Scenario

“Nap time while in center. Some of our early learner still require naps. The concern is that as the client is napping, the company is not billing during nap time which clinicians believe is consider a dual relationship as it is “babysitting” while the client is sleeping.”

Possible solutions:

• Sending the client home.
• Ending services and fading in/out naps

Committee Input (e.g., considerations for pathways forward, potential barriers, potential solutions):

The committee appreciates the diligence to the Ethics Code; based on the information offered we are not able to support a determination that this constitutes a multiple relationship for the client-therapist dyad.

The committee recommends the author contact their leadership for organizational policy guidance on how to best approach related concerns about clinician time.

Ethics Codes (specific standards that could apply to support/oppose):

• 2.12 Considering Medical Needs 
• 1.11 Multiple Relationships