CNL-505 Topic 7 Scenario Analysis Worksheet
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CNL 505
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Jan 9, 2024
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Topic 7: Scenario Analysis Worksheet
College of Humanities and Social Sciences, Grand Canyon University
CNL-505: Professional Counseling, Ethical, and Legal Considerations
Dr. Darius Cooper
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Scenario 1
The creation of a counseling group for domestic violence victims requires consideration
of ethical principles to ensure the safety, confidentiality, and well-being of participants. As the
group developer, Barbara, must prioritize treatment of her clients while implementing measures
to safeguard their confidentiality and security during group counseling sessions.
As the individual responsible for the group, Barbara should include several ethical
principles to help safeguard the group. Below are some of the ethical considerations and
advocacy strategies Barbara should consider:
Ethical considerations to consider here are informed consent & confidentiality. Barbara must
obtain informed consent from each group participant, ensuring they fully understand the purpose,
potential benefits, and risks involved in group counseling. She should also inform them about the
confidentiality measures in place and any legal obligations to report certain situations, such as
threats to life.
Competence and Training: Barbara should possess the necessary competence and expertise in
dealing with domestic violence issues. Additional training specific to domestic violence and
trauma-informed care is crucial for providing appropriate support and guidance to group
members.
Raising Awareness about the group is a powerful advocacy strategy. Barbara should engage in
advocacy efforts to raise awareness about domestic violence issues. By raising awareness about
domestic violence, the group can assist by educating the community and breaking the stigma
surrounding victims.
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Community Resources: Barbara should collaborate with local domestic violence shelters, legal
services, and support organizations to ensure that her clients have access to assistance beyond the
group setting.
In an effort to ensure safety and confidentiality within the group, Barbara should create a group
confidentiality agreement that outlines the expectations and limitations regarding information
sharing within the group. Additionally, ensuring the group meets in a safe environment will help
participants feel comfortable sharing potentially sensitive information. In addition to providing a
safe environment, Barbara should review reporting principles, in the event a breach of trust
occurs. By addressing potential breaches of confidentiality and safety concerns proactively,
Barbara can maintain the trust and well-being of the group.
Scenario 2
As a licensed professional counselor (LPC) and licensed marriage and family therapist (LMFT),
David will need to consider several ethical matters prior to meeting with his clients. This
scenario raises concerns about confidentiality, as well as potential gender/cultural issues which
may affect treatment. As a result, David should consider the following ethical matters to ensure
proper treatment while treating Steve and his wife.
The scenario states that David has been treating Steve individually prior to the request of
meeting with him and his wife. Prior to starting couples counseling with Steve and his wife,
David would need to assess whether or not this constitutes a dual relationship, as he is already
serving as Steve's individual therapist.
Competence: David is licensed as an LPC and LMFT. This would ensure David’s level of
competency in treating couples (CDC,2022).
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Confidentiality: Prior to meeting with Steve and his wife, David should receive informed consent
from the couple, stating they are aware of the limitations of confidentiality. Additionally, David
should have the couple sign a confidentiality agreement, as there will be sensitive information
shared in the counseling sessions. As a couple's counselor David should prepare Steve and his
wife with clear boundaries of what may be shared in the counseling sessions.
As David begins counseling couples with Steve and his wife, he must consider the ethical
implications of dual relationships, competence, and confidentiality. Establishing clear boundaries
through informed consent and confidentiality agreements will also serve as a safeguard. By
navigating these ethical matters skillfully, David can support Steve and his wife on their journey
towards improving their relationship.
Scenario 3
As a licensed professional counselor (LPC) transitioning to private practice, Stephanie must
carefully navigate various ethical issues while providing quality mental health services.
Regarding limited resources and cost containment, Stephanie should be open and transparent
with her clients about the scope of services she can provide and any potential financial
limitations (Wade,2015). According to the ACA, clients must fully understand the costs involved
and are informed about alternative options (ACA, 2014). In dealing with discrimination,
Stephanie must adhere to the principle of cultural competence and respect the diverse
backgrounds of her clients. She should strive to create a safe and inclusive environment, free
from discrimination, where all clients feel valued and respected.
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To promote community change, Stephanie can engage in advocacy and collaborate with
community organizations to address mental health disparities and advocate for policy changes
that benefit her clients and the community as a whole.
Regarding state insurance laws and managed care, Stephanie must become familiar with the
relevant regulations to ensure compliance with billing practices, client confidentiality, and the
scope of covered services. It is crucial to communicate clearly with clients about insurance
coverage and obtain the necessary informed consent regarding billing and disclosure of client
information (ACA, 2014).
In conclusion, Stephanie must remain committed to ethical decision-making while managing
limited resources, cost containment, discrimination, and promoting community change.
Familiarity with state insurance laws and managed care guidelines will help her navigate the
complexities of private practice.
Scenario 4
Amari is a newly independent clinical practitioner planning to provide distance counseling in her
private practice. Prior to providing distance counseling, Amari must consider several factors in
an effort to safeguard herself, and ensure the client receives adequate care. Section H:Distance
Counseling, Technology, and social media of the American Counseling Association's Code of
Ethics provides a thoughtful approach in handling these types of long-distance situations (ACA,
2014).
Firstly, Amari should focus on building rapport and trust with her clients, as the therapeutic
alliance is crucial for successful counseling outcomes. She can achieve this through active
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listening, empathetic communication, and demonstrating genuine care and respect for her clients'
experiences and perspectives.
Amari can use various strategies in her virtual counseling sessions. These may include ensuring
secure and confidential communication, providing clear and informed consent about the use of
technology, while discussing the limitations and benefits of distance counseling (Stolsmark,
2015).
In considering cultural and ethical factors related to technology and virtual counseling, Amari
must be sensitive to her clients' cultural backgrounds and preferences. She should be aware that
some clients may have limited access to technology or may feel uncomfortable with virtual
counseling. It is essential to discuss these concerns openly and collaboratively with clients to
find the best approach for their individual needs.
Moreover, Amari should prioritize client confidentiality and privacy when using technology in
her practice. This involves using secure communication platforms, encrypting client data, and
implementing measures to protect client information from unauthorized access.
As Amari ventures into providing distance counseling in her private practice, establishing trust
with clients should be her top priority. By utilizing effective strategies, being mindful of cultural
differences, and adhering to ethical guidelines for virtual counseling, she can create a safe and
supportive environment for her clients.
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References
American Counseling Association. (2014). ACA Code of Ethics . In
American Counseling
Association
.
https://www.counseling.org/docs/default-source/ethics/2014-code-of-
ethics.pdf?sfvrsn=2d58522c_4
Center for Substance Abuse Treatment . (2014).
Core Competencies for Counselors and Other
Clinical Staff
. Nih.gov; Substance Abuse and Mental Health Services Administration
(US).
https://www.ncbi.nlm.nih.gov/books/NBK248422/
Stolsmark, E. (2015). Ethics Inquiries - Considerations for the use of distance counseling. In
16 |
ct.counseling.org
.
https://www.counseling.org/docs/default-source/ethics/ethics-
columns/ethics_march_2015_distance-counseling.pdf?sfvrsn=a24522c_4
Wade, M. (2015). Ethics Inquiries - The ethics of fee splitting. In 16 | ct.counseling.org.
https://www.counseling.org/docs/default-source/ethics/ethics-columns/ethics_may_2015_
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