Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Qualitative content analysis in practice. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. The cost of the online administration is $25, to be paid by the patient. He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. Are there competing ethical principles? Jacob-Timm,S. What would be your emotional response to this situation? The Clear Answers and Start Over feature requires scripting to function. Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. Dr. Jordan calls you on the phone for an ethics consultation. ocuk Koruma Kanunu [Child Protection Law]. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. Mr. Biggy starts asking questions that are more personal, forwards her funny emails, and texts some inappropriate remarks to her, mainly about her alluring power that helps make sales. If you were Dr. Jordan, how would you feel about this request? 4 0 obj Among other things, the report contained a psychological evaluation of the patient. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K The prospective client was using her maiden name and gave no indication during the session that she knew about her ex-husbands treatment with the therapist. A therapist had an intake appointment with a new client. The following email catches your attention. What do you believe is the best course of action? He will also pay for all treatment in cash, as he wants as few people and organizations to know about his daughters issues. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. 6 0 obj Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. While he did complete his Legal and Ethical Issues in Counseling class while working on his masters degree, he feels that now that he working in the real world, he should review and discuss the Code of Ethics and the Standards of Practice with his peers. frequent consultation requests by the trauma service. In a group setting, clients may no longer feel estranged from society or alone in their challenges, and instead view themselves as part of a community of people with shared experiences. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. On that card, there will be information that explains the importance of completing this assessment, the cost, and that a licensed therapist will review the results and contact the patient by phone within 3 to 5 business days. One day, Dr. Bishop receives a phone call from his contact at the institution. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. At the end of the day, the therapist reflects on the interaction her new lawyer-patient. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. She is struggling that the situation is not right and feels very uneasy about the arrangement that the lawyer-patient foisted upon her. The position pays much more than shes making at the community agency, and is within ten minutes of her home. What are some likely emotional reactions would you have in this situation? Sue schedules the appointment for early in the evening. An important factor is that there is no cost to you, as the therapist. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and suspected child sexual abuse. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. Feature Flags: { A court appointed custody evaluator performed a child custody evaluation. Dilemma 35: Initial Telepsychology Session for Free? The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. Download Ethical And Professional Issues In Counseling (PDF/BOOK) Full Published online by Cambridge University Press: Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics hasContentIssue true, The Author(s), 2022. Yet the dilemmas above speak of the profound difficulties we can face when thinking of our responsibilities and potential actions in real-life situations, especially difficult situations we might inadvertently find ourselves in. V;J/$"P)T)-nC6!;D-b0 *a #Xk%u %lFhZ@=Hr|y>wtrPuDd"Q=d0bs9>CQ?Rkf-U]BFJV9>g$d\3IH:$@eU-ASq 1K [i=2y#qIg3ibct x*apx>1@y#@/#x@ s ^R9,.6^ X T9,e64vKa8%#o-%=cpi %&)}Cd$fi4/6O.FSKA^iBd<2PTG :5=@0J=kM* In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Continuing Education & Ethical Resources For Mental Health Professionals. I encourage you to review our web site. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Would your answer differ if the advanced directive was created 7 years ago or greater? The patient had been in treatment for about 10 months on a weekly basis. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. Ethical Dilemma The counsellor is conscious of the cultural differences and avoids talking too much and attempts to refer to the husband for most of the exchange. Apparently, no one is. Therefore, this article offers a brief description of the purpose and alleged benefits of supervision, and examines the current position of the law in regard to ethical dilemmas within supervision. endobj Ethical Vignette Paper.docx. After the session is over, the therapist has time to reflect on her concerns. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. What are some of the potential ethical pitfalls in this scenario? Total loading time: 0 White Plains, NY: Longman. Ethical Dilemmas - IResearchNet - Psychology Mr. DiMencha demonstrates a variety of cognitive deficits. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 He recalled that he was an older person with significant depression who eventually became better. During the current session, the confides that he has made a new female friend. What factors make this situation potentially difficult for you as a therapist? Dr. Thomas normally does not handle EAP services, but today several staff members are either ill or overbooked, so Dr. Thomas responds to EAP requests during the day. Along with. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. Dr. Jordan returns the phone call. B) =AiV5bAqUKxs#6{pA :)B'5-a* Dr. Goodfriend receives a call from Buddy, his very close high school friend. To create paragraphs in your essay response, type
at the beginning of the paragraph, and
