Current through Register Vol. 51, No. 3, September 1, 2024
RELATES TO:
KRS
309.081
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
309.0813(2) requires the
board to promulgate a code of ethics for credential holders. This
administrative regulation establishes the required code of ethics.
Section 1. Responsibility to Clients.
(1) A credential holder shall:
(a) Advance and protect the welfare of the
client;
(b) Respect the rights of a
person seeking assistance; and
(c)
Make reasonable efforts to ensure that services are used
appropriately.
(2) If a
registered alcohol and drug peer support specialist is employed by a facility
or credential holder from whom the peer support specialist received services as
a client, the peer support specialist's supervisor shall clearly define the
relationship and boundaries of the peer support specialist's employment
position.
(3) Regarding any client,
including clients of the facility where the counselor provides alcohol and drug
counseling or any other service, or where the peer support specialist provides
services, a credential holder shall not:
(a)
Discriminate against or refuse professional service to anyone on the basis of:
1. Race;
2. Gender;
3. Age;
4. Sexual preference or
orientation;
5. Religion;
or
6. National origin;
(b) Exploit the trust and
dependency of a client;
(c) Engage
in a dual relationship with a client, whether social, business, or personal,
that may impair professional judgment, incur a risk of exploitation of the
client, or otherwise violate a provision of this administrative regulation,
unless:
1. A dual relationship:
a. Cannot be avoided; and
b. Does not impair professional judgment,
incur a risk of exploitation of the client, or otherwise violate a provision of
this administrative regulation; and
2. The credential holder takes appropriate
professional precautions to ensure that judgment is not impaired and
exploitation of the client does not occur;
(d) Engage in:
1. A romantic or sexual relationship with a:
a. Current or former client;
b. Current or former client of the facility
where the counselor provides alcohol and drug counseling; or
c. Member of a client's immediate family or
client's romantic partner; or
2. Sexual or other harassment, or
exploitation, of a:
a. Client;
b. Student;
c. Trainee;
d. Supervisee;
e. Employee;
f. Colleague;
g. Research subject; or
h. Actual or potential witness or complainant
in an investigation or ethical proceeding;
(e) Use the professional relationship with a
client to further an institutional or personal interest;
(f) Continue a therapeutic relationship
unless it is reasonably clear that the client is benefiting from the
relationship;
(g) Fail to assist a
person in obtaining other therapeutic service if the credential holder is
unable or unwilling, for an appropriate reason, to provide professional
help;
(h) Abandon or neglect a
client in treatment without making reasonable arrangements for the continuation
of treatment;
(i) Videotape,
record, or permit third-party observation of a therapy session without having
first obtained written informed consent from the client; or
(j) Diagnose, treat, or advise on problems
outside the recognized boundaries of competence.
Section 2. Confidentiality.
(1) A credential holder shall respect and
guard the confidence of each individual client in any setting and through any
means of communication.
(2) A
credential holder shall not disclose a client confidence except:
(a) As mandated or permitted by
law;
(b) To prevent a clear and
immediate danger to a person;
(c)
During the course of a civil, criminal, or disciplinary action arising from the
counseling, at which the credential holder is a defendant; or
(d) In accordance with the terms of a written
informed consent agreement.
(3) A credential holder may use client or
clinical material in teaching, writing, and public presentations if:
(a) Written informed consent has been
obtained in accordance with subsection (2)(d) of this section; or
(b) Appropriate steps have been taken to
protect client identity and confidentiality.
(4) A credential holder shall maintain a
client's record for no less than seven (7) years from termination of services
with the client.
(5) A credential
holder shall store or dispose of a client record so as to maintain
confidentiality.
Section
3. Publication Credit. A credential holder shall assign credit to
all who have contributed to the published material and for the work upon which
publication is based. A credential holder shall:
(1) Recognize joint authorship and major
contributions of a professional character made by several persons to a common
project. The author who has made the principal contribution to a publication
shall be identified as the first listed;
(2) Acknowledge in a footnote or introductory
statement minor contributions of a professional character, or extensive
clerical or similar assistance; and
(3) Acknowledge, through specific citations,
unpublished, as well as published, material that has directly influenced the
research or writing.
Section
4. Professional Competence and Integrity.
(1) A credential holder shall maintain
standards of professional competence and integrity and shall be subject to
disciplinary action if:
(a) The board
determines the credential holder has violated KRS Chapter 309 or 201 KAR
Chapter 35 by an act that results in disciplinary action by another state's
regulatory agency; or
(b) The
credential holder:
1. Is impaired due to
mental capacity or the abuse or use of alcohol or other substances that
negatively impacts the practice of alcohol and drug counseling or peer support
services;
2. Refuses to comply with
an order issued by the board;
3.
Fails to cooperate with the board by not:
a.
Furnishing in writing a complete explanation to a complaint filed with the
board;
b. Appearing before the
board at the time and place designated;
c. Properly responding to a subpoena issued
by the board;
d. Notifying the
board of any arrest or conviction, felony or misdemeanor, in any jurisdiction
within thirty (30) days of the arrest or conviction; or
e. Notifying the board of disciplinary action
taken against any state-issued credential in any jurisdiction within thirty
(30) days of the disciplinary action.
