A recent decision sanctioning a social worker for a comment on Facebook by the Health Care Professionals Council (HCPC), a United Kingdom regulatory body, sparked an international social work debate on the use of social media in the workplace. Since the decision, I have engaged in multiple conversations via social media with social workers around the globe on this very topic, and I will admit that I have often found myself in the minority arguing against the HCPC’s decision.
Despite the social worker’s comment failing to meet the test for breach of confidentiality, the majority of social workers favoring the HCPC’s decision believe that any comments related to work or a case posted on social media is grounds for termination or discipline even in the absence of identifiers.
The social worker was not disciplined for Breach of Confidentiality, but it was found that her Facebook post “could lead to a Breach of Confidentiality” despite not giving any personal information or descriptors about the client.
I am concerned the HCPC decision will set a dangerous precedent by expanding the scope of breaching confidentiality. The term “could lead to a Breach of Confidentiality” is so broad it could open up liability for social workers outside of the internet sphere.
From the HCPC’s press release on the social worker’s disciplinary action, we actually learn more about the client than we learned from the social worker’s actual comment. The HCPC press release states, “Mrs A, the mother of the children in the case, made a complaint after she searched for the social worker on Google and found the posts, which she said she was “disgusted” by.”, which tells us the complaint was a married woman and parent of the children. Now, these identifier within itself “could lead to a breach of confidentiality”.
The social worker’s comments only described that she was working on a “domestic violence case among other things”. The client assumed the social worker was referring to her case because it was domestic violence case on the same day as the social workers check-in on Facebook. I don’t know about you, but I’ve had three to five cases go to court on the same day and all of them had a domestic violence element. In the absence of identifiers and a decision from HCPC, the client had no evidence to prove the social worker’s comment was about her case. Sanctions and disciplinary actions in your employment should be based on evidence and not assumptions.
In retrospect, I do believe the social worker’s comments were ill-advised, but it’s not for the reasons you may think. I am definitely against and don’t recommend anyone to commingle your professional life with your personal Facebook account no matter your profession. As matter of fact, some of the comments I see from social workers on Facebook make me afraid for the client’s they are serving. I do and must believe that social workers have the ability to separate their personal beliefs from practice, but you may not be able to “unring that bell” with clients or potential clients after review of your online persona.
The British Association of Social Workers (BASW) have provided me with one of the best social media policy guidelines to help social workers be aware of the pitfalls when using social media personally as well as using social media to obtain information on clients. However, I have yet to see any real solutions that equally address social workers safety with client centered policies. Also, it’s important for us to acknowledge that clients can’t breach confidentiality in their own case. If a client wants to publish online every document you send them, it’s their prerogative, and you should keep this in mind when providing written documents as well as having oral communications with your clients.
Google, Facebook, and Twitter are the three primary areas that cause the greatest concerns for professionals and students. Here are a few recommendations that may help you move one step closer to having some peace of mind and keeping your job out of jeopardy.
Tips for Using Facebook
Facebook is a double-edged sword. When used correctly, Facebook can expand your reach as an expert, increase traffic to your website, and allow you to provide support to others on their professional development journey. Where people get into trouble is when they try to occupy their professional and personal life in the same virtual space. This is not limited to commenting, but it also includes likes, shares, who your friends are, photos, and etc.
I recommend changing your personal Facebook page to a nickname/middle name with an avatar or baby picture for your profile and cover photos. True friends and family members will know who you are, and Facebook will automatically update your post search history with your middle, nickname, or alternate spelling. But, be careful because it’s possible for Facebook to flag your name change. You should also take precautions to enhance the security of your Facebook account.
This will help protect you when clients are actively seeking out content generated by your social media accounts. Secondly, don’t post case related items on your personal Facebook account. If you need advice or an opinion related to a case, message the Social Work Helper Fan Page. I frequently post #SWHelper Team Questions as case study questions to minimize risks to you, and I hope other social work entities will offer similar support for social workers.
If you chose to anonymize your personal Facebook account, I recommend creating a Facebook Fan Page in your professional name which can also help with establishing your professional identity.
- You can post information and resources for your clients
- You will no longer need to have embarrassing conversations with clients or coworkers about why you can’t friend them
- Clients can follow your Fan Page without exposing client’s to each other
- You can like other Fan Pages your clients may find useful while organizing resources in a central location
- FB feature allows you to seamlessly switch between your FB account and Fan Page without having to log out
- You can also make comments, like, share photos, and share posts choosing from either profile
To prevent Facebook from locking your account due to the name change, you should use a shortened or variation of your real and last name, a common name with a long search results history, your maiden name, or your middle name. These are just some of the possibilities you can choose to prevent Facebook from blocking your account. So, if you don’t want to explain to a client or an ethics committee about how your personal beliefs did not affect your decision-making due to memes and content found on your social media account, please take my advice above.
