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Ethical Dilemma Paper

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Ethical Dilemma #4 1. What should the therapist/counselor do regarding informing his/her clients about the impending absence? Oklahoma LMFT 86:15-3-1 g-i, the therapist is required to give written notification to his/her clients that a disability or illness will temporarily prevent him/her from continuing therapy with them (Liscensure, 2015). The letter will allow for the client to be informed and provide insight as to an approximate timeline and plan of treatment during the recovery process. It is important for the therapist to also begin procedures for referring the clients to qualified therapists. It is imperative that the therapist work with the clients and clarify that they understand the need for referral to another therapist, and they are not being terminated or abandoned (Corey, 2015). As or right now, this may only be a temporary change; termination refers to ending the client therapist relationship. Preparing clients for unforeseen circumstances is essential and can also be a part of the Informed Consent. It is vital that the clients continue therapy because a large percentage of clients drop out of therapy when they are …show more content…

655)This is why it is important to work closely with the clients to provide assistance in obtaining another therapist who is qualified to treat them and involve the client in the process as much as possible. (Corey, 2015, pp. 308-310). Client confidentiality must be maintained throughout the referral process not only when consulting with potential temporary therapists, but also when handling the client’s records. The therapist should make arrangements for any original records to be transferred following the guidelines for confidential treatment of records; this is defined in the Oklahoma LMFT 86:15-3-2 g-h (Liscensure,

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The clients’ files cannot be in an exposed to the public place. The clients’ files should be saved or put in a safe place where only people with authorization have access to. Because the therapist is not aware that Merry accessed the client’s file, the therapist should talk to the receptionist about leaving unattended the client’s files, and explain to the receptionist the ethical issues regarding confidentiality. If the therapist becomes aware that Merry looked at the client’s file, the therapist should explain to Merry the importance of confidentiality. The therapist should also let the client know that his/her information was accessed by

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Primary Responsibility: The counselor principal obligation is to promote the prosperity of the clients with the reverence and dignity. This is the foundation for the therapists with maintaining their righteousness and obligations toward assisting the participants to adhere to the collaboration with the development of the client’s treatment plan. Overall, this approach is essential for the practitioners to enhanced their trust with the clients that were establishes, especially, with maintaining their responsibilities to the individual’s treatment objectives. NAADAC I-2 Informed Consent:

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The therapist did the right thing and reported it to the police, however he did not inform the victim that her life may be in danger. Which caused her parents to file a law suit after her death. (Video, 1976) . At this time there were no laws stating a Therapist had to disclose

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With this, the counsellor should utilize the least intrusive steps to ensure safety, which may include consultation, legal assistance, and disclosure to a significant other of the client (Canadian Counselling and Psychotherapy Association, 2020; Canadian Counselling and

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Secondly, therapists have to engage in reflective practice before labelling clients as “non-compliant” because clients who are deemed “unmotivated” may be dealing with difficulties like illness and loss. Thus, therapists ought to constantly remain attentive and prudent to explore the factors that are hindering clinical progress. Thirdly, therapists are not suggested to give clients advice regarding their progress in an intervention. Instead, they should encourage clients to take control of the process and respect clients’

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For example, when it comes to the implications and the scope of when to break confidentiality, it displays different guidelines when dealing with exceptions to confidentiality. American Counseling Association (2014 Standard B.2.a) addresses serious and foreseeable harm and legal requirements; the general guidelines illustrate that confidentiality does not apply when disclosure is required to protect clients or identified others from serious and foreseeable harm or when legal requirements demand that confidential information be revealed. Counselors consult with other professionals when in doubt as to the validity of an exception. Additional considerations apply when addressing end-of-life issues. On the other hand, similar to the Texas administrative code, conveys licensee may take reasonable action to inform medical or law enforcement personnel if the licensee determines that imminent physical injury is probable by the client to the client or others or there is a probability of immediate mental or emotional injury to the client.

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A therapist may do this once again in order to continue to receive reimbursement from Medicare for their services in order to generate more revenue for the clinic. Prior to the Jimmo versus Sebelius case in 2013, Medicare would deny coverage to patients receiving maintenance care for their condition due to their inability to demonstrate improvement from the skilled therapy services that they received (“Jimmo v Sebelius Settlement Agreement Factsheet,” 2013). However after the Jimmo versus Sebelius case, the Centers for Medicare & Medicaid Services revised portions of the manual which now states that coverage “does not turn on the presence or absence of a beneficiary’s potential for improvement, but rather on the beneficiary’s need for skilled care” (“CMS Manual System,” 2014). The correct action for the therapist to take in order to be in compliance with the rules is to provide adequate documentation as to why the patient would need and benefit from maintenance care services in order to prevent or slow the deterioration of their condition. An alternative would be to discharge the patient if they no longer require skilled and medically necessary services (“Jimmo v Sebelius Settlement Agreement Factsheet,” 2013) (“CMS Manual System,”

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The ideal condition for discharge occurs when the client has met his or her desired outcomes and the case manager and client mutually agree that there is no longer a need for case management services. In this instance, discharge may be viewed as the client’s “graduation” to a more independent way of life (Rothman, 1998). At other times, circumstances that result in termination of case management services may be less than ideal. For example, the client may lose eligibility for the service before reaching desired outcomes or the case manager may be unable to continue the relationship due to client non-compliance, lack of progress towards established goals, or health and safety concerns.

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Clinicians will not withhold services to clients (NASW, 2008). Limitations of the

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The lifeblood of any organization is its clients. The client, the organization, and the supervisee all need the assurance that the supervisor will act with integrity. It is imperative that clinical supervisors act with the utmost integrity. A therapist’s success is dependent on the trust that people have in his or her ethical standards. If integrity is missing, the client/therapist relationship will not be effective.

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It is possible if not likely that the nature and function of therapeutic relationships has changed significantly to better account for the contemporary understanding of mental illnesses as less categorical and more broadly conceptualized as spectrum disorders with variable constellations of symptoms (American Psychiatric Association, 2013). Broader considerations of cultural factors, comorbidity, and resource deprivation may account for occurrences within the therapeutic relationship as much as genuine psychopathology. Thus, it may be less important to base self-disclosure decisions and content on pre-determined rules or client diagnosis and more important for disclosure/non-disclosure decisions to first consider prominent clinical and vulnerability

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However, when you are not seeing someone face to face, there is always a chance that there is disconnect and lack of sense of obligation. On the contrary, a client could decide to discontinue psychological services at any time regardless of where the visits take place. In these cases, it is necessary for a professional to put together client expectations where one could include that a reasonable notice of cancellation must be

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The recreational therapist was responsible for writing the patient’s discharge date on the board after the meeting and answering any additional questions that the family or patients may have. This week the intern has begun assuming this responsibility. With this, the intern has to conduct themselves in a professional way when dealing with all of the therapy staff and the doctors. This has been a strength because the doctor has taken note of how the intern has conducted herself during these meeting and taken the time to thank the intern for what she has

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Lastly, the therapist should assess whether the client is in need for a more intensive therapy and if so, should be referred to a specialist or someone more equipped to handle the client’s

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They do this by receiving informed and signed consent from themselves and the client. Within this consent, will be the aim of not sharing information with any person and moreover, the client and the counsellor to contain a formal understanding of one another. Confidentiality undermines the public trust of the profession. As when professionals conduct confidentiality, they are demonstrating the virtues of integrity, trust and respect towards the

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