Chapter 12 ETHICAL AND PROFESSIONAL ISSUES

I. DISCUSSING FEES** In some settings (e.g., schools), there is no need to discuss fees  However, fees are a reality in many settings It is tempting to get a secretary to do this, but we must face it head on

It is really important….

Be sure to account for absences:

II. DEALING WITH FAILURES** There are some people who we cannot help We can ask ourselves what we can learn from our failures What might be some reasons for a client’s lack of progress?

III. TERMINATING CLINICAL SERVICES

It is very helpful…

IV. INAPPROPRIATE PERSONAL RELATIONSHIPS** Attraction is human nature—nothing to worry about Just don’t act on it Avoid even platonic relationships

** What do you do when a client asks you out or expresses interest? I find it wise to prominently display a picture of a significant other

V. CRITICISM OF OTHER PROFESSIONALS

What you can do:

You can say that speech pathology

Let’s say that…

I say something like:** “You know, Bonnie, several people have told me that you badmouth me. They said that you say things like ‘Celeste has no idea what she’s talking about when it comes to literacy.’ I know you are a professional and I have a very hard time believing that you would say those kinds of things.” (other person denies it) “OK, thanks—but I did want you to know what other people are telling me you are saying. I’m glad we cleared the air!”

VI. MAKING REFERRALS

In the schools: ** Next time you take James to the pediatrician, it would be good to ask her whether she thinks an ENT referral is necessary. An ENT would be able to tell you definitively if James needs PE tubes in his ears.

Another way in the schools: ** “Next time you take Angela to the dentist, you can ask him if he thinks insurance would cover orthodontia.”

VII. CONFIDENTIALITY AND PATIENT RECORDS

HIPAA…

According to HIPAA…

HIPAA also states that…

VIII. WORKING EFFICIENTLY AND SAVING TIME

IX. CONTINUING TO GROW PROFESSIONALLY !

We can:

Sometimes…** You find yourself getting bored with the same ol’ same ol’ The ONLY way to avoid boredom is to accept responsibility for changing things up!

X. WORKING ON TEAMS** You will be MUCH happier on the job if you get along with others! No SLP functions alone

We can:

If someone is having a hard time in their personal life…

Remember…we are all in this together!**