The Code of Ethics for Professional
Rehabilitation Counselors:
What We Have and What We Need
Vilia M. Tarvydas, University of Iowa, and R. Rocco Cottone,
University of Missouri, St. Louis
REHABILITATION COUNSELING BULLETIN
VOLUME 43, NUMBER 4, Summer 2000
Copyright PRO-ED, Inc.
Reprinted with permission
This article provides an overview
of the ethical and professional trends and concerns that led to
the formation of the Commission on Rehabilitation Counselor
Certification "Ethics Task Force." This task force has
been charged with rewriting the ethical code for rehabilitation
counselors. Historical issues, the Commission's ethics review
process, and the present code are briefly analyzed. Procedures
used by the task force for revising the code are outlined. Code
revisions should serve the profession by guiding ethical and
professional practice well into the 21st century.
A code of ethics is the identifier
that most directly and visibly defines a profession for its
stakeholders. Scholars may point to an extensive body of academic
literature, and practitioners may cling to particular clinical
tools or practices. The public, legislators, and regulators,
however, are most often concerned with the resolve of the
profession to responsible practice and to regulation of its
members as defined through a publicly presented code of ethics.
This code-and the processes used to enforce it-serves as a
manifesto for how the members of the profession define appropriate
practice. The very act of setting down these concepts of proper
and improper types of conduct creates a socially constructed
understanding of the profession.
The current Code of Ethics for
Professional Rehabilitation Counselors (Commission on
Rehabilitation Counselor Certification, 1987; hereafter referred
to as the Code) is unique historically because it performed an
important function in contributing to the greater consolidation of
the profession of rehabilitation counseling. It can be said that
the affirmation of core concepts that bind the field together
helped to lay the groundwork for the eventual creation in 1994 of
The Alliance for Rehabilitation Counseling (The Alliance). This
mission was advanced through both the process and product of a
highly effective working dialogue among various segments of the
rehabilitation counseling community, a dialogue concerning what
practices should be accepted as the standard for rehabilitation
counselors. The process permitted all participants to revisit and
focus on those higher values that united the profession in its
central concern?the well?being of the consumers of rehabilitation
services. The resulting document was a unified code. When it was
introduced in 1987, it had been jointly developed and endorsed by
the American Rehabilitation Counseling Association (ARCA), the
Commission on Rehabilitation Counselor Certification, the National
Council on Rehabilitation Education, and the National
Rehabilitation Counseling Association (Tarvydas & Pape, 1988).
For the last 12 years, the profession of rehabilitation counseling
has been defined by this document.
During subsequent years, a positive
process of identity consolidation for rehabilitation counseling
based on the standards embodied within the Code and further
coalition-building activities within The Alliance have occurred.
Collaborative public education efforts between the Commission on
Rehabilitation Counselor Certification and the members of The
Alliance (ARCA and the National Rehabilitation Counseling
Association) have included several successful and important
projects such as the Scope of Practice for Rehabilitation
Counselors (Commission on Rehabilitation Counselor Certification,
1994) and a professional overview brochure (Rehabilitation
Counseling: The Profession and Standards of Practice, 1996)
detailing the structure and standards of the professional.
Together these form a "professional portfolio" the
defining publications for the profession that offers a
comprehensive statement articulating the core elements of the
profession, thus allowing for appropriate professional advocacy
and regulation.
Paradoxically, these events have
occurred almost contemporaneously with the efforts of the American
Counseling Association (ACA; previously the American Association
for Counseling and Development) to consolidate its diverse
constituencies into a membership that was seen as representing one
profession-counseling. Some ACA leaders believed that, at a
minimum, a logical indicator of this unified sense of professional
identity would be endorsement of and governance by a single code
of ethics. As a result, in 1987 the ACA Governing Council passed a
resolution for the ACA Ethics Committee to oversee the
assimilation of the various divisions' ethics codes into one main
document of ethical standards. This policy required that all
ethics disciplinary actions be referred to the ACA Ethics
Committee for action. The process was largely completed despite
the significant opposition of the American Mental Health
Counseling Association, the American School Counseling
Association, ARCA, the National Career Development Association,
and the Association for Specialists in Group Work. These divisions
wanted to maintain their individual codes, because the work
settings of their practitioners presented unique ethical issues
that were not addressed by the main code. About 3 years later, the
ACA Governing Council rescinded the resolution. Currently, many of
the ACA affiliates, including ARCA, continue to retain their
codes, with the enforcement of ethical standards still occurring
through the ACA Ethics Committee. The Association for Specialists
in Group Work recently revised its code to a "best practices
standards" format so that the supplementary role of this
document in relationship to the ACA standards was clear.
