How we conceptualize, define, and explain “client” can sometimes have wider consequences than we expect. This workshop is designed to explore some of the ethical, clinical, legal, contractual, and financial implications of how we answer the question, “Who Is The Client?”
I. General Questions
What service is being provided? Who requested it?
Who receives the service? Who benefits?
Do other parties have a stake? What is their role? What is your role with them?
For whom does confidentiality apply?
Who receives the information generated by the services?
Who holds or waives privilege?
Who pays for the services?
II. Individual Therapy
Is a person in individual therapy always a “client” ?
If others join sessions, do they also become “clients”?
If you meet with “collaterals” alone, are they also “clients”?
Can someone never come and nevertheless be the “client”?
Contracted Agency; Court; Military; Other
III. Couple and Family Therapy
Are all participants equally “clients?” If not, why not?
Do they presume your role is the same with each?
Multiple Clients vs. Individual Client With “Collateral(s)”
What is the difference? Who gets to decide? Who must you tell?
IV. Child/Adolescent Therapy
Are parents actively involved?
If so, are they also “clients”?
How can you explain? To whom must you explain?
What are rules about disclosure to parents/others? Who gets to decide?
V. Evaluations for Third Parties – Contracted Client vs. Examinee
Who Is Really the Client?
VI. How Contracts Can Affect or Determine “Client” Status
Employee Contracts (Must you accept your employer’s definitions of “client” ??)
Managed Care Contracts; Other Third Party Payer Contracts
Agency Contracts (DSS, Court Services, Schools, Other)
Organizational Contracts (Management Training; Coaching; Employee Assessment )
Creating Personalized Contracts for Clarifying “Who is the Client?”