Ethical and Legal Concerns
The moderation of or participationin online support groups raisessome ethical andlegal questions that currentlyremain unanswered. Theonline support group, often hosted bynon-mental health professionals aspreviously discussed, is not considered anonline mental health service asdefined by most national andstate/provincial statutes, mentalhealthprofessional associations, and mentalhealth licensing boards.Consequently, mental health standards, statutes,and regulations that weredesigned to protect consumers of mentalhealth services are not applicableto non-professionalmoderators.
Several mental health professionalorganizations and licensing boards,including American CounselingAssociation (ACA), AmericanPsychological Association (APA), andNational Board of CertifiedCounselors (NBCC) are grappling withthe ethical and legal issuesraisedby the gamut of online mentalhealth services (Lee, 1998; Bloom,1997;Bloom & Walz, 2000). Online mentalhealth services function withoutregard to geographic borders or local,national, or international regulations,making legal mechanisms of resolutionawkward for legal liability, disputeresolution, and professional discipline (Lee,1998). In 1999, the AmericanCounseling Association approved "EthicalStandards for Internet On-LineCounseling" (http://www.counseling.org/resources/internet.htm)to be usedin conjunction with the "ACA Code ofEthics and Standards of Practice."The new ACA Standards for onlinecounseling limit online counseling tothe state in which the professionalcounselor is licensed, the state inwhichthe client resides, and the client's state mustlicense professional counselors.However, online support groups are notconsidered to be an onlinecounseling service offered by professionalcounselors and are not includedin the new ACA Standards for onlinecounseling.
Comprehensive revisions of mental health statutesand ethical
standards will require the coordinationof all mental health disciplines and state, federal, and international agencies. The professional organizationsand licensing boards must address all components of online mentalhealthservices regarding qualifications, compliance, boundaries ofcompetence,and supervision (Bloom, 1997; Lee, 1998; Bloom & Walz, 2000).
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Masalah etika dan hukumModerasi atau participationin online mendukung kelompok-kelompok yang raisessome etika andlegal pertanyaan yang currentlyremain terjawab. Theonline kelompok pendukung, sering host bynon-kesehatan mental profesional aspreviously dibahas, tidak dianggap ajang kesehatan mental Layanan asdefined dengan paling Nasional andstate Provinsi ketetapan, Asosiasi mentalhealthprofessional, dan mentalhealth lisensi papan. Akibatnya, standar kesehatan mental, ketetapan dan peraturan itu weredesigned untuk melindungi konsumen Layanan mentalhealth tidak applicableto bebas-professionalmoderators.Beberapa professionalorganizations kesehatan mental dan perizinan papan, termasuk American CounselingAssociation (ACA), AmericanPsychological Association (APA), andNational Dewan CertifiedCounselors (NBCC) bergulat dengan etika dan hukum issuesraisedby mulai dari layanan online mentalhealth (Lee, 1998; Mekar, 1997; Mekar & Walz, 2000). Online mentalhealth Layanan fungsi withoutregard untuk batas-batas geografis atau peraturan lokal, nasional, maupun internasional, membuat hukum mekanisme resolutionawkward tanggung jawab hukum, disputeresolution dan disiplin profesional (Lee, 1998). Pada tahun 1999, Asosiasi AmericanCounseling disetujui "EthicalStandards untuk Internet di-LineCounseling" (di http://www.counseling.org/resources/internet.htm) menjadi usedin bersama dengan "ofEthics ACA kode dan standar praktik." ACA standar baru untuk onlinecounseling batas konseling online ke negara di mana professionalcounselor berlisensi, negara inwhichthe klien berada, dan klien negara mustlicense konselor profesional. Namun, dukungan online grup notconsidered menjadi onlinecounseling layanan yang ditawarkan oleh professionalcounselors dan tidak includedin standar ACA baru untuk onlinecounseling.Komprehensif revisi statutesand kesehatan mental etikastandar akan membutuhkan coordinationof semua kesehatan mental disiplin dan negara, badan-badan federal, dan internasional. Organizationsand profesional yang perizinan papan harus mengatasi semua komponen online mentalhealthservices mengenai kualifikasi, kepatuhan, batas-batas ofcompetence, dan pengawasan (Bloom, 1997; Lee, 1998; Mekar & Walz, 2000).
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