The New Social Worker Vol. 20, No. 2, Spring 2013 | Page 7

cepting that I will use my cell phone for work purposes is not the end of the story. I also need to identify risks and determine how I will manage those risks. In general, BSW and MSW students are not as vulnerable as clients in typical social work settings. Most calls relate to academic issues, not personal issues and crises. Still, I inform my students—in writing at the beginning of each term— that I have a number of restrictions on the use of my cell phone. First, students are permitted to call me only during regular business hours (9 a.m. to 5 p.m. from Monday to Friday, exclusive of holidays). Second, although students are not permitted to send text messages, they may send e-mails to my work e-mail address. I let students know that although the cell phone is my cell phone and I have a password for some protection, I cannot guarantee that information left on the cell phone can be kept confidential. I encourage students to leave brief messages and to avoid sharing information that is of a sensitive nature. My e-mail is somewhat more secure, but I cannot guarantee confidentiality over e-mail (e.g., my employer may have access to my work e-mails). For emergencies, I inform students to call 911 or other emergency services. One reason is that I may not be available to respond to an emergency. More importantly, my role is to teach and facilitate learning, not to provide therapy or intervene in crisis situations. If I am aware of a student in a crisis or emergency situation, my university has protocols about reporting such situations to appropriate authorities (e.g., university counseling services and the dean of students). As with the “informed consent” process with clients, my students need to know the extent of confidentiality when they share information with me (COE, s.1.03; 1.07). Also, they need to know the boundaries for communication with me. The professor-student relationship has certain parallels with the social workerclient relationship, so I want to model good practice. Although I am willing (albeit reluctantly) to use my cell phone for work purposes with my university, I would advocate much more strongly against using cell phones for clinical social work practice (practice with individuals, families, or groups). The risks are simply too high—in terms of protection of client confidentiality, maintaining appropriate professional boundaries, and ensuring that clients make use of appropriate services when they are in a crisis situation. Accordingly, if an agency wants social workers to use cell phones for work purposes, then I would suggest the following policies: • • • • • The agency should provide workers with cell phones that are to be used solely for work purposes. Clients should be informed about the policy on contacting workers via cell phones at the outset of services: what times the client may call, how long the social worker has to respond to a call, what types of messages should or should not be left on the cell phone, and limits on confidentiality when using cell phones. Clients should be provided with information about crisis services they may contact should the need arise. Clients should be provided with information on whether they can send text messages, and under what circumstances (e.g., only to set or change appointment times, and not to discuss any clinical issues). Some agencies may decide to turn off functions such as text messaging or voice mail, so that messages cannot be left. Social work agencies may have very good reasons for using cell phones, texting, and other technologies with clients. Still, they need to address risks in a professional and strategic manner. As you and your agencies review procedures and policies, identify relevant Web sites and articles, such as those listed below. Learn from their experience. And now for the surprise ending to our case scenario: Jace decides to contact 911 and share Ramon’s cell phone number. Emergency services identify where Ramon lives and send a crisis unit to his address. Ramon is alive and well, although quite perturbed about being awakened in the middle of the night. Ramon was not suicidal. He simply lost his cell phone. An unidentified person was playing a prank by texting suicide notes to people in his address list. Additional Reading American Telemedicine Association, State Telemedicine Policy Center (2012). Available at http://www.americantelemed.org/i4a/pages/ index.cfm?pageID=3604. Boschen, M. J., & Casey, L. M. (2008). The use of mobile telephones as adjuncts to cognitive behavioral psychotherapy. Professional Psychology: Research and Practice, 39 (5). Boschen, M. J. (2009). Mobile Telephones and Psychotherapy: I Capability and Applicability. The Behavior Therapist, 168-173, Retrieved from http://www98.griffith.edu.au/ dspace/bitstream/handle/10072/29570/59553_2. pdf?sequence=1. Morgan, S. (2012). Social workers, smartphones and electronic health information. National Association of Social Workers, Legal Defense Fund, Legal Issue of the Month. Available at https://www.socialworkers.org/ldf/ legal_issue/2012/May2012.asp. National Association of Social Workers (2005). NASW & ASWB standards for technology and social work practice. Available at https://www.socialworkers.org/practice/standards/ NASWTechnologyStandards.pdf. Dr. Allan Barsky is Professor of Social Work at Florida Atlantic University and Chair of the National Ethics Committee of the National Association of Social Workers. He is the author of Ethics and Values in Social Work (Oxford University Pre ???? ???????)I???????????)???!??????)A????????(? ???? ?????????) ???????????? ???????????A?????Q??)???????????????????????????????????????????????????????????????????????????)?????????? ???????????????()Q??????????????)?????????????)?????()Q!?9\?M= %0)]=I-H)???????????????()Q???9??M??????]????()M?????????((?((0