Proposed (Unpublished) Commentary on the

National Association of Social Workers

CODE OF ETHICS

From an Orthodox Worldview

 

By Lawrence A Ressler, Ph.D., MSW, CSW

 

(Words in light print and headings are the official Code of Ethics.  Words indented and in dark print are the proposed commentary.)

 

Effective January 1, 1997

Preamble

 

The primary mission of the social work profession is to enhance human well-being and help meet the basic human needs of all people, with particular attention to the needs and empowerment of people who are vulnerable, oppressed, and living in poverty. A historic and defining feature of social work is the profession’s focus on individual well-being in a social context and the well-being of society. Fundamental to social work is attention to the environmental forces that create, contribute to, and address problems in living.

An historic orthodox Christian worldview is fully supportive of this mission statement.  It is compatible with Christian theology that is wholistic including an historic orthodox perspective.

Social workers promote social justice and social change with and on behalf of clients. “Clients” is used inclusively to refer to individuals, families, groups, organizations, and communities. Social workers are sensitive to cultural and ethnic diversity and strive to end discrimination, oppression, poverty, and other forms of social injustice. These activities may be in the form of direct practice, community organizing, supervision, consultation, administration, advocacy, social and political action, policy development and implementation, education, and research and evaluation. Social workers seek to enhance the capacity of people to address their own needs. Social workers also seek to promote the responsiveness of organizations, communities, and other social institutions to individuals’ needs and social problems.

It is worth noting that the definition of clients includes groups, organizations, and communities.  In discussing social justice and change, the values and cultures of religious groups, organizations, and communities need to be considered.  On occasion, the values, missions, and cultures of religious groups, organizations, and communities have been ignored, ridiculed or attacked.  In part this is related to a lack of respect for diversity of thought within the profession.  A progressive paradigm [1] dominates the profession to such an extent that the standards are frequently interpreted through a lens that minimizes, misinterprets, or denies other perspectives.  An orthodox religious worldview, in particular, is denied a legitimate role in the profession.

The power of the progressive paradigm is particularly evident with respect to the operationalization of the concepts of justice and discrimination.  In an effort to end discrimination and oppression, some social workers have felt justified in becoming oppressive when dealing with organizations and individuals who have worldviews that are different from their own.  This includes the practice of denying students placement in religious organizations because of organizational policies that are based on religious beliefs, rejecting student placements from religiously-affiliated colleges because of the policies of the institution, denying students entrance to social work programs because of religious beliefs, denying employment because of the religious beliefs, attempting to deny accreditation to religiously-affiliated schools that have religiously-based lifestyle expectations, and denying funding to agencies because of religiously-based policies.  An historic orthodox Christian worldview extends the call to end discrimination and oppression to orthodox affiliated institutions as well as other groups. .  The Code of Ethics does not give priority of one worldview over others.

The mission of the social work profession is rooted in a set of core values. These core values, embraced by social workers throughout the profession’s history, are the foundation of social work’s unique purpose and perspective:

               service

               social justice

               dignity and worth of the person

               importance of human relationships

               integrity

               competence.

This constellation of core values reflects what is unique to the social work profession. Core values, and the principles that flow from them, must be balanced within the context and complexity of the human experience.

An historic orthodox Christian worldview is fully supportive of this list of values and believes it is consistent with wholistic Christian theology including historic orthodox interpretations of the scriptures.

 

Purpose of the NASW Code of Ethics

Professional ethics are at the core of social work. The profession has an obligation to articulate its basic values, ethical principles, and ethical standards. The NASW Code of Ethics sets forth these values, principles, and standards to guide social workers’ conduct.  The Code is relevant to all social workers and social work students, regardless of their professional functions, the settings in which they work, or the populations they serve.

The NASW Code of Ethics serves six purposes:

1.  The Code identifies core values on which social work’s mission is based.

2.  The Code summarizes broad ethical principles that reflect the profession’s core values and establishes a set of specific ethical standards that should be used to guide social work practice.

3.  The Code is designed to help social workers identify relevant considerations when professional obligations conflict or ethical uncertainties arise.

4.  The Code provides ethical standards to which the general public can hold the social work profession accountable.

5.  The Code socializes practitioners new to the field to social work’s mission, values, ethical principles, and ethical standards.

6.    The Code articulates standards that the social work profession itself can use to assess whether social workers have engaged in unethical conduct. NASW has formal procedures to adjudicate ethics complaints filed against its members.1 In subscribing to this Code, social workers are required to cooperate in its implementation, participate in NASW adjudication proceedings, and abide by any NASW disciplinary rulings or sanctions based on it.

An historic orthodox Christian worldview supports the purposes of the Code of Ethics as listed above.  It is imperative, however, that different worldviews be respected in the application of values, principles, and standards. 

1For information on NASW adjudication procedures, see NASW Procedures for the Adjudication of Grievances.

The Code offers a set of values, principles, and standards to guide decision making and conduct when ethical issues arise. It does not provide a set of rules that prescribe how social workers should act in all situations. Specific applications of the Code must take into account the context in which it is being considered and the possibility of conflicts among the Code’s values, principles, and standards. Ethical responsibilities flow from all human relationships, from the personal and familial to the social and professional.

