Abstract
This article systematically reviews the ethical and legal challenges as well as benefits of online counselling. We address issues such as accessibility, anonymity, technology, asynchronous communication, online security, informed consent, and the challenges of licensure, liability, and regulation within the profession of online counselling. Current gaps in the empirical literature and legislation about online counselling and considerations for future research, practice and policy implications are also highlighted. The literature suggests that online counselling plays an important role in providing an alternative service delivery model that overcomes some of the barriers to traditional face-to-face counselling services. However, the authors conclude that there remains a lack of empirical evidence and many unanswered questions about the effectiveness of online mental health interventions and the appropriateness of online counselling for diverse populations.
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Notes
The social worker should contact their individual regulatory organization or association to make sure they are complying with the regulations of the state or province in which they are practising and providing online counselling.
The second author was a member of this Task Force and represented the Canadian Council of Social Work Regulators as the former President.
It is important to note that licensing and registration with a regulatory body or provincial association have different meanings and provisions for practice in the United States and Canada. However, it is beyond the scope and purpose of this article to differentiate these differences. The reader should consult with their own regulatory/licensing organization where they provide service to clients online, in particular.
References
Abbott, J. M., Klein, B., & Ciechomski, L. (2008). Best practices in online therapy. Journal of Technology in Human Services, 26(2–4), 360–378.
Alleman, J. R. (2002). Online counselling: The internet and mental health treatment. Psychotherapy: Theory, Research, Practice, Training, 39(2), 199–209.
Alvarez-Jimenez, M., Bendall, S., Lederman, R., Wadley, G., Chinnery, G., Vargas, S., et al. (2013). On the HORYZON: Moderated online social therapy for long-term recovery in first episode psychosis. Schizophrenia Research, 143, 143–149.
American Counselling Association (2014). American Counselling Association Code of Ethics–2014. Retrieved from: http://www.counseling.org/resources/aca-code-of-ethics.pdf.
Anderson, R., Spence, S., Donovan, C., March, S., Prosser, S., & Kenardy, J. (2012). Working alliance in online cognitive behavior therapy for anxiety disorders in youth: Comparison with clinic delivery and its role in predicting outcome. Journal of Medical Internet Research, 14(3), 1–16.
Association of Social Work Boards (ASWB) (2013). Licensees. Retrieved from: http://www.asb.org/licensees/.
Baker, K. D., & Ray, M. (2011). Online counseling: The good, the bad, and the possibilities. Counselling Psychology Quarterly, 24(4), 341–346.
Bambling, M., King, R., Reid, W., & Wegner, K. (2008). Online counselling: The experience of counsellors providing synchronous single-session counselling to young people. Counselling and Psychotherapy Research: Linking Research With Practice, 8(2), 110–116.
Barak, A. (1999). Psychological applications on the internet: A discipline on the threshold of a new millennium. Applied and Preventive Psychology, 8, 231–246.
Barnett, J. E. (2005). Online counseling: New entity, new challenges. The Counseling Psychologist, 33(6), 872–880.
Bauer, R., Bauer, M., Spiessl, H., & Kagerbauer, T. (2013). Cyber-support: An analysis of online self-help forums (online self-help forums in bipolar disorder). Nordic Journal of Psychiatry, 67(3), 185–190.
Beattie, A., Shaw, A., Kaur, S., & Kessler, D. (2009). Primary-care patients’ expectations and experiences of online cognitive behavioural therapy for depression: A qualitative study. Health Expectations, 12, 45–59.
Bloom, J. W. (1998). The ethical practice of Web Counseling. British Journal of Guidance and Counselling, 26(1), 53–59.
Canadian Association of Social Workers (2005). Code of ethics. Retrieved from: http://www.casw-acts.ca/en/what-social-work/casw-code-ethics/code-ethics.
Canadian Association of Social Workers (CASW) (2014). Social media use and social work practice. Retrieved from: http://www.caswacts.ca/sites/default/files/Social%20Media%20Use%20and%20Social%20Work%20Practice.pdf.
Canadian Counseling and Psychotherapy Association (2007). Code of Ethics. Retrieved from: http://www.ccpa-accp.ca/en/resources/codeofethics/.
Carlbring, P., Furmark, T., & Steczko, J. (2006). An open study of internet-based bibliography with minimal therapist contact via email for social phobia. Clinical Psychologist, 10, 30–38.
Chang, T. (2005). Online counseling: Prioritizing psychoeducation, self-help, and mutual help for counseling psychology research and practice. The Counseling Psychologist, 33(6), 881–890.
