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Ethics: Focus on CRC Violations

Ethics: Focus on CRC Violations. Matthew Markve MA CRC Region VIII RCEP University of Northern Colorado. Today’s Session (Overview). 1.5 CRC Contact Hours Looking at ethical complaints and violations over the past 13 years (1993-2006) Most common violations/examples

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Ethics: Focus on CRC Violations

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  1. Ethics: Focus on CRC Violations Matthew Markve MA CRC Region VIII RCEP University of Northern Colorado

  2. Today’s Session (Overview) • 1.5 CRC Contact Hours • Looking at ethical complaints and violations over the past 13 years (1993-2006) • Most common violations/examples • Different sanctions imposed by CRC Ethics Committee

  3. New Code • First Code for Rehabilitation Counselors was developed in 1987, the second iteration was implemented Jan 1, 2002. • New code is currently under development • Novel opportunity/comments being solicited • Link at end of this presentation will take you there if interested

  4. Saunders et. Al. (2007) • “Ethical Complaints and Violations in Rehabilitation Counseling” RCB • Covered older code (pre 2001) and new standards • 113 complaints filed between 1993 and 2006, 71 accepted by committee for further review

  5. CRC Ethics Committee • Meet on average 4 times annually • Its mission is "to implement approved policies by issuing opinions regarding the interpretation and application of the [Code of Ethics (2001)], overseeing investigations, and ruling on cases involving alleged violations" (CRCC, 2005, p. 8).

  6. Ethics Committee II • Respond to: • Complaints • Detailed form, formal complaint • Advisory Opinion Requests • Less formal, clarification on code

  7. Complaint Process • Committee reviews complaint to determine merit/proper filing • If accepted certificant notified • May wait for legal proceedings to end if litigation present • Hearing

  8. Actions/Sanctions • Following determination of violation Ethics Committee can impose: • Actions: Less severe outcome • Letter of instruction • Sanction: Multiple levels of severity • Reprimand • Probation • Suspension • Revocation

  9. Who Filed Complaints? • Consumers = 28.5% • Colleagues = 31% • Consumer Attorneys = 6.5% • Other = 34%

  10. Certificant Characteristics • 56.8% Rehabilitation counselors • 8.1% Supervisors • 5.4% Students • 2.7% Administration • 2.7% Job Development/Placement Specialist • 18.9% Title not specified

  11. Certificant Characteristics • 46% Private/Proprietary Sector • 18.9% Private non profit • 18.9% State-Federal • 2.7% insurance/university/workers compensation

  12. Rules Violations (Major Categories) • Obey Laws and Statutes (19.6%) • Dishonest/deceitful (13.7%) • Consumer/student/subordinate exploitation (13.7%) • Personal problems leading to inadequate performance (7.8%) • Ethical/moral standards of behavior (5.9%) • Appropriate employment opportunities (5.9%)

  13. Standards Violations • Abandonment prohibited: 5 violations • Personal needs and values • Potential for harm • Respect for privacy: 3 violations each • Appropriate termination • Referral upon termination • Boundaries of competence • Conflict of interest: 2 violations each

  14. Actions/Sanctions Given • 21% Letters of Instruction • 21% Reprimands • 7.8% Probation • 10.5% Suspended • 39.5% Certifications Revoked • 2 Appeals: both upheld

  15. High Frequency Topics (2007) • Detrimental/Exploitive Relationships (sexual or financial) • Professional Disclosure (or lack thereof) • Confidentiality (failure to maintain or inform client of limits) • Disclosure Informed Consent (failure to obtain in form that can be documented) • -crccertification.com

  16. Tarvydas (2006) • Emailed 7,660 Rehabilitation Counselors • Ethically challenging issues of past two years • (Choice was ranked 3rd of 9 behind conflicts with organizations/payers or employer pressures and confidentiality and exceptions to confidentiality) • Ethically troubling issues they project to arise in the near future • “Client choice and autonomy” was one of 14 general concerns for the near future • Findings also recommended review of the Code (now in progress)

  17. Counselor Perception of Barriers to Choice • “What problems have you or your colleagues experienced in assuring choice throughout the rehabilitation process?” • Four groups (N=21 including 17 State-Federal VR Counselors)

  18. Counselor Perception of Barriers to Choice: Ranked Findings • Unrealistic vocational goals held by consumer • Consumer requests more services that are necessary to achieve suitable employment • Consumer wants the most expensive services versus reasonable cost or professional recommendations • Ways to balance consumer expectations with reality

  19. If Time: • Additional examples taken from CRC Advisory Opinions

  20. Information • New code/full articles on advisory opinions/complaint form available here: • http://www.crccertification.com/pages/30code.html • Contact me with further questions: matthew.markve@unco.edu

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