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Confidentiality in counseling
Ethical dilemmas in the counseling profession and confidentiality
Confidentiality in counseling
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1.3 Assignment Nashaly Alverio Florida Technical College 1.3 Assignment : Case Studies Case 1: Jerry McCall is Dr. William’s office assistant. He has received professional training as both a medical assistant and an LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in 30 minutes.
The National Organization for Human Services (NOHS) Ethical Standards is intended to serve as a guide to the everyday professional conduct of the helper. The standards are extremely broad and subject to interpretation, by the helper. Therefore, the standards are not static; they are revised as new concerns occur during the client-helper relationship.
Presenting Problem Client reports that he has been having trouble focusing, has been feeling overwhelmed and has been experiencing a tremendous amount of guilt over his recent behaviors. He describes several instances where he has forgotten to follow through or neglected important and routine responsibilities. For example, client describes an incident in which he did not complete the bathing routine for his developmentally disabled brother, he left his brother in the tub to complete the task himself so that he could spend time with a young woman named Becky who is passing through Gilbert’s town as she travels across the country with her grandmother. Client reports that he knew his brother would be unable to complete the task of bathing without assistance but left him unattended anyway.
Ethical theories are ways of telling right from wrong and include guidelines of how to live and act in an ethical way. For example when faced with a difficult situation in your life, you can use ethical theories to assist you in making the right decision. One key theory is consequentialism, which says that an individual’s correct moral response is related to the outcome/ consequence of the act and not its intentions/ motives. Early writers on this theory were Jeremy Bentham and John Stuart Mill, a modern writer is Peter Singer. For example Brenda Grey has asked for the asthma specialist to visit her weekly, and to decide if this is necessary the professionals involved have to look at how it would affect her wellbeing.
During the session Dr. Miller sees that, indeed, Don is impaired on multiple levels. During the therapy Don admits to his drinking problem and asks Dr. Miller for a second opinion on his treatment with Dr. Cooper. It is also important to note that Don admitted to having suicidal ideation during the therapy session with Dr. Miller. Don leaves therapy in a rushed manner after Dr. Miller reiterates the reason that they were in therapy together, pointing out it was not to assess his treatment from Dr. Cooper. The ethical dilemmas presented in this vignette stem from Dr. Miller’s willingness to have a couples therapy session with Don and Betty.
Ethical Issues in Social Work Practice The social work profession and its Code of Ethics dictate that social workers must act in the best interest of the client, even when those actions challenge the practitioner’s personal, cultural and religious values. In practice; however, ethical decision-making is more complex than in theory. As helping professionals, social workers are constantly faced with ethical decision-making or ethical dilemmas. As noted by Banks (2005), an ethical dilemma occurs “when a worker is faced with a choice between two equally unwelcome alternatives that may involve a conflict of moral principles, and it is not clear what choice will be the right one” (as cited in McAuliffe & Chenoweth, 2008, p. 43).
Ethics Statements I shall become closer with my family, by spending more time with them during the week and weekend. I shall study more this year and put more effort into my work and homework. I shall do this by taking more time out of the day to study, and getting my homework done on time. I shall do more for my community by recycling. I shall do this by recycling the cans in my house and making sure my parents do too as well.
She is unwillingly forced into counseling and it is in counseling that her therapist orders her to attend AA meetings. She makes friends along the way from both her therapist’s
Profession Code of Ethics Comparison As a social work student, we are provided with the foundational education necessary to succeed in our profession. The National Association of Social Work (NASW) Code of Ethics is the most significant publication because it “is intended to serve as a guide to the everyday professional conduct of social workers” (NASW Code of Ethics, 2017). For this assignment, we are charged with exploring other professional codes of ethics to gain a better understanding of how they may be similar or differ from one another. Therefore, I choose to explore the American Counseling Association (ACA) Code of Ethics with the intention of conducting a comparison analysis of both documents.
With today’s fast paced environments and with current trends and advancements in technology there is a growing need to automate the world of healthcare. During the course of a person’s life, the information of his or her health is typically stored in many different places including paper charts and electronic records. Increased cost due to inefficiency, compromised care due to an incomplete picture of a person’s health history and waste of time and resources can all be a result of the lack of consistency of how and where to store health information. Not only can the management of health information and workflows through electronic systems help with efficiencies, but there is also a federal mandate requiring all healthcare providers to move
Ethics principles are a guide for the physicians that help them to a better delivery of health care. Beneficence means doing everything for the sake of the patient, so all actions are intended to benefit the patient. A good example of it is all the procedures applied in an ER room are intended to safe the patient’s life. Non-maleficence is based on the idea of “doing no harm,” is very similar to the principle of beneficence.
In my research, I came across a very interesting article by the ethics director of the American Psychological Association, Dr. Stephen Behnke, ethics entitled, “Sexual involvements with former clients: A delicate balance of core values.” After reading this article, my belief in the problematic nature of having romantic and sexual relationships with clients was re-enforced. The article stated that having this type of relationship with a client is counter to what people in helping professions should work against, which is further harming the client. (Behnke, 2004, para 2). Entering into a relationship where deeper emotional attachments are established carries with it a significant risk of harm.
He stated after attempting to help the client with his barrier on repeated attempts he had to discharge the consumer. However, he stated discharge the consumer only after securing bedding at UMD or Durham Rescue Mission (DRM). Nonetheless, I have learned more on the homeless population and a founder’s perspective at
Human lifespan has increased due to the latest advancements in technology over the past few decades. Health care has become very important in today’s world and involve activities like prevention, diagnosis and treatment for illnesses. A health care system mainly includes three critical components that work in tandem to deliver health services. (a) Healthcare consumers are the ones in need of healthcare services. (b) Health care providers are those who provide services like physicians, nurses, laboratory technicians among other staff.
As theories and ethical codes evolve over time, they incorporate past information and experiences while looking to address future problems and dilemmas (Banks, 2003, p.140). Across all types of social work practice, ethical codes and theories shape social workers view of situations and best practice strategies for individuals, families and communities. Unlike strict sets of rules or guidelines, theories and ethics generally provide overarching concepts in which social workers navigate ways to “enact professional purpose (Healy, 2014, p.7).” Without ethical codes, social workers would face an increasing number of dilemmas, fewer ideas for solutions and little consequence for unjust actions. Social workers could act based on personal discretion alone or based on dominant societal influences such as politics, religion or culture, which may serve as appropriate for some and discriminatory for other service users.
