Public Health Ethics - Master of Public Health by Slidesgo

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Ethical Dilemmas Rhonda Battle

Ethical Dilemma • John is a receptionist in a counselor’s private practice. He calls to verify an appointment with a client and speaks to her alleged husband. During the client’s therapy session, the husband makes an appearance to verify his wife’s location. John divulges further information to the husband without the client’s consent; therefore, violating her privacy (Benchmark Ethical Vignette Presentation Scenario).

Identify the Problem Main Problem: ● Receptionist revealed confidential information to someone without the client’s consent Secondary Problems: ● Husband planned to use information to gain child custody by alleging client was unstable ● Receptionist was not aware of why there was a violation

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Identify the Problem Legal Problems: ● Giving away confidential information to someone without a client’s consent These problems related to a client of a therapist who is in the middle of filing for a divorce, the husband in which she is divorcing and the unknowing therapist who allowed an employee to disclosed the client’s location.

Apply ACA Standards • ACA Code of Ethics, Section B, Standard B. I. b. and B. I. c. • ACA Code of Ethics, Section D, Standard D. I. f. • The Louisiana Professional and Occupational Standards, Part 2107, 2 c • The counselors should respect their client’s privacy • Personnel and staff selection should be qualified for their position and knowledgeable of ethical codes • The receptionist should have been informed of the ethical codes during basic training • The violation of privacy of the client breached the trust between herself and the therapist • The therapist will have to resolve the issue by reprimanding the receptionist.

Nature and Dimensions ● Nonmaleficence - therapist is responsible for maintaining client confidentiality and training staff properly ● Fidelity - therapist agreed to keep the promise of confidentially Journal of College Student Psychotherapy Polychronis, Paul, D. (2020)

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Potential Course of Action • Remove the receptionist’s contact with the client • Apologize to client • State to the receptionist that he may be terminated for her actions • Offer receptionist with proper training opportunities

Potential Consequences • Client could sue her husband, the receptionist, and the therapist • Receptionist could be terminated • Therapist could be legally reprimanded

Action Chosen • Apologize to the client - Ensure that her privacy would be protected from this point forward • Confront the receptionist - Make it clear that I am not above terminating her. I would also offer her training in privacy and safety situations (ACA 2014, p.10).

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Evaluate Course of Action Test of Justice - Is this course of action fair? Test of Publicity - Would it be correct if this incident was reported to the public? Test of Universality - Could I recommend this course of action to a fellow colleague?

Implementation • Remove direct contact between the receptionist and any client by retracting her from that position • State that the receptionist could be fired for he actions • Recommend training outlets regarding privacy • Contact the client and apologize to her and make it clear that it was never my intention to infringe on her privacy • Ensure that our future clients are treated with respect and are secure in their own privacy

References • American Counseling Association (2014). ACA Code of Ethics, Alexandria, VA: Author. • American Mental Health Counselors Association (2015). AMHCA code of ethics. Alexandria VA: Author. • Bayne, Hannah, B., Doyle, Kevin, Licensure Portability Through an Ethical Lens: Considering Multiple Stakeholders, Professional Exchange, Volume 41, Number 2, (march,2019), p. 97-111/https;//doi.og/10.177444/mech.41.2.01 • Borokosky, B., & Smith, D.M. (2015). The risks and benefits of disclosing psychotherapy records to the legal system: What psychologists and patients need to know for informed consent. • International Journal of Law & Psychiatry, 42-43, 19-30. Doi: 10.1016/j.ijlp.2015.08.003 • Fisher, M.A. (2016). Confidentiality limits in psychotherapy: Ethics checklist for mental health professionals. Washington, DC: American Psychological Association. • Polychronis, Paul, D. (2020) Integrated care, shared electronic records, and the psychology profession: a cautionary tale for counseling centers, Journal of College Student Psychotherapy, 34:1, 1-23, DOI: 10.1080/8756225.2018.1489745 .

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References • Denise, D. (2020). Counseling principles & christian beliefs: An integrated approach. Kendall Hunt Publishing Company. • Remley, T. P., & Herlihy, B. (2020). Ethical, legal, and professional issues in counseling. Pearson Education, Inc.

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