Ethics in Clinical Practice: Dual Relationships and Boundary Crossing
$4.00 [1.00 Continuing Education Credit Hours]
Course Number: #06-802
In order to take this course, follow the steps below:
- Click Here to print the Course Worksheet
- Click Here to read the Course Material
- Click Here to take the Exam
CE Course Description
In order to maintain ethical standards, behavioral health clinicians must be aware of the complexities of dual relationships and boundary crossings. This brief, intermediate level continuing education, developed using information from the International Journal of Psychology and Counseling, summarizes literature pertaining to dual relationships and boundary issues, the therapeutic impact of these issues, and strategies to address them. In addition, boundary crossings are discussed in the context of ethical decision making.
CE Course Objectives
1. Summarize literature pertaining to boundary crossings and dual relationships.
2. Differentiate between boundary crossings, boundary violations, and sexual misconduct.
3. Identify how boundary and dual relationship issues may impact the client, the practitioner, and the therapeutic relationship.
4. Describe the power differential that occurs in the client/clinician relationship.
5. Discuss boundary crossings in the context of ethical decision making.
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Board Approval Status
Psychologists
| State | Board Approval |
| Alabama | YES! Accepts American Psychological Association |
| Alaska | YES! Accepts American Psychological Association |
| Arizona | YES! Accepts American Psychological Association |
| Arkansas | YES! Accepts American Psychological Association |
| California | YES! Accepts American Psychological Association |
| Colorado | YES! Accepts American Psychological Association |
| Connecticut | YES! Accepts American Psychological Association |
| Delaware | YES! Accepts American Psychological Association |
| District of Columbia | YES! Accepts American Psychological Association |
| Florida | YES! Accepts American Psychological Association Accepts Florida Board of Psychology (CE Provider #50-17261) |
| Georgia | YES! Accepts American Psychological Association |
| Hawaii | YES! Accepts American Psychological Association |
| Idaho | YES! Accepts American Psychological Association |
| Illinois | YES! Accepts Illinois Department of Financial and Professional Regulation (License No. 268.000074) |
| Indiana | YES! Accepts American Psychological Association |
| Iowa | YES! Accepts American Psychological Association |
| Kansas | YES! Accepts American Psychological Association |
| Kentucky | YES! Accepts American Psychological Association |
| Louisiana | YES! Accepts American Psychological Association |
| Maine | YES! Accepts American Psychological Association |
| Maryland | YES! Accepts American Psychological Association |
| Massachusetts | YES! Accepts American Psychological Association |
| Michigan | YES! Accepts American Psychological Association |
| Minnesota | YES! Accepts American Psychological Association |
| Mississippi | YES! Accepts American Psychological Association |
| Missouri | YES! Accepts American Psychological Association |
| Montana | YES! Accepts American Psychological Association |
| Nebraska | YES! Accepts American Psychological Association |
| Nevada | YES! Accepts American Psychological Association |
| New Hampshire | YES! Accepts American Psychological Association |
| New Jersey | YES! Accepts American Psychological Association |
| New Mexico | YES! Accepts American Psychological Association |
| New York | YES! Accepts American Psychological Association |
| North Carolina | YES! Accepts American Psychological Association |
| North Dakota | YES! Accepts American Psychological Association |
| Ohio | YES! Accepts American Psychological Association |
| Oklahoma | YES! Accepts American Psychological Association |
| Oregon | YES! Accepts American Psychological Association |
| Pennsylvania | YES! Accepts American Psychological Association |
| Rhode Island | YES! Accepts American Psychological Association |
| South Carolina | YES! Accepts American Psychological Association |
| South Dakota | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Tennessee | YES! Accepts American Psychological Association |
| Texas | YES! Accepts American Psychological Association |
| Utah | YES! Accepts American Psychological Association |
| Vermont | YES! Accepts American Psychological Association |
| Virginia | YES! Accepts American Psychological Association |
| Washington | YES! Accepts American Psychological Association |
| West Virginia | YES! Accepts American Psychological Association |
| Wisconsin | YES! Accepts American Psychological Association |
| Wyoming | YES! Accepts American Psychological Association |
School Psychologists
| State | Board Approval |
| Alabama | YES! Accepts American Psychological Association |
| Alaska | YES! Accepts American Psychological Association |
| Arizona | YES! Accepts American Psychological Association |
| Arkansas | YES! Accepts American Psychological Association |
| California | YES! Accepts American Psychological Association |
| Colorado | YES! Accepts American Psychological Association |
| Connecticut | YES! Accepts American Psychological Association |
| Delaware | YES! Accepts American Psychological Association |
| District of Columbia | YES! Accepts American Psychological Association |
| Florida | YES! Accepts American Psychological Association Accepts Florida Office of School Psychology (CE Provider #50-17261) |