Chester, A., & Glass, C. A. (2006). Online counseling: A descriptive analysis of therapy services on the internet. British Journal of Guidance and Counseling, 34, 145–160.
Christensen, H., Griffiths, K., & Korten, A. (2002). Web based cognitive behaviour therapy: Analysis of site usage and changes in depression and anxiety scores. Journal of Medical Internet Research, 4, e3.
Crystal, N. M. (2009). Ethical issues is using social networking sites. South Carolina Law, November, 10–12.
Dowling, M., & Rickwood, D. (2013). Online counseling and therapy for mental health problems: A systematic review of individual synchronous interventions using chat. Journal of Technology in Human Services, 31, 1–21.
Elleven, R., & Allen, J. (2004). Applying technology to online counselling: Suggestions for the beginning e-therapist. Journal of Instructional Psychology, 31(3), 223–227.
Fang, L., Bogo, M., Mishna, F., Murphy, L., Gibson, M., Griffiths, V., & Regehr, G. (2013). Development and initial evaluation of the cyber-counseling objective structured clinical examination (COSCE). Research on Social Work Practice, 23, 81–94.
Finn, J., & Barak, A. (2010). A descriptive study of e-counsellor attitudes, ethics, and practice. Counselling and Psychotherapy Research, 10(4), 268–277.
Glasgeen, K., & Campbell, M. (2009). The use of online counselling within an Australian secondary school setting: A practitioner’s viewpoint. Counselling Psychology Review, 24(2), 42–51.
Groshong, L. W. (2009). Clinical social work practice and regulation: An overview. Maryland: University Press of America.
Gupta, A., & Agrawal, A. (2012). Internet counselling and psychological services. Social Science International, 28, 105–122.
Gwinnell, E. (2003). Unique aspects of internet relationships. In P. Wootton, P. Yellowlees, & P. McLaren (Eds.), Telepsychiatry and e-mental health. United Kingdom: LibraPharm.
Haberstroh, S., Duffey, T., Evans, M., Gee, R., & Trepal, H. (2007). The experience of online counseling. Journal of Mental Health Counseling, 29(3), 269–282.
Haberstroh, S., Parr, G., Bradley, L., Morgan-Fleming, B., & Gee, R. (2008). Facilitating online counseling: Perspectives from counselors in training. Journal of Counseling and Development, 86(4), 460–470.
Halabuza, D. (2014). Guidelines for social workers’ use of social networking websites. Journal of Social Work Values and Ethics, 11(1), 23–32.
Hall, P. (2004). Online psychosexual therapy: A summary of pilot study findings. Sexual and Relationship Therapy, 19(2), 167–178.
Hanley, T. (2009). The working alliance in online therapy with young people: Preliminary findings. British Journal of Guidance & Counselling, 37(3), 257–269.
Harris, J., Danby, S., Butler, C. W., & Emmison, M. (2012). Extending client-centered support: Counselors’ proposals to shift from e-mail to telephone counseling. Text & Talk, 32(1), 21–37.
Hines, M. (1994). Using the telephone in family therapy. Journal of Marital and Family Therapy, 20, 175–184.
Jencius, M., & Sager, D. E. (2001). The practice of marriage and family counseling in cyberspace. The Family Journal: Counseling and Therapy for Couples and Families, 9(3), 295–301.
King, R., Bambling, M., Reid, W., & Thomas, I. (2006). Telephone and online counseling for young people: A naturalistic comparison of session outcome, session impact and therapeutic alliance. Counselling and Psychotherapy Research, 6(3), 175–181.
Liess, A., Simon, W., Yutsis, M., Owen, J. E., Altree Piemme, K., Golant, M., & Giese-Davis, J. (2008). Detecting emotional expression in face-to-face and online breast cancer support groups. Journal of Consulting and Clinical Psychology, 76, 517–523.
Maheu, M. M., & Gordon, B. L. (2000). Counseling and therapy on the internet. Professional Psychology: Research and Practice, 31(5), 484–489.
Mallen, M. J., Jenkins, I. M., Vogel, D. L., & Day, S. X. (2011). Online counselling: An initial examination of the process in a synchronous chat environment. Counselling and Psychotherapy Research, 11(3), 220–227.
Mallen, M. J., & Vogel, D. L. (2005). Online counseling: A need for discovery. The Counseling Psychologist, 33(6), 910–921.
Mallen, M. J., Vogel, D. L., & Rochlen, A. B. (2005a). The practical aspects of online counseling: Ethics, training, technology, and competency. The Counseling Psychologist, 33(6), 776–818.