It is useful to note that the context is recognized as a critical part of ethical application as well as the possibility of conflicts among values, principles, and standards.  There will be differences of opinion about contexts and what is considered a conflict, especially between progressive and orthodox worldviews.  Care must be taken in interpreting and drawing conclusions about context and conflict across worldviews.

Further, the NASW Code of Ethics does not specify which values, principles, and standards are most important and ought to outweigh others in instances when they conflict. Reasonable differences of opinion can and do exist among social workers with respect to the ways in which values, ethical principles, and ethical standards should be rank ordered when they conflict. Ethical decision making in a given situation must apply the informed judgment of the individual social worker and should also consider how the issues would be judged in a peer review process where the ethical standards of the profession would be applied.

The Code recognizes that differences of opinion exist within the profession.  It further recognizes that values, ethical principles, and standards will be rank-ordered in different ways.  Claims by any group to have the ultimate and only interpretation are not supported in the Code.  At the same time, the Code is clear that there must be support among peers for an interpretation of the Code.  It is imperative that persons with an orthodox worldview have peer support for their interpretation of the values, principles, and standards.  For the most part, the orthodox voice has been missing in the profession.

Ethical decision making is a process. There are many instances in social work where simple answers are not available to resolve complex ethical issues. Social workers should take into consideration all the values, principles, and standards in this Code that are relevant to any situation in which ethical judgment is warranted. Social workers’ decisions and actions should be consistent with the spirit as well as the letter of this Code.

The Code recognizes the complexity of some of the issues social workers face.  Life and death issues, worldview conflicts as they relate to lifestyle (including gay, lesbian, bi-sexual, and transgender behavior) are among the most complex.  Simple answers are expressly rejected.  Several of the NASW policy statements, notably the statement on abortion and euthanasia acknowledge the differences in values in the profession related to these issues.  The same recognition is not acknowledged with respect to gay, lesbian, bi-sexual, and transgender behavior.  An historic orthodox Christian worldview encourages the profession to acknowledge the diversity of thought that exists within its membership including the orthodox worldview.

In addition to this Code, there are many other sources of information about ethical thinking that may be useful. Social workers should consider ethical theory and principles generally, social work theory and research, laws, regulations, agency policies, and other relevant codes of ethics, recognizing that among codes of ethics social workers should consider the NASW Code of Ethics as their primary source. Social workers also should be aware of the impact on ethical decision making of their clients’ and their own personal values and cultural and religious beliefs and practices. They should be aware of any conflicts between personal and professional values and deal with them responsibly. For additional guidance social workers should consult the relevant literature on professional ethics and ethical decision making and seek appropriate consultation when faced with ethical dilemmas. This may involve consultation with an agency-based or social work organization’s ethics committee, a regulatory body, knowledgeable colleagues, supervisors, or legal counsel.

A clearly developed ethical foundation for decision-making process needs to undergird the interpretation of values, principles, and standards.  This is true for persons with an orthodox worldview as well as a progressive worldview.  An historic orthodox Christian worldview is concerned that the progressive worldview has dominated the profession for such a long time that some social workers cannot envision nor understand the merit of any other perspective.  As a consequence alternate interpretations are inappropriately labeled as unjust and oppressive.

Instances may arise when social workers’ ethical obligations conflict with agency policies or relevant laws or regulations. When such conflicts occur, social workers must make a responsible effort to resolve the conflict in a manner that is consistent with the values, principles, and standards expressed in this Code. If a reasonable resolution of the conflict does not appear possible, social workers should seek proper consultation before making a decision.

The Code acknowledges that ethical dilemmas with respect to agency policies or relevant laws or regulations may occur.  It needs to be recognized that ethical dilemmas happen in many different contexts including the dilemmas experienced by religiously sensitive social workers when agencies refuse to deal with the religious or spiritual aspects of individuals, dilemmas experienced by secular social workers who work in religiously affiliated organizations, dilemmas experienced by progressively oriented social workers in organizations that are more oriented to an orthodox worldview, and dilemmas experienced by orthodox oriented social workers in organizations with a more progressive worldview.  An historic orthodox Christian worldview is concerned that there is not equanimity in identifying ethical dilemmas

The NASW Code of Ethics is to be used by NASW and by individuals, agencies, organizations, and bodies (such as licensing and regulatory boards, professional liability insurance providers, courts of law, agency boards of directors, government agencies, and other professional groups) that choose to adopt it or use it as a frame of reference. Violation of standards in this Code does not automatically imply legal liability or violation of the law. Such determination can only be made in the context of legal and judicial proceedings. Alleged violations of the Code would be subject to a peer review process. Such processes are generally separate from legal or administrative procedures and insulated from legal review or proceedings to allow the profession to counsel and discipline its own members.

An historic orthodox Christian worldview acknowledges that there are Christians who accept a progressive worldview as well as an orthodox worldview.  An historic orthodox Christian worldview encourages sensitivity to all religious perspectives.  Because of the prevalence of the progressive paradigm, An historic orthodox Christian worldview believes the greatest challenge will be with persons who embrace an historic orthodox Christian perspective.

