諮商心理師與國小學校輔導行政人員跨專業合作面臨的諮商倫理議題與因應策略－－以台北市駐區心理師方案為例

Ethical Issues and Strategies for Cross-professional Collaboration between Counseling Psychologists and School Counseling Administrators --The Example of School-based Counseling Psychologists' Services in Taipei

本研究旨在探究學校輔導行政人員與進入學校工作的諮商心理師在國小校園的跨專業合作中，雙方對於合作困境中的倫理議題觀點？以及諮商心理師在遭遇倫理議題時的合作因應機制為何？本研究採用探索性質性研究取向，透過焦點團體訪談法的方式收集資料，共舉行5場焦點團體，分別為駐區學校輔導行政主管2場、諮商心理師2場，以及專家會議1場。研究參與者包括15名諮商心理師以及13名輔導行政主管，共計28名。諮商心理師平均年齡為39.08歲；平均兒童工作年資為3.29年。而學校輔導行政人員平均年齡44.40歲；平均輔導年資為4.70年。研究者依據紮根研究派典進行資料分析。研究結果顯示，諮商心理師所關注的倫理議題包括諮商保密、分享兒童受輔資訊，涉及法律與通報責任議題，未成年當事人的家長同意與知後同意，以及諮商紀錄的保存和調閱等四類主題。而學校輔導人員則可以歸納出包括諮商保密與分享兒童受輔資訊、危機個案或特殊情況的諮商同意、諮商記錄調閱問題等三項主題。研究者接著針對跨專業合作資訊分享的權衡與拿捏、教育情境中跨專業合作與諮商倫理的困境與因應策略、以及諮商心理師進入學校領域的工作規範等進行討論與建議。

This study aimed to explore the perspectives of school counseling administrators and counseling psychologists providing services in elementary schools regarding the ethical issues occurring in their collaborations. Also, collaborative mechanisms and strategies for school-based counseling psychologists in addressingtheseethical dilemmas were examined. The exploratory qualitative research approach was used in analyzing data collected via the focus group method. Five focus groups were conducted, including two groups of school counseling administrators, two groups of counseling psychologists, and one group of experts.Participants included 15 counseling psychologists and 13 school counseling administrators. The average age of counseling psychologists was39.08, and their average year of providing school-based counseling services was 3.29. For the school counseling administers, their average age was 44.40 and average years of serving in counseling office was 4.70 years. The data was analyzed followingthe steps (i.e., open coding, axial coding, and selective coding) of grounded research. Results indicated that counseling psychologists were concerned about four major ethical themes, including confidentiality, information sharing for child clients, legal and mandatory report issues, parental consent and informed consent of child clients, and storage and retrieval of counseling records. For the school counseling administers, the identified themes included counseling confidentiality and child clients’ information sharing, consent to counseling for crisis cases and special situations, and the retrieval of counseling records. Discussions and suggestions are made in the following areas: the balances between information sharing and confidentiality, difficulties and coping strategies for cross-professional collaboration and counseling ethics in educational settings, and the scope of work for school-based counseling psychologists.