In essence, the ACA affiliate
groups' codes have become advisory guidelines for their members to
assist them in applying the best ethical practices within their
specialized settings. Many of the states that have licensed
counselors have adopted either the ACA code or a locally drafted
one that closely follows the ACA code. Some individuals among the
counseling leadership continue to view the willingness to endorse
one counseling code of ethics as the litmus test of whether a
professional group is a member of the counseling profession. If
this position persists within the ACAs leadership past the end of
the most recent organization redefinition, it will be most
troublesome for rehabilitation counseling because of its complex,
coalition-based organizational structure and a historically unique
credentialing system.
It is often said that a code of
ethics is a living document (Pape, 1987). Like any living thing,
in order to survive and develop beyond its weak, immature state
into a force that will be strong and fulfill its potential, it
must be encouraged to grow and change in response to the demands
of its evolving role and environment. As a result, ethics
committees often must begin compiling information to guide future
revisions almost as soon as the new code is adopted (Welfel,
1998). In understanding some of the trends that might be important
for code revision, two types of information should be considered:
(a) the structural form of regulatory ethics documents may suggest
any revisions in format and (b) the types of grievances considered
by the organization may pinpoint content areas for further
consideration.
ETHICS REGULATORY TRENDS
Structural Considerations
The nature and complexity of
professional standards for practice have grown dramatically in
recent years. The general term "professional standards"
can be seen as referring to the professional criteria indicating
acceptable professional performance (Powell & Wekell, 1996);
however, the term no longer simply and specifically refers to the
ethical standards of the profession. Also, imprecise terminology
can result in confusion in proper application of the standards. A
more diverse set of meanings stems from a differentiation in the
functions of standards. Tarvydas (1997) proposed a threefold model
for describing standards relevant to professional practice. She
identified three types of standards and their functional scopes of
application. These included (a) internal standards of the
profession (e.g., codes of ethics and practice guidelines); (b)
clinical standards for individual practitioners within the
profession (e.g., care pathways and best practices standards); and
(c) external regulatory standards (e.g., codes of conduct in
licensure statutes, community professional practice standards
established in specific legal cases, and quality assurance review
standards).
The relationship between internal
professional standards of practice and those at the external
regulatory level can be complex and interrelated in that the
internal standards may be used as a basis in whole or in part for
external standards. The process of professional regulation of
ethical practice is multifaceted and can be difficult for both
practitioners and consumers to understand. It involves a
combination of legislatively mandated and voluntary (only binding
by the professional's elective choice) standards and processes of
discipline. For example, the code of ethics adopted by the
practitioner's professional organization (a voluntary membership)
may not be adopted by the state in which the individual holds a
license. This situation historically has been the case for
rehabilitation counselors who are licensed and are also members of
ARCA or the National Rehabilitation Counseling Association, or who
also hold certification through the Commission on Rehabilitation
Counselor Certification. Another example of the crossover
influences between standards involves the instance in which the
code of ethics for the profession is invoked as the community
professional standard to which the actions of a specific
professional practitioner should be held in a malpractice suit. In
fact, the code of ethics of the American Psychological Association
(1992) is the only code mentioned here that specifically alerts
the member that the code may be used in legal matters outside of
that organization's own jurisdiction. Clearly, such crossover uses
of ethical standards require that the leadership of the
professional organizations make knowledgeable choices about how
they formulate their ethical standards so as not to place their
members in an unnecessarily conflicted position.
Increasingly, practitioners have
become more sophisticated in their levels of concern about the
possibility of being sued by clients or being disciplined by
ethics governance bodies. As testament to this concern, between
1993 and 1995 more than 2,000 counselors registered for seminars
concerning the legal aspects of counseling (Nelson, as cited in
Welfel, 1998). Thus, greater clarity regarding the specific
standards that are enforceable, and how carefully and objectively
those passages are written, is increasingly necessary to meet the
needs of today's practitioners and the governance bodies.
In addition, the general levels of
direction provided by the internal ethical standards of the
profession must be clarified as being either mandatory or
aspirational. The most binding is the mandatory level for those
persons who are members of an organization or are holders of a
certificate or license maintained by a professional organization
or state that governs that practice. These persons affirm their
willingness to be governed by the organization's code at
initiation and then must uphold a required code of professional
ethics to avoid censure and/or revocation of membership or
credentials. In contrast, aspirational standards are those to
which the professional voluntarily subscribes in order to preserve
the best possible level of ethical practice. Some professional
organizations do not provide an ethics disciplinary process, so
that their members, in effect, follow the group's code on an
aspirational basis (e.g., the National Council on Rehabilitation
Education and the National Rehabilitation Counseling Association).