A code of ethics cannot guarantee ethical behavior. Moreover, a code of ethics cannot resolve all ethical issues or disputes or capture the richness and complexity involved in striving to make responsible choices within a moral community. Rather, a code of ethics sets forth values, ethical principles, and ethical standards to which professionals aspire and by which their actions can be judged. Social workers’ ethical behavior should result from their personal commitment to engage in ethical practice. The NASW Code of Ethics reflects the commitment of all social workers to uphold the profession’s values and to act ethically. Principles and standards must be applied by individuals of good character who discern moral questions and, in good faith, seek to make reliable ethical judgments.

The existence of the moral aspect of the Code and the need for a community to discern moral questions is recognized.  An historic orthodox Christian worldview believes that the Christian community has a right and responsibility to be involved in this discerning process.  It recognizes that a Christian perspective on moral questions will be different from some other perspectives.  The Code does not indicate that any specific community has a monopoly on discerning moral questions.

Ethical Principles

The following broad ethical principles are based on social work’s core values of service, social justice, dignity and worth of the person, importance of human relationships, integrity, and competence. These principles set forth ideals to which all social workers should aspire.

Value: Service

Ethical Principle: Social workers’ primary goal is to help people in need and to address social problems.

Social workers elevate service to others above self-interest. Social workers draw on their knowledge, values, and skills to help people in need and to address social problems. Social workers are encouraged to volunteer some portion of their professional skills with no expectation of significant financial return (pro bono service).

An historic orthodox Christian worldview is supportive of this value and ethical principle and believes a wholistic Christian theology is compatible with them.

Value: Social Justice

Ethical Principle: Social workers challenge social injustice.

Social workers pursue social change, particularly with and on behalf of vulnerable and oppressed individuals and groups of people. Social workers’ social change efforts are focused primarily on issues of poverty, unemployment, discrimination, and other forms of social injustice. These activities seek to promote sensitivity to and knowledge about oppression and cultural and ethnic diversity. Social workers strive to ensure access to needed information, services, and resources; equality of opportunity; and meaningful participation in decision making for all people.

An historic orthodox Christian worldview is supportive of this value and ethical principle and believes a wholistic Christian theology is compatible with them.  Social and economic justice has a long and rich tradition in Christian thought.  There can be considerable differences between definitions of social justice, however.  This is especially true between progressive and orthodox worldviews.  The Code does define or judge different definitions of justice.  Claims to having the only legitimate perspective should be challenged.

Value: Dignity and Worth of the Person

Ethical Principle: Social workers respect the inherent dignity and worth of the person.

Social workers treat each person in a caring and respectful fashion, mindful of individual differences and cultural and ethnic diversity. Social workers promote clients’ socially responsible self-determination. Social workers seek to enhance clients’ capacity and opportunity to change and to address their own needs. Social workers are cognizant of their dual responsibility to clients and to the broader society. They seek to resolve conflicts between clients’ interests and the broader society’s interests in a socially responsible manner consistent with the values, ethical principles, and ethical standards of the profession.

An historic orthodox Christian worldview is supportive of this value and ethical principle and believes a wholistic Christian theology is compatible with them.  It should be noted that self-determination is balanced by a responsibility to broader society.  An orthodox worldview may result in a different balance between individual rights and social well-being than those with a progressive worldview.  Persons who believe the evidence suggests that a traditional family structure and the life and death issues of euthanasia and abortion are critical to the well-being of society have an ethical obligation to voice their concern.  Careful thought and sound ethical decision-making needs to be given to the tension between self-determination and social well-being.  Differences in private and public policy need to be clearly articulated.

Value: Importance of Human Relationships

Ethical Principle: Social workers recognize the central importance of human relationships.

Social workers understand that relationships between and among people are an important vehicle for change. Social workers engage people as partners in the helping process. Social workers seek to strengthen relationships among people in a purposeful effort to promote, restore, maintain, and enhance the well-being of individuals, families, social groups, organizations, and communities.

An historic orthodox Christian worldview is supportive of this value and ethical principle and believes a wholistic Christian theology is compatible with them.

Value: Integrity

Ethical Principle: Social workers behave in a trustworthy manner.

Social workers are continually aware of the profession’s mission, values, ethical principles, and ethical standards and practice in a manner consistent with them. Social workers act honestly and responsibly and promote ethical practices on the part of the organizations with which they are affiliated.

An historic orthodox Christian worldview is supportive of this value and ethical principle and believes a wholistic Christian theology is compatible with them.  Persons with An historic orthodox Christian worldview will at times interpret the values, principles, and standards in ways that are different from persons with a progressive worldview.  The ethical practices they promote may differ as well at points.

Value: Competence

Ethical Principle: Social workers practice within their areas of competence and develop and enhance their professional expertise.

Social workers continually strive to increase their professional knowledge and skills and to apply them in practice. Social workers should aspire to contribute to the knowledge base of the profession.

An historic orthodox Christian worldview is supportive of this value and ethical principle and believes a wholistic Christian theology is compatible with them.  Diversity of thought needs to be supported in the social work profession.  The logic, theories and empirical evidence from all perspectives, including an orthodox perspective, needs to made available to social workers.

