Question
A 16-year-old admitted for a chronic illness starts texting a CCLS's personal number about non-medical topics like music and relationship drama, and the CCLS enjoys the rapport. What should the CCLS do?
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End the personal texting and move all contact back to hospital channels. Even friendly, well-intentioned rapport becomes a boundary violation once it moves onto a personal device or into non-clinical territory, because it blurs the therapeutic relationship into something that resembles a peer friendship. The teen may come to expect a level of personal access and reciprocity a professional relationship cannot sustain, and the CCLS loses the objectivity needed to make sound clinical judgments about that patient. Redirecting to documented, hospital-sanctioned communication protects both the patient and the CCLS's ability to remain professionally accountable.
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