ilenehart.com provides professional person-to-person and internet counseling and consulting services
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Getting Started (Part 2): The Informed Consent

Please read carefully everything stated below. If you find the terms and conditions stated herein to be fair and reasonable, you must "Accept" all of the terms and conditions herein to continue to the next section.

The Client's Responsibilities

Before E-Counseling can begin, you will need to have read completely the text on the about e-Counseling page and this Informed Consent and have clarified with me any concerns you might have, and will agree to abide by all the expectations of the contract.

You must be over 18 years of age.

If you want to work with me by e-mail or real-time chatting, you will need to be comfortable writing informally, expressively and in some detail.

You must be willing to reveal your feelings to me. Withholding information about yourself will be counterproductive to our work together. If you conceal important thoughts or feelings, you'll be wasting your money and time. Because I won't have any visual clues, I will need you to work a little bit harder.

You aren't a good candidate for this type of work if you have been told that you need to be under a doctor's care for the treatment of a major mental illness, are receiving counseling or psychotherapy from another practitioner and have not discussed this with your primary therapist, or are at present feeling suicidal or homicidal.

You will be responsible for locating the psychological emergency services providers in your area and will need to commit to calling on them in the event of a clinical emergency, as the therapist may often be geographically quite far away from the client.

If you decide to use another e-mail provider or chat name, you will please inform me in advance.

You will need to select the type of service you want from the service's menu.

All services will need to be paid for in advance.

In order to avoid paying for missed sessions, schedule changes will require 24-hour notice.

All new clients will need to fill out the assessment questionnaire, which will be sent to you after you have selected and paid for my services. This together with my evaluation will constitute our first piece of work together and our first session.

Confidentiality And Privacy

Confidentiality is not an absolute. It will be broken under certain specific conditions.

  1. If a court subpoenas your files, I am obligated by law to provide them, although I will intend to keep as much of them confidential as possible.
  2. When a client's life is in danger or the client threatens to harm someone else, the client's rights to privacy are set aside.
  3. I will break confidentiality when I become aware that child, elder or other abuse is being perpetrated to protect the client or to protect the victim.

According to figures quoted in the February 1999 issue of Internet Week, 3.4 trillion e-mail messages were delivered in the US in 1998. 2.1 billion e-mail messages are sent daily by US mail users. Unless you are doing so from your place of employment, interception of your e-mail by an unauthorized user appears to be an incredibly small risk. Still, it would be impossible to ensure absolutely no risk in such a transaction.

All e-mail based risks can be virtually eliminated through the use of readily available technology. Encryption is available for most newer e-mail clients. These services can protect against unwanted access to your e-mail communications.

I use pop3now.com to protect against illegitimate access to e-mail communication and I recommend for those of you who have concerns about privacy do this too.You may need a free Yahoo e-mail account to activate this. To set one up, just go to yahoo.com and register. The pop3now account is only $5.00 per year. Go to pop3now.com and you can purchase this.

Privacy can be more of an issue online than in person. As your therapist, I want to preserve my privacy too and wish to restrict the use of copies or recordings you may make of our communications.

Potential Risks And Benefits of Internet Counseling

Potential benefits of e-mail counseling may be:

  1. Being able to send and receive messages at any time day or night.
  2. Never having to leave messages with intermediaries
  3. Avoiding telephone tag
  4. Being able to take as long as you want to compose, and having the opportunity to reflect upon, one's messages
  5. Automatically having a record of ones communications to refer to later
  6. Feeling less inhibited than in person.

There are also potential risks to receiving mental health help online. Potential risks of e-mail may include:

  1. Messages not being received and,
  2. Confidentiality being breached. E-mails could fail to be received if they are sent to the wrong address (which might also breach confidentiality) or if they are simply not noticed by counselor. Confidentiality could be breached by hackers or internet service providers or at either end by others with access to e-mail account or the computer. Extra safeguards should be considered when computer is shared by family members, students, library patrons, coworkers, etc. As with any personal development process, you may experience some uncomfortable emotions in the process of becoming more self aware and whole.

Alternatives To Using E-Therapy

There are of course many alternatives to receiving mental health counseling online. I prefer counseling in person. The energetic exchange simply can’t be beat! if you are anywhere near Phoenix when I am in town, and want to schedule an in-person appointment, please call (602) 234-6506. If you are near Atlin, BC, Canada, when I am there, please call (250) 651-7768 for an appointment. As alternatives to online counseling, you can get mental health services in person, individually or in a group setting, talk to friends or family members, or clergy, exercise, practice Yoga, or meditate, see a nutritionist or physician, or even do nothing at all.

My Promise To You

Although I cannot guarantee your desired results, I can promise a few simple things:

  • I will post and update my Bio, qualifications and and credentials (about ilene) so that you can make an informed choice about whether I will likely be the best therapist for you.
  • Standard operating procedure includes my commitment to remain within the boundaries of my expertise; to meet the appropriate requirements to practice; (using my home state of Arizona's standards of practice) to provide an accurate evaluation of client before beginning online counseling services; to agree with client on frequency, mode of communication, fees, method of payment, etc.; to protect client's confidentiality by releasing his/her personal information only with client's prior permission. (see limitations of confidentiality) and to maintain good records of sessions.
  • I will make every effort to return e-mails within 48 hours and, to make your planning a little easier, will attempt to keep my scheduling plans posted. In anticipation of computer crashes, server congestion, phone line outages, and other technical difficulties, I promise every effort to provide the service you have requested in the most timely manner possible. If necessary, I will phone, fax, or quick mail my service response when internet technology fails.

Disclaimer

Ilenehart.com reserves the right to modify any of these terms and they will continue to apply, as modified, to your current, previous or future use of this site; you agree to periodically review this "Informed Consent" and, if you do not wish a recent modification to apply to you, then you may discontinue use. If you will be seeking online professional services, then you hereby state and warrant that you are 18 years of age and that you will not misrepresent your identity. You agree to indemnify and hold harmless ilenehart.com, from and against any claims, actions, demands, liabilities or settlements including without limitation, reasonable attorneys fees and costs, resulting from any violation by you of these conditions of use.

In pressing the "Accept" button below, I agree to all of the above.

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