The New Social Worker Vol. 20, No. 2, Spring 2013 | Page 6

Ethics Alive! A Text in the Night by Allan Barsky, JD, MSW, Ph.D. Jace is a social work student interning at an agency that serves recent retirees. In an effort to reduce costs and maintain services, the agency cuts its use of landline telephones and asks workers and students to use their cell phones. Jace does not think it is appropriate for the agency to ask students to use their personal cell phones for work purposes. Still, she agrees because everyone at the agency seems to be complying without raising much of a fuss. One night, around 3 a.m., Jace is awakened by her cell phone. She picks it up and sees a text message from a client, Ramon. The message says, “My life is worthless. Nobody cares about me. I’m going to end it all.” Jace feels panic and wonders what to do. If she does not respond, Ramon may commit suicide, and Jace will have foregone any chance to save his life. If she does respond, will she be able to do so in a competent manner, without the benefit of supervision? If she takes time to contact her new forms of communication technology without providing workers with sufficient ethical guidance and training. Workers, including new social workers, may need to raise concerns with their supervisors and administrators in order to pre-empt the type of situation faced by Jace. When an employer asks social workers to use personal cell phones for work purposes, a number of legal and ethical concerns arise: • • • supervisor for advice, how will her supervisor react to being woken up in the middle of the night? How might the delay in contacting the client affect the risk that Ramon will commit suicide? Jace thinks about calling 911, but wonders if she should call Ramon first to see if she can handle the situation without breaching his confidentiality. ***** A lthough the names and other facts of this case are fictional, it is based on actual situations. As the use of cell phones, e-mail, texting, social networking, and other technology grows, social workers are facing many challenges about the appropriate use and limits on use of such technologies. Unfortunately, many agencies are embracing 4 The New Social Worker • • Does an employer have a right to ask social workers to use personal cell phones for work purposes, and if so, does state law require employers pay workers for use of their cell phones? Is an employer allowed to require social workers to answer phone calls or texts outside of business hours (including after work, or while the worker is on vacation)? If a social worker responds to a client’s call or text outside of regular working hours, is the agency legally and ethically responsible for the worker’s conduct (e.g., responsible to pay the worker for her time, responsible for providing supervision, and legally accountable for any malpractice that may occur)? If a social worker does not respond to a client’s call or text outside of work hours, is the social worker liable for malpractice or state licensing sanctions? When answering a cell phone, what steps should the social worker take to ensure confidentiality is maintained throughout the call? As with many legal and ethical questions, the answers depend on the particular situation, including the general employment laws of the state and any regulatory provisions for the agency and social worker. Let us first focus on the ideal. If an agency expects social workers to use cell phones (or other technology) to communicate with clients, then the agency should provide the technology. Spring 2013 As a matter of fairness (if not a matter of law), employers should pay for the tools that employees require in order to fulfill their work obligations. For social workers, another concern is professional boundaries. The NASW Code of Ethics (COE, 106(c)) states that social workers should maintain appropriate boundaries with clients. Providing clients with the worker’s personal cell phone number might violate such boundaries. Ordinarily, social workers make themselves available to clients during regular work hours. If clients have emergencies outside such hours, then the client should be directed to emergency services (e.g., 911 or a crisis center). Ramon, faced with a crisis in the middle of the night, made use of Jace’s cell phone because it was available. If Jace and the agency had set clearer boundaries, then Ramon might have used more appropriate services. Unfortunately, many (or all) of us are not living in the ideal world. What if we have an employer who asks us to use personal cell phones for work purposes? Actually, I am in exactly this situation. I am a professor, and my university has asked professors to relinquish our landline phones to help address the budget cuts. If students want to contact me, they may e-mail, or they may contact a secretary who will e-mail me. If I want students to call me directly, I need to use my personal cell phone. I could refuse to use my cell phone for work purposes, but for now, I have decided that I will use it. Providing students with my cell phone number is useful to them and me. The cell phone provides students with easier access than the alternatives, and allows me to r ??????????????????????????)??????($)??$?????????????????????)???????????????????????????????????)???????e???]????$??????????????????????????????????????????)????????????e???M??????????????????????????e???????????$????????????????)???????????????????$??????????????)?????????A???????????????????????)??????????????????????????????????((0