Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LX - Licensed Professional Counselors Board of Examiners › Subpart 1 - Licensed Professional Counselors › Chapter 21 - Code of Conduct for Licensed Professional Counselors › Section LX-2118 - Appendix-Declaration of Practices and Procedures for Licensed Professional Counselors and Provisional Licensed Professional Counselors

Current through Register Vol. 50, No. 6, June 20, 2024
A. The following comprises the information
				  that must be available in writing for each client seen by a licensed
				  professional counselor or provisional licensed professional counselor in the
				  state of Louisiana. Licensed professional counselors or provisional licensed
				  professional counselors must read and incorporate the Code of Conduct for
				  Professional Counselors in their declaration statement.
1. Licensed professional counselor or
				  provisional licensed professional counselors name, mailing address, and
				  telephone number.
2. Qualifications
a. Include degrees earned and institution(s)
				  attended.
b. Give your license
				  number, specifying the LPC Board of Examiners including address and telephone
				  number as the grantor of your license or provisional license.
c. An individual under supervision must refer
				  to him/herself as a provisional licensed professional counselor and include the
				  name and address of his/her board-approved supervisor.
3. Counseling Relationship
a. Provide a general statement about the
				  dynamics of the counseling relationship.
b. Include general goals for
				  clients.
4. Areas of
				  Focus
a. List your areas of focus such as
				  career counseling, marriage and family counseling, adolescents, etc.
b. List your national certifications in
				  counseling.
5. Fee
				  Scales
a. List your fees and describe your
				  billing policies.
b. Describe your
				  policy on scheduling and breaking appointments.
c. State your policy on insurance
				  payments.
6. Explanation
				  of the Types of Services Offered and Clients Served
a. Include the theoretical basis and the type
				  of techniques and/or strategies that you use in therapy.
b. Specify the modality you use such as group
				  and/or individual therapy.
c.
				  Specify the type(s) of clients you serve.
7. Code of Conduct: State that you are
				  required by state law to adhere to a Code of Conduct for your practice which is
				  determined by the Louisiana Licensing Board, and a copy of this code is
				  available on request.
8. Privileged
				  Communication. Describe the rules governing privileged communication and
				  include the limits of confidentiality.
9. Emergency Situations. Describe your policy
				  for emergency client situations.
10. Client Responsibilities. List client
				  responsibilities, e.g., clients are expected to follow office procedures for
				  keeping appointments, clients must pay for services at the time of each visit,
				  and clients must terminate the counseling relationship before being seen by
				  another mental health professional and/or notify the licensee of any other
				  ongoing professional mental health relationship. If a client is seeing another
				  mental health professional (psychologist, board certified social worker, etc.),
				  then permission must be granted by the first therapist for the second to work
				  with the same client. (See Code of Conduct).
11. Physical Health. Suggest that client have
				  a complete physical examination if he/she has not had one within the past year.
				  Also have client list any medications that he/she may be taking.
12. Potential Counseling Risks. Indicate that
				  as a result of mental health counseling, the client may realize that he/she has
				  additional issues which may not have surfaced prior to the onset of the
				  counseling relationship. The licensee may also indicate possible risk within
				  specific specialty areas (i.e., marriage and family: as one partner changes,
				  additional strain may be placed on the martial relationship if the other
				  partner refuses to work).
13. It
				  is also required that a place be provided for the date and signatures of the
				  licensee, the client(s) and, if warranted, the date and signatures of the
				  parent/guardian and the licensees supervisor. A general statement is required
				  indicating that the client has read, understands, and agrees to the conditions
				  set forth by the declaration statement. Minor clients must have an accompanying
				  parent/guardian signature which provides consent for their treatment.