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he following are the client’s responsibility:The duty to provide essential information truthfully and accurately: The counselor cannot work effectively with the client in creating a plan or goals for treatment if the client is not being truthful. Misinformation or lack of information could result in a misdiagnosis or the wrong course of treatment.The duty to comply with agreed treatment: Once a treatment plan has been agreed to by the client and counselor, the client has a responsibility to carry through on the agreed upon plan.The duty to pay agreed or reasonable fees: The counselor is entitled to reasonable compensation for professional services rendered, and the client is responsible for paying for services rendered as agreed upon. This is important to the maintenance of a healthy and constructive counselor/client relationship.The duty to set and keep scheduled appointments: The counselor’s time is limited and important, just as the client’s time is. As such, both parties must respect each other’s time. Consistency is also important to the successful counselor/client relationship and the treatment plan for the client.The duty to participate in the setting of treatment goals: Ultimately, the client is responsible for his or her treatment and must be involved to achieve success.The duty to inform of your progress or lack of progress: The client must be forthright with all necessary information, including progress or lack thereof so that the counselor and client can determine if they are on the right path or if they need to make changes to the treatment plan.The duty to terminate a counseling relationship before entering into another counseling relationship.The following are client rights that appear to be commonly stated across most organizations:The right to be informed of your counselor’s qualifications (education, work experience, licenses, and certifications)The right to be informed of the details of the counseling relationship (fees, time commitments, policies, and client responsibilities)The right to be treated respectfully and humanelyThe right to be informed of your condition and potential treatment optionsThe right to consent to or refuse treatmentThe right to confidentiality and to be informed of the limitations on that confidentialityThe right to ask questions about any treatmentThe right to access to the client’s recordsThe right to terminate the relationship at any timeThe right to a second opinionThe right to contact information for emergenciesThe right to a copy of that agency’s statement of client rightsThe right to safe treatment free from abuseThe right to file a grievance in the event of a violation of a client’s rightsClient rights are the foundation for any quality counselor/client relationship. Trust is an integral part of a quality relationship because a client is more likely to make progress with a counselor that he or she trusts. Making certain that all parties involved have a clear understanding of what the client’s rights are goes a long way toward building trust. The counselor and the client should know what the client’s rights are and what steps the client can take when the client feels his or her rights are being violated.This discussion will focus on three of the client rights: the right to be informed, the right to confidentiality, and the right to refuse treatment. Before getting into those three specific rights, the discussion should begin with a listing and general description of the full spectrum of client rights. Different organizations have different stated client rights, and you can find many examples of different organizations’ statement of client rights on the Internet. Those client rights that appear to be commonly stated across most organizations are the following:The right to be informed of your counselor’s qualifications (education, work experience, licenses, and certifications): This stems from the ethical requirement that a counselor must be competent in his or her field. This right ensures that a client can make an informed decision on whether to pursue treatment with a particular counselor. It also impacts the level of trust a counselor may have with a client.The right to be informed of the details of the counseling relationship (fees, time commitments, policies, and client responsibilities): The client is required to participate in his or her counseling program, which includes being involved in goal setting. The client can do all of this best when informed in every aspect of the process.The right to be treated respectfully and humanely: This is an essential human right. This is echoed by the ACA Code of Ethics (2014, A.1.a): “The primary responsibility of counselors is to respect the dignity and to promote the welfare of the clients.”The right to be informed of your condition and potential treatment options: This is tied to the concept of informed consent, which is required for a client to truly consent to treatment.The right to consent to or refuse treatment: This is directly tied to the right to be informed.The right to confidentiality and to be informed of the limitations on that confidentiality: This right is derived from the right to privacy, which is guaranteed to you by the Fourth Amendment to the <link is hidden> Constitution.The right to ask questions about any treatment: This is tied to the right to be informed.The right to access to the client’s records: Clients have the right to access and in many instances, make or receive copies of their records.The right to terminate the relationship at any time: This is tied to the right to refuse treatment.The right to a second opinion: This is tied to the right to be informed.The right to contact information for emergencies: A counselor is entitled to maintain some boundaries around the client relationship, but the client is entitled to be able to seek assistance even when the counselor may not be available.The right to a copy of that agency’s statement of client rights: The client has the right to be informed of his or her rights, and it is only reasonable to expect that the information be in written form.The right to safe treatment free from abuse: This is tied to the counselor’s primary responsibility to the client as described by the ACA Code of Ethics.The right to file a grievance in the event of a violation of a client’s rights: This is tied to one of the following five main purposes of the code of ethics of many organizations, including the ACA and the NBCC: to provide recourse for ethical violations—an opportunity for clients to seek to have perceived violations of ethical standards reviewed, and if necessary, to have those violations disciplined in some way. Having a process in place is vital to maintaining trust for the organization, not just the individual counselors.
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