Contract
Contract between Bozena Latek, Addiction Therapist and Counsellor and …………………………………………………………………….
Counsellor responsibilities
- To be available at the agreed time
- To start and end on time
- To offer a quiet appropriate and undisturbed space
- To maintain safe, professional boundaries
- To regard all contact and information as confidential unless he has reasonable doubt concerning actual safety of the client or others
- To encourage client autonomy
- To work within the BACP Ethical Framework (available upon request) including regular supervision
- To review therapeutic work and relationship regularly
- In the unlikely event of the therapist cancelling, an alternative appointment offered ASAP
Client responsibilities
- To attend punctually
- To give a minimum of 48 hours notice when cancelling/changing an appointment (or the full fee becomes payable)
- To pay …………….. per session in full at each appointment
- Communicating with the therapist outside agreed counselling sessions to be limited to making, changing or cancelling an appointment unless by prior arrangement.
- To be respectful to the counsellor and his property
- To agree to give permission to contact GP if the therapist has serious concerns about risk to self (client) or others
- To discuss with the therapist when you feel you are ready to end therapy
- To let the therapist know if you are in or are considering entering another therapeutic relationship.
Signed Client………………………………………….. Date……………………………
Signed Counsellor…………………………………….. Date……………………………
Contracts are subject to regular review by the counsellor or the client
What the therapist offers
What is on offer is counselling of a person-centred nature. This means you are empowered to discover solutions to issues in a supportive environment. As a counsellor, I offer you my honesty and respect while we explore issues you feel you would like to bring to counselling at the times that we have agreed.
Confidentiality
There are boundaries and limits to confidentiality in certain cases.
Confidentiality may be broken if
You or others are, in the opinion of the therapist. Seem to be in danger or at serious risk of being harmed
The therapist is required to do so by subpoena
The client infers involvement in or knowledge of an act of terrorism or of money laundering
The client infers knowledge of or involvement in drugs trafficking
The client infers knowledge of or involvement in behaviours that may, in the therapist’s opinion, lead to harm or neglect to children and vulnerable adults.
Supervision and confidentiality
I monitor my own practice by attending regular supervision for myself and am committed to my own self-development. There are times where aspects of our sessions will be taken to supervision to monitor my practice; at no time will your name or any identifiable information be mentioned and my supervisor is also committed to our contracted confidentiality.
Records of sessions
I do not keep notes relating to our sessions other than the appointment we book and this document (the counselling contract) on file. If you feel you would like me to keep notes, or if you have been referred by an agency that requires update reports, then let me know and I will gladly keep notes.
The therapist may record sessions (audio recording) for purpose of self-evaluation and supervision.
The client will always be consulted before a recording is made and the client has the right to refuse that the session be recorded.
Contacting you
I will contact you if necessary e.g. to re-arrange an imminent appointment. Where and how would you prefer I contact you in this unlikely event?
………………………………………………………………………………………………
Should you not attend on time, would you like me to contact you? If so, how?
…………………………………………………………………………………………………
Contacting the therapist
You may use the above telephone number to reach me or send an email
It is not possible to leave a voicemail on my phone so if I am unable to answer, please email or send a text and I will get back to you as soon as I can.
Non attendance
Should you cancel within less than the 48 hours notice agreed, or fail to attend an appointment: the full session fee will be charged.
Where did you hear about my service?…………………………………………………….