at the end. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. What clinical concerns arise for you in this scenario? Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. She remembered back to her psychopathology class in graduate school, and felt comfortable running the group based on the knowledge of schizophrenia that she acquired from the class. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. 2. How would you feel if you were the consultant? This has caused both his physical and %PDF-1.3 Case Vignettes for Review What are some possible suggestions for Dr. Jordan? What are the possible steps Dr. Crane can take to mitigate any potential difficulties? She was recently offered a position as a dual-diagnosis treatment counselor at a local drug and alcohol rehabilitation facility. stream This workshopis based on discussion of ethical issues Identifying, addressing, and resolving ethical dilemmas is a dynamic process that requires counseling professionals to do more than simplistically apply the codes with respect for the uniqueness of each situation or circumstance. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. cn]JlmQSMDM>pEm+gxMU]``tQqKF While you are there, a family member arrives with a copy of a notarized advance directive, created within the last year, which specifically outlines the patients wishes not to be placed on a ventilator or any artificial life support. The patient admitted herself to the unit, with some persuasion by the local police, for making loud threats and menacing gestures in her neighbors driveway. . The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services. She reports that the husbands treating therapist, Dr. Cooper, has allegedly advised him to discontinue his medication in favor of an herbal remedy (St. Johns Wort). Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. She was pleased to find that by attending the seminar, she could earn 20 CEUs that would count towards maintaining her licensure, and also gain the knowledge needed to successfully treat her new clients. Kara then contacted the facility and let the supervisor know that she is not able to accept the position at this time, but that she plans to seek out the necessary training and supervision to work with substance abuse clients, and that she hopes the facility will consider her for the position once she has completed the necessary training. New York: John Wiley & Sons, Inc. PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. What are Dr. Millers potential ethical issues in this situation? It then provides six vignettes where supervisors are faced with ethical dilemmas. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. Common Ethical Issues: Case Studies and Test Your Knowledge While discussing these issues, the patient suddenly stopped talking. raised by clinical vignettes such as those below, Dilemma 4: A Psychologist in Turmoil Dilemma 5: A Tricky Situation Dilemma 6: Referral and Treatment Boundaries Dilemma 7: An Invitation to Assess Dilemma 8: A Session with the Spouse Dilemma 9: Psychologist as Character Witness ), Psikolojik danmanlk alannda mevcut ve gelien etik sorunlar [Current and developing ethical problems in psyhological counseling field], Sources of conflict between primary school principals and school counselors in Turkey, I wanna tell you a story: Exploring the application of vignettes in qualitative research with children and young people, International journal of Social Research Methodology, Using an ethical decision-making model to address ethical dilemmas in school counseling, An examination of the ethical dilemmas of school counsellors: Opinions and solution recommendations. The therapist and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. There were contentious issues dealing with the custody arrangements of the children. The physician wants the psychologist to treat his 17-year-old daughter . Along with the initial anxiety of the new job, her territory, and her boss, she reports a fear of failure and other anxiety related symptoms. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? After reiterating the purpose of the session (which was to assess the marital situation and not to assess his current treatment), Dr. Miller states that she feels uncomfortable with the request, although she is concerned about the therapists reported behavior. He also states that if she does not accept what he is offering, he will lose respect for her as a professional and probably not return for treatment. for this article. Of course, they exist in all forms of counseling, from short-term advising . Learning From Ethical Vignettes This workshop is based on discussion of ethical issues raised by clinical vignettes such as those below, adapted and used used with consent from a state psychological association. What are some recommendations that you would make to the psychologist? In hindsight, what triggered some possible difficulties in this situation? The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. Encourage the client to file a complaint with the State Board of Psychology. The patient has trust issues with his parents, especially his father. His mother had suffered from a combination of severe respiratory problems and Alzheimers. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? After a patient completes the assessment, an email will be sent to you (based on the security code) and the patient within 24 hours, providing a secure link to review the results of the PASS-2. At the end of the day, he listens to voicemail messages to learn that a former patient is reaching out to him for a request. Results will be available to you and the patient online. You may access the ACA Code of Ethics and other ethics code at the WEBLINKS button on this website. xOZo!BQf&vo$h5N z@*ly3Q_Hp{%f7$uPy+u *@`a F\@t2g%b},xhO2bLF;f+o0r 9a0@3~q Glover, J. She wants the therapist to phone the police immediately when the patient arrives and to have them arrest the cousin for unlawfully detaining the minor child. Does Dr. Goodfriend need to phone his high school friend to clarify his last comment? He also divulged that his risk-taking behavior has increased as well, such as speeding. His patient reveals, during the course of therapy, th A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. He asked the attorney if anyone is contesting the will. 1 pages. Hence, the admission is voluntary. % Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. T. he counseling field is rich with ethical issues (American Counseling Association [ACA], 2014; Bodenhorn, 2006; Herlihy & Dufrene, 2011), so counselors have to be knowledgeable about current ethical and legal topics and attentive to their day-to-day clinical work. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. An exploratory survey of school counsellors in the UK, their perceptions of confidentiality, information sharing and risk management, British Journal of Guidance & Counselling, Bir ilkretim okulu psikolojik danma ve rehberlik servisine yaplan bavurularn incelenmesi [An analysis of cases admitted to an elementary school guidance and counseling service during a period of four years], Teachers perceptions toward school counselors in selected private schools in Lebanon, Qualitative research: Introducing focus groups, Child abuse and neglect: A practical guide for professional school counselors, Social-cognitive development, ethical and legal knowledge, and ethical decision making of counselor education students, Can a parent do too much for their child? In a therapy session in an outpatient substance abuse treatment facility, a patient reveals that an agency staff person another therapist in a different department has paid to have sex with another patient in the treatment facility Lyla, who is a prostitute. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. With her husband, the patient and the ex-wife? At the end of the call, Buddy tells Dr. Goodfriend that he is feeling much better. School counsellors often encounter ethically challenging situations due to contradictory values and roles. : ethical dilemmas, burnout, stress, practicing counselors. Prior to providing extra-therapy support, Dr. The therapist screens the potential patient and believes that she can help him. of family ties, but counselors in many other specialties will run into these issues too. Dans vision is that the group would meet periodically to provide one another with support, to do problem solving, to share information and personal struggles, and perhaps to provide some psycho-educational work on campus. The Center is solely responsible for all aspects of the programs. Ethics Rounds--Multiple relationships: A vignette One afternoon Taras supervisor approached her and asked her if she would be interested in facilitating a group therapy session once a week at one of the centers other branches. Dr. Jordan thanked her for the compliment and indicated that he needed to think about the request. Dr. Goodfriend speaks with Buddy about once every six to nine months. Are there additional considerations for how to approach the referring physician when calling back? She went on to detail how her boyfriend described how his uncle was involved in collecting and distributing child pornography but remained faithful to his aunt. First, these vignettes are meant to be teaching tools. Plenty lives and practices psychotherapy in a rural area. He is marginally coherent and unable to give any consistent responses. Ethical Vignette: Ethical Dilemma Essay Example | GraduateWay A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. The treating therapist is questioning what to do. Supervision Ethics Vignettes Client Worsens While Under the Care of Supervisee A 16-year-old girl who came to counseling for help with recurrent depression is exhibiting increasingly severe episodes of self-mutilation. If you decide to provide information, would you consider communicating with the prior patients attorney? The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. What are some actions that you, as the treating therapist, may have done differently? While Chuck now lives in an apartment in town, she remembers him well. ethical dilemmas in counseling vignettes - helpfulmechanic.com Okul ruh sal hizmetlerinde yaanan sorunlar: Psikolojik danmanlarn grleri [Problems encountered on school mental health services: School psychological counselors opinions], Role stress among practicing school counselors, Ortaretimde grev yapan retmen ve okul yneticilerinin okul gvenliine ilikin alg ve beklentileri [Perceptions and expectations of teachers and school administrators working in secondary education regarding school security], It just doesnt feel right: A mixed methods study of help-seeking in Irish schools, Advances in School Mental Health Promotion, The need for ethical code of conduct among school guidance counsellors in Obio/Akpor local government area, International Journal of Innovative Legal & Political Studies, Okul psikolojik danmanlarnn kullandklar unvann mesleki kvan, psikolojik danman zyeterlii ve baz zniteliklerle yordanmas [Predicting the professional title of the school counselors with the professional pride and counselor self-efficacy], Psikolojik danmada etik ikilemler: Etik karar verme sreci [Ethical dilemmas in psychological counseling: Ethical decision making process], Eurasian Journal of Educational Research (EJER), An ethics challenge for school counselors, School counsellors attitudes and beliefs about child sexual abuse, Ethical dilemmas in college counseling centers, Okul psikolojik danma hizmetlerinde mesleki etik ihtiyalarn belirlenmesi [Determining the professions ethical requirements in school psychological counseling services], At risk of harm? What are the ethical issues, if any, involved in this case? The ICU staff asks for your input. What are the possible downsides to entering the dual relationship? What obligations does the therapist have to Mr. Drapier, Mrs. Drapier, Dr. Cooper, and the public? Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. With whom does the therapist discuss the multiple roles? The mother further reports that the patients cousin has been driving the patient around town. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. Can the therapist continue the treatment relationship with the patient? <> Plenty engaging in a multiple relationship role in Mr. DiMenchas care? outside her scope of practice? The therapist and the young man have been engaged in psychotherapy for the past 2 years. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? The mother explains that the child has run away and the mother has reported the child missing to the police. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. During some individual time, the patient indicated to the psychologist that she has had it with her neighbor and has something planned that will make you all finally understand once she is discharged. The physician explains that he has been medicating her for about four months with Prozac and Klonopin, once he became aware of her eating disordered behavior. The interview schedule was related to six vignettes about "ethical dilemmas." The vignettes were established by analyzing Turkish ethical codes. tiny black tadpole looking bug in bathroom; ff14 plasmoid iron lake location; top 10 most dangerous areas in cape town; cockapoo rescue michigan; floris nicolas ali, baron van pallandt cause of death; Dilemma 20: Has the Psychologist Done Too Much? 3. 1 0 obj endobj For this to be a successful venture, we ask you to promote this program to your referring physicians, nurse practitioners, and physician assistants in order to enhance their ability to identify, evaluate and provide needed treatment for their patients.Garrett Morris Brother,
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