| Georgia | YES! Accepts American Psychological Association |
| Hawaii | YES! Accepts American Psychological Association |
| Idaho | YES! Accepts American Psychological Association |
| Illinois | YES! Accepts Illinois Department of Financial and Professional Regulation (License No. 268.000074) |
| Indiana | YES! Accepts American Psychological Association |
| Iowa | YES! Accepts American Psychological Association |
| Kansas | YES! Accepts American Psychological Association |
| Kentucky | YES! Accepts American Psychological Association |
| Louisiana | YES! Accepts American Psychological Association |
| Maine | YES! Accepts American Psychological Association |
| Maryland | YES! Accepts American Psychological Association |
| Massachusetts | YES! Accepts American Psychological Association |
| Michigan | YES! Accepts American Psychological Association |
| Minnesota | YES! Accepts American Psychological Association |
| Mississippi | YES! Accepts American Psychological Association |
| Missouri | YES! Accepts American Psychological Association |
| Montana | YES! Accepts American Psychological Association |
| Nebraska | YES! Accepts American Psychological Association |
| Nevada | YES! Accepts American Psychological Association |
| New Hampshire | YES! Accepts American Psychological Association |
| New Jersey | YES! Accepts American Psychological Association |
| New Mexico | YES! Accepts American Psychological Association |
| New York | YES! Accepts American Psychological Association |
| North Carolina | YES! Accepts American Psychological Association |
| North Dakota | YES! Accepts American Psychological Association |
| Ohio | YES! Accepts American Psychological Association |
| Oklahoma | YES! Accepts American Psychological Association |
| Oregon | YES! Accepts American Psychological Association |
| Pennsylvania | YES! Accepts American Psychological Association |
| Rhode Island | YES! Accepts American Psychological Association |
| South Carolina | YES! Accepts American Psychological Association |
| South Dakota | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Tennessee | YES! Accepts American Psychological Association |
| Texas | YES! Accepts American Psychological Association |
| Utah | YES! Accepts American Psychological Association |
| Vermont | YES! Accepts American Psychological Association |
| Virginia | YES! Accepts American Psychological Association |
| Washington | YES! Accepts American Psychological Association |
| West Virginia | YES! Accepts American Psychological Association |
| Wisconsin | YES! Accepts American Psychological Association |
| Wyoming | YES! Accepts American Psychological Association |
Counselors
| State | Board Approval |
| Alabama | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Alaska | YES! Accepts American Psychological Association |
| Arizona | YES! Accepts American Psychological Association |
| Arkansas | YES! Accepts American Psychological Association |
| California | YES! Accepts American Psychological Association |
| Colorado | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Connecticut | YES! Accepts American Psychological Association |
| Delaware | YES! Accepts American Psychological Association |
| District of Columbia | YES! Accepts American Psychological Association |
| Florida | YES! Accepts Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (CE Provider #50-17261) |
| Georgia | YES! Accepts American Psychological Association |
| Hawaii | YES! Accepts American Psychological Association |
| Idaho | YES! Accepts American Psychological Association |
| Illinois | YES! Accepts Illinois Department of Financial and Professional Regulation (License No. 159.001382) |
| Indiana | YES! Accepts American Psychological Association |
| Iowa | YES! Accepts American Psychological Association |
| Kansas | YES! Accepts American Psychological Association |
| Kentucky | YES! Accepts American Psychological Association |
| Louisiana | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Maine | YES! Accepts American Psychological Association |
| Maryland | YES! Accepts American Psychological Association |
| Massachusetts | YES! Accepts American Psychological Association |
| Michigan | YES! Accepts American Psychological Association |
| Minnesota | YES! Accepts American Psychological Association |
| Mississippi | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Missouri | YES! Accepts American Psychological Association |
| Montana | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Nebraska | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Nevada | YES! Accepts American Psychological Association |
| New Hampshire | YES! Accepts American Psychological Association |
| New Jersey | YES! Accepts American Psychological Association |
| New Mexico | YES! Accepts American Psychological Association |
| New York | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| North Carolina | YES! Accepts American Psychological Association |
| North Dakota | YES! Accepts American Psychological Association |
| Ohio | YES! Accepts Ohio Counselor, Social Worker and Marriage and Family Therapist Board (#RCST071801) (Ohio Counselor, Social Worker and Marriage and Family Therapist Board (#RCST071801)) |
| Oklahoma | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Oregon | YES! Accepts American Psychological Association |
| Pennsylvania | YES! Accepts American Psychological Association |
| Rhode Island | YES! Accepts American Psychological Association |
| South Carolina | YES! Accepts American Psychological Association |