 

Ethical Standards

The following ethical standards are relevant to the professional  activities of all social workers. These standards concern (1) social workers’ ethical responsibilities to clients, (2) social workers’ ethical responsibilities to colleagues, (3) social workers’ ethical responsibilities in practice settings, (4) social workers’ ethical responsibilities as professionals, (5) social workers’ ethical responsibilities to the social work profession, and (6) social workers’ ethical responsibilities to the broader society.

Some of the standards that follow are enforceable guidelines for professional conduct, and some are aspirational. The extent to which each standard is enforceable is a matter of professional judgment to be exercised by those responsible for reviewing alleged violations of ethical standards.

It is important that different worldviews be understood and respected when evaluating compliance with the standards.  An historic orthodox Christian worldview believes that there is a danger that those with a progressive worldview may inappropriately conclude that interpretations of the standards based on worldviews other than their own are violations of the standards.  This is particularly true with respect to social work practice related to sensitive social issues such as euthanasia, abortion, and lifestyle issues including homosexual behavior.  It is important that persons with sensitivity to an orthodox worldview be involved in judging alleged violations. 

1. Social Workers’ Ethical Responsibilities to Clients

1.01 Commitment to Clients

Social workers’ primary responsibility is to promote the well-being of clients. In general, clients’ interests are primary. However, social workers’ responsibility to the larger society or specific legal obligations may on limited occasions supersede the loyalty owed clients, and clients should be so advised. (Examples include when a social worker is required by law to report that a client has abused a child or has threatened to harm self or others.)

An historic orthodox Christian worldview is supportive of this standard.  It acknowledges that orthodox and progressive perspectives may differ considerably as to which social concerns deserve to supersede client loyalty.  Abortion, sexual behavior, gambling, control of pornographic material have been especially contentious historically.  As noted in the Purpose of the NASW Code of Ethics section, specific rules are not provided in such matters.  Further, the Code acknowledges that there may be reasonable differences of opinion about the relative ranking of values, principles, and standards.  The NASW policy statements identify one interpretation but Code does not require that all social workers follow these policies. 

1.02 Self-Determination

Social workers respect and promote the right of clients to self-determination and assist clients in their efforts to identify and clarify their goals. Social workers may limit clients’ right to self-determination when, in the social workers’ professional judgment, clients’ actions or potential actions pose a serious, foreseeable, and imminent risk to themselves or others.

An historic orthodox Christian worldview is supportive of this standard.  Christian theologies that endorse the concept of human free are compatible with this standard.  Persons with an orthodox worldview may reach different conclusions as to what actions are serious, foreseeable, and of imminent risk to persons or others.  Among the most controversial is the right of persons to try to change sexual preference or behavior.  The Code of Ethics supports this right if so desired by clients.

1.03         Informed Consent

(a) Social workers should provide services to clients only in the context of a professional relationship based, when appropriate, on valid informed consent. Social workers should use clear and understandable language to inform clients of the purpose of the services, risks related to the services, limits to services because of the requirements of a third-party payer, relevant costs, reasonable alternatives, clients’ right to refuse or withdraw consent, and the time frame covered by the consent. Social workers should provide clients with an opportunity to ask questions.

(b)                In instances when clients are not literate or have difficulty understanding the primary language used in the practice setting, social workers should take steps to ensure clients’ comprehension. This may include providing clients with a detailed verbal explanation or arranging for a qualified interpreter or translator whenever possible.

(c) In instances when clients lack the capacity to provide informed consent, social workers should protect clients’ interests by seeking permission from an appropriate third party, informing clients consistent with the clients’ level of understanding. In such instances social workers should seek to ensure that the third party acts in a manner consistent with clients’ wishes and interests. Social workers should take reasonable steps to enhance such clients’ ability to give informed consent.

(d) In instances when clients are receiving services involuntarily, social workers should provide information about the nature and extent of services and about the extent of clients’ right to refuse service.

(e) Social workers who provide services via electronic media (such as computer, telephone, radio, and television) should inform recipients of the limitations and risks associated with such services.

(f) Social workers should obtain clients’ informed consent before audiotaping or videotaping clients or permitting observation of services to clients by a third party.

An historic orthodox Christian worldview is supportive of these standards. 

1.04  Competence

(a) Social workers should provide services and represent themselves as competent only within the boundaries of their education, training, license, certification, consultation received, supervised experience, or other relevant professional experience.

(b)                Social workers should provide services in substantive areas or use intervention techniques or approaches that are new to them only after engaging in appropriate study, training, consultation, and supervision from people who are competent in those interventions or techniques.

(c) When generally recognized standards do not exist with respect to an emerging area of practice, social workers should exercise careful judgment and take responsible steps (including appropriate education, research, training, consultation, and supervision) to ensure the competence of their work and to protect clients from harm.

An historic orthodox Christian worldview is supportive of these standards.  It believes that spiritual and religious interventions and services are among those that should be included but have often been neglected.

1.05 Cultural Competence and Social Diversity

(a) Social workers should understand culture and its function in human behavior and society, recognizing the strengths that exist in all cultures.

An historic orthodox Christian worldview is supportive of this standard.  The contribution of religion to the lives of individuals, communities, and to society has been long overlooked by social workers.  An historic orthodox Christian worldview holds that increased attention to the role or religion is needed.

