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
Alcohol and Drug Counselor
| State | Board Approval |
| Alabama | YES! NAADAC (Provider #170179) |
| Alaska | YES! NAADAC (Provider #170179) |
| Arizona | YES! NAADAC (Provider #170179) |
| Arkansas | YES! NAADAC (Provider #170179) |
| California | YES! California Consortium of Addiction Programs and Professionals (CCAPP) (Approval #1S-18-279-0120) |
| Colorado | YES! 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! NAADAC (Provider #170179) |
| District of Columbia | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Florida | YES! NAADAC (Provider #170179) |
| Georgia | YES! NAADAC (Provider #170179) |
| Hawaii | YES! NAADAC (Provider #170179) |
| Idaho | YES! 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! NAADAC (Provider #170179) |
| Iowa | YES! NAADAC (Provider #170179) |
| Kansas | YES! NAADAC (Provider #170179) |
| Kentucky | YES! 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! NAADAC (Provider #170179) |
| Maryland | YES! NAADAC (Provider #170179) |
| Massachusetts | YES! 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! NAADAC (Provider #170179) |
| Mississippi | YES! 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! NAADAC (Provider #170179) |
| Nebraska | YES! NAADAC (Provider #170179) |
| Nevada | YES! NAADAC (Provider #170179) |
| New Hampshire | YES! NAADAC (Provider #170179) |
| New Jersey | YES! NAADAC (Provider #170179) |
| New Mexico | YES! NAADAC (Provider #170179) |
| New York | YES! NAADAC (Provider #170179) |
| North Carolina | YES! NAADAC (Provider #170179) |
| North Dakota | YES! NAADAC (Provider #170179) |
| Ohio | YES! NAADAC (Provider #170179) |
| Oklahoma | YES! NAADAC (Provider #170179) |
| Oregon | YES! 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! NAADAC (Provider #170179) |
| South Carolina | YES! NAADAC (Provider #170179) |
| South Dakota | YES! NAADAC (Provider #170179) |
| Tennessee | YES! NAADAC (Provider #170179) |
| Texas | YES! NAADAC (Provider #170179) |
| Utah | YES! NAADAC (Provider #170179) |
| Vermont | YES! NAADAC (Provider #170179) |
| Virginia | YES! NAADAC (Provider #170179) |
| Washington | YES! NAADAC (Provider #170179) |
| West Virginia | YES! NAADAC (Provider #170179) |
| Wisconsin | YES! NAADAC (Provider #170179) |
| Wyoming | YES! NAADAC (Provider #170179) |
Marriage and Family Therapist
| 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! American Psychological Association |
| Arkansas | YES! American Psychological Association |
| California | YES! 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! 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! American Psychological Association |
| Florida | YES! Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (#50-17261) |
| Georgia | YES! American Psychological Association |
| Hawaii | YES! 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! Illinois Department of Professional Regulation (License No. 168.000269) |
| Indiana | YES! American Psychological Association |
| Iowa | YES! American Psychological Association |
| Kansas | YES! American Psychological Association |
| Kentucky | YES! 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! 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! American Psychological Association |
| Michigan | YES! 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! 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! American Psychological Association |
| New Jersey | YES! American Psychological Association |
| New Mexico | YES! 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! Ohio Counselor, Social Worker and Marriage and Family Therapist Board (#50-17261) |
| Oklahoma | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Oregon | YES! American Psychological Association |
| Pennsylvania | YES! American Psychological Association |
| Rhode Island | YES! American Psychological Association |
| South Carolina | YES! American Psychological Association |
| South Dakota | YES! American Psychological Association |
| Tennessee | YES! American Psychological Association |
| Texas | YES! Texas State Board of Examiners of Marriage and Family Therapists (871) |
| Utah | YES! 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! American Psychological Association |
| Washington | YES! 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! American Psychological Association |
Professional Counselor
| 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! American Psychological Association |
| Arizona | YES! American Psychological Association |
| Arkansas | YES! American Psychological Association |
| California | YES! 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! American Psychological Association |
| Delaware | YES! American Psychological Association |
| District of Columbia | YES! American Psychological Association |
| Florida | YES! Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (#50-17261) |
| Georgia | YES! American Psychological Association |
| Hawaii | YES! 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! Illinois Department of Professional Regulation ( License No. 159.001382) |
| Indiana | YES! American Psychological Association |
| Iowa | YES! American Psychological Association |
| Kansas | YES! American Psychological Association |
| Kentucky | YES! 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! American Psychological Association |
| Maryland | YES! American Psychological Association |
| Massachusetts | YES! American Psychological Association |
| Michigan | YES! American Psychological Association |
| Minnesota | YES! 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! 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! American Psychological Association |
| New Jersey | YES! American Psychological Association |