| South Dakota | YES! Accepts American Psychological Association |
| Tennessee | YES! Accepts American Psychological Association |
| Texas | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Utah | YES! Accepts American Psychological Association |
| Vermont | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Virginia | YES! Accepts American Psychological Association |
| Washington | YES! Accepts American Psychological Association |
| West Virginia | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Wisconsin | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Wyoming | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
Alcohol and Drug Counselors
| State | Board Approval |
| Alabama | YES! Accepts NAADAC (Provider #170179) |
| Alaska | YES! Accepts NAADAC (Provider #170179) |
| Arizona | YES! Accepts NAADAC (Provider #170179) |
| Arkansas | YES! Accepts NAADAC (Provider #170179) |
| California | YES! Accepts California Consortium of Addiction Programs and Professionals (CCAPP) (#1S-18-279-0120) (Hours online are limited to 10 in a 24 hour period) |
| Colorado | YES! Accepts NAADAC (Provider #170179) |
| Connecticut | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Delaware | YES! Accepts NAADAC (Provider #170179) |
| District of Columbia | YES! Accepts NAADAC (Provider #170179) |
| Florida | YES! Accepts NAADAC (Provider #170179) |
| Georgia | YES! Accepts NAADAC (Provider #170179) |
| Hawaii | YES! Accepts NAADAC (Provider #170179) |
| Idaho | YES! Accepts NAADAC (Provider #170179) |
| Illinois | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Indiana | YES! Accepts NAADAC (Provider #170179) |
| Iowa | YES! Accepts NAADAC (Provider #170179) |
| Kansas | YES! Accepts NAADAC (Provider #170179) |
| Kentucky | YES! Accepts NAADAC (Provider #170179) |
| Louisiana | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Maine | YES! Accepts NAADAC (Provider #170179) |
| Maryland | YES! Accepts NAADAC (Provider #170179) |
| Massachusetts | YES! Accepts NAADAC (Provider #170179) |
| Michigan | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Minnesota | YES! Accepts NAADAC (Provider #170179) |
| Mississippi | YES! Accepts NAADAC (Provider #170179) |
| Missouri | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Montana | YES! Accepts NAADAC (Provider #170179) |
| Nebraska | YES! Accepts NAADAC (Provider #170179) |
| Nevada | YES! Accepts NAADAC (Provider #170179) |
| New Hampshire | YES! Accepts NAADAC (Provider #170179) |
| New Jersey | YES! Accepts NAADAC (Provider #170179) |
| New Mexico | YES! Accepts NAADAC (Provider #170179) |
| New York | YES! Accepts NAADAC (Provider #170179) |
| North Carolina | YES! Accepts NAADAC (Provider #170179) |
| North Dakota | YES! Accepts NAADAC (Provider #170179) |
| Ohio | YES! Accepts NAADAC (Provider #170179) |
| Oklahoma | YES! Accepts NAADAC (Provider #170179) |
| Oregon | YES! Accepts NAADAC (Provider #170179) |
| Pennsylvania | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Rhode Island | YES! Accepts NAADAC (Provider #170179) |
| South Carolina | YES! Accepts NAADAC (Provider #170179) |
| South Dakota | YES! Accepts NAADAC (Provider #170179) |
| Tennessee | YES! Accepts NAADAC (Provider #170179) |
| Texas | YES! Accepts NAADAC (Provider #170179) |
| Utah | YES! Accepts NAADAC (Provider #170179) |
| Vermont | YES! Accepts NAADAC (Provider #170179) |
| Virginia | YES! Accepts NAADAC (Provider #170179) |
| Washington | YES! Accepts NAADAC (Provider #170179) |
| West Virginia | YES! Accepts NAADAC (Provider #170179) |
| Wisconsin | YES! Accepts NAADAC (Provider #170179) |
| Wyoming | YES! Accepts NAADAC (Provider #170179) |
Marriage and Family Therapists
| State | Board Approval |
| Alabama | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Alaska | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Arizona | YES! Accepts American Psychological Association |
| Arkansas | YES! Accepts American Psychological Association |
| California | YES! Accepts American Psychological Association |
| Colorado | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Connecticut | YES! Accepts American Psychological Association |
| Delaware | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| District of Columbia | YES! Accepts American Psychological Association |
| Florida | YES! Accepts Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (CE Provider #50-17261) |
| Georgia | YES! Accepts American Psychological Association |
| Hawaii | YES! Accepts American Psychological Association |
| Idaho | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Illinois | YES! Accepts Illinois Department of Financial and Professional Regulation (License No. 168.000229) |
| Indiana | YES! Accepts American Psychological Association |
| Iowa | YES! Accepts American Psychological Association |
| Kansas | YES! Accepts American Psychological Association |
| Kentucky | YES! Accepts American Psychological Association |
| Louisiana | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Maine | YES! Accepts American Psychological Association |
| Maryland | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Massachusetts | YES! Accepts American Psychological Association |
| Michigan | YES! Accepts American Psychological Association |
| Minnesota | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Mississippi | YES! Accepts American Psychological Association |
