Managing ethical considerations around dual relationships in small rural and remote Canadian communities

Ethical guidelines for social work generally recommend avoiding dual relationships whenever possible. This study explored perspectives from Canadian social workers in remote communities, where this may not be feasible. Dual relationships in these communities were identified as ubiquitous and inevitable. Formal decision models were often overlooked in favour of an ongoing evaluation of the therapeutic relationship, and self-care related to frequent exposure to dual and multiple relationships was identified as a concern. The role of formal education and training and professional guidelines are discussed.