In each Communique for 2024, we will be highlighting aspects of the Professional Practice Standards, which came into effect on January 1. This month discusses updates to Standard 1.6: Conflict of Interest and 1.7: Dual Relationships as they apply to working in small communities.
Both standards were expanded to include an increased emphasis on clinical and ethical judgment when dealing with conflicts and dual relationships. As a major example, conflicts and dual relationships can arise when working in small communities. A small community is defined as one in which it is impractical or impossible not to have a dual relationship with a client. Communities refer not only to a particular geographic area, but also to racialized, equity-deserving, academic, professional, social, spiritual, or cultural groups, or to those bound by any other unifying experience or characteristic including disability, sexuality or identity. This means it’s possible to live and work within a small community even when residing in a large population centre like Toronto or Ottawa.
Living and working within these communities means there will be a certain level of overlap between the personal and professional realms. RPs must use their professional and ethical judgement when a conflict of interest or dual relationship arises, reflecting on the safe and effective use of self and the best interests of clients.
In general, it is preferable to avoid conflicts of interest or dual relationships altogether. Where this is not possible, RPs should mitigate potential issues by discussing the risks and benefits of the conflict of interest or dual relationship as part of the informed consent process. Registrants should also have a conversation on what to do when the client and therapist encounter each other within their small community.
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