources available • Explore/Explain the options and resources pros and cons with the individual. • Remember, the person must be invested in his/her recovery if he/she wants to be successful.

  15. Competence • Clearly represent who you are and what you do. • Work within the scope of your peer role and job description and know when to ask for help. • Utilize others’ expertise and experiences. • Take opportunities for further training and education.

  16. Conflicts of Interest • A Conflict of Interest occurs when your job and private life makes you question ethical and/or boundary issues or makes you confused. (i.e. Friendships, Relationships, Spiritual or Cultural Issues, Monetary Gain, etc) • Avoid situations where your professional boundaries are in question

  17. Conflicts of Interest • Avoid situations which interfere with our ability to maintain boundaries • Inform individuals when a conflict of interest is present • Take steps to resolve the conflicting issue • Peer Support relationships should not result in personal gain to the worker

  18. Conflicts of Interest (continued) • When a conflict of interest is anticipated, take steps to minimize any conflict of interest • Refer to following slides for more on Conflicts of Interest

  19. BE CLEAR … • Be very clear with people what your role is and what you can and cannot do within your job. • Differentiate roles: You are a peer, however, you are an employee providing a service first and foremost.

  20. Be Careful…. • Don’t take unfair advantage of people for personal gain • Remember that everything we do and say needs to be for the sole benefit of the person we are working with, not ourselves

  21. Seek Supervision… • When a perceived conflict occurs… • When a potential conflict occurs…. • When you first realize that there is a conflict… SEEK SUPERVISION

  22. What are the consequences of not adhering to Ethical Standards? • To you? • To the person you’re providing services to? • To the agency?

  23. Relationships • Relationships with the People you serve need to be friendly, courteous, respectful, caring and honest. Do not forget Customer Service. • At all times, conduct yourself in a manner that creates an empowered relationship and healing environment that maximizes the growth of the Persons you serve. • Do not exploit people, for example: in business, financial, or sexual relationships. • Relationships with those you serve cannot be utilized for your ‘primary’ support in our own recovery. • Use your best judgment in every situation. • Ask for help from a supervisor when you are unsure of any situation.

  24. Physical Contact • Clear, professional, and culturally appropriate boundaries must be set for any physical contact (handshake, hug, high-5) • Be aware that physical contact with a person you are serving may cause psychological harm to that person

  25. Sexual Relations • Never engage in a dating or intimate relationship with anyone you are providing services or support to. • Sexual behavior with a person you are serving is inappropriate, unacceptable, and damaging to the person you are serving and to you. This will blur the boundaries and make it impossible to maintain a professional, therapeutic relationship. • Sexual relations of any kind are never acceptable! • Serious boundary/relationship violations will result in disciplinary action up to and including termination.

  26. Respect • Treat co-workers with respect • Avoid unwarranted negative criticism of co-workers in communication with individuals or others • Be cooperative with co-workers and others • Treat yourself with respect

  27. Professional Boundaries • Self-Disclosure • After-Hours Involvement • Personal Phone Numbers • Gifts • Money

  28. Carrying Forward/Summary • When in doubt: • Refer to the ethical standards curriculum • Discuss with supervisor • Recovery Innovations Statement of Ethics is the ultimate decision making guide

  29. Signature Requirement Compliance and regulatory activities are an important part of maintaining our reputation as an ethically sound, quality focused discipline. As such, we require all direct care staff to attend ethics and boundaries training at the start of their employment with Recovery Innovations Inc. and re-orient themselves annually. We are asking that you review the documents specified in this acknowledgement and sign this agreement. Acknowledgement I acknowledge that I have: ·Received a copy of Recovery Innovations Statement of Ethics. ·I understand and agree to adhere to Recovery Innovations Statement of Ethics. ·I agree to report immediately to my supervisor any information concerning a violation of, or possible violation of, these ethical standards and boundaries. ·I fully understand the consequences of violating these standards, which could result in disciplinary action leading up to and including termination. ____________________________________ _______________ Employee Signature Date

  30. References - International Association of Psychosocial Rehabilitation Services (2001).  Code of Ethics for Psychiatric Rehabilitation Practitioners.  Adopted by the IAPSRS Board of Directors on May 7, 2001 http://www.iapsrs.org/certification/applying/code_ethics.pdf*IAPSRS has been changed to United States Psychiatric Rehabilitation Association (USPRA). - National Association of Social Workers (1999). Code of Ethics. NASW Delegate Assembly, Washington, D.C. Accessed: December. 23, 2003 http://www.NASW.org/pubs/code/code.asp.

  31. Special thanks to the Office of Mental Health and Substance Abuse Services for funding this webinar

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