(b)                Social workers should have a knowledge base of their clients’ cultures and be able to demonstrate competence in the provision of services that are sensitive to clients’ cultures and to differences among people and cultural groups.

An historic orthodox Christian worldview is supportive of this standard.  It believes that there is a significant gap in knowledge about religious services, religious belief, and religious practice in the profession.  Especially neglected and misunderstood are persons who have a more conservative religious worldview.  Social workers need to become increasingly proficient at assessing the religious and spiritual aspect of client's lives.

(c) Social workers should obtain education about and seek to understand the nature of social diversity and oppression with respect to race, ethnicity, national origin, color, sex, sexual orientation, age, marital status, political belief, religion, and mental or physical disability.

An historic orthodox Christian worldview is supportive of this standard.  It suggests that increased educational attention be given to religion, especially those with orthodox worldviews.  There are a number of ethical dilemmas that emerge when various diverse groups are juxtaposed.  Especially difficult are questions about sexual orientation and orthodox theological beliefs.  An historic orthodox Christian worldview believes that the controversy is not about sexual orientation but sexual behavior.  Persons with An historic orthodox Christian worldview believe that it is in society's best interest to have social policies that direct sexual intimacy to heterosexual married adults.  While persons with a progressive worldview tend to compare sexual orientation to race or gender, person from a orthodox perspective compare sexual orientation to alcoholism.

1.06 Conflicts of Interest

(a)  Social workers should be alert to and avoid conflicts of interest that interfere with the exercise of professional discretion and impartial judgment. Social workers should inform clients when a real or potential conflict of interest arises and take reasonable steps to resolve the issue in a manner that makes the clients’ interests primary and protects clients’ interests to the greatest extent possible. In some cases, protecting clients’ interests may require termination of the professional relationship with proper referral of the client.

 (b) Social workers should not take unfair advantage of any professional relationship or exploit others to further their personal, religious, political, or business interests.

(c) Social workers should not engage in dual or multiple relationships with clients or former clients in which there is a risk of exploitation or potential harm to the client. In instances when dual or multiple relationships are unavoidable, social workers should take steps to protect clients and are responsible for setting clear, appropriate, and culturally sensitive boundaries. (Dual or multiple relationships occur when social workers relate to clients in more than one relationship, whether professional, social, or business. Dual or multiple relationships can occur simultaneously or consecutively.)

(d)                When social workers provide services to two or more people who have a relationship with each other (for example, couples, family members), social workers should clarify with all parties which individuals will be considered clients and the nature of social workers’ professional obligations to the various individuals who are receiving services. Social workers who anticipate a conflict of interest among the individuals receiving services or who anticipate having to perform in potentially conflicting roles (for example, when a social worker is asked to testify in a child custody dispute or divorce proceedings involving clients) should clarify their role with the parties involved and take appropriate action to minimize any conflict of interest.

An historic orthodox Christian worldview is supportive of these standards.  It points out that among the potential conflicts of interest are those that emerge when the worldviews of clients and social workers clash.  This is as true of social workers with a progressive worldview who are working with clients who are more orthodox as it is of social workers who have an orthodox worldview and are working with clients with a more progressive worldview.  In both cases, clients should be informed when personal values and worldview impinge on the helping process.  Clients should be referred to someone who can help when the values of a social worker may limit the help desired as in the case of a client desiring an abortion or someone who wants to control sexual behavior or modify a sexual preference.

1.07 Privacy and Confidentiality

(a) Social workers should respect clients’ right to privacy. Social workers should not solicit private information from clients unless it is essential to providing services or conducting social work evaluation or research. Once private information is shared, standards of confidentiality apply.

(b)                Social workers may disclose confidential information when appropriate with valid consent from a client or a person legally authorized to consent on behalf of a client.

(c) Social workers should protect the confidentiality of all information obtained in the course of professional service, except for compelling professional reasons. The general expectation that social workers will keep information confidential does not apply when disclosure is necessary to prevent serious, foreseeable, and imminent harm to a client or other identifiable person or when laws or regulations require disclosure without a client’s consent. In all instances, social workers should disclose the least amount of confidential information necessary to achieve the desired purpose; only information that is directly relevant to the purpose for which the disclosure is made should be revealed.

(d) Social workers should inform clients, to the extent possible, about the disclosure of confidential information and the potential consequences, when feasible before the disclosure is made. This applies whether social workers disclose confidential information on the basis of a legal requirement or client consent.

(e) Social workers should discuss with clients and other interested parties the nature of confidentiality and limitations of clients’ right to confidentiality. Social workers should review with clients circumstances where confidential information may be requested and where disclosure of confidential information may be legally required. This discussion should occur as soon as possible in the social worker–client relationship and as needed throughout the course of the relationship.

(f) When social workers provide counseling services to families, couples, or groups, social workers should seek agreement among the parties involved concerning each individual’s right to confidentiality and obligation to preserve the confidentiality of information shared by others. Social workers should inform participants in family, couples, or group counseling that social workers cannot guarantee that all participants will honor such agreements.

(g) Social workers should inform clients involved in family, couples, marital, or group counseling of the social worker’s, employer’s, and agency’s policy concerning the social worker’s disclosure of confidential information among the parties involved in the counseling.