In addition, professionals are
urged to seek out and personally adopt exemplary ethical practices
of their own profession and other groups with which the
practitioner is not affiliated if they offer appropriate guidance
for supplementing mandatory ethical dictates. For example, a
practitioner who is a certified rehabilitation counselor (CRQ and
is governed by the Commission on Rehabilitation Counselor
Certification Code as a mandatory code of ethics may rely on the
Standards for the Ethical Practice of Web Counseling, which was
developed by the National Board for Counselor Certification
(1997), for aspirational guidance in matters of cybercounseling
because the Commission's code does not address these issues.
Written aspirational ethical standards and ethical practice
guidelines are offered by professional groups to supplement and
elucidate mandatory standards. They also encourage a more
sophisticated process of seeking to uphold the highest level of
ethical practice by reflecting on the welfare of the clients
served, their needs, and the effects of the counselor's actions on
the profession as a whole.
Credentialing and governing bodies
also have become more cognizant of the distinction between the
aspirational and mandatory aspects of the ethical standards.
Although these bodies wish to support the professionals they
govern in striving for the highest aspirational standard of
ethical practice, they are faced with the more practical and
legally daunting task of enforcing the mandatory ethical standards
in such a way that the process is fair to those governed and is
legally defensible if challenged. As a result, clear distinctions
are made within a document between its aspirational and mandatory
portions. Increasingly, the wording of the mandatory, enforceable
portion of the code is expected to consist of nontechnical,
behaviorally specific standards that are clearly interpretable.
The current Commission on
Rehabilitation Counselor Certification Code contains both canons
and rules. The canons are "general standards of an
aspirational and inspirational nature that reflect the fundamental
spirit of caring and respect which professionals share." In
contrast, the rules are "more exacting standards intended to
provide guidance in specific circumstances" (Commission on
Rehabilitation Counselor Certification, 1987, p. ii). This
distinction generally does help readers to see the rules as the
more enforceable aspect of the Code. However, the difference is
not necessarily apparent to everyone, and the wording in many of
these rules is not as behaviorally specific as might be needed
when particular circumstances are questioned during adjudication.
Because the Code was drafted in the mid?1980s, when such issues
were just beginning to be considered, this limitation is
understandable. The current revision of the Code will address this
structural need.
At the increasing insistence of
legal advisors and due to the disciplinary experience of the
professional organizations themselves more recent trends have
involved the development of professional ethics standards that
contain a very clear delineation of the mandatory, enforceable
portion of the standards. One influence has been the trend for the
statutory regulators, legislatures, and state licensure boards to
increasingly favor adoption of behaviorally specific statements of
"grounds for disciplinary action" or "rules/code of
conduct." These rules of conduct documents are used to either
anchor or supplant the more traditional codes of professional
ethics that historically had been adopted from the professional
organizations. The latter documents were often seen as being too
aspirational in nature and not easily legally interpretable or
enforceable.
The Association of State and
Provincial Psychology Boards is an organization of the state and
provincial licensure bodies governing psychologists in the United
States and Canada. In the counseling profession, it is roughly
analogous to the American Association of State Counseling Boards.
The Association of State and Provincial Psychology Boards adopted
a code of conduct in 1991 specifically to assist regulatory boards
in providing a model set of enforceable ethical standards that
would apply to psychologists when their behavior would be measured
in the Association's jurisdictions (Sinclair, 1996). The
Association's Rules of Conduct state that they "are
nonoptional and always pertain. They are coercive, not advisory or
aspirational. They are nontrivial, to the extent that any
violation is basis for formal disciplinary action, including loss
of licensure" (Association of State and Provincial Psychology
Boards, 1991, Foreword, no. 7). To this end, the language within
this code uses mandatory, active words such as "shall"
or prohibitive words such as "shall not/would not/do
not." This code also uses more specific behavioral verbs such
as "provide," "obtain," or
"clarify," rather than more permissive attitudinal verbs
such as "strive" or "promote." These word
choices are intended to underscore the mandatory nature of the
rules in addition to adding to their enforceability (Sinclair,
1996).
Such a code of conduct is helpful
in its precision of language and enforceability. Nonetheless, its
major weakness is that it provides for limited articulation of the
overall ethical framework of a profession. As a consequence, when
used as the sole ethical standard, it may diminish the identity of
a profession if its effect is to reduce the ethical practice of a
group of professional practitioners to only those behaviors
necessary to meet the letter rather than the spirit of the law.
Therefore, professional organizations must still take seriously
their role of setting broader, aspirational ethical standards to
supplement the mandatory level.
