 ॐ ॐ ॐ ॐ ॐ ॐ ॐ ॐ ॐ fellows ॐECT ॐ ॐ ॐback refers to the general practice under which the payment is becing received for a product or service in return of paid out, because of some Wah immediately dedi ॐ probation ौ ॐ coercion ॐ like, jab bhi ek fee juhahi oh pay ki jaati hai,kesi bhi chamber me jaarukke. आफिस में जाके, how that fee is going to be split is something which is probably not known by the client but which is very much a fact. More simply, in a fee split arrangements, the employer and the employee agree to divide any client fee bought in by the employee in a proportional manner. For example, if a pre-licensed worker is working at a clinic, the set-up of the clinic, the hospital set-up is made by the management, on which the professional has not invested anything, he is only bringing his service there, then there can probably be an arrangement in which the employer is keeping 60% of that fee and the psychotherapist is keeping 40%. Same as if, as many medical doctors sit in different hospitals or centres and they take 40% of the fee and keep 60% of the hospital, this case can also be done with mental health professionals that the overall fee charge which apparently seems to be very high is basically what they are getting is only 40% of that amount. As occasionally encountered in medicine and the mental health professionals, the client usually remain unaware of the arrangement and unfortunately, fee splitting may exist in rather complex and subtle forms that tend to mask the fact that it is occurring. Now, the client cannot be told the details of the fee, how much tax is being paid, how much is going on the consumables, how much administration is being done and how much money is being charged by a mental health professional. Apparently, for that, it may be that 4000 charges have been paid to me but maybe it is only the 1500 which goes into the pocket of mental health professional after one hour long and lengthy and heavy session. Traditionally, nearly universal agreement existed among medical and mental health professionals that such practices are unethical. Now, this is something very important to understand that traditionally it was considered unethical that you cannot do this kind of arrangement and mainly because they may inhibit a true appropriate referral in the client's best interest because the interest of the client will be something else and the vested interest of the mental health professional will be something else. Maybe he does not have time but he can book so many clients which may not even give him time. So, this is something which needs to be very categorically mindfully to be looked into. Result in delivery of unneeded services, if you book a lot of clients, then it will be difficult for you to properly provide them with proper services or maybe you are providing them with services from people who do not need them. And it leads to increased cost of service and generally exploit the relative ignorance of the client. So, in return to all these things, that client's main problem will probably be ignored or you are giving it to such a professional therapist who will be on a learning phase whose recent degree will be there, whose hands-on experience will not be there and he will be experiencing it on his own clients. So, because of the fee splitting, at times these problems arises. A continuum of type of fee splitting or sharing agreement exists ranging from reasonable to ethical and to clearly inappropriate. Now, this continuum exists to split the fee very little and it becomes unethical, we need to create a bar for that. In between those two extremes, one can find a range of business practice with varying incentive just jet-race ethical questions. Now, in this continuum, in this entire pyramid where we split the fee from maximum to minimum and many business opportunities, mental health professionals can arise where they can be involved in many unethical practices. At the end of the continuum, we find employer and employee relationship in which one party hire another to perform service. But wherever we talk about a fee splitting, we will always find that one person is an employer, another person is an employee. Employer will be the one who will have a set-up, employee will be the one who will provide their service there and will be working for that. At the other end, we find arrangement in which the person making the referrals get money solely for sending business to another. And similarly, we see this situation on one side that one individual is only taking money from this thing because he is providing referrals to the other person. Like we are talking about a coaching center where you can contact that person and hire the teacher of your choice who can teach all the levels, who can teach MSC Maths, who can guide you in PhD. So the center itself cannot do anything but it is providing teachers who have different expertise. Similarly, this is a center which cannot help you but it is helping you to provide referrals to many people that you take this counseling for this thing, you contact this expert for this and you will get help from here for the elderly clear. So I mean in this way, it can be a money making opportunity for them. So that is all about the continuum on which we can explain the fee splitting that on one side is another scenario and at the other end we can see a different picture.