M01 Assignment - Ethical Scenarios
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M01 Assignment - Ethical Scenarios
Heather Mason Ivy Tech Community College
Counseling Issues in Substance Abuse HUMS 209
January 21, 2024
Scenario 2 Heroin User 1.
What is the ethical dilemma? ( you can use the principles in Appendix 57 for this
answer)
Principles 1 The Counseling RelationshipPrinciple
Principles 2 Confidentiality and Privileged Communication
Principle 7 Confidentiality and Privileged Communication (Perkinson,2021) 2.
What are the ethical codes that may apply? (these are the bullet points listed under the principles)
Principles 1 The Counseling RelationshipPrinciple
I-1 Client Welfare Addiction professionals shall accept their responsibility to ensure the safety and welfare of their client, and shall act for the good of each client while exercising respect, sensitivity, and compassion. Providers shall treat each client with dignity, honor, and respect, and act in the best interest of each client.
I-8 Mandated Clients Addiction professionals who work with clients who have been mandated to counseling and related services, shall discuss legal and ethical limitations to confidentiality. Providers shall explain confidentiality, limits to confidentiality, and the sharing of information for supervision and consultation purposes prior to the beginning of
the therapeutic or service relationship. If the client refuses services, the provider shall discuss with the client the potential consequences of refusing mandated services, while respecting client's autonomy.
Principle 2 Confidentiality and Privileged Communication
II-4 Sharing Addiction professionals shall engage in ongoing discussions with the client regarding how, when, and with whom information is to be shared.
II-7 Limits of Confidentiality Addiction professionals, during informed consent, shall disclose the legal and ethical limits of confidentiality and shall disclose the legal exceptions to confidentiality. Confidentiality and limitations to confidentiality shall be reviewed as needed during the counseling relationship. Providers shall review with each client all circumstances where confidential information may be requested, and where disclosure of confidential information may be legally required
II-8 Imminent Danger Addiction professionals shall only reveal client identity or confidential information without client consent when a client presents a clear and imminent danger to themselves or to another person, and only to emergency personnel who are directly involved in reducing the danger or threat. Counselors shall obtain supervision or consultation when unsure about the validity of an exception, and shall document the recommendations.
Principle 7 Confidentiality and Privileged Communication
VII 14 Treatment Educators and site supervisors shall assume the primary obligation of assisting students to acquire ethics, knowledge, and skills necessary to treat substance use
and addictive behavioral disorders ( Perkinson, 2021)
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3.
Are there any applicable laws? (sexual or financial exploitation of a client is against the law; you can breach confidentiality to report if a client is suicidal or homicidal, or you have information about child abuse in any form)
Yes, there is with his/her spouse calling saying that they are concerned with the history of
several accidental overdoes The law could be informed even if you did not as a counselor
didn’t ask about it you have to be aware of the safety of your client. 4.
Considering the codes and the laws that are applicable what are possible actions to deal with this dilemma?
Since it is a mandated client with the courts, they should be aware of the information that was provided to you with the spouse calling saying he/she was kicked out for using Heiron. Wellness check on the client. 5.
What action did you choose and why?
I chose to get ahold of the courts because of the information presented that the client had left the session not feeling well because of alleged food poisoning. He/she said she was 3 months
sober. The information spouse said that they had kicked them out for using heroin and a history of accidental overdoes. These give concern that they may have used. I would call my clients for a
wellness check to see how they are.
Scenario 4 Suite Passes
1.
What is the ethical dilemma? ( you can use the principles in Appendix 57 for this answer) Principles 1 The Counseling RelationshipPrinciple
Principles 2 Confidentiality and Privileged Communication
Principle 3 Professional Responsibility and Workplace Standards
2.
What are the ethical codes that may apply? (these are the bullet points listed under the principles)
Principles 1 The Counseling RelationshipPrinciple
I-3 Mandatory Disclosure
Mandatory Disclosure shall include:
a. explicit explanation as to the nature of all services to be provided and methodologies and theories typically utilized,
b. purposes, goals, techniques, procedures, limitations, potential risks, and benefits of services,
c. the addiction professional’s education, credentials, relevant experience, and approach to counseling,
d. confidentiality and explanation of its limits, including duty to warn,
e. the role of technology, including boundaries with electronic transmissions and social networking,
f. implications of diagnosis and the intended use of tests and reports,
g. fees and billing, nonpayment, and policies for collecting nonpayment,
h. specifics about clinical supervision and consultation,
i. the client’s right to refuse services, and
j. the client’s right to refuse to be treated by a person-in-training, without fear of retribution.
I-10 Boundaries
Addiction professionals shall consider the inherent risks and benefits associated with moving the boundaries of a counseling relationship beyond the standard parameters. Providers shall obtain consultation and supervision, and recommendations shall be documented.
I-40 Gifts
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Addiction professionals shall recognize that clients may wish to show appreciation for services by offering gifts. Providers shall take into account the therapeutic relationship, the monetary value of the gift, the client’s motivation for giving the gift, and the counselor’s motivation for wanting to accept or decline the gift. Providers shall obtain supervision or consultation prior to deciding whether or not to accept or decline a gift, and shall document the recommendations.
Principles 2 Confidentiality and Privileged Communication
II-6 Privacy
Addiction professionals and the organizations they work for shall ensure that confidentiality and privacy of clients shall be protected by providers, employees, supervisees, students, office personnel, other staff and volunteers.
II-16 All Parties
Addiction professionals, who provide group, family, or couples therapy, shall describe the roles and responsibilities of all parties, limits of confidentiality, and the inability to guarantee that confidentiality will be maintained by all parties.
Principle 3 Professional Responsibility and Workplace Standards III-4 Nondiscriminatory
Addiction professionals shall provide services that are nondiscriminatory and nonjudgmental. Providers shall not exploit others in their professional relationships. Providers shall maintain appropriate professional and personal boundaries.
3.
Are there any applicable laws? (sexual or financial exploitation of a client is against the law; you can breach confidentiality to report if a client is suicidal or homicidal, or you have information about child abuse in any form)
No 4.
Considering the codes and the laws that are applicable what are possible actions to deal with this dilemma?
No actions need to be taken with the law. Actions that need to be taken with ethics codes are that there needs to be an understanding of I-3 Mandatory Disclosure with a new client. Need to present Boundaries with a client this includes gift giving. 5.
What action did you choose and why?
Though it is good to have a good connection with your client it is also important to be professional and set boundaries and that the client has an understanding of those boundaries.
References: Perkinson, Robert R. Chemical Dependency Counseling. Available from: Yuzu Reader, (6th Edition). SAGE Publications, Inc. (US), 2021.
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