Similar trends and concerns are
reflected in the 1995 revision of the ACA ethical standards in its
resultant documents, the ACA Code of Ethics and Standards of
Practice (1995). This process began in 1991 with several goals:
development of comprehensive, user-friendly ethical standards, and
an inclusive revision process allowing all ACA members to have
input (Herlihy & Corey, 1996). As part of this process, the
ACA Ethics Committee specifically reviewed the ethics documents of
all of its divisions and of related mental health professional
organizations. The committee's objective was to incorporate any
standards that were applicable to all counselors so that the
result would be "a comprehensive set of standards that are
acceptable to all groups of professional counselors that currently
have their own sets of standards" (Herlihy & Corey, 1996,
p. 6). It is important to note that a rehabilitation counseling
perspective was present in this group during its critical work
period due to the involvement of Jorg6 Garcia, a rehabilitation
counselor educator who was co-chair of the ACA Ethics Committee
from 1993 to 1995.
The American Counseling
Association's Code has a format that provides both aspirational
and mandatory standards for counselors. There has been some
confusion regarding the relative roles of the standards of
practice section and the code of ethics section. Even though all
ACA members are required to observe both portions, the code of
ethics is used to discipline members through the Ethics Committee.
The standards of practice "were developed in response to the
needs of nonmembers of ACA to understand our minimal expectations
for ethical behavior and to enforce these expectations in legal
arenas" (Herlihy & Corey, 1996, p. 7). These briefer,
behaviorally specific statements are intended to be clearly
understood by those who are not in the profession. The code of
ethics provides more detailed interpretation of the ethical
standard and includes further information about "best
practice that represents the ideals of the profession" (Herlihy
& Corey, p. 7). Thus, the 1995 ACA Code incorporates both
mandatory and aspirational elements in clearly differentiated
components.
Commission on Rehabilitation
Counselor Certification Ethics Process
In addition to the need for an
updated format or structure for the new Code, the Commission's
Ethics Committee considered two additional types of information
related to the need for Code revision: (a) the patterns of ethics
concerns and complaints received and (b) several preliminary
evaluations of the Code. The Code was examined in terms of the
types of changes that might be needed and its level of
compatibility with the ACA code.
Ethics Concerns and Complaints.
The Commission's ethics governance process is of relatively recent
origin compared to those of other mental and behavioral health
professions, but its level of sophistication and activity has
risen relatively quickly. The earliest complaints to the
Commission came in 1989 after the publication of the Code in the
February 1989 CRCC Certification Update. The Commission is an
affiliate member of the American Association of State Counseling
Boards, and through their Disciplinary Information Network it also
participates in efforts to protect consumers of counseling
services from ethical misconduct across jurisdictional boundaries.
The members of the Disciplinary Information Network, who are
primarily the licensure boards of the states that regulate
counselors, share information concerning completed ethical cases
that involve the most serious ethical violations.
In the last 7 years, there has been
an acceleration of the activities of the Commission's Ethics
Committee, including the review and adoption of improved
guidelines and procedures for processing complaints, initiation of
a variety of educational workshops and newsletter articles, and
increased numbers of complaints and requests for advisory
opinions. The Committee has seen an increasing number of
complaints over the last 5 years (see Table I for information
about complaint activity and Table 2 for their disposition).
During this period, there have been approximately 14,000
certificants in the Commission's jurisdiction. Although the
absolute number of complaints may seem small (e.g., 17 complaints
from about 14,000 certificants), it compares favorably to the
experience of ACA in terms of the level of utilization (e.g., 32
complaints from a base of approximately 50,000 members during
1993?1994; Garcia, Glosoff, & Smith, 1994). It also represents
only completed complaints, not inquiries and requests for advisory
opinions.
The types of alleged ethical
violations have been diverse, but some patterns may be discerned.
Complaints have included dual relationships involving conflicts of
business and professional interests, sexual misconduct with
clients and/or students, fraudulent use of credentials,
inappropriate personal financial gain, failure to act as a client
advocate, disparaging remarks about a colleague, inappropriate
billing practices, use of an illegal substance, and improper
supervision techniques.
TABLE 1. CRCC Ethics Complaints,
1994-1999
| Year |
Total
Complaints |
Complaints
accepted |
Complaints
not accepteda |
| 1998-1999 |
12 |
10 |
2 |
| 1997-1998 |
17 |
16 |
1 |
| 1996-1997 |
17 |
8 |
9 |
| 1995-1996 |
7 |
5 |
2 |
| 1994-1995 |
7 |
5 |
2 |
a Complaints may not be
accepted for a variety of reasons, including such problems as the
complainant refused to sign a complaint and be identified or the
activity complained of was not performed as part of the
certificant's professional role as a rehabilitation counselor.
