Ethical Principles DRAFT (7.27.21)



Ethical Principles/Code of Conduct for Psilocybin Facilitators (First draft by Kim Golletz)General principle.Beneficence and nonmaleficence. Facilitators strive to benefit others, do no harm, and to safeguard the welfare of clients.Privacy and Confidentiality.Facilitators have an obligation to protect confidential client information obtained during their work. Unless required by law, disclosures of client information shall be made only with a client’s written consent. Facilitators shall not disclose confidential client information when consulting with colleagues or with other clients.Limits of confidentiality should be discussed with clients, including under what conditions confidential information is legally required to be released. Competence.Facilitators must demonstrate successful completion of a training program that meets training standards set by OHA.Facilitators shall only provide services within the boundaries of their competence (scope of practice), based on education, training, and licensure. Facilitators shall undertake relevant education, training, supervision, and consultation when providing techniques or services that are new to them.Facilitators are required to participate in ongoing training or continuing education to maintain competence.Dual/Multiple Relationships.When a facilitator sees a client with whom they have an existing relationship, or sees a person closely associated with a client, this creates a dual relationship. The conflation of personal relationships with the provision of psilocybin services can be problematic and may impair the facilitator’s objectivity or effectiveness. Facilitators should not provide services to people over whom they have supervisory, evaluative, or other authority (e.g. students, employees).When a facilitator serves a client with whom they have a previous or existing relationship, great care should be taken to delineate between professional and personal roles and respect and understand the vulnerable position of clients receiving psilocybin services.A facilitator shall not offer or render psilocybin services as a means of establishing a personal relationship with clients. Record Keeping.Facilitators shall create and maintain records of services provided to meet Service Center requirements, to document client response to psilocybin services, for accurate billing, and for the maintenance of licensure.Facilitator records shall include: Client nameThe psilocybin product(s) selected and the dose administered during each administration sessionLength of preparatory, administration, and integration sessionsAdverse outcomesType and frequency of psilocybin services providedProper maintenance, dissemination, and disposal of confidential recordsHow long must records be maintained?How should records be stored, secured, transmitted?What format?Client review, access, correction, destruction? Separation between client records and product tracking information. Fees and Financial Arrangements.Agreement between client and facilitator regarding fees, and any other financial arrangements, shall be recorded in writing prior to the provision of psilocybin services. Advertising and other public statements.Facilitators shall not make false, deceptive, or misleading statements and shall take reasonable efforts to prevent others from making false, deceptive, or misleading statements on their behalf.Facilitators providing public advice (in person, in print, or on the internet, etc.) shall take precautions to ensure statements are based on training and experience and are consistent with this code of ethics.Facilitators shall not solicit testimonials from clients. Resolving Ethical Issues.There should be an ethics/licensing board that receives complaints from the public and adjudicates/investigates complaints and has the power to revoke licenses or mandate remedies.Special considerations for non-ordinary states of consciousnessClients may be especially open to suggestion, manipulation, or exploitation. This requires increased attention to safety and consent. This work has the potential for stronger, more subtle, more complicated transference (strong feelings a client projects onto a provider; for example, as a parental figure) and counter transference (strong feelings a provider feels toward a client). This will require self-awareness, self-examination, and possible supervision/peer support for facilitators. Use of touch. Clients may want or benefit from a facilitator’s touch during the administration session. This should be discussed before the administration session and permission requested, and recorded, before the administration session. This will be an important part of facilitator training.Sexual boundaries. No sexual contact or sexual intimacy with a client is permitted during preparatory sessions, administration sessions, integration sessions, or after services are terminated. No sexual contact with client’s partner or immediate family members is permitted during facilitation services or afterwards. Ethical codes of conduct from the American Counseling Association, the American Psychological Association, and the MAPS (Multidisciplinary Association for Psychedelic Studies) Code of Ethics were used to create this draft. ................
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