Assignment: Informed Consent for Counseling

Assignment: Informed Consent for Counseling

Assignment: Informed Consent for Counseling

Authentic Assessment: Informed Consent

This week you will create an informed consent form that could be used with clients to notify them of their rights and responsibilities.

Create a sample informed consent document that could be utilized in a therapeutic environment. Begin by doing an Internet search to examine sample documents (the search terms “informed consent for counseling” brings up a variety of options); you may utilize any of the samples you find as the basis for crafting your own document. In most cases, you will discover that you will find relevant components from a variety of different samples that you will want to piece together to fit your needs.

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As you create your informed consent, keep the following questions in mind:

How would you inform your clients to their rights and responsibilities?

What are some of the themes of the ethics codes with respect to the rights of clients?

From an ethical perspective, why is informed consent of paramount importance?

From a legal perspective, what are the three elements involved in adequate informed consent? Define these terms: capacity, comprehension of information, and voluntariness.

You do NOT need to answer these questions specifically, rather you should keep them in mind as key issues as you create your informed consent.

Assignment Expectations:

Length: no more than one single-spaced page

In a separate two-page, double-spaced, APA style paper answer the four questions above and explain how you incorporated them into your Informed Consent Document.

References: no references required

Format: save your assignment as a Microsoft Word (.doc or .docx), Open Office (.odt) or rich text format (.rtf) file type

Submission: submit your assignment to the Drop Box

A Sample Of This Assignment Written By One Of Our Top-rated Writers

Informed Consent for Counseling

Welcome to my professional practice. Please read this document carefully since it contains relevant information on my professional counseling services, practice policies, and clients’ expectations for counseling practices. Once you read it, please document any questions or concerns. By signing the document, you will agree with the terms of service provided.

1. Purposes of Counseling: the primary objective of counseling is to help you identify goals and potential solutions to multiple life challenges. Also, it serves as an ideal approach for enhancing your coping skills, strengthening self-esteem, promoting behavioral change, and achieving optimal mental health. Therefore, a counselor needs to enter a collaborative relationship with you to ensure the success of the counseling process. As a professional counselor governed by the Arizona State Board of Behavioral Health Examiners, I propose establishing a meaningful relationship with you with optimism about the desired counseling outcome.
2. Counselor’s Qualifications: My name is (enter name), and I hold a Bachelor’s Degree (BBA) from (Enter institution). Further, I have a Master of Education (MED) degree from (Enter college or university). As an associate counselor, I work under a supervisor whose information is available upon request. As a strategy for enhancing the quality of my professional practices, I have connections with other qualified professionals and organizations that can provide referrals upon your request. Therefore, you can request a referral anytime throughout the counseling course.
3. Arrangements for Services: the standard schedule for individual appointments is 60 minutes, where we will collaborate based on your preferences. Rescheduling these appointments is possible when you are 20 minutes late. Timely communication is highly recommended for effective scheduling.
4. Implications of diagnosis: Although the profound objective of counseling is to enable you to fulfill life goals and achieve optimal mental health, there is a likelihood that you will make daunting decisions consistent with the underlying issues and the desired outcomes. For example, changing employment settings, separation within families, and lifestyle changes are tough life decisions in counseling. Further, counseling sessions may invoke intensified emotions and feelings about life events. Therefore, I appeal to your preparedness and willingness to collaborate with your counselor.
5. Fees and Billing: the standard fee for a 60-minute counseling session is $70. Payment in full and co-payments with approved insurance are highly recommended. You should process payment before the commencement of counseling sessions. You may request adjusting the expected fees if you encounter any constraints in making full payment.
6. Confidentiality: As a professional counselor, I am bound by a professional path, personal ethics, and legal licensure to ensure client confidentiality. Therefore, I am legally restrained from disclosing the client’s information to any third party (person or agency) without your written authorization. I may share information when such disclosure is essential to “protect you or other people from harm” or when legal agencies, including courts, require information. Secondly, I may communicate with insurance representatives regarding your diagnosis when they opt to pay for your treatment. Any information or communication made through electronic media exhibits multiple security threats. Therefore, I cannot assure your confidentiality during information exchange through electronic media. You should ensure the security of communication gadgets, including workplace computers, laptops, or handsets, to minimize the risk of unauthorized access to your information.
7. Client’s right to information: The Privacy Act of 1974 upholds the client’s right to access information in files and records unless the law prohibits such privileges.
8. Client’s right to refuse services: Although counseling is collaborative, the client can terminate the counselor-client relationship. However, preparing for the termination phase and having a valid reason for the decision is essential. Also, it is unethical to refuse services after realizing the maximum benefits, including achieving the desired goals.

I have carefully read, understood, agreed, and consented to the established conditions of professional counseling services. Also, I have had opportunities to ask questions regarding the already-reviewed terms of services.

Client Signature_____________________________ Date______________________________