Mallen, M. J., Vogel, D. L., Rochlen, A. B., & Day, S. X. (2005b). Online counseling: Reviewing the literature from a counseling framework. The Counseling Psychologist, 33(6), 819–871.
Mishna, F., Tufford, L., Cook, C., & Bogo, M. (2013). Research note: A pilot cyber counseling course in a graduate social work program. Journal of Social Work Education, 49, 515–524.
Mishna, F., Tufford, L., Cook, C., Bogo, M. & MacFadden, R. (2008). A manual on cyber counselling with children and youth. Retrieved from: http://www.socialwork.utoronto.ca/Assets/Social+Work+Digital+Assets/Research/Welfae+of+Children/A+Manual+on+Cyber+Counselling.pdf.
Murphy, L., MacFadden, R., & Mitchell, D. (2008). Cybercounseling online: The development of a university-based training program for e-mail counseling. Journal of Technology in Human Services, 26(2–4), 447–469.
Murphy, L. J., Parnass, P., Mitchell, D. L., Hallett, R.H., Cayley, P., & Seagram, S. (2009). Client satisfaction and outcome comparisons of online and face-to-face counselling methods. British Journal of Guidance and Counselling, 39, 627-640.
National Association of Social Workers (2008). Code of Ethics of the National Association of Social Workers. Retrieved from: https://www.socialworkers.org/pubs/code/code.asp.
National Association of Social Workers and Association of Social Work Boards (2005). NASW & ASWB Standards for Technology and Social Work Practices. Retrieved from: http://www.socialworkers.org/practice/standards/naswtechnologystandards.pdf.
Newfoundland and Labrador Association of Social Workers (2012). Standards for technology use in social work practice. Retrieved from: http://www.nlasw.ca/pdf/Standards_For_Technology_Use_In_Social_Work_Practice.pdf.
Nicholas, J., Proudfoot, J., Parker, G., Gillis, I., Burckhardt, R., Manicavasagar, V., & Smith, M. (2010). The ins and outs of an online bipolar education program: A study of program attrition. Journal of Medical Internet Research, 12(5), 1–13.
Oravec, J. A. (2000). Online counselling and the Internet: Perspectives for mental health care supervision and education. Journal of Mental Health, 9(2), 121–135.
Perednia, D. A., & Allen, A. (1995). Telemedicine technology and clinical applications. Journal of the American Medical Association, 273, 483–488.
Rawson, S., & Maidment, J. (2011). Email counselling with young people in Australia: A research report. Women in Welfare Education, 10, 14–28.
Reamer, F. G. (2013). Social work in a digital age: Ethical and risk management challenges. Social Work, 58(2), 163–172.
Recupero, P. R., & Rainey, S. E. (2005). Informed consent to e-therapy. American Journal of Psychotherapy, 59(4), 319–331.
Reese, R., Conoley, C., & Brossart, D. (2002). Effectiveness of telephone counselling: A field based investigation. Journal of Counseling Psychology, 49(2), 233–242.
Richards, D., & Vigano, N. (2013). Online counseling: A narrative and critical review of the literature. Journal of Clinical Psychology, 69(9), 994–1011.
Riemer-Reiss, M. L. (2000). Utilizing distance technology for mental health counseling. Journal of Mental Health Counseling, 22(3), 189–203.
Sanders, P., & Rosenfield, M. (1998). Counselling at a distance: Challenges and new initiatives. British Journal of Guidance and Counselling, 26, 5–11.
Shaw, H. E., & Shaw, S. F. (2006). Critical ethical issues in online counseling: Assessing current practices with an ethical intent checklist. Journal of Counseling and Development, 84(1), 41–53.
Skinner, A., & Zack, J. S. (2004). Counseling and the Internet. American Behavioural Scientist, 48(4), 434–446.
Strom-Gottfried, K., Thomas, S., & Anderson, H. (2014). Social work and social media: Reconciling ethical standards and emerging technologies. Journal of Social Work Values and Ethics, 11(1), 1–12.
Wiggins-Frame, M. (1998). The ethics of counseling via the Internet. The Family Journal: Counseling and Therapy for Couples and Families, 5(4), 328–330.
Wright, J. (2002). Online counselling: Learning from writing therapy. British Journal of Guidance and Counselling, 30(3), 285–298.
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Harris, B., Birnbaum, R. Ethical and Legal Implications on the Use of Technology in Counselling. Clin Soc Work J 43, 133–141 (2015). https://doi.org/10.1007/s10615-014-0515-0
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DOI: https://doi.org/10.1007/s10615-014-0515-0