Electronic/Computer Disclosure Checklist

The Electronic/Computer Disclosure Checklist is a tool to assist rehabilitation counselors in the disclosure of technology-specific standards within the Code of Professional Ethics for Rehabilitation Counselors, should this be applicable or necessary in their involvement with a client.

Type

□ Facsimile	□ Computer	□ Audio	□ Other(s)
□ Cellular phone	□ E-mail	□ Videoconferencing

Confidentiality

□ Information transmitted □ is □ is not secure/encrypted

□ Communication with other parties (referral source, legal representative, employer, rehabilitation team, other(s): )

□ Information transferred (referral source, legal representative, employer, rehabilitation team, other(s): )

□ Minimal disclosure of identifying information (e.g., codes, numbers, etc.)

□ Imposter concerns

□ Identity of parent(s)/guardian(s) with minors or adults with guardians

□ Other(s):

Limitations and/or Hazards

□ Accessibility	□ Documentation	□ Reliability	□ Security/Encryption
□ Transferability	□ Other(s)

Records Maintenance and Retention

□ Safety/confidentiality of taped, computerized, digital, or electronic counseling records created, maintained, transferred, or destroyed over time

□ How, how long, and in what format electronic records are maintained

□ Other(s):

(Un)authorized Monitoring of Transmissions

□ Synchronous communication	□ Technical assistance specialists
□ Supervisors and/or Employers	□ Other(s):

Counselor Availability

□ When and frequency of when e-mail is checked

□ Alternative and/or emergency contact(s) when unavailable electronically

□ Electronic failure

□ Lapses in ability to access the Internet

□ Other(s):

Other

□ Problems inappropriate for distance counseling

□ Misunderstandings resulting from the lack of visual cues and/or voice intonations

□ Self-description when there is no face-to-face interaction

□ Level of expected behavior regardless of the form of communication

□ Websites for certification bodies and/or licensing boards

□ Other(s):

Counselor Signature Date Client Signature Date

Electronic/Computer Counselor Checklist

Counselor Competency

□ Secure client waiver in writing

□ Review legal and ethics codes regarding potential violations results from distance counseling and supervision

□ Use the Internet as a medium of communication with clients only if competent to do so

□ Credibility and viability of Web links used or accessed in counseling

□ Programs function properly and accurately in test administration

□ Secure and properly encrypted Web sites or e-mail

□ Awareness of cultural, linguistic, and time zone variables

□ Confirming liability insurance covers online communication

Client Assessment

□ Client’s intellectual, emotional, and physical ability to use a computer

□ Computer application appropriate for the needs of the client

□ Client understanding of purpose and operation of computer applications

□ Follow-up to correct misconceptions, discover inappropriate use, and assess further needs

Accessibility

□ Equal access of clients to computer applications

□ Providing barrier-free agency website(s)

□ Maintaining updated hot links

RECOMMENDED CITATION

Commission on Rehabilitation Counselor Certification. (2007). Electronic/Computer Disclosure Checklist. Retrieved [date] from, http://www.crccertification.com/pages/30code.html