His father has declined rapidly since the death of his wife and now requires total care. The Center for Ethical Practice is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. His family lives at a distance and provides minimal help. Ethical Dilemmas in Counseling: A Case Study Examination The American Counseling Association (ACA) Code of Ethics was amended in 2014 to reflect the ever-changing social, political, and technological landscape which clinicians must navigate. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. Encourage the client to file a complaint with the State Board of Psychology. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors. 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. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 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. His impairment is noticeable by Dr. American Counseling Association Ethical Dilemma "Counselors may be faced with a conflict between their duty to protect confidentiality, to . First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. Standards of Practice, B. Counselling Relationships, Confidentiality. A therapist receives a phone call from a well-known internist in her area. View all Google Scholar citations The therapist remembers the former patient as a likeable person. Mr. Biggy indicates that he wants to talk more about his feelings. Standards of practice, part B.9 states that . Ten minutes prior to the next scheduled appointment, the patients mother calls the therapist on the phone. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. As a mandated reporter, would Dr. Tell report place her clients confidentiality be at risk? Apparently, no one is. are The therapist obtains the keys and title for the vehicle. What are the potential ethical concerns about this scenario, if any? What are the possible steps Dr. Crane can take to mitigate any potential difficulties? Dr. Tell explained that the alleged perpetrator was several times removed from their sessions and she did not believe that she had the obligation to report it. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. image.jpg Liberty University Ethical and Legal Issues in Counseling . The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. This vignette poses several ethical dilemmas for counselors. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. 6P*-45Denc \4RPG6mNruMK*glwuh]4 P. t;qH AhX`8Ng3a%[,M&;;CZ523m-CH#s?tJwzqJ@J(&,i]Kbvq"1hpuDq U9'&-|)*5Y%kP2kiT;3fz-t1#5?&mv>TDN'8kU^V3q8 At#8 dHM'IF We have great data on the PASS-2 for reliability and validity in identifying primary care patients who can benefit from psychological services. However, the attorney has little awareness about how impaired Mr. DiMencha is. endobj What are potential ethical issues with this invitation? At the end of the day, the therapist reflects on the interaction her new lawyer-patient. 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. This particular vignette, Swenson said, may well fail the two-prong test. What are some potential responses that you could offer Dr. Bishop? When asked about the reason for the referral, she said that her physician had referred her for anxiety. <> He is also very concerned about confidentiality and wants assurances from Dr. Solomon. 3 0 obj 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. Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. 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). She was surprised to find that most of the clients who came to see her were young women who suffered primarily from eating disorders and relationship problems. The patient repeated this line of questioning during the first face-to-face session. stream Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. What suggestions or recommendations would you offer to the therapist? It was revealed that counsellors prioritise the students' benefit and respect students' privacy. A psychologist works in an outpatient substance abuse treatment facility. The therapist has not worked with the patient for about two years. As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. adapted and used used with consent from a state psychological association. The patient had been in treatment for about 10 months on a weekly basis. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. Dr. Tell allowed several moments to pass before asking the patient what was happening. What are the ethical issues for this scenario? 7 0 obj During the first few sessions, Mrs. Drapier indicates that her husband, Don, is depressed and in treatment. 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. Just as he is about to hang up, Buddy says, Thanks. Dr. She recently received an offer to become a sales representative for a pharmaceutical company. Plenty had Mr. DiMencha sign a document explaining her fees for the additional services. Next, most vignettes have more than one ethical issue that can be addressed. The most frequent ethical dilemmas involved the limits of confidentiality, confusion about counsellors' professional roles in school settings, uncooperative behaviours among stakeholders, and . Not knowing what to do, and realizing that the next patient is in the waiting room, the therapist takes the cash and sets up another appointment. % Dilemma 20: Has the Psychologist Done Too Much? %PDF-1.3 She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. It may rather be a sign that one is fully engaged in the life of a community. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. The treating therapist believes the options are: What are the possible emotional reactions to this situation? The results and implications for counsellors, counsellor educators and researchers are discussed. