“WHY GAMBLE: Know the CODE of ETHICS National Certifications for Case Management work: CRCC, CCM & CDMS

Professionals Case Managers

Gamble Quantity of Actions by Category Fiscal Year 1994 to Date Letter of Instruction *12 Reprimand 8 Probation 4 Suspension 5 Revocation 18 * Not available until 1998, Letter of Instruction is not a sanction but may be used when minor violations occur.

Topics That Arise Most Frequently in Connection With Ethics Cases Competence and Conduct with Clients Business Practices Professional Practice

What does Ethics mean to You Civility Professional Behavior Autonomy

CRC CODE Written on Six Principles Autonomy Beneficence Fidelity Justice Nonmaleficence Veracity

Professional Code of Ethics We as Nurse Case Managers and Vocational Case Managers have a variety of National Certifications; CRCC, CCM, CDMS. Each of theses certifications are governed by a body which have specific CODE OF ETHICS, or CODE OF CONDUCT. As do Life Care Planners, OTs, PTs and Physicians have set criteria for their code of Ethics.

Ethics Ethics as with civility begins with each and every one of us. “Ethics can be a way of protecting oneself and one’s agency against potential disaster” per Nancy Alexander, Certified Mediator, JD, LCSW, ACSW, DCSW, C-ASWCM, MSW

Ethics in Field Case Management We all are professionals in a demanding field that recently has had a plethora of changes Changes are usually at the State level in how we operate, interpret and utilize the codes

WEB Sites of Associations and Ethic Policies CRCC: crccertification.org CCM: ccmcertification.org CDMS: cdms.org

Company Responsibility If your company operates with a Certification such as URACC you should have in place company policy and procedures for the various tasks making up Case Management and they abide by the various ethical codes. i.e. the company I work for has a procedure set for security of records and method for destruction.

Common Factor CRCC “The standards of this mandatory code are intended to assure the community that the rehabilitation counseling profession accepts its responsibility to provide caring service to persons with disabilities”. CCM “The main purpose of the Code is to not be punitive, but to help inform and guide case managers as they work through the ethical dilemmas that they face every day, and the revisions more accurately address the situations experienced by many case managers today” “The CDMS Code of Professional Conduct is a vital resource to support and guide Certified Disability Management Specialists in their day practice and in determining how to approach ethical conflicts”

Key Components of the CRC/CCRC Code of Ethics The Counseling Relationship Confidentiality, Privileged Communication, and Privacy Advocacy and Accessibility Professional Responsibility Relationships with Other Professionals Forensic and Indirect Services Evaluation, Assessment, and Interpretation Teaching, Supervision, and Training Research and Publication Technology and Distance Counseling Business Practices Resolving Ethical Issues

Key Components of CCM Code of Ethics Advocate Professional responsibility Case Manager/Client Relationships Confidentiality, Privacy and Recordkeeping Professional Relationships Research

Key Components of the CDMS Code of Conduct Relationships with all parties Provision of Services to Individual clients Provision of Services to Organizational clients

CRC Code of Ethics Top 10 Changes in Code from 2010

Top 10 Changes in CRC Code of Ethics 1)New Requirement: Written Professional Disclosure Statement Disclosure : orally, written and accommodates any limitations. Disclosure will provide details on what must be addressed at the outset of the counseling relationships Reinforces it may not be a one time event Informed consent is expanded and addressed separately

Sample Professional Disclosure Forms Sample disclosure statements, developed by CRCC, are available on the CRCC website at: resource materials/42.php resource materials/42.php Several samples provided

Discussion Disclosures utilized in PA and NJ Samples can be reviewed on the CRC Web site

PA Earning power Assessments CRCC Code of Professional Ethics for Rehabilitation Counselors Excerpt: Section pertaining to the conduct of expert witnesses, with which Pennsylvania vocational experts must comply when performing earning power assessments. Sec. A.3.c. ” Indirect Service Provision. Rehabilitation counselors who are employed by third parties as case consultants or expert witnesses, and who engage in communication with the individual with a disability, will fully disclose to the individual with a disability and/or his or her designee their role and limits of their relationship. Communication includes all forms of written or oral interactions regardless of the type of communication tool used. When there is no pretense or intent to provide rehabilitation counseling services directly to the individual with a disability, and where there will be no communication, disclosure by the rehabilitation counselor is not required. When serving as case consultants or expert witnesses, rehabilitation counselors will provide unbiased, objective opinions. Rehabilitation counselors acting as expert witnesses will generate written documentation, either in the form of case notes or a report, as to their involvement and/or conclusions.”

10 Changes Con’t 2) Roles and Relationships with Clients Clearer guidance both professional and non-professional client relationships. Addresses role changes in the professional relationship

Discussion Samples Scenarios

Top 10 changes of Code con’t 3) Cultural Competence/Diversity Requires development of interventions and services that incorporate consideration of clients’ cultural perspectives as well as recognition of external cultural/diversity barriers. Articulates nondiscrimination statement Cultural diversity/multiculturalism matters are addressed/infused throughout the code

Scenario Importance of diversity Acceptance in one culture may not be accepted in another: Example: Male vrs female case manager.. (Not always a language barrier)

Top 10 changes in code Con’t 4) Disaster Preparedness Establishes obligation of rehabilitation counselors to plan for facilitating continued services for clients in the event of a natural and /or man-made disaster.

Discussion What are your back-up plans?

Top 10 changes in Code Con’t 5) Technology & Distance Counseling Establishes new recommended CRC practices in light of advanced technology across all mediums Areas covered, but not limited to: communication, accessibility, confidentiality, security, records maintenance & disposal, advertising and distance counseling.

Discussion Communication: , telephone, in person Record keeping: paper vs. electronic Maintance of records and security

Top 10 changes in Code Con’t 6)Forensic and Indirect Services Expands upon concept of “evaluee” versus “client” in forensic setting Addresses forensic competency & conduct, forensic practices, and forensic business practices. A “MUST READ” for CRCs who provide theses services

Discussion Business Practices Scenarios

Top 10 changes in Code Con’t 7)End of Life Care Addresses end-of-life issues for the terminally ill clients including quality care, rehabilitation counselor competence, choice and referral; and confidentiality

Top 10 changes in Code Con’t 8)Teaching, Training, and Supervision Addresses: teaching, training and supervision concerns/scenarios found within the workplace (vs. the traditional educator/educational venue) where supervision of trainees and employees in general is a regular occurrence

Top 10 changes in Code Con’t 9)Glossary of Terms Defines key terminology used throughout the code

Top 10 changes in Code Con’t 10) Preamble Indentifies values that serve as the foundation of the code Includes Veracity as a principle of ethical behavior.

Preamble Preamble CRC Preamble CCM Preamble CDMS

Resolving Ethical Issues Informal Resolution Reporting Ethical Violations Unwarranted Complaints

Cooperation with Ethics Committee Rehabilitation Counselors assist in the process of enforcing the code.

Unfair Discrimination Against Complainants and Respondents “Rehabilitation Counselors do not deny individuals services, employment advancement,admission to academic or other programs, tenure, or promotions based solely on their having made or their being the subject of an ethical complaint. This does not preclude taking action based upon the outcome of such proceedings when rehabilitation counselors are found to be in violation of ethical standards.