Current through Register Vol. 51, No. 3, September 1, 2024
RELATES TO:
KRS
335.150(1)(g)
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
335.150(1)(g) provides that
the board may take disciplinary action against an applicant or licensee who has
violated the code of ethical conduct as set forth by the board by promulgation
of an administrative regulation. This administrative regulation establishes the
code of ethical conduct.
Section 1.
Definitions.
(1) "Client" means:
(a) An individual, family, or group who
directly receives social work services from a social worker;
(b) A corporate entity or other organization
if the contract is to provide a social work service of benefit directly to the
corporate entity or organization; or
(c) A legal guardian who is responsible for
making decisions relative to the provision of services for a minor or legally
incompetent adult.
(2) A
person identified as a client pursuant to subsection (1) of this definition
shall be deemed to continue to be a client for a period of five (5) years
following the last date of service rendered to the person.
(3) "Dual relationship" means a social,
business, or personal relationship between a social worker and a client that
coexists with the professional-client relationship between the social worker
and the client.
Section
2. Client Relationships.
(1) A
legal guardian of a minor or legally incompetent adult shall be considered the
client for the purpose of making decisions relative to the provision of
services for the minor or legally incompetent adult.
(2) The minor or legally incompetent adult
shall be considered the client for an issue that:
(a) Directly affects the physical or
emotional safety of the individual, including a prohibited relationship;
or
(b) Is specifically reserved to
the individual and agreed to by the guardian prior to the rendering of the
service.
(3) A client
who directly receives the social work service shall be deemed to continue to be
a client for a period of five (5) years following the last date of service
actually rendered.
Section
3. Responsibility to Clients.
(1)
A social worker shall promote the well-being of a client and, if required by
law, the safety and well-being of an individual whose life might be affected by
the client's behavior or circumstance.
(2) A social worker shall not illegally
discriminate against an individual.
(3) A social worker shall not provide a
service outside his scope of practice as established in
201
KAR 23:060.
(4) A social worker shall notify a client of
the regulatory authority of the board by displaying a written notice in public
view in the social worker's office or service site. The notice shall contain
the:
(a) Name of the social worker;
(b) Type of social work license;
(c) License number of the social worker;
and
(d) Name, address, and
telephone number of the board.
(5) A social worker shall confine his
practice to a condition imposed upon his license by a state or federal
authority and shall not practice as a social worker as defined in
KRS 335.020 if his
license has been suspended or revoked.
(6) A social worker shall provide a service
to a client in a manner that is respectful and appreciative of the client's
culture.
(7) A social worker shall
not refer a client or delegate a service to a provider whom the social worker
has reason to believe is not qualified to perform a professional
service.
(8) A social worker shall
provide a service to a client in the least restrictive mode of care.
Section 4. Informed Consent.
(1) A social worker shall obtain informed
consent from the client or his legal guardian in writing to provide a social
work service. To obtain informed consent, a social worker shall inform the
client of the following:
(a) The client's
condition;
(b) The recommended
social work service;
(c) Reasonable
expectations of the benefits from the service;
(d) Possible foreseeable risks or negative
consequences of the service;
(e)
Possible alternative services; and
(f) The right to refuse a service.
(2) A social worker shall obtain
written informed consent from the client or his legal guardian before
audiotaping or videotaping the client.
(3) A social worker shall inform a client of
the social worker's duties and obligations to a third party if the third party
has referred the client and has a continuing interest in the client's
participation in a service plan.
(4) A social worker who provides a collateral
service to a family member of a client shall inform the family member about the
social worker's duties and obligations to the primary client and the possible
limitations of service to the family member.
(5) Informed consent required by this section
shall be obtained in writing and shall expressly state the nature of the
informed consent.
Section
5. Professional Integrity.
(1) A
social worker shall not provide a social work service if under the influence of
alcohol, another mind-altering or mood-altering drug, or physical or
psychological illness which impairs delivery of the services.
(2) A social worker shall not possess or
distribute the board's examination material without authorization by the
board.
(3) A social worker shall
not interfere with a board investigation of a social worker through a willful
means including:
(a) Misrepresentation of a
fact;
(b) Undue influence of a
witness;
(c) A threat toward a
person; or
(d) Harassing
communication toward a person.
(4) A social worker shall not verbally abuse
or harass or physically threaten or assault a client, supervisee, employee,
board member, or agent of the board.
Section 6. Responsibility to Students and
Supervisees.
(1) A social worker shall promote
the educational and training interests of his students and
supervisees.
(2) A social worker
shall not engage in a social, business, or personal relationship with his
student or supervisee if that relationship might:
(a) Impair the social worker's professional
judgment;
(b) Incur the risk of
exploitation of the student or supervisee; or
(c) Otherwise violate a provision of this
administrative regulation.
(3) If a social, business, or personal
relationship cannot be avoided and if it does not impair the social worker's
professional judgment, incur a risk of exploitation of the student or
supervisee, or otherwise violate a provision of this administrative regulation,
the social worker shall take appropriate professional precautions to ensure
that judgment is not impaired and exploitation does not occur.
(4) A social worker shall not obtain or
engage the service of his student or supervisee in an activity except an
activity that promotes a student's or supervisee's academic, educational, or
training interest.
(5) A social
worker shall not engage in sexual intimacy or contact with his student or
supervisee.
(6) A social worker
shall not enter into a professional-client relationship with his student or
supervisee.
(7) A social worker
shall not permit a student or supervisee to perform or to hold himself out as
competent to perform a professional service beyond his level of training,
experience, or competence.
Section
7. Advertising.
(1) A social
worker shall accurately present his services, education, professional
credentials, qualifications, and license level to the public.
(2) A social worker shall not display a
license issued by the board which has expired, or has been suspended or
revoked.