In addition to the specific ethical
issues named in the complaints, three more pervasive themes were
identified by the first author during her tenure on the Commission
Ethics Committee as contributing to the ethical problems of the
certificants that were heard by this body:
o Theme 1. This was the
difficulty experienced in identifying and managing the risks
inherent in the various relationship boundary issues that may be
encountered in rehabilitation counseling practice. For some
practitioners, the ability to understand and balance the
conflicting interests involved in professional and business
practice demands is particularly problematic. The rise of pressure
to respond to the demands of a changing, increasingly business?
and outcome?oriented practice environment are present. However,
more specific attention and guidance needs to be given to how
ethical practice can be conducted within this context. Another
type of boundary problem noted was the more historically
traditional, but still distressing, problem of inability to avoid
sexual relationships or harrassment or to avoid or appropriately
manage the risks of other types of dual relationships with
subordinates, students, or clients.
o Theme 2. Many ethical
problems could have been avoided entirely, or substantially
mitigated, if rehabilitation counselors provided meaningful and
thorough professional disclosure information, including an
appropriate informed consent process within this context and
proper documentation of these activities. Clients need to be
informed "up front" about such critical matters as (a)
client confidentiality and its limitations, (b) all of the
professional and business obligations that the rehabilitation
counselor may have that might create conflicting interests in
their case, and (c) how the counselor will manage these conflicts.
o Theme 3. This concerns how
the rehabilitation counselor can determine what the appropriate
limitations to advocacy on behalf of a client should be. The
obligation to advocate for a client's interests is a very complex
one and relates to the ethical principle of justice or more
specifically distributive justice. In other words, how does one
determine what fair and just distribution would be in
circumstances where resources are limited? The managed care
climate has emphasized management of access to and payment for
supplies and services in order to conserve health resources and
ensure that services are provided in the most cost-efficient
manner possible. In addition, in recent years, many states in the
public vocational rehabilitation system have had to revert to
order of selection dictated by the Rehabilitation Act Amendments
of 1992. This policy dictates that services be provided first to
clients with the most severe disabilities when there is not enough
funding to provide services to all.
TABLE 2. CRCC
Ethics Complaint Disposition, 1994-1999
Action
| Year |
Complaints
accepted |
No
violation |
Cease
& desist |
Action
stopped |
Revocation |
Reprimand |
Suspension |
Letter
of instructiona |
| 1998-1999 |
10 |
3 |
3 |
0 |
1 |
0 |
0 |
3 |
| 1997-1998 |
16 |
5 |
3 |
0 |
5 |
1 |
0 |
2 |
| 1996-1997 |
8 |
3 |
3 |
0 |
0 |
1 |
1 |
-- |
| 1995-1996 |
5 |
2 |
2 |
1 |
0 |
0 |
0 |
-- |
| 1994-1995 |
5 |
2 |
1 |
1 |
1 |
0 |
0 |
-- |
a'The letter of
instruction is a new type of disposition status adopted in 1997.
It does not involve a judgment that there was an ethical
violation. Rather, it represents instructive advice to the
certificant to clarify and improve the best standard of ethical
practice.
One of the proudest philosophical
and practical traditions of rehabilitation counseling is client
advocacy, and it is prominently displayed in Canon 3 of the
Commission's Code. Only the ethical standards of the National
Association for Social Work provide such a substantial emphasis on
this core obligation among the mental health, rehabilitation, and
helping professions. Many clients are confused and feel betrayed
when they read this commitment and then realize that this
obligation is not the sole motivation of their rehabilitation
counselor. Often, no prior information has been provided to them
by the counselor, and the Code does not directly address how that
obligation will be reconciled with the rehabilitation counselor's
obligations to other clients and/or the counselor's employer or
contractor. This dynamic tension among the obligations of
rehabilitation counselors relates to their frequent dual functions
as both case manager and direct service provider. Unfortunately,
some set, tings are making ill advised attempts to broaden the
area of conflict even further by adding additional business
related responsibilities such as claims management to the duties
of rehabilitation counselors and case managers. With increasing
conflicts of interest created by accelerated demands for managing
scarce resources or making increasing profits, greater guidance
from the Code is needed.
Code Analysis. Since its
adoption in 1987, two systematic reviews of the Code have been
undertaken to better evaluate its effectiveness to address issues
in rehabilitation counseling practice and its level of
compatibility with the ACA code.
