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Lines drawn

What are boundaries?. Lines drawn. Roles. Interactions. Professional Boundaries establish appropriate limits to the professional – participant relationship. Mental Health Association. Professional Boundaries. Mental Health Association October, 2011. Why Care About Boundaries?.

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Lines drawn

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  1. What are boundaries? Lines drawn Roles Interactions Professional Boundaries establish appropriate limits to the professional – participant relationship. Mental Health Association

  2. Professional Boundaries Mental Health Association October, 2011

  3. Why Care About Boundaries? Contracted services depend on professionalism. Increases awareness of participant rights Complaints often center around professionalism Professional Boundaries establish appropriate limits to the provider – participant relationship. Mental Health Association

  4. How do limits help? They help protect against the risk of harm. Protects participants Protects providers Boundaries help you recognize the difference between professional and personal relationships Mental Health Association

  5. How? Professional boundaries create appropriate distance. Protects participants from agency concerns. Protects participants from staff worries. Protects staff from taking on participant challenges as their own. Mental Health Association

  6. Whose Job Is it? Yours. Not the participant’s. You follow agency policy. You reserve your personal issues for friendships outside the workplace. You set the standards by the way you carry yourself and the things you say. Mental Health Association

  7. More Benefits Boundaries • give each person a sense of legitimate control in a relationship. • protect the space between the professional’s power and the participant’s vulnerability. • promote a productive, positive workplace. Mental Health Association

  8. Who Creates Boundaries? • Laws • Licensing bodies • Specialty organizations • Work place policy • Individuals Mental Health Association

  9. Relationships Personal Professional Have limits and boundaries Power differential Require formal training Money/fees/funding For purpose of participant gain No physical intimacy Rules of confidentiality • Limitless • Equals • Doesn’t require formal preparation • No fee/money • Mutual gain • Mutually agreed upon levels of intimacy • Mutually agreed upon confidentiality with no legal bounds. Mental Health Association

  10. Relationships Personal Professional Scheduled interaction / time limit Place designated / time limited Well defined focus / goals Documented Legally defined roles, licenses, codes of ethics • Unlimited time frame • Anywhere, anytime • No goal oriented • Not documented • No defined roles • No codes of ethics Mental Health Association

  11. Physical Boundaries • Maintain proper physical distance • Don’t touch participants in an inappropriate manner or one that can be misconstrued • Failure to see the participant as a participant. • Don’t assume unless they tell you • Boundaries are unique to each person • Proceed carefully • When in doubt ask Mental Health Association

  12. Conversational Boundaries • Beware of feeling informal. • Careless whispers-pretend a personal microphone is always on. • Refrain from gossip “let’s not go there.” • Never say something you wouldn’t want heard or repeated. • Walls are thin. • Think before you hit the send button. • Take the mail to the correct address-directly and privately. • Respond in a controlled manner verses reacting. • Employ tact. Mental Health Association

  13. Boundary Crossings • An action or behavior that deviates from an established professional boundary in the health care provider-participant relationship. • May be intentional or unintentional. Even when the action or behavior appears appropriate, it is not acceptable when it benefits your needs rather than the needs of the participant. Mental Health Association

  14. Boundary Violations Actions or behaviors by a professional which use the relationship to meet personal needs of the professional at the expense of the participant. Are never appropriate Harm the participant Are exploitative Violate ethical standards Can result in disciplinary action at work or by professional associations, or result in criminal charges. Mental Health Association

  15. Cultural Context Matters Respect the individual characteristics of the participant such as cultural and social identity, appearance, sexual orientation, religious affiliation, age, talents, and skills. Mental Health Association

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