A therapist receives a call from an attorney wishing to seek services for depression, anxiety and substance abuse. Ethical issues relevant to family counseling are also included along with transcripts from hypothetical family counseling sessions throughout the book. The therapy focused on depression and anxiety related to work-related issues, interpersonal limitations, and relationship difficulties. The test usually takes approximately 40 to 60 minutes to administer. 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. Dr. Tell reminded her about confidentiality and the laws in Pennsylvania that would override it. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. And, how would you, as the treating therapist, deal with those emotions? The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. What are the ethical issues involved in this scenario? Dilemma 35: Initial Telepsychology Session for Free? Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. Is the goal of therapy to help the client manage the situation or is the responsibility now on the psychologist to gather more information about the possible crimes committed with children? Since there is rarely a right or wrong answer for most ethical dilemmas and since the cases provide limited detail, it is possible that you can validly argue for an answer and/or explanation that differs from ours. Workers Compensation refuses to pay for the case management services of an independent social worker. She is not sure that he completely understands what is happening or understands her version of informed consent for the additional services. endobj
Innuendos are that she allegedly killed her neighbors pet, but this has been unproven by the police. The therapist knows her new boss, Mr. Biggy. Hostname: page-component-7fc98996b9-g9qcd 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. 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. Simultaneously, he strongly believes he made the right decision. A physician requests a psychological evaluation of a 46-year-old man who attempted suicide via overdose of prescription medications along with alcohol. They developed a good therapeutic alliance. For example, the psychologist might have to evict his client for failing to pay rent--or he might . He is marginally coherent and unable to give any consistent responses. for this article. Your browser either does not support scripting or you have turned scripting off. Mr. Tellanyone is feeling quite guilty about his mother. He thinks that she is young and impressionable. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. What are the ethical issues involved in this situation? Does the therapist who hears this information have any legal obligations? Are there competing ethical principles? 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.
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#Xk%u %lFhZ@=Hr|y>wtrPuDd"Q=d0bs9>CQ?Rkf-U]BFJV9>g$d\3IH:$@eU-ASq 1K [i=2y#qIg3ibct x*apx>1@y#@/#x@ s ^R9,.6^ X T9,e64vKa8%#o-%=cpi %&)}Cd$fi4/6O.FSKA^iBd<2PTG :5=@0J=kM* 2 Print version: page 62 6 min read 0 image.jpg Liberty University Ethical and Legal Issues in Counseling . 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. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. 6 0 obj
Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? 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. After the initial greetings, the former patient indicates that she has finally started to write down more thoughts, memories, and recollections about her abusive experiences. Additionally, Dr. Smith believed that some of the conclusions were in error, and had little support for those opinions in the body of the report. Mr. Tellanyone reveals that recently he had a conversation with his father in which the father commented how peaceful his wifes death was and how he hoped for a similar passing. Plenty without any type of testing. Ethical, Legal, and Professional Issues in Counseling Author: Theodore Phant Remley Publisher: Prentice Hall ISBN: Category : Education Languages : en Pages : 488 Get Book. 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. are He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. Furthermore, she felt that because she was now in private practice, she could treat whoever she chose to, regardless of the specific needs of her clients. Ethical decision making for this study was defined as the degree to which decisions pertaining to confidentiality, parents' rights, and diversity and . Dr. Thomas is a mental health professional who is a part owner of a private group practice, some members of which offer Employee Assistance Program (EAP) services. He also states that if she does not accept what he is offering, he will lose respect for her as a professional and probably not return for treatment. Dr. Popeil thinks these ideas are good. Patient contact information will be part of the administration process. 3. During the current session, the confides that he has made a new female friend. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. xZ[o~/@FPpt>(2]s$gfH]Q4!g8oX4^e^Xt]Qn}a.>_t]t[}y^_-/.&$]|!X KC2In_g?/a=1x9>n3b.O