The earliest systematic review of
how the ACA code and the Commission's Code of Ethics for
Professional Rehabilitation Counselors was undertaken in 1994 by
the ARCA Ethical Standards Committee under the direction of its
chair, Jan LaForge. This work, which was done with great detail
and precision, involved a rule?by?rule comparison, The overall
conclusion did not seem to raise concerns about compatibility on
basic concepts, but it did note that the ACA code was more
specific and detailed in its treatment of the standards of
practice and ethical standards (J. LaForge, personal
communication, May 10, 1994). Beyond that general commentary, the
Committee noted some areas in which each of the two documents dif,
fered in terms of the depth of coverage. The Commission Code does
not address the following topics:
- group counseling
- experimental methods of
treatment
- fees and bartering
- computer technology
- groups and families
- diagnosis of mental disorders
and
- test security.
The report also indicated there
were questions regarding the degree of adequate coverage in the
following areas:
- Client welfare
- respecting diversity
- personal needs and values
- termination and referral
- confidentiality versus privacy
- records
- credentials, and
- relationships with
employers and employees, counselor educators and trainers.
The Code was seen as having more
specificity in treating concerns relating to testing, and a rule
by rule analysis noted many instances where the rehabilitation
standard was more definite or specific on a particular issue (J.
LaForge, personal communication, May 10, 1994).
In order to review and supplement
the ARCA analysis, the Commission Ethics Committee undertook an
additional analysis of the Code during its 1996?1997 work year.
This work was done to determine what changes should be considered
if the Code were to be revised. During this process, many of the
same areas were earmarked for further treatment in a Code
revision. Special note was taken of the particular need to provide
more emphasis on diversity and multicultural issues, business and
financial issues in practice, client privacy and confidentiality
rights, and dual relationship and relationship boundary issues.
This audit ultimately triggered planning of the formal Code
revision process the Ethics Committee would recommend to the full
Commission on Rehabilitation Counselor Certification in 1998.
REVISING THE CODE
One of the standing charges to the
Commission Ethics Committee is to review and update the Code.
Based on the several years of study described in this article and
the recommendation of the Ethics Committee, in early 1999 the
Commission established an Ethics Task Force to officially review
and update the Code. The task force was directed to consider the
core standards from the counseling profession as embodied by the
ACA code and to develop supplemental standards specifically
related to rehabilitation counseling.
The rationale for this charge is
related directly to (a) consolidating ethical standards, (b)
avoiding duplication and inconsistencies, and (c) relating the
Commission standards to the general counseling code used as an
example or model by other credentialing bodies, such as state
licensure boards and other certification agencies. This approach
is also informed by analysis of the Scope of Practice for
Rehabilitation Counseling. This document reflects an understanding
that "the field of rehabilitation counseling is a specialty
within the rehabilitation profession with counseling at its core,
and is differentiated from other related counseling fields"
(Commission on Rehabilitation Counselor Certification, 1994, p.
1); as such, it is part of the profession of counseling.
As with the earlier unified code of
ethics endorsed by the Commission, ARCA, and the National
Rehabilitation Counseling Association, a specific effort was made
to create a diverse working group that would represent the key
professional organizations and types of rehabilitation counselor
practitioners. The Task Force is chaired by R. Rocco Cottone and
is composed of representatives from the Commission Ethics
Committee, the Commission administration, ARCA, the National
Rehabilitation Counseling Association, a rehabilitation facility
accredited by the Commission on the Accreditation of
Rehabilitation Facilities, a for?profit rehabilitation firm, the
insurance industry, and consumers of rehabilitation services. A
rehabilitation educator and a recent graduate of a rehabilitation
education program were also appointed. The Task Force met in May
1999 at the Commission's administrative offices, and at that first
meeting the Task Force members came to a consensus on several
issues:
1. It was agreed that the ACA code
was well drafted, more contemporary, and more comprehensive than
the current Commission Code. Even though some problems were
identified with the ACA code, its clarity and breadth were
obvious. Some changes to certain passages in the ACA code were
recommended before it could be adopted for rehabilitation
counselors.
2. The ACA code was found to be
deficient in reference to specific disability ?related issues. A
supplementary or addendum document specifically addressing
rehabilitation issues therefore was needed.
3. A comprehensive set of standards
such as a complementary set of ethical governance documents?a
modified ACA code and an addendum document or standards of
practice for rehabilitation counseling?would serve rehabilitation
counseling well into the 21st century.
In drafting a new, more effective
code of ethics, the Task Force members were mindful of several
overall issues, including the need to
- draft a code of ethics that
provides rehabilitation counseling with a document placing the
profession squarely within the counseling professional
community;
- objectify and operationalize the
standards of practice to ensure enforceability;
- avoid complaints on aspirational
guidelines that, if enforced, could punish otherwise ethical
individuals for not performing to sometimes unrealistic
ideals; and
- provide clearer and more
specific guidance to practitioners in the field.