(h)                Social workers should not disclose confidential information to third-party payers unless clients have authorized such disclosure.

(i) Social workers should not discuss confidential information in any setting unless privacy can be ensured. Social workers should not discuss confidential information in public or semipublic areas such as hallways, waiting rooms, elevators, and restaurants.

(j)  Social workers should protect the confidentiality of clients during legal proceedings to the extent permitted by law. When a court of law or other legally authorized body orders social workers to disclose confidential or privileged information without a client’s consent and such disclosure could cause harm to the client, social workers should request that the court withdraw the order or limit the order as narrowly as possible or maintain the records under seal, unavailable for public inspection.

(k) Social workers should protect the confidentiality of clients when responding to requests from members of the media.

(l) Social workers should protect the confidentiality of clients’ written and electronic records and other sensitive information. Social workers should take reasonable steps to ensure that clients’ records are stored in a secure location and that clients’ records are not available to others who are not authorized to have access.

(m) Social workers should take precautions to ensure and maintain the confidentiality of information transmitted to other parties through the use of computers, electronic mail, facsimile machines, telephones and telephone answering machines, and other electronic or computer technology. Disclosure of identifying information should be avoided whenever possible.

(n)                Social workers should transfer or dispose of clients’ records in a manner that protects clients’ confidentiality and is consistent with state statutes governing records and social work licensure.

(o)                Social workers should take reasonable precautions to protect client confidentiality in the event of the social worker’s termination of practice, incapacitation, or death.

(p)                Social workers should not disclose identifying information when discussing clients for teaching or training purposes unless the client has consented to disclosure of confidential information.

(q)                Social workers should not disclose identifying information when discussing clients with consultants unless the client has consented to disclosure of confidential information or there is a compelling need for such disclosure.

(r) Social workers should protect the confidentiality of deceased clients consistent with the preceding standards.

An historic orthodox Christian worldview is supportive of these standards. 

1.08 Access to Records

(a) Social workers should provide clients with reasonable access to records concerning the clients. Social workers who are concerned that clients’ access to their records could cause serious misunderstanding or harm to the client should provide assistance in interpreting the records and consultation with the client regarding the records. Social workers should limit clients’ access to their records, or portions of their records, only in exceptional circumstances when there is compelling evidence that such access would cause serious harm to the client. Both clients’ requests and the rationale for withholding some or all of the record should be documented in clients’ files.

(b)                When providing clients with access to their records, social workers should take steps to protect the confidentiality of other individuals identified or discussed in such records.

An historic orthodox Christian worldview is supportive of these standards. 

1.09 Sexual Relationships

(a) Social workers should under no circumstances engage in sexual activities or sexual contact with current clients, whether such contact is consensual or forced.

(b)                Social workers should not engage in sexual activities or sexual contact with clients’ relatives or other individuals with whom clients maintain a close personal relationship when there is a risk of exploitation or potential harm to the client. Sexual activity or sexual contact with clients’ relatives or other individuals with whom clients maintain a personal relationship has the potential to be harmful to the client and may make it difficult for the social worker and client to maintain appropriate professional boundaries. Social workers—not their clients, their clients’ relatives, or other individuals with whom the client maintains a personal relationship—assume the full burden for setting clear, appropriate, and culturally sensitive boundaries.

(c) Social workers should not engage in sexual activities or sexual contact with former clients because of the potential for harm to the client. If social workers engage in conduct contrary to this prohibition or claim that an exception to this prohibition is warranted because of extraordinary circumstances, it is social workers—not their clients—who assume the full burden of demonstrating that the former client has not been exploited, coerced, or manipulated, intentionally or unintentionally.

(d)                Social workers should not provide clinical services to individuals with whom they have had a prior sexual relationship. Providing clinical services to a former sexual partner has the potential to be harmful to the individual and is likely to make it difficult for the social worker and individual to maintain appropriate professional boundaries.

An historic orthodox Christian worldview is supportive of these standards. 

1.10 Physical Contact

Social workers should not engage in physical contact with clients when there is a possibility of psychological harm to the client as a result of the contact (such as cradling or caressing clients). Social workers who engage in appropriate physical contact with clients are responsible for setting clear, appropriate, and culturally sensitive boundaries that govern such physical contact.

An historic orthodox Christian worldview is supportive of this standard. 

1.11 Sexual Harassment

Social workers should not sexually harass clients. Sexual harassment includes sexual advances, sexual solicitation, requests for sexual favors, and other verbal or physical conduct of a sexual nature.

An historic orthodox Christian worldview is supportive of this standard. 

1.12 Derogatory Language

Social workers should not use derogatory language in their written or verbal communications to or about clients. Social workers should use accurate and respectful language in all communications to and about clients.

An historic orthodox Christian worldview is supportive of this standard. 

1.13 Payment for Services

(a) When setting fees, social workers should ensure that the fees are fair, reasonable, and commensurate with the services performed. Consideration should be given to clients’ ability to pay.

