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2010
DOI: 10.1002/jclp.20681
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Ethical challenges of practicing in rural areas

Abstract: Mental health professionals practicing in rural areas face ethical dilemmas different from those experienced by their urban counterparts and may find that the existing ethics literature and American Psychological Association (APA, 2002) ethics code not particularly helpful. We highlight parts of five standards from the APA ethics code to illustrate the dilemmas rural practitioners frequently confront and offer suggestions for how to handle them. We discuss competence, human relations, and confidentiality as sp… Show more

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Cited by 40 publications
(35 citation statements)
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“…The most commonly reported scenarios referred to cases where the school psychologist was asked to establish a professional relationship with someone related to the client, or with whom a relationship of a different nature was already existent. Previous literature points out that psychologists in rural areas or small communities are more likely to experience multiple relationships dilemmas, namely, due to the lack of resources available (e.g., Curtin & Hargrove, 2010;Helbok, Marinelli, & Walls, 2006;Werth, 2010). Under these circumstances, to guarantee the client's right to access services and prevent potential harm resulting from service denial, multiple relationships such as serving multiple family members may not be avoidable.…”
Section: Discussionmentioning
confidence: 99%
“…The most commonly reported scenarios referred to cases where the school psychologist was asked to establish a professional relationship with someone related to the client, or with whom a relationship of a different nature was already existent. Previous literature points out that psychologists in rural areas or small communities are more likely to experience multiple relationships dilemmas, namely, due to the lack of resources available (e.g., Curtin & Hargrove, 2010;Helbok, Marinelli, & Walls, 2006;Werth, 2010). Under these circumstances, to guarantee the client's right to access services and prevent potential harm resulting from service denial, multiple relationships such as serving multiple family members may not be avoidable.…”
Section: Discussionmentioning
confidence: 99%
“…Rural residents often feel uncomfortable with mental health services because of the decreased anonymity in rural areas, and with the stigma these residents often associate with mental health services. [19][20][21] From this perspective, then, clients who participated in counseling may have appreciated the decreased likelihood of seeing the counselor in their community and thus have a reduced sense of stigma. This may be a unique and positive feature of telehealth counseling in rural areas.…”
Section: Challengesmentioning
confidence: 96%
“…One of these dilemmas is that psychologists living in these areas may from time to time be obligated to conduct the tests that they are not trained for, due to the insufficient number of qualified professionals. In such situations, psychologists can apply such tests under the supervision of a qualified colleague of theirs (Werth, Hastings, and Riding-Malon, 2010).…”
Section: Assessment In Rural and Low-income Regionsmentioning
confidence: 99%