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Giesha Moss
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At 10:51am on December 16, 2009, elsina kilpatrick said…
hi
At 7:39pm on October 22, 2009, Jon Daily, LCSW, CADC II said…
Dual Relationship: A dual relationship occurs when you take on another role with your client in addition to being their "counselor." Therefore if you are their counselor and simultaneously take on the role as being their friend, financial provider, co investor, employer, employee, lover, etc, then you are in a dual relationship and while your intention might be good, the effect is that it erodes your perspective to provide them objective counsel and it erodes their perspective to allow themselves to fully be your client and make themselves vulnerable as an example.

A conflict of interest: A conflict of interest can occur when their might be a motive other than fully caring about our client's interest. If we learn that our client is our child's high school teacher, our spouse's employer's son or our neighbors relative then there would be a conflict of interest. This occurs because we are now not fully objective an fully focused on what is best for our client. Our minds, focus and intent can be pulled to think about the other relationships and the effect it would have on us. In that situation our own interest can become the motive of our counsel to the client instead of what is objectively in their best interest. For example, if I need to confront my client because that is what they need, but I just learned that they are my wife's boss's family member, then that might prevent me from challenging them because I might fear that it might upset my wife's boss and now I have lost focus on my client's best interest and I am focused on my own.

Jon Daily, LCSW, CADC II
www.recoveryhappens.com
At 11:53am on October 6, 2009, Giesha Moss said…
I would like to take a moment thank you very much for your input this should help me out alot. I greatly appreciate your quick response.
At 8:34pm on October 5, 2009, Jon Daily, LCSW, CADC II said…
Regarding scope of practice, I think of two things immediately. 1, would be the boundaries containing our scope of practice ( i.e., we don't practice medicine). 2, would be our competency within the scope of substance use disorders. Regarding number 1, I work with many clients who are in need of medications to help with opiate withdrawal or mood stabilization. Clearly educating them about how their medicine works and offering suggestions on dosage and frequency would be beyond my scope of practice. It would be practicing medicine without a license. In that situation, I typically refer to a CSAM MD or a psychiatrist who can help evaluate and treat the clients medical and mental health medication needs.
With regard to item 2, I specialize in the treatment of adolescents and young adults with addiction issues. Many of the teens I treat have parents who are active in addiction as well. However, most of my training is with teens and young adults, so that is where I am most "competent." Despite having my CADC II, I ethically am not competent at treating 50 year old alcoholics as the denial for teens (glorification of use) is different than for 50 year olds (minimization of use) as only one example of the distinctions. I am skilled and trained at working with the parents of teen drug abusers vs. being trained at working with the spouse of an addict in the treatment process. Therefore, while my certification defines these adult clients as all fitting into my scope of practice, I ethically have to evaluate my level of competency for specific populations and refer when I do not have specialized training to treat them. In the case of my clients parents being addicted, I will refer them to my colleagues who specialize in treating adults.

Jon Daily, LCSW, CADC II
www.recoveryhappens.com
916-276-0626
At 6:56am on September 24, 2009, Counselor said…
Welcome to the Addiction Professionals Network please feel free to individualize your profile, join or create a specialty group. Take advantage of our home page advertisements And recovery directory listing options for members.
 
 
 

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