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Out-Of-Office Experiences


This resource page is part of an Online Course
Out-Of-Office Experiences: Ethical & Clinical Considerations For Home Visits & Other Encounters Outside The Office

CE Credits for Psychologists. CE Credits (CEUs) for LMFTs, Social Workers, Counselors and Nurses.
CE Approvals by BBS-CA, ASWB, NBCC, NAADAC, CA-BRN & more.
Zur Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. Zur Institute maintains responsibility for this program and its content.



Reviews & Bibliographies on Out of Office Experience

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Home Visits, Home-Based Therapy, In-Home Therapy

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Adventure Therapy

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Walk & Talk Therapy

Equine-Assisted Psychotherapy

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Incidental or Chance Encounters

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Attending Wedding, Ceremonies and other Celebrations Outside The Office Walls

A.5.d. Potentially Beneficial Interactions
When a counselor–client nonprofessional interaction with a client or former client may be potentially beneficial to the client or former client, the counselor must document in case records, prior to the interaction (when feasible), the rationale for such an interaction, the potential benefit, and anticipated consequences for the client or former client and other individuals significantly involved with the client or former client. Such interactions should be initiated with appropriate client consent. Where unintentional harm occurs to the client or former client, or to an individual significantly involved with the client or former client, due to the nonprofessional interaction, the counselor must show evidence of an attempt to remedy such harm. Examples of potentially beneficial interactions include, but are not limited to, attending a formal ceremony (e.g., a wedding/commitment ceremony or graduation); purchasing a service or product provided by a client or former client (excepting unrestricted bartering); hospital visits to an ill family member; mutual membership in a professional association, organization, or community. (See A.5.c.)

Dr. Zur's Comments on ACA Code: Undoubtedly, ACA code of 2005 has made significant positive change to stop the demonization of dual relationships and appropriately acknowledges that dual relationships can have positive clinical impact. However, it must be clear that "attending a formal ceremony (e.g., a wedding/commitment ceremony or graduation)" or making a "hospital visit to an ill family member" are not dual relationships. These are what I call out-of-office experiences. In contrast, bartering for services and "mutual membership in a professional association, organization, or community" constitute dual relationships. Read more about the differences between out-of-office experiences and dual relationships. Finally, it is interesting to note the code no longer uses the term dual or multiple relationships. Substituted is the term "Nonprofessional Interactions or Relationships."


Home-Based Programs and Counseling Services

HELP (Home-based Effective Living Professionals), San Diego, CA 92103


Codes of Ethics on Interactions/Therapy Outside the Office

Professional Association Codes of Ethics and Guidelines On Out-of-Office Therapy


CPT Codes for Out of Office Experiences

CPT Codes for Out-of-Office Services


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