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2E[tO8=~?g[)R t,q$q< Q2 viA#UgMzewq(! ^wV[W\_Dv(rS6S2 R0y[w*Lw$d+_^#&mw[p;(>H{m #1nA Mr. DiMencha demonstrates a variety of cognitive deficits. They agreed to meet weekly for the first four months of psychotherapy, and then they agreed to meet twice per month. 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. Plenty acting beyond the limits of her competency? cn]JlmQSMDM>pEm+gxMU]``tQqKF During the interview, she was told that she would need to work independently, with only limited supervision. If you were a co-owner of the business, how would you feel about this situation? What are some of the suggestions that you may have for the therapist about accepting or declining the referral? << /Length 5 0 R /Filter /FlateDecode >> Ethical Considerations for Group Counseling Group counseling can be an effective form of practice with several intuitive benefits. After some other small talk, Dr. Smith leaves to mingle with other friends. Mr. Biggy pulls Dr. Smith aside and explains how he has become very attracted to a new sales representative. She mentions that she is still in communication with her ex-husband because they share three children. The patient was in therapy for approximately one year. After six sessions, Mr. DiMencha suffered a significant concussion while at work. What are the potential ethical concerns about this scenario, if any? She was pleased to find that by attending the seminar, she could earn 20 CEUs that would count towards maintaining her licensure, and also gain the knowledge needed to successfully treat her new clients. These issues included a. dual relationships, b. competence, c. informed consent, d. due process. What obligations does the therapist have to the parent? This has caused both his physical and Sci Rep 12, 22416 (2022). Ethics Vignette #2 A local psychiatrist is referred by his attorney for neuropsychological evaluation related to possible mild head injury ( traumatic brain injury) from a MVA. endobj
She stopped therapy because her insurance changed and Dr. Jordan was not an in-network provider. What are the potential ethical issues in this case? A therapist is treating a client who is involved in a legal proceeding. The former patient is asking for the therapist to be a character witness as he has an upcoming hearing for a minor criminal offense. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Can the therapist continue the treatment relationship with the patient? : Ethical and Legal Ramifications of Documentation Decisions. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. 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. 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. Dr. Goodfriend is unclear whether Buddy is serious or joking. While Chuck now lives in an apartment in town, she remembers him well. Dilemma 20: Has the Therapist Done Too Much? Important to an entrepreneurial therapist like you, this assessment bridges the gap between psychology and primary care. Encourage the client to file a complaint with the State Board of Psychology. To provide hypothetical vignettes based on ethical/legal dilemmas in my own practice. Then, explainbrieflyin one paragraphyour ethical rationale for your agreement or disagreement. Menu. Dr. Jordan calls you on the phone for an ethics consultation. Yet the dilemmas above speak of the profound difficulties we can face when thinking of our responsibilities and potential actions in real-life situations, especially difficult situations we might inadvertently find ourselves in. 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? 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. Next, most vignettes have more than one ethical issue that can be addressed. It then provides six vignettes where supervisors are faced with ethical dilemmas. What clinical concerns arise for you in this scenario? Harry is a school guidance counselor who is just got a job at a large public high school. The treatment notes indicate that she dropped out of therapy about one year ago. 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. Dr. Solomon, a psychologist on an inpatient psychiatric treatment team, is concerned about the pending discharge of a current inpatient. To use provided clinical vignettes to practice how to recognize the ethical and legal issues. Would your answer differ if there were no advanced directives? Dr. Goodfriend receives a call from Buddy, his very close high school friend. Dr. Tell agreed to contact someone to discuss whether Dr. Tell had to report this information to the police or Child Protective Services. He complains loudly about his parents and his girlfriend. Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. The clients boyfriend expressed that she should never discuss this with anyone. What factors make this situation potentially difficult for you as a therapist? Can the client contact Child Protective Services anonymously in this case? Would your answer differ if the advanced directive was created 7 years ago or greater? In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. endobj
1 pages. However, upon his arrival in the emergency department, the medical record quotes the patient as saying, This wasnt supposed to have happened.. You are checking your email after a busy day. Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. White Plains, NY: Longman. In the process of conversation, Dr. Thomas realizes that Chuck is the son of her next-door neighbors.
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