| Missouri | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Montana | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Nebraska | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Nevada | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| New Hampshire | YES! Accepts American Psychological Association |
| New Jersey | YES! Accepts American Psychological Association |
| New Mexico | YES! Accepts American Psychological Association |
| New York | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| North Carolina | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| North Dakota | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Ohio | YES! Accepts Ohio Counselor, Social Worker and Marriage and Family Therapist Board (#RCST071801) (Ohio Counselor, Social Worker and Marriage and Family Therapist Board (#RCST071801)) |
| Oklahoma | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Oregon | YES! Accepts American Psychological Association |
| Pennsylvania | YES! Accepts American Psychological Association |
| Rhode Island | YES! Accepts American Psychological Association |
| South Carolina | YES! Accepts American Psychological Association |
| South Dakota | YES! Accepts American Psychological Association |
| Tennessee | YES! Accepts American Psychological Association |
| Texas | YES! Accepts Texas State Board of Examiners of Marriage and Family Therapists (871) |
| Utah | YES! Accepts American Psychological Association |
| Vermont | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Virginia | YES! Accepts American Psychological Association |
| Washington | YES! Accepts American Psychological Association |
| West Virginia | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Wisconsin | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Wyoming | YES! Accepts American Psychological Association |
Social Workers
| State | Board Approval |
| Alabama | YES! Accepts Alabama State Board of Social Work Examiners (Approval #0617 ) Accepts American Psychological Association |
| Alaska | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Arizona | YES! Accepts American Psychological Association |
| Arkansas | YES! Accepts American Psychological Association |
| California | YES! Accepts American Psychological Association |
| Colorado | YES! Accepts American Psychological Association |
| Connecticut | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Delaware | YES! Accepts American Psychological Association |
| District of Columbia | YES! Accepts American Psychological Association |
| Florida | YES! Accepts Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (CE Provider #50-17261) |
| Georgia | YES! Accepts American Psychological Association |
| Hawaii | YES! Accepts American Psychological Association |
| Idaho | YES! Accepts American Psychological Association |
| Illinois | YES! Accepts Illinois Department of Financial and Professional Regulation (License No. 159.001382) |
| Indiana | YES! Accepts American Psychological Association |
| Iowa | YES! Accepts American Psychological Association |
| Kansas | YES! Accepts American Psychological Association |
| Kentucky | YES! Accepts American Psychological Association |
| Louisiana | YES! Accepts American Psychological Association |
| Maine | YES! Accepts American Psychological Association |
| Maryland | YES! Accepts American Psychological Association |
| Massachusetts | YES! Accepts American Psychological Association |
| Michigan | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Minnesota | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Mississippi | YES! Accepts American Psychological Association |
| Missouri | YES! Accepts American Psychological Association |
| Montana | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Nebraska | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Nevada | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| New Hampshire | YES! Accepts American Psychological Association |
| New Jersey | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| New Mexico | YES! Accepts American Psychological Association |
| New York | YES! Accepts American Psychological Association |
| North Carolina | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| North Dakota | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Ohio | YES! Accepts Ohio Counselor, Social Worker and Marriage and Family Therapist Board (#RCST071801) (Ohio Counselor, Social Worker and Marriage and Family Therapist Board (#RCST071801)) |
| Oklahoma | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Oregon | YES! Accepts American Psychological Association |
| Pennsylvania | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Rhode Island | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| South Carolina | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| South Dakota | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Tennessee | YES! Accepts American Psychological Association |
| Texas | YES! Accepts Texas State Board of Social Workers Examiners (6828) |
| Utah | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Vermont | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Virginia | YES! Accepts American Psychological Association |
| Washington | YES! Accepts American Psychological Association |
| West Virginia | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Wisconsin | YES! Accepts American Psychological Association |
| Wyoming | YES! Accepts American Psychological Association |
The board approval status information is provided based on our current understanding of the licensing agencies. Please note that it is the responsibility of each licensee to verify acceptance of our courses with their licensing agency.