We all know that collaborating with other health care professionals is important for client well-being. Some therapists will say that they are collaborative, but their actions tell a different story. In this post, I will describe a properly functioning collaborative relationship.
The ACA Code of Ethics calls us to collaborate with other health care professionals when treating clients. More specifically, section D.1.b. Forming Relationships:
Counselors work to develop and strengthen relationships with col- leagues from other disciplines to best serve clients.
And, in the intro to section D:
Counselors develop positive working relationships and systems of communication with colleagues to enhance services to clients.
Yet, many therapists fail to work collaboratively. They may initially appear to be collaborative, by agreeing to their client to speak to you, but when it comes down to it, they are unwilling to do what it takes.
Granted, as therapists we need to be careful. There are some therapists out there who will take what we tell them, twist it to make us look bad, and then relay it to the client. And, yes, I have had this happen. This is why I only refer my clients to colleagues I know well.
The first step is seeking client permission. Briefly explain to the client why you are wanting to consult, explain the benefits to the client, and ask them if there are any pieces of information they do not want communicated. For example, if you are seeing an individual and he has revealed he is having an affair, he may not want you to relay this information to their couples’ counselor. Despite the fact that the couples counselor would benefit from this information, client privacy comes first. Only information that the client has approved of is to be released. And be sure to get the release in writing and keep it on file.
Second is to contact the therapist. This sounds easier than it actually is. Because you are trying to coordinate a time that works for both people who for most of their day can’t answer the phone, a lot of phone tag may be involved. Be patient, but don’t be annoying. If the therapist doesn’t want to return your call, they won’t, and I think it’s fair to take that as an indication they have no intention of being collaborative. I would try two, possibly three times before giving up. Be sure to document this in the client record, showing that you made the attempt.
Once the therapist is contacted, set up a mutual time to talk. Do this when you are not distracted with other things. Do not make these phone calls while you are exercising, walking the dog or feeding your kids. Treat this other professional in a respectful and professional manner. And prepare for your meeting. Read through your client notes and have an idea what you would like to discuss. Lastly, don’t be late. If you are supposed to talk at 5 pm, then talk at 5 pm. Not 5:25 pm.
Tune in next week for more tips on how to work collaboratively.
Yours in the Joy of Knowledge,
Dr. Barbara LoFrisco
