Chapter 6 Professional standards, ethics, business, and legal practices. This chapter presents the following content: Areas of competence, the NCBTMB code of ethics, ethic considerations, professional considerations.
Massage Therapy Review: Passing the NCETMB, NCETM, and MBLEx Chapter Professional Standards, Ethics, Business, and Legal Practices McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-2 Pre-class Assignment • Review Chapter of your Massage Therapy Review book McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc All rights reserved National Certification Board for Therapeutic Massage and Bodywork Code of Ethics • Sincere commitment • Represent yourself • • • honestly Accurately inform clients Know your limits, contraindications, scope of practice Provide treatment to client’s advantage McGraw-Hill 6-3 • Continue to improve • • • • yourself and your knowledge Be honest and professional Safeguard client’s confidentiality Use proper draping Client and therapist have right to refuse treatment © 2011 by The McGraw-Hill Companies, Inc All rights reserved National Certification Board for Therapeutic Massage and Bodywork Code of Ethics, Cont’d 6-4 • Refrain from any and all sexual conduct, activities, • • • or behavior even if client attempts first Respect client’s boundaries Refuse gifts or benefits intended to influence unjustly Follow all policies, procedure, guidelines, etc., set forth by NCBTMB McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-5 Continuing Education • 50 CEs every years – CEs must be roles and boundaries – CEs must be business/ethics related • See www.ncbtmb.org McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-6 Professional Considerations • Interviewing Techniques – Intake forms – Potential medical clearance – Good listener – Open-ended questions McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-7 Professional Considerations, Cont’d • Communication Techniques – Verbal – Non-verbal McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-8 Verbal Skills • Paraphrasing • Client: “I’m concerned – Restating what the client said in order to confirm understanding that I will be running late today for my appointment.” • Therapist: “So, are you thinking you will not make it in time and want to reschedule?” © 2011 by The McGraw-Hill Companies, Inc All rights reserved McGraw-Hill 6-9 Verbal Skills, Cont’d • Summarizing – Consolidating all the statements the client has said to confirm understanding McGraw-Hill • “In conclusion…” • “So, to sum it up…” • “Let’s review the highlighted points…” © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-10 Verbal Skills, Cont’d • Minimal Encouragers – Brief words that let your client know you are listening and encouraging the client to continue McGraw-Hill • “aha…” • “So, what happened • • next?” “I see.” “hummm…” © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-11 Verbal Skills, Cont’d • Probing – An attempt to gain more information – Trying to find out what has not been said McGraw-Hill • “Let’s talk about that.” • “What exactly you mean?” © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-12 Verbal Skills, Cont’d • Clarifying – An attempt to understand what has been said McGraw-Hill • “I’m confused about what you are saying….” © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-13 Verbal Skills, Cont’d • Confronting • “It seems that you have – Mild or strong feedback when dealing with a situation that needs to be corrected McGraw-Hill missed your last two payments Let’s sit down and discuss a solution that will work for the both of us.” © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-14 Record Keeping • Subjective • Objective • Assessment or • • Application Plan or Progression HIPAA – Health Insurance Portability and Accountability Act McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-15 Planning Single and Multiple Sessions • Current Condition • Goals • Effort of the Client and • • Therapist Frequency of Sessions Referrals McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-16 Contractor vs Employee • Contractor – Sets own hours – Can work for competitors – Has control over fees – Is paid per client – Must pay selfemployment taxes – Purchases own supplies – Uses own vehicle – No benefits McGraw-Hill • Employee – Cannot work for company competitors – Has a set schedule – Paid hourly/salary – Company must offer benefits – Company can offer to cover CE and recertification costs – Falls under company liability – Company provides basic supplies © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-17 Types of Business Entities • Sole Proprietorship • Partnership • S-Corporation McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-18 Sole Proprietorship • Advantages • Disadvantages – Easy to set up – Possession of profits – Control of decisions – Simple financial record keeping McGraw-Hill – You are a contractor – Self employment taxes and quarterly/annual income taxes – Schedule C form – Increased liability © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-19 Partnership • Advantages – Government regulations fairly minimal – Financial record keeping not as complicated – FIN/EIN – K-1 report McGraw-Hill • Disadvantages – You can be held personally responsible for debts and legal issues, even if they were made without your consent by your other partner(s) © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-20 S-Corporation • Advantages • Disadvantages – Can be complicated to structure – Requires attorney to incorporate – Need stock certificates, shareholders, meetings, officers – Form 1120-S filed annually © 2011 by The McGraw-Hill Companies, Inc All rights reserved – Separation of business from personal – Business can continue if owner leaves or dies – Reduction for double taxation – Can declare business losses on individual tax returns McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6-21 Accounting Terms • • • • Accounts Payable Accounts Receivable Assets Cash Flow • • • • Depreciation Gross Income Inventory Net Income © 2011 by The McGraw-Hill Companies, Inc All rights reserved McGraw-Hill 6-22 • Licenses, Permits, • Insurance Needs and Registrations – Provisional License – Occupational or Business License – Sales Tax Permit – Registration of Business Name McGraw-Hill – – – Professional Liability General Liability Business Personal Property – Health Insurance – Disability Insurance © 2011 by The McGraw-Hill Companies, Inc All rights reserved .. .6- 2 Pre-class Assignment • Review Chapter of your Massage Therapy Review book McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc All rights reserved National Certification Board for Therapeutic... treatment © 2011 by The McGraw-Hill Companies, Inc All rights reserved National Certification Board for Therapeutic Massage and Bodywork Code of Ethics, Cont’d 6- 4 • Refrain from any and all sexual... and Accountability Act McGraw-Hill © 2011 by The McGraw-Hill Companies, Inc All rights reserved 6- 15 Planning Single and Multiple Sessions • Current Condition • Goals • Effort of the Client and