Reamer Frederic G
School of Social Work, Rhode Island College, Providence, RI, USA.
Behav Sci Law. 2018 Mar;36(2):257-269. doi: 10.1002/bsl.2336.
Behavioral health professionals are making increased use of cybertechnology to deliver services to patients, communicate with patients, gather information about patients, and communicate with colleagues. The advent of cybertechnology - included the Internet, text (SMS), email, video, cloud storage of electronic records, and other forms of electronic communication and documentation - has introduced novel and unprecedented ethical and risk-management challenges. This article provides an overview of emerging issues related to informed consent; delivery of services; privacy, confidentiality, and privileged communication; boundary issues and dual relationships; documentation; and practitioners' relationships with colleagues. The author highlights new standards of care that are being incorporated into licensing statutes and regulations; professional codes of ethics; and practice guidelines adopted by the professions of psychiatry, psychology, mental health counseling, marriage and family therapy, and clinical social work.
行为健康专业人员越来越多地利用网络技术为患者提供服务、与患者沟通、收集患者信息以及与同事交流。网络技术的出现——包括互联网、短信（SMS）、电子邮件、视频、电子记录的云存储以及其他形式的电子通信和文档——带来了新颖且前所未有的伦理和风险管理挑战。本文概述了与知情同意、服务提供、隐私、保密和特权通信、边界问题和双重关系、文档记录以及从业者与同事的关系等相关的新出现问题。作者强调了正在纳入许可法规、职业道德规范以及精神病学、心理学、心理健康咨询、婚姻和家庭治疗以及临床社会工作等专业所采用的实践指南中的新护理标准。