Utmost
attention was given to the concept of delineating aspirational
guides versus enforceable or mandatory standards. Task Force
members made the case that the rehabilitation counseling standards
of practice should be enforceable. In both the present Commission
Code and the ACA code, there are aspirational guidelines for
behavior "in the ideal." These are stated as ethical
directives. For example, the issue of voluntary work done pro bono
publico (for the public good) for little or no remuneration became
a point of discussion. Pro bono publico work is directed by the
Section A. I O.d of the ACA code. The question was raised as to
whether rehabilitation counselors, who put in a hard day of work
often for salaries below the average for counseling in general,
should be required to donate time and effort as professional
counselors. Although Task Force members argued that this practice
would be laudable, they also felt that counselors should not be
considered unethical if they do not perform such work. As such,
the directive to do pro bono work was considered to be
aspirational, and thus not enforceable.
A similar
issue was raised about the current Commission Code directive that
rehabilitation counselors "shall serve as advocates for
individuals with disabilities" (Canon 3). Although this canon
is laudable, it is not easily defined. How is advocacy measured?
How can it be proven that a rehabilitation counselor has not
advocated for individuals with disabilities? In an early critique
of the Code, Vash (1987) noted that a stance more consistent with
rehabilitation philosophy would be to include an ethical
obligation for rehabilitation counselors to teach and support
rehabilitation clients in advocating for themselves. This skill
building and support was seen as preferable to making the
paternalistic assumption that rehabilitation counselors must
always perform this service for persons with disabilities.
The Task
Force members agreed that advocacy issues should be transformed
into several measurable, disabilityspecific directives reflecting
advocacy rather than continuing as merely a general, unenforceable
statement of an aspirational nature. For example, advocacy can
take many forms, such as soliciting equal opportunities in jobs or
training for individuals with disabilities; educating potential
vendors, service providers, or employers about accessibility
issues; or proactively assisting consumers of rehabilitation
services in understanding and using all mechanisms of appealing
unfavorable decisions or conditions affecting them in their
services. These activities are accepted aspects of rehabilitation
counseling practice, and where they are applicable to a job
setting, they are measurable.
The Task
Force continues the process of assessing the ACA code as a
starting point and has received permission from ACA to adopt its
code in whole or in part for rehabilitation counselors. To date,
the Task Force has formulated an initial draft "Standards for
Practice" specifically related to rehabilitation counseling
practice. These standards were derived from a comparison of the
ACA code and the current Commission Code. The process used to form
these standards involved assessing (a) whether a particular
Commission Code standard addresses a specific, measurable aspect
of rehabilitation counseling or (b) if the standard was
unaddressed or under addressed by the ACA code. In either case, a
standard of practice was defined and affirmed for rehabilitation
counselors. The resultant Standards of Practice is a drafted
document specifically related to rehabilitation counseling that
becomes a companion to the ACA code.
The Task
Force will engage in a complex process during 1999?2000 to allow
review and advisement on the updated draft Code by the general
rehabilitation counseling community. A hearing was held at the
Fall 1999 conference of the National Rehabilitation Association in
Minneapolis. A questionnaire soliciting opinions and reactions has
been developed by the Task Force and will be sent to all
certificants in the Commission newsletter. After this, the major
rehabilitation counseling professional organizations and several
consumer and provider organizations will review the draft code and
standards to identify potential oversights and improvements. It is
the intent of the Task Force to solicit advice from the full range
of diverse stakeholders in the rehabilitation counseling
profession. Finally, it is expected that the final document will
be reviewed and adopted as the official revision of the Code by
the Commission and The Alliance (ARCA and the National
Rehabilitation Counseling Association). This last step would
preserve the unified endorsement of this important document for
rehabilitation counseling as a whole.
Ultimately, the goal of this revision process is to update and
improve the Code; further align rehabilitation counseling ethical
standards with those accepted for the profession of counseling;
and maintain the identity, autonomy, and applicability associated
with rehabilitation counseling practice. Duplication of effort in
setting ethical standards is expensive, results in potentially
conflicting and confusing standards of practice, and thus taxes
practicing rehabilitation counselors unnecessarily. For ex~ ample,
the Task Force members agreed that building a completely new
rehabilitation counseling code of ethics or revising the old code
extensively would be a cumber. some, time-consuming process
duplicative of the more recent work already done by ACAs Ethics
Committee. In addition, acting separately from the ACA could
produce inconsistent or even conflicting standards. This situation
had been an historical problem for rehabilitation counseling prior
to the adoption of the present unified Code (Cottone, Simmons,
& Wilfley, 1983; Tarvydas & Pape, 1988). The Task Force is
also mindful of the limited resources that can be applied to
adopting the revised ethics code. Those resources would be better
put toward proactive efforts such as publicity about the standards
to stakeholders, ethics education for rehabilitation counselors,
and enforcement.
