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Main course

Module 1: Immigration and social determinants of health

Module 2: Intro to Mental Health

Summary

Module 3: Key populations - women

Module 4: Key populations - children

Module 5: Key populations...

Summary

Module 6: Treatment and support

Summary

Module 7

Summary

Module 8: Service delivery + pathways to care

Summary

Module 9: Partnerships + mental health promotion

9.1 Strategies for promoting mental health
Strategies for promoting mental health + +
Summary

Module 10: Self-care

Summary Glossary
10.1.5

Boundary issues

We discussed maintaining boundaries as a professional practice in Module 6. We discuss it here not only as a strategy to develop an effective working relationship, but also as a self-reflection and self-awareness strategy to prevent fatigue and exhaustion.

Boundary issues happen when professional boundaries become blurred, and boundary crossings or violations may occur. Boundary issues may occur when providers face possible conflicts of interest in the form of what are known as dual or multiple relationships (Reamer, 2003). In a dual relationship, the provider has another relationship with their client in addition to the traditional client–service provider relationship (e.g., when the client is their neighbour), whereas multiple relationships refer to one or more additional relationships with a client in addition to the treatment relationship.

It is important to add that not all boundary issues are problematic or unethical. For example, some service providers might have unavoidable encounters and contacts with clients in social events, libraries, stores where those encounters are short and do not cause ethical problems. Social work ethics and standards require social workers to be aware of dual relationships and boundary issues (Johner, 2006).

It is important to recognize boundary issues. Frederic G. Reamer states that it is important for service professionals to understand what is meant by boundary crossings or boundary violations when attempting to understand dual relationship issues.

(Reamer 2003)
(Ibid.)