(b)                Social workers should avoid accepting goods or services from clients as payment for professional services. Bartering arrangements, particularly involving services, create the potential for conflicts of interest, exploitation, and inappropriate boundaries in social workers’ relationships with clients. Social workers should explore and may participate in bartering only in very limited circumstances when it can be demonstrated that such arrangements are an accepted practice among professionals in the local community, considered to be essential for the provision of services, negotiated without coercion, and entered into at the client’s initiative and with the client’s informed consent. Social workers who accept goods or services from clients as payment for professional services assume the full burden of demonstrating that this arrangement will not be detrimental to the client or the professional relationship.

(c)     Social workers should not solicit a private fee or other remuneration for providing services to clients who are entitled to such available services through the social workers’ employer or agency.

An historic orthodox Christian worldview is supportive of these standards. 

1.14 Clients Who Lack Decision-Making Capacity

When social workers act on behalf of clients who lack the capacity to make informed decisions, social workers should take reasonable steps to safeguard the interests and rights of those clients.

An historic orthodox Christian worldview is supportive of this standard. 

1.15 Interruption of Services

Social workers should make reasonable efforts to ensure continuity of services in the event that services are interrupted by factors such as unavailability, relocation, illness, disability, or death.

An historic orthodox Christian worldview is supportive of this standard. 

1.16 Termination of Services

(a) Social workers should terminate services to clients and professional relationships with them when such services and relationships are no longer required or no longer serve the clients’ needs or interests.

(b)                Social workers should take reasonable steps to avoid abandoning clients who are still in need of services. Social workers should withdraw services precipitously only under unusual circumstances, giving careful consideration to all factors in the situation and taking care to minimize possible adverse effects. Social workers should assist in making appropriate arrangements for continuation of services when necessary.

(c) Social workers in fee-for-service settings may terminate services to clients who are not paying an overdue balance if the financial contractual arrangements have been made clear to the client, if the client does not pose an imminent danger to self or others, and if the clinical and other consequences of the current nonpayment have been addressed and discussed with the client.

(d)                Social workers should not terminate services to pursue a social, financial, or sexual relationship with a client.

(e) Social workers who anticipate the termination or interruption of services to clients should notify clients promptly and seek the transfer, referral, or continuation of services in relation to the clients’ needs and preferences.

(f) Social workers who are leaving an employment setting should inform clients of appropriate options for the continuation of services and of the benefits and risks of the options.

An historic orthodox Christian worldview is supportive of these standards. 

2. Social Workers’ Ethical Responsibilities to Colleagues

.2.01 Respect

(a) Social workers should treat colleagues with respect and should represent accurately and fairly the qualifications, views, and obligations of colleagues.

(b)                Social workers should avoid unwarranted negative criticism of colleagues in communications with clients or with other professionals. Unwarranted negative criticism may include demeaning comments that refer to colleagues’ level of competence or to individuals’ attributes such as race, ethnicity, national origin, color, sex, sexual orientation, age, marital status, political belief, religion, and mental or physical disability.

(c) Social workers should cooperate with social work colleagues and with colleagues of other professions when such cooperation serves the well-being of clients.

This standard applies to diverse worldviews including cooperation with social worker colleagues who hold orthodox religious views.  Conditions that lead to the fear of intimidation that some persons with religious affiliation feel in academic institutions or agencies need to be changed.

2.02 Confidentiality

Social workers should respect confidential information shared by colleagues in the course of their professional relationships and transactions. Social workers should ensure that such colleagues understand social workers’ obligation to respect confidentiality and any exceptions related to it.

An historic orthodox Christian worldview is supportive of this standard. 

2.03 Interdisciplinary Collaboration

(a) Social workers who are members of an interdisciplinary team should participate in and contribute to decisions that affect the well-being of clients by drawing on the perspectives, values, and experiences of the social work profession. Professional and ethical obligations of the interdisciplinary team as a whole and of its individual members should be clearly established.

(b)                Social workers for whom a team decision raises ethical concerns should attempt to resolve the disagreement through appropriate channels. If the disagreement cannot be resolved, social workers should pursue other avenues to address their concerns consistent with client well-being.

An historic orthodox Christian worldview is supportive of these standards. 

2.04 Disputes Involving Colleagues

(a) Social workers should not take advantage of a dispute between a colleague and an employer to obtain a position or otherwise advance the social workers’ own interests.

(b)                Social workers should not exploit clients in disputes with colleagues or engage clients in any inappropriate discussion of conflicts between social workers and their colleagues.

An historic orthodox Christian worldview is supportive of these standards. 

2.05 Consultation

(a) Social workers should seek the advice and counsel of colleagues whenever such consultation is in the best interests of clients.

(b)                Social workers should keep themselves informed about colleagues’ areas of expertise and competencies. Social workers should seek consultation only from colleagues who have demonstrated knowledge, expertise, and competence related to the subject of the consultation.

(c) When consulting with colleagues about clients, social workers should disclose the least amount of information necessary to achieve the purposes of the consultation.

An historic orthodox Christian worldview is supportive of these standards. 

2.06 Referral for Services

(a) Social workers should refer clients to other professionals when the other professionals’ specialized knowledge or expertise is needed to serve clients fully or when social workers believe that they are not being effective or making reasonable progress with clients and that additional service is required.

(b)                Social workers who refer clients to other professionals should take appropriate steps to facilitate an orderly transfer of responsibility. Social workers who refer clients to other professionals should disclose, with clients’ consent, all pertinent information to the new service providers.

