What You Should Know About Walk and Talk Therapy and Other Non-Traditional Counseling Settings – Part 2
Curt and Katie chat about non-traditional therapy settings like outdoor walk and talk therapy as well as home-based counseling. In the second of a two-part, continuing education podcourse series, we look at law and ethics, accessibility, informed consent, navigating confidentiality, dual relationships, and what therapist might want to consider before getting started.
In this continuing education podcast episode, we look at the laws and ethics related to non-traditional therapy settings
For our fourth CE-worthy podcourse, we’re looking at the laws and ethics of bringing therapy into non-traditional settings, including walk and talk therapy and home visits. We cover a lot of topics in this episode:
Debunking the hesitations of using non-traditional therapy settings
Minimizing liability and concerns related to these environmentsIs it unethical to not consider these environments?Access and payment, including insurance/managed health care concerns and fee settingUnpredictability in the environmentScheduling and permission for servicesBusiness practices and systems that support this type of dynamic practiceAccessibility of walk & talk and home-based therapies
Financial, physical or other types of accessibility (and navigating those)Ways to make sure you clients can access the service and are prepared for the environmentExtending boundaries and the consequences of these situationsDocumentation of any concerns that ariseClinician comfort and preference, do no harm, and do goodInformed Consent for non-traditional therapies
Client choice and appropriateness, including informed opt-in (and opt out)Health conditions, screening or attestation related to risk and liabilityClinician safety and how to talk with your client about these concernsCancellation policies and back up plansAbility to terminate (both passively and actively)Collaboration and communicationConfidentiality when you’re meeting outside of the therapy office
Managing the risks of the limits of confidentiality in these other settingsCollateral consent forms for additional members of the treatmentRelease forms for others in the homeCo-creating the plan to manage these situationsIdeas for how to explain the relationship, if neededActive and passive loss of confidentiality (and how to talk about these risks)Boundaries versus confidentiality (for example where in someone’s home to meet)Documentation and consultationDual Relationships that can happen during walk and talk or home-based therapies
Professional therapy never includes sexCasual nature of the relationship in these settings and the threat of friendship vibesNot all dual relationships are problematicHost/guest dynamics as something to pay attention to, but not necessarily harmfulNavigating the potential medical needs of home-bound clients (helping and/or advocating for more help)What therapists should assess before getting started
Liability and malpracticeLogistics and planningAssessing client vs clinician benefitAssessing competency for these types of servicesTraining, consultation, supervision, documentation