(2) A credential holder who is aware of
conduct by another credential holder that violates this code of ethics shall
report that conduct to the Kentucky Board of Alcohol and Drug
Counselors.
(3) A credential holder
shall comply with all the policies and procedures of the facilities where a
credential holder is employed. If there is conflict with the policies or
procedures of the facility and this code of ethics, the credential holder shall
report this conflict to the Kentucky Board of Alcohol and Drug
Counselors.
Section 5.
Responsibility to a Student or Supervisee. A credential holder shall:
(1) Be aware of his influential position with
respect to a student or supervisee;
(2) Avoid exploiting the trust and dependency
of a student or supervisee;
(3)
Avoid a social, business, personal, or other dual relationship that could:
(a) Impair professional judgment;
and
(b) Increase the risk of
exploitation;
(4) Take
appropriate precautions to ensure that judgment is not impaired and to prevent
exploitation if a dual relationship cannot be avoided;
(5) Not provide counseling to a:
(a) Student;
(b) Employee; or
(c) Supervisee;
(6) Not engage in sexual intimacy or contact
with a:
(a) Student; or
(b) Supervisee;
(7) Not permit a student or supervisee to
perform or represent oneself as competent to perform a professional service
beyond his level of:
(a) Training;
(b) Experience; or
(c) Competence;
(8) Not disclose the confidence of a student
or supervisee unless:
(a) Permitted or
mandated by law;
(b) It is
necessary to prevent a clear and immediate danger to a person;
(c) During the course of a civil, criminal,
or disciplinary action arising from the supervision, at which the credential
holder is a defendant;
(d) In an
educational or training setting, of which there are multiple supervisors or
professional colleagues who share responsibility for the training of the
supervisee; or
(e) In accordance
with the terms of a written informed consent agreement.
Section 6. Responsibility to a
Research Participant.
(1) A credential holder
performing research shall comply with federal and state laws and administrative
regulations and professional standards governing the conduct of
research.
(2) A credential holder
performing research shall:
(a) Be responsible
for making a careful examination of ethical acceptability in planning a
study;
(b) Seek the ethical advice
of another qualified professional not directly involved in the investigation,
if it is possible that services to a research participant could be compromised;
and
(c) Observe safeguards to
protect the rights of a participant.
(3) A credential holder requesting a
participant's involvement in research shall:
(a) Inform the participant of all aspects of
the research that might reasonably affect the participant's willingness to
participate; and
(b) Be sensitive
to the possibility of diminished consent if the participant:
1. Is also receiving clinical
services;
2. Has an impairment
which limits understanding or communication; or
3. Is a child.
(4) A credential holder performing
research shall respect a participant's freedom to decline participation in, or
to withdraw from, a research study at any time.
(5) A credential holder shall avoid a dual
relationship with research participants.
(6) Information obtained about a research
participant during the course of an investigation shall be confidential unless
there is an authorization previously obtained in writing. The following shall
be explained to the participant before obtaining written, informed consent:
(a) A risk that another person, including a
family member, could obtain access to the information; and
(b) The plan to be used to protect
confidentiality.
Section
7. Financial Arrangements. A credential holder shall:
(1) Not charge an excessive fee for
service;
(2) Disclose fees to a
client and supervisee at the beginning of service;
(3) Make financial arrangements with a
client, third-party payor, or supervisee that:
(a) Are reasonably understandable;
and
(b) Conform to accepted
professional practices;
(4) Not offer or accept compensation for a
referral of a client;
(5) Represent
facts truthfully to a client, third-party payor, or supervisee regarding
services rendered;
(6) Provide a
client with necessary forms, reimbursement codes, and tax identification
numbers for reimbursement for services from a third-party payor; and
(7) Not trade services to the client in
exchange for goods or services provided by or on behalf of the
client.
Section 8.
Advertising.
(1) A credential holder shall:
(a) Accurately represent education, training,
and experience relevant to the practice of professional alcohol and drug
counseling;
(b) Not use
professional identification that includes a statement or claim that is false,
fraudulent, misleading, or deceptive, including the following:
1. A business card;
2. An office sign;
3. Letterhead;
4. Telephone or association directory
listing; or
5. Webpage or social
media.
(2) A
statement shall be considered false, fraudulent, misleading, or deceptive if
it:
(a) Contains a material misrepresentation
of fact;
(b) Is intended to or is
likely to create an unjustified expectation; or
(c) Deletes a material fact or
information.
Section
9. Environment. A credential holder shall provide a safe,
functional environment in which to offer alcohol and drug counseling services.
This shall include the following:
(1)
Allowance for privacy and confidentiality; and
(2) Compliance with any other health and
safety requirement according to local, state, and federal agencies.
Section 10. Documentation. A
credential holder shall accurately document activity with a client in a timely
manner.
Section 11.
Interprofessional Relationships. A credential holder shall treat a colleague
with respect, courtesy, and fairness and shall afford the same professional
courtesy to other professionals.
(1) A
credential holder shall not offer professional service to a client in
counseling with another professional unless efforts have been made to inform
the other professional, or to establish collaborative treatment, or until after
the termination of the client's relationship with the other
professional.
(2) A credential
holder shall cooperate with a duly constituted professional ethics committee
and promptly supply necessary information unless constrained by the demands of
confidentiality. .
STATUTORY AUTHORITY:
KRS
309.0813(2)