Professional ethics and regulatory framework
Professional ethics and regulatory framework
The EPR exam tests whether you can apply ethical duties and legal rules to everyday recovery-support decisions, not merely recite them. Expect scenarios on confidentiality, informed consent, scope of practice, boundary crossings, mandatory reporting, and documentation accuracy.
Core rules
- Confidentiality is the default. Disclose only with valid written consent, when required by law (for example, imminent danger or suspected abuse of a child or vulnerable adult), or as permitted for treatment and operations under applicable privacy law.
- Informed consent must be voluntary, specific, and revocable. Explain the limits before collecting information.
- Stay within scope. Peer supporters share experience and coach; they do not diagnose, prescribe, or provide clinical treatment.
- Manage dual relationships. A peer who also knows the client socially needs supervision and a clear role agreement.
- Document ethically: factual, timely, and limited to relevant information.
Worked example
A peer facilitator tells a group that “Maria is HIV-positive” to explain her absences. Reasoning: HIV status is protected health information; group membership does not imply consent to disclose; the facilitator should have used a general statement, obtained consent, or said nothing. Action: stop the disclosure, notify a supervisor, document the incident, and review the group confidentiality agreement.
Traps that cost marks
Lived experience does not cancel confidentiality. Do not assume a client’s social media post authorizes discussion. Avoid “friendly” exceptions. Do not accept gifts or favors without policy review. Never promise absolute secrecy.