Ned workwise-week 1 508

1. New Ethical Dilemmas
Developing Professional
Competency in the Digital Age
Christina Boyd, LSCSW, LCAC
Gary Wareham, MA, LPC, LAC

2. Ethics, Competency, and Use
of Technology in the Time of
COVID-19
Week #1

3. Agenda-
Week #1
Welcome
• Orientation of Series
• Expectations of Participation
• Instructor Introductions
• Short Participant Introductions
• Review Learning Activity
• History of Technology
Presentation • Impact of COVID-19
• Ethical Considerations
• Review today
Summary
• Preview of next week
• Learning Activity-Professional Ethics and
Codes
• Questions

4. Very hard to balance
right now…
Business as usual
and
Emergency response

5. DISCLAIMER

6. It is always important to get a consult!
We are not attorneys
We do NOT have I.T. degrees
“Have you tried
taking the
battery out?”

7. Weekly Agenda
Week Agenda/Topic Date
Orientation Session
DONE
One
Topic: Ethics, Competency, and Use of Technology in the Age of
COVID-19
August 12, 2020
Two Topic: Digital Immigrants /Digital Natives/ Digital Culture August 19, 2020
Three Topic: Texting, Email, Videoconferencing - HIPAA and 42CFR II August 26, 2020
Four
Topic: Use of Social Media, Potential Ethical Pitfalls September 2, 2020
Five
Topic: Employer /Employee Issues with Technology today September 9, 2020
Six Topic: Applying Ethical Decision and WRAP UP! September 16, 2020

8. Disclaimer
This is an online learning series that provides interactive training and
consultation to professionals delivering behavioral health services on
topics essential to increasing knowledge, building skills, and changing
practice through the adoption of evidence-based and promising
practices.
We will use:
Virtual interactive training through real-time skill-based learning and
practice
Group and self- study activities
Reading assignments
Discussions

9. Expectations
Be Be here for sessions (present in body AND mind!)
Have Have camera and microphone on during sessions
Minimize Minimize Distractions
Participate in each session (CE credit is dependent on commenting
Participate in verbally or on chat)
Complete Complete Learning Activities
Learn Learn something each session!

10. Introductions! Your Friendly
Helpful
Facilitators

11. Introductions…NOW YOU!
• Tell us your name, agency, and
what type of work you do.
• How many years in the field
• Tell us something interesting
about where you live.

12. Learning ActivityLearning Activity
What stood out?
Professional Ethics for Digital Age
Psychiatry: Boundaries, Privacy, and
Communication-Disinhibition Effect

13. Key Point
“The Online Disinhibition Effect”
• Clinicians use of public digital platforms can
result in a tendency to blur professional and
private boundaries. A recent survey of medical
students revealed:
• 18% reported posting scenes of intoxication
• 14% reported posting profanity
• 4% reported posting sexually suggestive
material
Sabin, 2017

14. Current use of TECHNOLOGY

15. 1942
Carl Rogers was
using Audio
taping
(Rogers,1942)

16. Not really Creeping into our Health Practices any longer… It is here!

17. Google Trends has shown that since 2004, 70% of
queries on average are health-related.
(LUO 2019)

18. How many Electronic
Devices are in your home?
Polling Question

19. Discussion:
How is COVID-19 affecting
your work?

20. COVID-19 Special Accommodations
CMS Guidelines
https://www.cms.gov/outreach-education/partner-
resources/coronavirus-covid-19-partner-toolkit

21. Just because we CAN,
SHOULD we?
Let’s TAKE A
Closer
LOOK….

22. “Clients should know that electronic
communications are generally not
secure methods of communication and
there is a risk that one's
privacy/confidentiality could be
compromised with their use"
(Neace , 2011)

23. Digital technologies create four major
ethical challenges:
1. Managing clinical boundaries
2. Maintaining privacy and confidentiality
3. Establishing realistic expectations regarding digital
communications
4. Upholding professional ideals
(Sabin & Harland, 2017)

24. Practitioners are vulnerable to being
blindsided
by NEW ethical dilemmas
Crowley & Gottlieb, 2012

25. Some professionals are …
… ethically astute but struggle
to keep up with the
technology.
… comfortable with technology but
less familiar with ethical codes.
Lannin & Scott, 2013

26. ‘Adapting to the new
culture wisely will
necessarily involve
both understanding
the ethical principles
themselves as well as
developing
competence in the
technology
of the burgeoning
digital culture.’
Lannin & Scott, 2013

27. Ethics of Technological
Competence in the
Behavioral Health field?
Technological competence:
Ability to create and use a particular
field of technology effectively, which is
gained through extensive
experimentation and learning in its
research, development and employment
in production.
(Fai & von Tunzelmann, 2001)

28. Learning and using new
technologies

29. Things you can do:
Be prepared to make
mistakes and try new
things!
• The new normal may
never be the same
Be knowledgeable
about the technology
that you are using
• Know about
regulations
• Know about
encryption, safety
standards, what
others are using or
not using and why
Be a center of calm!
(yourself, clients and
those you supervise)
• Practice, Practice,
Practice
• Do test runs with co-
workers
• Evaluate your own
use and staff changes
Be Professional:
Evaluate virtual settings
• Create new spaces
where staff is doing
their work
• Consider lighting,
internet, noise,
distractions

30. Sneak Peek at Next
Week ….
Digital Types
and
Communication

31. Learning Activity
Week #1
Digital Immigrants/Digital Natives
Read the Article
Consider Questions
Be prepared to answer
questions next week during
group discussion!

32. Acknowledgments
Crowley & Gottlieb (2012). Objects in the mirror are closer than they Appear: A primary prevention model for ethical decision making. Professional
Psychology: Research and Practice, 43(1), 65–72.
• Felicia Fai a,*, Nicholas von Tunzelmann 2001, Industry-specific competencies and converging technological systems: evidence from
patents, Structural Change and Economic DynamicsVolume 12, Issue 2, July 2001, Pages 141-170
Lannin, D. G. & Scott, N. A. (2013). Social networking ethics: Developing best practices for the new small world. Professional Psychology: Research
and Practice, 44(3), 135-141. 44(3), 135-141.
LOU, May 31 2019. Turning a Negative Into a Positive: Ways to Avoidand Overcome Negative Reviews. Psychiatric Times. Volume 36. Issue 5.
Neace. R. T. (2011). Yes, u shud b txting cits! [Web log message]. Retrieved from http://my.counseling.oi-g/2011/05/09/yes-u-shudb-
txtng-clts/
Pew Research Center, November 2018, “Teens’ Social Media Habits and Experiences”, February 2018. Monica Anderson and Jingjing
Jiang
Rogers, C. R. (1942). The use of electrically recorded interviews in improving psychotherapeutic techniques. American Journal of
Orthopsychiatry, 12(3), 429-434.
Sabin, J.E. & Harland, J.C. (2017). Professional ethics for digital age psychiatry: Boundaries, privacy, and communication,. Current Psychiatry Reports ,
9, 55. DOI 10.1007/s11920-017-0815-5