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Question:
A social worker is seeing a client in private practice. The client has not paid the social worker for many weeks, accumulating a substantial balance, despite receiving and acknowledging the social worker’s payment policy. The social worker has told the client repeatedly that he will be terminated if he does not pay his bill and decides to do so at the next session. The client comes into this session visibly upset and crying because he doesn’t think “he can go on” without the social worker. The social worker tells the client that he can come back to see her once the balance is paid. The actions of the social worker are:
A
Unethical because the client may be a danger to himself
explanation
Social workers in fee-for-service settings may terminate services to clients who are not paying overdue balances if the financial contractual arrangements have been made clear to clients, if clients do not pose an imminent danger to self or others, and if the clinical and other consequences of the current nonpayment have been addressed and discussed In the case vignette, the client appears upset and states that he cannot “go on.” Such a statement may be an indication of suicide risk. The social worker must assess this risk and provide appropriate supports/referrals prior to termination.
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