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. 2. Numerous patients from family practice offices can be given the internet link and a security code to complete the PASS-2. My name is Dr. By continuing well What are the potential ethical concerns about this scenario, if any? To use provided clinical vignettes to practice how to recognize the ethical and legal issues. New Therapist, 58, 18-26. Counselors may or may not know how to counsel people of different race, ethnicity, gender, sexual identity socioeconomic status, disability, age or spirituality. Because of his status as a well-known internist, he does not want to refer his daughter to a psychiatrist because he believes that he can handle the medication piece of her treatment. 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. 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. He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. Mrs. Simpson read the report and admitted that she did not understand some of the psychological jargon used in the report and had difficulty understanding what the conclusions of the report were. He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. Mr. Biggy indicates that he wants to talk more about his feelings. They follow legal guidelines in risky situations and insist on working within their areas of competence; they are not willing to accept noncounselling tasks. Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. Medical personnel never questioned the death as the woman had been quite sick and It was only a matter of time.. He asked the attorney if anyone is contesting the will. In this case study we will find some ethical dilemmas that usually are encountered by counselors and supervisors (Sederer L, 2013). Patient contact information will be part of the administration process. Hostname: page-component-75cd96bb89-t9pvx If you decide to provide information, would you consider communicating with the prior patients attorney? 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. Nellie the niece of the judge had good points on a lot of the cases that where presented to them and Joseph the Lawyer had some good points as well, but it all comes down to what is the right decision for the good of all. 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? The therapist obtains the keys and title for the vehicle. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. The therapist and the young man have been engaged in psychotherapy for the past 2 years. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. Next I looked at what ACA code of Ethics mandates that we do concerning these matters. COMMENTS. The therapist explains the fee structure for the initial appointment as well as ongoing psychotherapy sessions. An ongoing theme in therapy revolves around his sexual orientation. Because of busy primary care practices, the PASS-2 can be completed at home, if the office does not have internet access for patient use. Buddy adds that he has had trouble sleeping, has stopped exercising, has little energy, and fleeting thoughts of hurting himself. 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. The ethical use of assessments is important in Jennifer's case, especially in terms of using classified assessments that are deemed to be valid and reliable. This qualitative research aimed to define school counsellors' ethical dilemmas and their responses to such situations. 4. Correct writing styles (it is advised to use correct citations) The therapist pulls the former patients chart. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. About the author. The clients boyfriend expressed that she should never discuss this with anyone. Chuck hesitated to have a face-to-face interview at the practice, but agreed only if he can talk with Sue. Source: Zeevveez/Flickr CC 2.0. Is Dr. Tell a mandated reporter in this situation? You are checking your email after a busy day. . This has caused both his physical and 8 Pages. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. evaluating the situation (Hill, 2004). How are the clients emotional and interpersonal issues related to the therapists dilemma? A court appointed custody evaluator performed a child custody evaluation. After reviewing the information presented, it is clear to the treating therapist that the other therapist breached confidentiality. 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. writing your own paper, but remember to They developed a good therapeutic alliance. If you have further questions, feel free to contact me. While there are many different modalities, the American Counseling Association provides an ethical decision-making model that has counselors identify a problem, apply ACA code of ethics, apply state and . Tel: 434-971-1841 E-Mail: Office@CenterForEthicalPractice.org, Knowing What We Don't Know: Meeting Our Ethical Obligation to Develop and Maintain Competence, Should I Write it Down? The therapist ignores the comment and finishes by setting their initial appointment. Creativity is encouraged but do not add information or change the vignette. implementation, and f). The mother further reports that the patients cousin has been driving the patient around town. Does the therapist who hears this information have any legal obligations? by Judith E. Horowitz, Joann Paley Galst. The patient has never met the attorney face-to-face, only by email and phone contacts. p.6. Mr. Drapier smelled as if he had been drinking, and he admitted that his alcohol use has increased. And needs the multicultural experience the U.S. for 5 years per month > Ethics: case vignettes for . During the current session, the confides that he has made a new female friend. They developed a good therapeutic alliance. 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. Along with. From that positive experience, Dan wants to start a support organization for other GLBTQ students on campus. 14 March 2022. In fact, the patient has made no such comments to anyone else other than to Dr. Solomon and has been a model patient on the unit. Is Dr. Rob West, President and CEO of PsychBuilder Inc. located in San Jose, California. Dr. Crane feels ambivalent because of their therapeutic relationship, but also wants to help Dan because he appears to have limited options. Results will be available to you and the patient online. A therapist is treating a client who is involved in a legal proceeding. (2008). Mr. Biggy and Dr. Smith meet in an unplanned social venue. As a result, this article, written in a quiz format, offers suggestions for handling ethical . The patient repeated this line of questioning during the first face-to-face session. Review each of the scenarios and indicate whether you "agree" or "disagree" with the counselor's action. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. A therapist had an intake appointment with a new client. Are there competing ethical principles? An ethical dilemma (ethical paradox or moral dilemma) is a problem in the decision-making Every person may encounter an ethical dilemma in almost every aspect of their life, including personal, social Refute the paradox (dilemma): The situation must be carefully analyzed. Can the psychologist contact Child Protective Services anonymously, provided that the client supply the name and address of the uncle. Also in Section C.2.e and f states that the Counselors should take reasonable steps to consult with other counselors or related professionals when they have questions regarding their ethical obligations or professional practice and they must take continuing education so that they can maintain reasonable levels of awareness. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. This course introduces students to concepts regarding ethical and legal issues encountered by licensed professional counselors and marriage and family therapists, including ethical. What are the ethical issues involved in this scenario? His impairment is noticeable by Dr. Now believe me I know how important it is because I work in the field every day, but it made me want to make sure that Im doing the right things the way that they are supposed to be done. She stated that Dr. Jordan recommended that she write down her memories. Legal and Ethical Issues in Working with Minor in Schools Presented by Dr. Carolyn Stone, University of North Florida . An important factor is that there is no cost to you, as the therapist. Irina's parents are conservative Catholics and the culture of the school community is . When asked about the reason for the referral, she said that her physician had referred her for anxiety. My reaction to the video at first was This is a long video then I began to really listen to what they were talking about and reflect on what they were saying and how it applies to me right now. The results and implications for counsellors, counsellor educators and researchers are discussed. When working as a substance abuse counselor at an LGBQT center, there are very ethical dilemmas that arise. Here are some of the main areas that can bring up ethical and legal issues in counseling. My company has developed a unique opportunity for you and your associates. COSC 501: Professional, Ethical & Legal Issues in School Counseling. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. Ethics and law for school psychologists . . a specific field. Based on the video Presentation, North Carolina Boards rules and regulation, and the ACA Code of Ethics I will make sure that I have an available copy of these documents near my work station and also an electronic copy on my Ipad so that I can easily reference them in counseling sessions or while talking with other colleagues. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. 1780 Words. Ethical, Legal, and Professional Issues in Counseling-Theodore P. Remley, Jr. 2013-01-24 Note: This is the bound book only and does not include access to the Enhanced Pearson eText. British Journal of Guidance & Counselling, 30(3), 261-268. Should Dr. Goodfriend call Buddy and offer a few referrals? How easy or how difficult would it be to take those steps? Content may require purchase if you do not have access. They see her regularly for informal family events and do holidays together with their adult children and grandchildren. Workers Compensation refuses to pay for the case management services of an independent social worker. "useRatesEcommerce": false If you were the psychologist, how would you feel about the situation? Dr. Smith is now worried about the entire situation. First and foremost, the client, Dominique, has disclosed that he has been diagnosed with AIDS. Vignette 10: Multiple Relationships Revealed. He also indicated that the relationship is taking on a more serious tone. An academically and socially struggling 11-year-old female student, Irina, comes to speak with the school counselor, Mrs. At that time, Dr. Miller not only wanted to evaluate the marriage, but to evaluate how impaired the husband was, and to decide whether Mrs. Drapier had assessed her husbands depression and the marriage accurately. Open Document. The days allocated for her stay by her insurance are ending in two days. (Log in options will check for institutional or personal access. Dr. Crane is questioning the pros and cons of being the therapist and the faculty advisor. He recalled that he was an older person with significant depression who eventually became better. I will also look at our company polices to make sure that we are in line with all regulations. Hence, the admission is voluntary. In general, an ethical dilemma arises when a social worker must choose between two equally valid, mutually exclusive choices of action, both of which result in some sort of harm to a person or persons. Twenty-seven school counsellors in Turkey were asked to respond to 13 vignettes with ethical dilemmas. Retrieved from https://graduateway.com/ethical-vignette/, Ethical Dilemma on Competency and Self-Determination of Client. An example of the practical steps that can be followed is: 1) Identify ethical problem, situation or issue. What factors make this situation potentially difficult for you as a therapist? Products and services. School Law for counselors, psychologists, and social workers . She began to provide psychotherapy to Mr. DiMencha, a 52-year-old, who suffered with depression. The video presentation made me look at the types of decisions that have to be made and the thought process of making these decisions. Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. ; & Hartshorne,T.S. The PASS-2 is administered online, from any computer, iPad, or iPhone. Always seek the advice of the ACA, trusted professionals, and the ACA Ethics Committee when faced with a troubling occurrence. 6768). locating a long-time friend who is willing to help him at home, referring him to a neuropsychologist for testing, engaging in lengthy discussions with his primary care physician and neurologist, participating in multiple conversations with the attorney, and trying to find a guardian or power of attorney. Dr. Tell contacts you with the above scenario. The main therapeutic issues are depression and loneliness. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. 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. At the end of the session, the therapist asks for the requisite fee as stated on the phone. Both therapists are of the same profession. His family lives at a distance and provides minimal help. I encourage you to review our web site. There were contentious issues dealing with the custody arrangements of the children. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. 3) Refer to the NCS Code of Ethics - note what values may be/are in conflict? Dr. Smith asked if he needed to inform the patient of his impressions of the report and the seemingly erroneous conclusions. assume youre on board with our, Legal Ethical & Professional Issues In Counselingg, https://graduateway.com/ethical-vignette/. The model shows steps that should be addressed in this specific order to establish an ethical decision. Posted Feb 15, 2019 . She mentions that she is still in communication with her ex-husband because they share three children. Simultaneously, the religious institution is adamant about this requirement. The treating therapist is questioning what to do. By Mrs. Drapiers report, he appears more stressed because of his job and is drinking alcohol more frequently. (1998). They start spending more time together. 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? Ethical Vignette: Whose Records? are Applying the ASCA and ACA ethical codes and the legal issues. 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. Patient contact information will be part of the practical steps ethical dilemmas in counseling vignettes should be addressed in this order... 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