CEU Education: Fees, Slides and Cancellation Ethics

Some basic policy questions: How do you or your agency determine service fees? Do you or your organization offer a sliding scale? If, so, to whom, under what circumstances? What is your or your agency’s late cancellation policy?

Some harder questions: Do you ever feel guilty, or under-appreciated based on the fee your client pays to see you, whether or not it impacts the fee you receive? Are you involved/impacted by your agency’s decision to slide? Is the slide based solely on presenting economics, or do factors like client likability, clinician guilt, insurance issues, difficulty of presenting case, and the like play into your decisions? Do you or your agency offer different sliding scales for clients who live in the margins and have historically had less access to resources? And how about late cancellation policies? What if you don’t agree with your agency’s policies? Or what if you are the one making the policy? Do you follow them any way? Do you handle the policy differently for different clients, based on internal punitive impulses, or internal avoidance of conflict with your client, or agency?

It shouldn’t surprise us that issues related to payment are ripe for client, clinician and agency enactments of anxiety, guilt and aggression. Our management of these pose ethical risks and opportunities.

This 3-hour ethics workshop will be primarily didactic as we explore issues that arise for clients, clinicians and agencies in this pinnacle element of the frame that defines the boundaries of our relationship. The facilitator is particularly skilled at evoking a shame-free environment for clinicians to explore uncharted territory ripe with accidental enactment.

Smith is and analytically oriented psychotherapist with 25 years in practice. She is additional the  Founder/Director of Full Living: A Psychotherapy Practice, which specializes in matching clients with seasoned clinicians in the Greater Philadelphia Area.

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