Making the Most of Twitter
Twitter is one of the best social media platforms for making connections and expanding your professional network while enhancing your ability to advocate for the causes you care about. However, there are times when you do need anonymity to protect your employment especially if actively engaging in conversations you don’t want public. Due to my personal philosophy, I don’t post comments or materials that require me to distinguish between my professional and personal identity with the exception of the occasional tweet when I am watching Scandal.
If you are using your professional name, potential networkers and possible opportunities are not going to sort out your professional tweets from your personal tweets. They will all be considered a reflection of you as an individual. “RT does not = endorsement” is not going to cut it. It’s safer to not tweet and/or not retweet something you don’t want to defend, but you could always phrase it as a question to ask other’s opinions. Also, I recommend adding the disclaimer “my opinions are my own not my employers” on accounts using your professional name. As a rule of thumb, if your account is going to be opinion filled, use an avatar with a pseudonym for anonymity. It’s better to be safe than sorry later.
When using your professional name, it should consist of useful information, advice, inspirational quotes, resources, and/or projects that make you look good professionally. If you are only on twitter anonymously, you are missing opportunities to enhance your professional development. If you are using twitter with your professional name and it’s a private account, you are still doing yourself a disservice. What’s the point of being on Twitter with a private account because it’s difficult for someone to connect with you and no one can retweet your profound 140 characters?
To Google or Not To Google
As practitioners, we should not be asking whether to Google or Not Google instead we should be giving you the information on how to Google clients and potential clients ethically. According to a recent study by American Psychological Association, 98 percent of clinical, counseling, and school doctoral students reported Googling their clients. It’s time for this profession to readjust our reality for the digital world we are living in. When Googling a client or anyone for that matter, one must keep in mind that everything on the internet is not true, and it should not be used to penalize without giving the individual a chance to respond.
However, for potential clients at a private practice or when making home visits to new clients, a Google search may be a vital tool in assessing social worker safety. Dr. Ofur Zur provides one of the most comprehensive resources on whether to “Google or not”, and its complete with scenarios and varying categories to help practitioners decide which category is best for your practice and needs. It also covers how to use informed consent for conducting Google searches at the beginning of the therapeutic relationship.
How Do We Move Forward?
Unfortunately, many people have been introduced to social media and online technology as entertainment or to be used as a personal diary. Even if your account is marked private, using instant messaging, email, online technology and/or social media should never be used with an expectation of privacy. You should always assume any information you post online can be privy to public consumption via screen capturing or other measures from anyone who is intent on hurting or exposing you.
In my opinion, the social worker in the above case was condemned because her comment was posted on Facebook. I argue that if said social worker made the same comment in a restaurant, classroom, or another public place would the disciplinary action have been the same? The counter-argument was that Facebook is public and archived by Google which makes it different. I assert we all need to be more careful and aware because we live in a digital age where you can be video tapped or audio recorder via camera phone, vined, viddyed, snapchat, etc. The individual in possession of such digital data can make your actions and comments public without your consent. The medium in which words and actions are transported is irrelevant, and it stifles our ability to move the conversation forward instead of focusing on best practices.
Most importantly, one of the biggest issues in the above case not being addressed is that fact the client went onto Google searching for the social worker in question. Community Care UK reported that 85% of social workers reported being harassed or verbally abused on the job. Whether the client was acting with nefarious intent or in preparation for a pending court case, we simply don’t know. However, social worker safety should be just as important as client confidentiality. The biggest mistake made by the disciplined social worker was her checking in on Facebook thereby giving the time and location for when she would be in court. Why are we not being programmed to think about social worker safety as much as client confidentiality is drilled in our heads?
As a profession, we can not begin the journey of leveraging online technology and social media to advance social work because we are stuck having conversations about account creation, security, and ethical use. These things should always be ongoing conversations, but we have got to start making advances in tech education and training. Agencies, associations, and social work faculty can not adequately answer or provide solutions because most don’t use social media or they utilize outside firms to meet their social media needs. There is nothing wrong with contracting out to meet the needs of your organization, but we must also have mechanisms in place to address social workers’ technological IQ at the micro and mezzo levels.
We must develop continuing education credits, foundational course work, and in-service trainings to properly prepare current and future social workers for practice in the digital age. Social Work education is expensive and students should be demanding that they get the best resources and training during their education especially when they can be fired or disciplined for it later.
Most importantly, we have a duty to our students and professionals to assist them in harnessing all the advantages that social media and technology can provide.
*Since this was a UK regulatory body disciplinary action, I primarily used UK resources for this article, but they are applicable globally.