| New Mexico | YES! 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! American Psychological Association |
| North Dakota | YES! American Psychological Association |
| Ohio | YES! Ohio Counselor, Social Worker and Marriage and Family Therapist Board (#50-17261) |
| Oklahoma | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Oregon | YES! American Psychological Association |
| Pennsylvania | YES! American Psychological Association |
| Rhode Island | YES! American Psychological Association |
| South Carolina | YES! American Psychological Association |
| South Dakota | YES! American Psychological Association |
| Tennessee | YES! 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! 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! American Psychological Association |
| Washington | YES! 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. |
Psychologist
| State | Board Approval |
| Alabama | YES! American Psychological Association |
| Alaska | YES! American Psychological Association |
| Arizona | YES! American Psychological Association |
| Arkansas | YES! American Psychological Association |
| California | YES! American Psychological Association |
| Colorado | YES! American Psychological Association |
| Connecticut | YES! American Psychological Association |
| Delaware | YES! American Psychological Association |
| District of Columbia | YES! American Psychological Association |
| Florida | YES! American Psychological Association |
| Georgia | YES! American Psychological Association |
| Hawaii | YES! American Psychological Association |
| Idaho | YES! American Psychological Association |
| Illinois | YES! Illinois Board of Psychology (#268.000074) |
| Indiana | YES! American Psychological Association |
| Iowa | YES! American Psychological Association |
| Kansas | YES! American Psychological Association |
| Kentucky | YES! American Psychological Association |
| Louisiana | YES! American Psychological Association |
| Maine | YES! American Psychological Association |
| Maryland | YES! American Psychological Association |
| Massachusetts | YES! American Psychological Association |
| Michigan | YES! American Psychological Association |
| Minnesota | YES! American Psychological Association |
| Mississippi | YES! American Psychological Association |
| Missouri | YES! American Psychological Association |
| Montana | YES! American Psychological Association |
| Nebraska | YES! American Psychological Association |
| Nevada | YES! American Psychological Association |
| New Hampshire | YES! American Psychological Association |
| New Jersey | YES! American Psychological Association |
| New Mexico | YES! American Psychological Association |
| New York | YES! American Psychological Association |
| North Carolina | YES! American Psychological Association |
| North Dakota | YES! American Psychological Association |
| Ohio | YES! American Psychological Association |
| Oklahoma | YES! American Psychological Association |
| Oregon | YES! American Psychological Association |
| Pennsylvania | YES! American Psychological Association |
| Rhode Island | YES! American Psychological Association |
| South Carolina | YES! 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! American Psychological Association |
| Texas | YES! American Psychological Association |
| Utah | YES! American Psychological Association |
| Vermont | YES! American Psychological Association |
| Virginia | YES! American Psychological Association |
| Washington | YES! American Psychological Association |
| West Virginia | YES! American Psychological Association |
| Wisconsin | YES! American Psychological Association |
| Wyoming | YES! American Psychological Association |
Social Worker
| State | Board Approval |
| Alabama | YES! 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! American Psychological Association |
| Arkansas | YES! American Psychological Association |
| California | YES! American Psychological Association |
| Colorado | YES! 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! American Psychological Association |
| District of Columbia | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Florida | YES! Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (#50-17261) |
| Georgia | YES! American Psychological Association |
| Hawaii | YES! American Psychological Association |
| Idaho | YES! American Psychological Association |
| Illinois | YES! Illinois Department of Professional Regulation (License No. 159.001382) |
| Indiana | YES! American Psychological Association |
| Iowa | YES! American Psychological Association |
| Kansas | YES! American Psychological Association |
| Kentucky | YES! American Psychological Association |
| Louisiana | YES! American Psychological Association |
| Maine | YES! American Psychological Association |
| Maryland | YES! American Psychological Association |
| Massachusetts | YES! 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! American Psychological Association |
| Missouri | YES! 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! 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! 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! Ohio Counselor, Social Worker and Marriage and Family Therapist Board |
| Oklahoma | We recommend you check with your board to see if they will accept our APA (American Psychological Association) board approvals. |
| Oregon | YES! 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! American Psychological Association |
| Texas | YES! 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! American Psychological Association |
| Washington | YES! 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! American Psychological Association |
| Wyoming | YES! 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.