(3) A social worker shall
not use professional identification, including a business card, office sign,
letterhead, telephone directory listing, or electronic listing, if it includes
a statement that is false, fraudulent, misleading, or deceptive. A statement
shall be deemed false, fraudulent, misleading or deceptive if it:
(a) Contains a material misrepresentation of
fact; or
(b) Is intended to, or is
likely to, create an unjustified expectation by the public or by a
client.
Section
8. Payment for Services.
(1) A
social worker shall ensure that a client is informed of the fee and billing
arrangement before rendering a service.
(2) A social worker shall not bill, or permit
a client or third party to be billed, for a social work service if he knows
that the service was:
(a) Not
provided;
(b) Improperly
provided;
(c) Provided by another
individual who is not identified on the billing statement; or
(d) Unnecessary.
(3) A social worker shall not offer or accept
payment or other compensation for referral of a client.
(4) A social worker shall not accept a form
of remuneration for a service that involves the bartering of
services.
(5) A social worker may
take legal measures to collect a fee if:
(a) A
client does not pay the agreed fee for a rendered service; and
(b) The social worker:
1. Gives reasonable advance notice to the
client; and
2. Does not release
more information about the client than is necessary to collect the
fee.
Section
9. Confidentiality.
(1) A social
worker shall hold communications with a client in confidence and shall maintain
a record of client information in a confidential manner.
(2) A social worker may disclose client
information if:
(a) The client has signed an
authorization to release information;
(b) The social worker is required by law to
disclose essential information out of a duty to protect, warn, or
report;
(c) The social worker is a
defendant in a civil or criminal action or is a respondent in a disciplinary
process; or
(d) A client has raised
his mental condition as an element in a civil action and the court has ordered
the release of the client's information.
(3) A social worker shall not disclose more
client information than is necessary to meet the requirements of law.
(4) A social worker shall remove identifying
information about the client from a training manual, professional writing, or
classroom presentation.
(5) A
social worker shall protect the confidentiality of a deceased client.
Section 10. Client Records.
(1) A social worker shall not deceptively
alter a client record.
(2) A social
worker shall retain and secure a client record in a manner than maintains
confidentiality and, if authorized by subsection (3) of this section, shall
destroy a record in a manner that ensures confidentiality.
(3) A social worker shall maintain a client
record for at least five (5) years from the date of termination of a service,
or until a client reaches the age of twenty (20) years, whichever is
longer.
Section 11. Dual
Relationships.
(1) A social worker shall not
enter into a dual relationship with a client if the relationship might:
(a) Impair the social worker's professional
judgment;
(b) Incur the risk of
exploitation of the client; or
(c)
Otherwise violate a provision of this administrative regulation.
(2) If a dual relationship cannot
be avoided and if it does not impair the social worker's professional judgment,
incur a risk of exploitation of the client, or otherwise violate a provision of
this administrative regulation, the social worker shall take appropriate
professional precautions to ensure that judgment is not impaired and
exploitation does not occur.
(3) A
social worker shall not obtain or engage the service of a client if obtaining
or engaging the service might:
(a) Impair the
social worker's professional judgment;
(b) Incur the risk of exploitation of the
client; or
(c) Otherwise violate a
provision of this administrative regulation.
(4) A social worker shall not engage in
sexual intimacy or contact with a client or former client.
(5) A social worker shall not engage in a
personal relationship or engage in sexual intimacy or contact with a member of
a client's immediate family or an individual who is otherwise an intimate of
the client.
(6) A social worker
shall not use his professional relationship with a client or a former client to
further his personal interest or personal gain.
(7) A social worker shall not enter into a
professional-client relationship with a member of the social worker's immediate
family, an intimate, or a personal friend unless this relationship does not
pose a risk of harm to the client or to a member of the client's immediate
family.
(8) A social worker shall
be solely responsible for acting appropriately in regard to a relationship with
a client or former client. A client or a former client's initiation of a
personal, sexual, or business relationship shall not justify, excuse, or
provide a defense for a violation of this section.
Section 12. Referral and Termination.
(1) A social worker shall make a timely and
appropriate referral of a client for a social work or other service if:
(a) The social worker is unable to provide
the work or service; or
(b) The
client's need exceeds the competency of the social worker.
(2) A social worker shall terminate a social
work service if a client:
(a) Has attained his
stated goal or objective; or
(b)
Fails to benefit from the social work service.
(3) A social worker shall communicate the
referral or the termination of a social work service to a client.
(4) A social worker shall not terminate a
social work service or refer a client for the purpose of entering into a
personal relationship with the client, including:
(a) A sexual, romantic
relationship;
(b) A financial or
business relationship; or
(c) Other
activity that might serve a personal, political, or religious interest of the
social worker.
Section
13. Research.
(1) A social worker
shall obtain written informed consent from a client or a client's guardian if
the client is a subject of a research project.
(2) A client's consent shall comply with the
requirements of federal and state law regulating research with a human subject
and shall include at least the following:
(a)
The scope and purpose of the research;
(b) The procedures used to protect the
client's confidentiality interests;
(c) The client's right to participate or to
refuse to participate without negative consequence to service
delivery;
(d) The possible risks
and benefits of participation; and
(e) The client's right to withdraw from
participation without negative consequence to service delivery.
(3) A social worker shall protect
the privacy and anonymity of a client who is a research subject and shall
inform a client of a limitation on confidentiality that might arise from
participation in the research project.
Section 14. Duty to Report. A social worker
who has personal knowledge of a violation of the code of ethical conduct shall
report to the board the name of the offending social worker and the nature of
the ethical violation. The social worker shall not report the name of the
client or client identifying information unless the client has given informed
consent to him.
STATUTORY AUTHORITY:
KRS
335.070(3),
335.150(1)(g)