Ethical Dilemma

When addressing an ethical dilemma, having the ability to identify possible outcomes to address it is essential for change. The ethical dilemma I face at my field placement is confidentiality versus the right to self-determination. One possible option I mentioned previously to address the ethical dilemma was for clients to sign a privacy and confidentiality agreement that outlines what is considered mandated reporting. I believe the possible outcome for this option would help improve the client’s confidence with the agency and the clinician but also build rapport and trust. It would result in less missed appointments, assist with client involvement, and help the client feel supported while in crisis. Combatting the ethical dilemma would help

In other words, clients who visit my field placement have the right to receive service that is equal but also fair. Since many of the clients are referred from visiting the emergency room or are at high risk for suicide, no matter what the medical emergency is they have the right to receive respectful and dignified service. This directly correlates to the dignity and worth of a person. Second ranking in importance to resolve the ethical dilemma is “People have the right to secure their privacy and confidentiality” (Loewenberg et al., 2000). Many clients are either on parole, probation, or have open cases with DCPNP. They share their fears and paranoia but ultimately deserve the respect for their information not to be abused or mistreated. As long as clients are aware of the parameters that would break confidentiality, further solidifies the integrity of the agency and its clinciancs. Lastly in priority ranked order is “People have the right to understand the trust and all available information” (Loewenberg et al., 2000). Ultimately, no information should be kept from clients as it inhibits the rapport and the transparency of the agency. The ethical principle screens ensure that the six core social work values are adhered to in solving the ethical dilemma regarding

My goal would be to ensure clear and concise communication for the client in the case that I would need to report harm to self, harm to others, or court requested information. I feel that these are tools essential to my work with clients, even if an agency does not adhere to them, promote them, or teach their employees the dignity and worth of a client. I have decided to implement the statement of confidentiality at the beginning of all my sessions with clients by creating my own form and giving a signed copy to my clients to resolve my ethical dilemma, even though this is optional at my field placement. I am comfortable with the decision that I made because I have seen it has made an enormous difference with my rapport and trust with a client. Clients are now comfortable to express and delve deeper as I have been able to uphold integrity and their worth as a person by being fully informed. I always try to put myself in the clients shoes and know that if I was at the opposite side of the table, I would want to be treated with respect and know my