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Rural Practice: Therapeutic Boundaries and Dual Relationships

3 CE Credit Hours - Online Course - $29.00

Developed by Ofer Zur, Ph.D.

Course materials: text/webpage Articles    audioAudios

Transcripts are available for ALL audios videos in pdf format.

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General Course Description

Graduate schools and professional training, which often base their ethics and practice teaching on the urban, analytic or risk management principles, rarely prepare therapists to deal with this important aspect of rural mental health. Many of the dominant urban-analytic-risk-management-based practices are often not applicable in rural practices.

This beginning/intermediate level course is comprised of one article and one audio (text transcript provided). The course provides a glimpse into the unique reality of mental health practice in rural areas, identifies specific complexities, challenges and needs that emerge around therapeutic boundaries, and offers ways to approach and navigate them ethically and effectively. Additional resources and references are provided for further study, but they are not part of the course.

Educational Objectives

This course will teach the participant to:

1.    Summarize the clinical, ethical and legal complexities of boundary crossings and dual relationships in rural settings.

2.    Apply the making of ethical decisions and risk-benefit analysis to the context of rural communities.

3.    Identify specific boundary challenges facing mental health care in rural communities and ways to navigate them.

Course Syllabus

  • Boundaries & Dual Relationships
  • Unique Rural Boundary Considerations
    • Confidentiality, Privacy & Visibility
    • Bartering
    • Gifts
    • Out-of-Office Experiences
    • Outsiders & Trust
  • Self-Disclosure
  • Standard of Care
  • The Use of Urban-Analytic-Solo Practice Models in Rural Settings
  • Codes of Ethics on Rural Related Boundaries
  • Ethical Decision-Making
  • Telemedicine
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