(c) Social workers are prohibited from giving or receiving payment for a referral when no professional service is provided by the referring social worker.

Referring to others may be necessary when personal values of the social worker conflict with the client as in the case of euthanasia, abortion, lifestyle choices, family structuring, and so on.  This applies as much to social workers who have progressive values as those with orthodox values.

2.07 Sexual Relationships

(a) Social workers who function as supervisors or educators should not engage in sexual activities or contact with supervisees, students, trainees, or other colleagues over whom they exercise professional authority.

(b)                Social workers should avoid engaging in sexual relationships with colleagues when there is potential for a conflict of interest. Social workers who become involved in, or anticipate becoming involved in, a sexual relationship with a colleague have a duty to transfer professional responsibilities, when necessary, to avoid a conflict of interest.

An historic orthodox Christian worldview is supportive of these standards. 

2.08 Sexual Harassment

Social workers should not sexually harass supervisees, students, trainees, or colleagues. Sexual harassment includes sexual advances, sexual solicitation, requests for sexual favors, and other verbal or physical conduct of a sexual nature.

An historic orthodox Christian worldview is supportive of this standard. 

2.09 Impairment of Colleagues

(a) Social workers who have direct knowledge of a social work colleague’s impairment that is due to personal problems, psychosocial distress, substance abuse, or mental health difficulties and that interferes with practice effectiveness should consult with that colleague when feasible and assist the colleague in taking remedial action.

(b)                Social workers who believe that a social work colleague’s impairment interferes with practice effectiveness and that the colleague has not taken adequate steps to address the impairment should take action through appropriate channels established by employers, agencies, NASW, licensing and regulatory bodies, and other professional organizations.

An historic orthodox Christian worldview is supportive of these standards. 

2.10 Incompetence of Colleagues

(a) Social workers who have direct knowledge of a social work colleague’s incompetence should consult with that colleague when feasible and assist the colleague in taking remedial action.

(b)                Social workers who believe that a social work colleague is incompetent and has not taken adequate steps to address the incompetence should take action through appropriate channels established by employers, agencies, NASW, licensing and regulatory bodies, and other professional organizations.

An historic orthodox Christian worldview is supportive of these standards. 

2.11 Unethical Conduct of Colleagues

(a) Social workers should take adequate measures to discourage, prevent, expose, and correct the unethical conduct of colleagues.

(b)                Social workers should be knowledgeable about established policies and procedures for handling concerns about colleagues’ unethical behavior. Social workers should be familiar with national, state, and local procedures for handling ethics complaints. These include policies and procedures created by NASW, licensing and regulatory bodies, employers, agencies, and other professional organizations.

(c) Social workers who believe that a colleague has acted unethically should seek resolution by discussing their concerns with the colleague when feasible and when such discussion is likely to be productive.

(d)                When necessary, social workers who believe that a colleague has acted unethically should take action through appropriate formal channels (such as contacting a state licensing board or regulatory body, an NASW committee on inquiry, or other professional ethics committees).

(e) Social workers should defend and assist colleagues who are unjustly charged with unethical conduct.

An historic orthodox Christian worldview is supportive of these standards. 

3. Social Workers’ Ethical Responsibilities in Practice Settings

3.01 Supervision and Consultation

(a) Social workers who provide supervision or consultation should have the necessary knowledge and skill to supervise or consult appropriately and should do so only within their areas of knowledge and competence.

(b)                Social workers who provide supervision or consultation are responsible for setting clear, appropriate, and culturally sensitive boundaries.             

(c) Social workers should not engage in any dual or multiple relationships with supervisees in which there is a risk of exploitation of or potential harm to the supervisee.

(d)                Social workers who provide supervision should evaluate supervisees’ performance in a manner that is fair and respectful.

An historic orthodox Christian worldview is supportive of these standards. 

3.02 Education and Training

(a) Social workers who function as educators, field instructors for students, or trainers should provide instruction only within their areas of knowledge and competence and should provide instruction based on the most current information and knowledge available in the profession.     

(b)                Social workers who function as educators or field instructors for students should evaluate students’ performance in a manner that is fair and respectful.

(c) Social workers who function as educators or field instructors for students should take reasonable steps to ensure that clients are routinely informed when services are being provided by students.

(d)                Social workers who function as educators or field instructors for students should not engage in any dual or multiple relationships with students in which there is a risk of exploitation or potential harm to the student. Social work educators and field instructors are responsible for setting clear, appropriate, and culturally sensitive boundaries.

An historic orthodox Christian worldview is supportive of these standards. 

3.03 Performance Evaluation

Social workers who have responsibility for evaluating the performance of others should fulfill such responsibility in a fair and considerate manner and on the basis of clearly stated criteria.

An historic orthodox Christian worldview is supportive of this standard. 

3.04 Client Records

(a) Social workers should take reasonable steps to ensure that documentation in records is accurate and reflects the services provided.

(b)                Social workers should include sufficient and timely documentation in records to facilitate the delivery of services and to ensure continuity of services provided to clients in the future.

(c) Social workers’ documentation should protect clients’ privacy to the extent that is possible and appropriate and should include only information that is directly relevant to the delivery of services.