Term
| Examples of small communities |
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Definition
| Rural, LGBT, college, ethnic minority, refugees & immigrants, deaf, blind, military, religious, suburban, law enforcement |
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Term
| 2 types of isolation in rural communities |
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Definition
| Geographic (interdependence):"fish bowl" effect privacy is limited; professional isolation (no other or few mental health professionals; and limited public transportation) |
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Term
| Multiple relationships in small communities |
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Definition
| unavoidable and can even be beneficial, however, should be avoided when they impair objectivity, competence or pose risks of harm or exploitation to the client |
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Term
| Beneficial multiple relationships |
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Definition
| When a counselor-client nonprofessional interaction with a client or former client may be potentially beneficial to the client or former client, the counselor must document in case records (when feasible) the rationale for such an interaction, the potential benefit and anticipated consequences for the client or former client and other individuals significantly involved with the client or former client |
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Term
| Examples of beneficial multiple relationships |
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Definition
| potentially beneficial interactions outside the counseling office, which "include, but are not limited to, attending a formal ceremony (e.g., a wedding/commitment ceremony or graduation); purchasing a service or product provided by a client or former client (excepting unrestricted bartering); hospital visits to an ill family member; mutual membership in a professional association, organization or community." |
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Term
| Confidentiality in rural areas |
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Definition
| not always understood or valued; or if stigma, highly valued |
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Term
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Definition
| deal with "outside" information only when relevant to treatment; psychologists should keep relationships outside therapy as causal as possible |
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Term
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Definition
| generalist; professional isolation (training and consultation harder); burnout (blurring boundaries with multiple relationships; large caseload; difficulty finding coverage to take time off) |
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Term
| Nontraditional referral networks |
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Definition
| doctors, clergy, or others with some basic mental health training |
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