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. The supervisee is very worried and afraid to tell What are the potential ethical issues with this case? Dr. Tell contacts you with the above scenario. Buddy also shares that he has been short tempered with his wife and kids. The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Dilemma 20: Has the Therapist Done Too Much? Both therapists are of the same profession. What are some recommendations that you would make to the psychologist? Qualitative content analysis in practice. Divide and Rule? Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? The therapist expresses her concerns about working with a patient whose father is prescribing medication. iRE]7*ZG; K5|h{. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. Jacob-Timm,S. 1. outside her scope of practice? As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. The survey consisted of 10 vignettes based on the above ethical issues in. 2 0 obj Results will be available to you and the patient online. P. (1996). And, how would you, as the treating therapist, deal with those emotions? There were contentious issues dealing with the custody arrangements of the children. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 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. How are the clients emotional and interpersonal issues related to the therapists dilemma? Dr. Jordan is a therapist who typically works with a wide variety of patients. If you were the psychologist, how would you feel about the situation? Of course, they exist in all forms of counseling, from short-term advising . I need two professional journals dated within the last 5 years regarding ethical dilemmas in counseling _____has been described as the primary ethical dilemma faced by school counselors. Several weeks after beginning to go on sales calls, your patient reports that Mr. Biggy is complimenting her on the way she looks and her ability to make the sale. 3. endobj He is marginally coherent and unable to give any consistent responses. The patient has never met the attorney face-to-face, only by email and phone contacts. The marital situation appears deteriorated and Mr. Drapier appears significantly depressed. The therapist and the attorney-patient meet for the initial session. An important factor is that there is no cost to you, as the therapist. Harry then seeks out several other school guidance counselors in his area and asks them to meet with him to discuss how the Code of Ethics is incorporated into their practices. Published online by Cambridge University Press: Currently, the patient is denying the fact that she has made past threats toward her neighbor. My name is Dr. During the last two years, she required total care. The therapist and the young man have been engaged in psychotherapy for the past 2 years. He needs assistance and monitoring with daily tasks, such as home care, shopping, transportation, understanding the settlement process, reading his mail, and paying his bills. 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. *(/#*rqX''W-JFZ/GBx=w.~o&rq.H $W^o}E|lgp The physician wants the psychologist to treat his 17-year-old daughter . ; & Hartshorne,T.S. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. To use suggested categories to consider options for ethical response to the dilemma. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. The therapist feels stuck and overwhelmed by her present situation. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. The therapist knows her new boss, Mr. Biggy. What are some likely emotional reactions would you have in this situation? She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. Using a purposeful, convenience sampling method, we explored six school counselors' experiences of ethical decision making. Sue schedules the appointment for early in the evening. Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. What are some possible suggestions for Dr. Jordan? She has been doing much of the case management work, e.g. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. During the session, Mr. Drapier verbalized suicidal ideation in a flip manner (Sometimes I think it would be better if I just killed myself). What are potential advantages in this scenario? The client presents the therapist with information about a well-known, local therapist who released confidential information about him to an attorney without a signed release or court order. The Clear Answers and Start Over feature requires scripting to function. 6 0 obj I encourage you to review our web site. Dr. 4 0 obj An ongoing theme in therapy revolves around his sexual orientation. Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. The therapist ignores the comment and finishes by setting their initial appointment. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. 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; After a review of the relevant counseling supervision literature, these ethical issues were selected for two reasons. The attorney-patient indicates that he earns about 2.5 times what the psychologist asked. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. Psychological Counselling and Guidance Department, Dokuz Eyll University, Izmir, Turkey, Get access to the full version of this content by using one of the access options below. 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. A therapist receives a phone message from a former patient. Published by Cambridge University Press, Journal of Psychologists and Counsellors in Schools. Continuing Education & Ethical Resources For Mental Health Professionals. 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. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Mr. DiMencha demonstrates a variety of cognitive deficits. Dan asked a number of faculty members to be the faculty advisor of this group. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K Your browser either does not support scripting or you have turned scripting off. <> The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. Mr. DiMencha doesnt appear to understand his legal rights or the settlement process. Simultaneously, the religious institution is adamant about this requirement. She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. What are Dr. Millers potential ethical issues in this situation? 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. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. Consider the following scenarios, presented initially in the Ethical Dilemmas column in Therapy Today. Dr. Bishop calls you for a consult about this situation. Attempts to find social service agencies able to help him have not been successful. Does the therapist who hears this information have any legal obligations? Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. At the end of the session, the therapist asks for the requisite fee as stated on the phone. The physician, nurse practitioner, or physicians assistant will offer patients this important opportunity via a specially designed 4 x 6 card. The client then asked if she could invite her boyfriend to the next session so that they could all discuss the information and the best way to handle the situation. 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. White Plains, NY: Longman. endobj Also during the course of the phone contact, Chuck expresses some homicidal rage toward his parents, particularly around financial issues and early childhood sexual abuse from his father. Dr. Faye Miller receives a referral for a 35-year-old female, Betty Drapier, who is feeling depressed and experiencing marital problems. However, Cynthia also realized that she didnt have much training or experience working with clients with eating disorders, so she decided to attend a week-long seminar on the treatment of eating disorders offered by the local community mental health center. My wife told me that I should see a therapist but I told her that I could talk with you and that it would be much cheaper.. B) =AiV5bAqUKxs#6{pA :)B'5-a* Dr. Smith is a therapist who has worked with a young woman for about 9 months. It then provides six vignettes where supervisors are faced with ethical dilemmas. 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. What would you need from the attorney? After the phone call, the therapist checks the waiting room and sees the patient there. He recalled that he was an older person with significant depression who eventually became better. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. During the 90-minute call, Dr. Goodfriend tries to be a good listener, empathizes with Buddys difficult situation, offers advice on ways that Buddy can better manage his stress, provides him with general encouragement, and suggests a book that outlines stress management and anxiety reduction strategies. 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. Harry is a school guidance counselor who is just got a job at a large public high school. Has data issue: true Therapy lasted about a year and focused on depression and relationship issues. If you were a co-owner of the business, how would you feel about this situation? During the current session, the confides that he has made a new female friend. Abstract All school counselors are considered mandated reporters. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. How would you feel about receiving this request? A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. In hindsight, what triggered some possible difficulties in this situation? If you were Dr. Goodfriend, how do you feel about the phone call? << /Length 5 0 R /Filter /FlateDecode >> Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. The cost of the online administration is $25, to be paid by the patient. Dr. Joel Bishop has been conducting pre-ordination evaluations for a religious institution for many years. Dr. Jordan calls you on the phone for an ethics consultation. 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. The survey developed for this study consisted of vignettes based on ethical issues identified in the counseling supervision literature. Dr. Popeil thinks these ideas are good. The therapist seeks to reassure the patient that he, the therapist, knows Mr. Biggy on a personal basis and that he is a really a good guy that seems bright, friendly, and fair. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. : Ethical and Legal Ramifications of Documentation Decisions. The treatment notes indicate that she dropped out of therapy about one year ago. What obligations does the therapist have to the parent? Ethical Vignette Paper # Jodi Walters Liberty University. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. A therapist had an intake appointment with a new client. <> Plenty lives and practices psychotherapy in a rural area. He complains loudly about his parents and his girlfriend. When dealing with the EAP program, she thinks her title of doctor might put people off, so she announces herself as Sue when dealing with EAP clients. If you decide to provide information, would you consider communicating with the prior patients attorney? The Center for Ethical Practice (provider 1287), is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Cynthia, a counselor who had been successfully working as an AIDS and substance abuse counselor in a large city for several years, recently moved to a very affluent suburb and decided to open a private practice.