SUMMARY
The critical importance of a
profession's code of ethics in defining the profession to the
public and its stakeholders cannot be underestimated. The Code has
unified rehabilitation counseling and provided a well respected
statement of best practices in ethics to assist in protecting the
clients of rehabilitation counselors. As a result of the evolution
of the structure and content of ethical standards in the related
helping professions in the years since the Code was adopted in
1987, the need for revisions to the Code became clear. The ethics
disciplinary and education activities of the Commission Ethics
Committee have provided additional guidance regarding the types of
ethical issues that are problematic for rehabilitation counselors.
The Commission has initiated a full review and revision of the
Code through instituting an Ethics Task Force. This process will
involve all major rehabilitation counseling professional
organizations and stakeholders, and it is expected that this Code
revision will enhance the future quality of practice in the
profession.
ABOUT THE AUTHORS
Vilia M. Tarvydas, PhD, CRC, is an
associate professor and program coordinator of the graduate
programs in rehabilitation at the University of Iowa. She is a
member of both the Commission on Rehabilitation Counselor
Certification Ethics Committee and the Commission's Ethics Task
Force. She is a past president of the American Rehabilitation
Counseling Association. R. Rocco Cottone, Phl), CRC, is a
professor of counseling and division coordinator of the doctoral
program in the Division of Counseling at the University of
Missouri St. Louis. He serves as chair of the Commission's Ethics
Task
Force. Address: Vilia M. Tarvydas,
University of Iowa, N362 Lindquist Center, Iowa City, IA
52240?1529; email: vilia-tarvydas@uiowa.edu
REFERENCES
American Counseling Association.
(1995). Code of ethics and standards of practice. Alexandria, VA:
Author.
American Psychological Association.
(1992). Ethical principles of psychologists and code of conduct.
American Psychologist, 47, 1597-1619.
Association of State and Provincial
Psychology Boards. (1991). ASPP13 code of conduct. Montgomery, AL:
Author.
Commission on Rehabilitation
Counselor Certification. (1987). Code of ethics for professional
rehabilitation counselors. Rolling Meadows, IL: Author.
Commission on Rehabilitation
Counselor Certification. (1994). Scope of practice for
rehabilitation counseling. Rolling Meadows, IL: Author. Commission
on Rehabilitation Counselor Certification. (1996). Rehabilitation
counseling: The profession and standards of practice. Rolling
Meadows, IL: Author.
Cottone, R. R., Simmons, B., &
Wilfley, D. (1983). Ethical issues in vocational rehabilitation: A
review of the literature from 1970 to 1981. Journal of
Rehabilitation, 49(2), 19-24.
Garcia, J., Glosoff, H. L., &
Smith, J. L. (1994). Report of the ACA ethics committee:
1993?1994. Journal of Counseling & Development, 73,253-256.
Herlihy, B., & Corey, G.
(1996). ACA ethical standards casebook (5th ed.). Alexandria, VA:
American Counseling Association.
National Board for Certified
Counselors. (1997), Standards for the ethical practice of
webcounseling. Greensboro, NC: Author.
Pape, D. A. (1987). Teaching
ethics: The heart of the matter. Rehabilitation Education, 1,
129?13 1.
Powell, S. K., & Wekell, P. M.
(1996). Nursing care management. Philadelphia: Lippincott.
Sinclair, C. (1996). A comparison
of codes of professional conduct and ethics. In L. J. Bass, S. T
DeMers, J. R. P. 0gloff, C. Peterson, J. L. Pettifor, R. P.
Reeves, T Rafalvi, N. P. Simon, C. Sinclair, & R. M. Tipton
(Eds.), Professional conduct and discipline in psychology (pp.
53-70). Washington, DC American Psychological Association.
Tarvydas, V M. (1997). Standards of
practice: Legal and ethical. In D. R. Maki & T F Riggar
(Eds.), Rehabilitation counseling: Profession and practice (pp.
72-94). New York: Springer.
Tarvydas, V M., & Pape, D. A.
(1988). A unified code of ethics for rehabilitation counselors.
Rehabilitation Counseling Bulletin, 31, 249-254.
Vash, C. (1987). Fighting another's
battles Is it helpful? Professional? Ethical? Journal of Applied
Rehabilitation Counseling, 18, 15-17
Welfel, E. R. (1998). Ethics
in counseling and psychotherapy: Standards, research, and emerging
issues. Pacific Grove, CA: Brooks/Cole.
|