The mother further reports that the patients cousin has been driving the patient around town. Cynthia had already invested quite a bit of money into her private practice, and was determined to make it work, regardless of the type of clients she had to treat. While it is not a complete assessment, it can guide patients to you for further psychological consultation. The group is for newly diagnosed schizophrenic clients, and is meant to help them cope specifically with their auditory or visual hallucinations. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. 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. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. 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. Learning Objectives: 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 The therapist and the attorney-patient meet for the initial session. The ICU staff asks for your input. What are the potential pitfalls in the scenario? Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. What are the ethical issues involved in this case? The therapist ignores the comment and finishes by setting their initial appointment. 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. 1. Of course, they exist in all forms of counseling, from short-term advising . By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. <> 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. He complains loudly about his parents and his girlfriend. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. A therapist has been working individually with a 17-year-old male for issues related to depression and family dynamics. Dr. Goodfriend is unclear whether Buddy is serious or joking. 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. Dan explained to Dr. Crane that this group would be student-led and meet on campus. Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. Dr. Smith also asked if it is ethical to bill the patients insurance company to review his impressions of a forensic report during a psychotherapy session. Programs that do not qualify for NBCC credit are clearly identified. A female therapist in a suburban area has worked with a male patient for about one year. ~Bi"$\HM"ruGz^1C+hY>3MyO6Qd7 ;zeWz7w_:y5pF{MofM$Ql )h:K A-4 aX-tW)&"0#.tD9@d I"$aqDDW"> DDfkYHPXTDplrM_Eb'N4+m+8 nh htDiMg5O=_Tlj\^5?@taB-&r\`6XV!]m(@yI@mh(8^I.6}.jLH!n"$V8xfc?jPB[:4)u0vi{RZTfywJQTl?ThOo! The Center maintains responsibility for this program and its content. Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. 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. 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. of family ties, but counselors in many other specialties will run into these issues too. However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. A therapist is treating a client who is involved in a legal proceeding. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. : Ethical and Legal Ramifications of Documentation Decisions. Should Dr. Goodfriend call Buddy and offer a few referrals? : ethical dilemmas, burnout, stress, practicing counselors. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. As is often the case when it comes to ethics, some of the best solutions involve counselors taking preventive steps, such as being familiar with and applying the 2014 ACA Code of Ethics. 2 0 obj 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. 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. 1LzLxG`kvP@>. 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? She stated that she wanted to include some education around sexual abuse and tell her story in a healthy, therapeutic manner. Workers Compensation refuses to pay for the case management services of an independent social worker. She eventually blurted out that, during a heated discussion, her boyfriend indicated that looking at online pornography was not as bad as what his uncle did. Dr. Goodfriend receives a call from Buddy, his very close high school friend. ethical decision making that guides students and practitioners as they work through and analyze complicated ethics cases that demonstrate some of the most challenging dilemmas that they will face. What concrete steps might be important before calling the physician back? What are the potential ethical concerns about this scenario, if any? Most issues do not produce ethical dilemmas, but some do. Total loading time: 0 Encourage the client to file a complaint with the State Board of Psychology. You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 8 0 R/Group<>/Tabs/S/StructParents 1>> 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. Uncertain, she calls you for an ethics consultation. Dilemma 35: Initial Telepsychology Session for Free? Therapists have used the PASS-2 for psychological diagnoses and evaluations for a number of years. Next, most vignettes have more than one ethical issue that can be addressed. What are the ethical issues for this scenario? He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. 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. In addition, the book focuses on working with diverse families and takes special care to emphasize multicultural issues. 2 Print version: page 62 6 min read 0 My name is Dr. Mr. DiMencha demonstrates a variety of cognitive deficits. How are the clients emotional and interpersonal issues related to the therapists dilemma? During the next session, Mr. and Mrs. Drapier arrive separately, but on time. If you were a co-owner of the business, how would you feel about this situation? The Center for Ethical Practice has been approved by National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP No. 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. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. Group of answer choices Growth in . Ethical Vignette Paper # Jodi Walters Liberty University. are Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. The main therapeutic issues are depression and loneliness. a73D%IhCTHA&:L0iAq(*p What are the ethical concerns in this scenario? In the context of counseling, family includes people related through . For example, the first vignette, which What emotional reactions may occur for the therapist? Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. During those calls, the conversations typically focus on careers, family members, and the whereabouts about other classmates. 1 0 obj As the conversation continues, the therapist is surprised to learn that the patients new friend is the ex-wife of the therapists husband. The purpose of these psychological evaluations is to identify individuals who have gross psychopathology, strong personality disorders, or other characteristics that would make them incapable of performing their religious duties adequately. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. They developed a good therapeutic alliance. The therapist feels stuck and overwhelmed by her present situation. What are other steps that the therapist may want to take in this situation? To discuss the matter in further detail, Dr. Popeil calls you for an ethics consult. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. The therapist pulls the former patients chart. The client asked if she could just give Dr. Tell the information about the uncle so that she could report it to the authorities and leave her out of the situation. What factors make this situation potentially easy for you as a therapist? Is Dr. What obligations does the therapist have to the parent? He also indicated that the relationship is taking on a more serious tone. hasContentIssue true, The Author(s), 2022. <> 4 Ethical Vignette "School counselors should acknowledge the vital role of parents/guardians and families." (American School Counselor Association, 2010, Section A.1.d.) The patient has never met the attorney face-to-face, only by email and phone contacts. 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. 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? As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. A therapist receives a phone message from a former patient. The therapist screens the potential patient and believes that she can help him. Dr. Crane currently works with an undergraduate student, Dan, on issues related to selfesteem and depression. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. What are the potential ethical issues with this case? If you were the psychologist, how would you feel about the situation? The treating therapist believes the options are: What are the possible emotional reactions to this situation? Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. 14 March 2022. Out of options, Dan is asking Dr. Crane to be the faculty advisor. When Dr. Jordan attempts to clarify the request, it becomes clear that the former patient is not asking to return to therapy, but instead is asking Dr. Jordan to become the co-author or a consultant for the book. She has been doing much of the case management work, e.g. Tara was excited about the possibility of doing something new, and accepted the invitation to facilitate the group. 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 physician wants the therapist to treat his 17-year-old daughter, who suffers with what he describes to be an eating disorder and perhaps some Borderline Personality Disorder traits. He will likely need to go into an assisted living facility. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. The patient reveals that he became aware of that information after several dates and recently felt comfortable revealing this to the therapist. She stated that Dr. Jordan recommended that she write down her memories. Prior to providing extra-therapy support, Dr. Youre encouraged to cite appropriate ethical principles and/or code of ethics standards. T2 0#8r\ You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. While Chuck now lives in an apartment in town, she remembers him well. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. Harry is a school guidance counselor who is just got a job at a large public high school. Dilemma 1: Therapist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? The ex-wife moved back to the area about six months ago. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . Would your answer differ if there were no advanced directives? Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. What are the possible steps Dr. Crane can take to mitigate any potential difficulties? The therapist is involved in a busy practice, specializes in treating eating disorders, and receives only occasional referrals from this physician. Patient contact information will be part of the administration process. After some other small talk, Dr. Smith leaves to mingle with other friends. Glover, J. Are there competing ethical principles? How easy or how difficult would it be to take those steps? Dr. Ron Popeil, a local therapist, is upgrading his web site. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. She actually attended his graduation party briefly and hired him to cut her lawn for two years. First, these vignettes are meant to be teaching tools. Regulatory boards are the final authority on courses accepted for continuing education credit. cn]JlmQSMDM>pEm+gxMU]``tQqKF Currently, the patient is denying the fact that she has made past threats toward her neighbor. 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. Can the therapist continue the treatment relationship with the patient? endobj The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. Dr. Popeil thinks these ideas are good. Prior to returning the call, Dr. Jordan reviews the patients chart. She recently received an offer to become a sales representative for a pharmaceutical company. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. An examination by parenting professionals of the concept of overparenting, Intercultural model of ethical decision-making: Addressing worldview dilemmas in school counseling, Qualitative research: A guide to design and implementation, Qualitative data analysis: An expanded sourcebook, Bir metafor almas: rencilerin rehberlik servisine ilikin alglar [A metaphor study: Students perceptions related to the guidance service], Journal of Social Sciences of Mu Alparslan University, Trkiyenin ruh sal yasas ile imtihan [Turkeys exam with mental health act], Special issue: Legal and ethical issues in school counseling, Reporting suspected child abuse: Conflicting roles for the counselor, Ethical, legal, and professional issues in counseling. He promised to call her back within a week. His impairment is noticeable by Dr. 4 0 obj What are the potential ethical issues in this case? %PDF-1.3 During the course of their work, the patient discussed significant facts about his troubled past, numerous details about failed past relationships, and sexual fantasies. He thinks that she is young and impressionable. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. While Tara is regarded as an excellent counselor by her clients and colleagues, she realizes that her skills are limited by the lack of variety in her training and experience. Dilemma6: Referral and Treatment Boundaries, Dilemma9: Psychologist as Character Witness, Dilemma 10: Multiple Relationships Revealed, Dilemma 14: The Psychology of Advertising, Dilemma 15: To Evaluate or Not to Evaluate, Dilemma 18: Co-authorship with a Former Patient. She does not feel right taking a fee larger than her usual and customary rate. outside her scope of practice? He would like help to work through the issues. We used a transcendental phenomenology research method and identified the themes of consulting, referring to ethical guidelines, documenting, contributing factors, and engaging in professional development. 1 pages. She completed her practicum while working in a treatment facility for troubled children and adolescents, and her internship was done at a privately owned psychiatric hospital for adults. Dan indicates that they may also want to engage in fundraising in order for GLBTQ students to attend state or national events. ocuk Koruma Kanunu [Child Protection Law]. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. 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. 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. And, Dr. Tell agreed to determine whether or not reporting this information would put her clients confidentiality at risk. Dr. Thomas is a mental health professional who is a part owner of a private group practice, some members of which offer Employee Assistance Program (EAP) services. 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. Dilemma 20: Has the Psychologist Done Too Much? When she asks about insurance, he indicates that he will pay in cash. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. When asked about the reason for the referral, she said that her physician had referred her for anxiety. What would you likely do with this email solicitation? The survey consisted of 10 vignettes based on the above ethical issues in. x#86h)Ppcc0F( k/ Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. What problems may occur as a function of Dr. Are there additional considerations for how to approach the referring physician when calling back? His father has declined rapidly since the death of his wife and now requires total care. The therapist has not worked with the patient for about two years. << /Length 5 0 R /Filter /FlateDecode >> During the interview, she was told that she would need to work independently, with only limited supervision. He does not view it as a therapy group. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. In this new edition, Dr. Welfel provides the most current information on the market, including up-to-date coverage of the newly adopted ACA Code of . He struggles with understanding concepts and his conversation becomes tangential during the next two sessions. Are there any ethical considerations in this dilemma? . Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. However, she begins to feel uncomfortable as she feels like they are spending too much time together. A court appointed custody evaluator performed a child custody evaluation. What are some recommendations that you would make to the psychologist? What are some of the potential ethical pitfalls in this scenario? Hence, the admission is voluntary. The Clear Answers and Start Over feature requires scripting to function. 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. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. 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. He also wondered if he should contact the patients lawyer, with her permission, to disclose his perceptions about the quality of the report and his perceptions about the conclusions. Ethical Vignette Paper.docx. At the end of the session, the therapist asks for the requisite fee as stated on the phone. If you were facing a difficult ethical dilemma, after identifying the problem and the potential issues involved, what would be, using Corey's model, one of the first places that you would look for assistance in the resolution of the dilemma 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. Dr. Smith politely explains that he feels uncomfortable with them discussing his more personal marital issues. Close this message to accept cookies or find out how to manage your cookie settings. This workshopis based on discussion of ethical issues Additionally, none of the treatment issues had to do with impulse control or antisocial tendencies. <>>> 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). If you decide to provide information, would you consider communicating with the prior patients attorney? <> 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. In hindsight, what triggered some possible difficulties in this situation? image.jpg Liberty University Ethical and Legal Issues in Counseling . We use cookies to distinguish you from other users and to provide you with a better experience on our websites. frequent consultation requests by the trauma service. What factors make this situation potentially difficult for you as a therapist? The test is designed to determine if the patient can benefit from psychotherapy, psychotropic agents, or other psychological services.
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