Introduction: I, Danielle Aubin, LCSW, am organizing a support group specifically designed for Autistic parents. Before you decide to participate, it is important for you to understand the purpose of this group and what your participation entails. Please read this consent form carefully and feel free to ask any questions you may have.
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Location: This group is open to autistic who reside in Minnesota, California, Florida, and Arkansas.
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Therapy: Please be aware that while the group aims to foster a supportive and therapeutic environment, it is not a substitute for individual therapy or counseling outside the group. The discussions held here are for support and therapeutic purposes but may not address every aspect of your mental health needs. Your participation is voluntary, and you are encouraged to share at your own comfort level. If you have concerns about your emotional or mental well-being, you are encouraged to seek additional individual therapy or professional support as needed. By joining the group, you consent to participate in discussions and activities as outlined and acknowledge that while the group provides therapeutic support, it may not cover all aspects of professional intervention that individual therapy might offer.
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Purpose: The purpose of this support group is to provide a safe and supportive environment for Autistic parents to connect, share experiences, and access resources. The group aims to foster mutual understanding, validation, and empowerment among participants.
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Group Facilitator: I, Danielle Aubin, LCSW, will facilitate the support group sessions. As a licensed clinical social worker with experience in supporting autistic individuals and families, I am committed to creating a respectful and inclusive space for all participants.
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Confidentiality: Confidentiality is of utmost importance in this support group. What is shared in the group, including personal experiences and information about participants, should be kept confidential by all members. It is crucial to respect each other's privacy and refrain from sharing outside of the group.
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Participation: Your participation in this support group is voluntary. You have the right to withdraw from the group at any time without penalty or consequence. Additionally, please remember that you are not obligated to share anything you are uncomfortable with. Your level of participation is entirely up to you.
Expectations: As a participant in this support group, it is expected that you will:
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Respect the experiences and perspectives of other group members.
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Refrain from judgmental or discriminatory behavior.
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Maintain confidentiality regarding what is shared in the group.
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*You are welcome to come and go from the meeting as needed, have your camera on or off, speak and/or engage or simply participate via observation only*
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Benefits and Risks: Participating in a support group can offer various benefits, including emotional support, validation, and access to helpful resources. However, it is essential to acknowledge that discussing personal experiences may evoke strong emotions. While the group aims to provide a supportive environment, it cannot guarantee that all participants will have the same experience.
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Emergency Contact
If you are ever experiencing an emergency, including a mental health crisis, that is life or death, please call 911, Lifeline 1-800-273-8255, or go to your nearest emergency room. If you just need to talk with a counselor, please call 760-750-4915 and when prompted enter “9” to be connected with a counselor from a contracted agency.
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Acknowledgment: By signing below, you acknowledge that you have read and understood the information provided in this consent form. You agree to participate voluntarily in the support group session facilitated by Danielle Aubin, LCSW
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You're all set. Thank you!