Ethics and Diversity in Family Practice

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Feb 20, 2024

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1 Ethics and Diversity in Family Practice Jessica Watts Master of Social Work, Capella University SWK 5007 Robyn Hawley July 31, 2022

2 Essential Ethical Decision Making by NASW According to the NASW, there are six essential steps to take when applying ethical decision-making. In the case of Marie, these steps are an essential part of the process. The steps are as follows: One, determining if there is an ethical issue or dilemma. Is there a conflict of values, rights, or professional responsibilities? (NASW-MA, 2022). Two, identify all fundamental values and principles involved with the situation. Three, in the social worker's professional judgment, rank the values or ethical principles that are most relevant to the issue or dilemma (NASW-MA, 2022). Four, develop an action plan for the client(s) involved and any issues relevant to the ethical dilemma. Five, implement the plan, considering any ethical dilemmas, and six, reflect on the outcome of this ethical decision-making process. How would the social worker evaluate the consequences of this process for those involved: Client(s), professional(s), and agency(ies)? (NASW-MA, 2022). Data Collection for Ethical Decisions During the process of identifying any ethical barriers, information gathering is something that all social workers must participate in with all potential clients being serviced. The social worker must conduct interviews, practice active listening, gather all relevant histories, and more. During data collection, it is essential to let all participants know who the professional is, what agency they work for, and the reason behind data collection. The social worker should have verbal and written consent from all participants involved that will be receiving treatment. Another primary aspect of data collection is that the professional remains neutral and unbiased. Be sure to inform all participants that anything discussed during the session is confidential except for causing harm to oneself or others. In this case, the professional is a mandated reporter and would have to notify appropriate authorities (North Jersey Health Collaborative, 2022). It is

3 the social worker's job to evaluate the family's issues and address those issues with the family. The professional should maintain cultural sensitivity and emotional sensitivities that present themselves during the process. Ethical Dilemma in Case Study As the social worker, when working in a group setting with more than one client, it is vital to be open to hearing everyone's situation prompting them to seek therapy. In the case of Marie, she is a widowed 68-year-old that is experiencing some positives and negatives given her current circumstances. Marie has been moved closer to her social support to help her, which is a positive, but she feels overwhelmed by being around the grandchildren more than she would like. Marie has two children, Toni and Lisa. Each of her children has children of their own. Marie recently had knee replacement surgery and is not taking her pain medication as directed. There is also some concern that she is losing some cognitive function and having trouble with forgetfulness. Lisa has a history of substance abuse, and it is brought to the social worker's attention that perhaps Lisa has stolen some of Marie's pain medication. Outside the group, Toni asks the social worker privately being addressed to find an assisted living home for Marie and convince Marie about how important family is and to be more interactive with her grandchildren. With this situation, Marie should be informed, and a treatment plan should be implemented to help Lisa with her substance use disorder. Secondly, Toni went to the social worker privately, asking her to investigate assisted living facilities for Marie. Commonly established rights derive from a core set of ethical principles, including the patient's autonomy and much more (Olejarczyk & Young, 2022). The professional would have to explain to Toni that such things as finding an assistive living home for Marie, her mother, can only be done with permission from Marie. She has full autonomy of her body and where she would like to reside. If

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4 an assisted living home is not what Marie wants for herself, ethically, the social worker would have to consider her circumstances (is she in her right mind, able bodied, and capable of living on her own without assistance) and ultimately respect her decision. The same can be said about convincing Marie about the benefits of being around the family, especially the grandchildren. The helping professional will not force Marie into a situation where she is uncomfortable, stressed, and tired. Ethical Decision-Making Model The ACA decision-making model wants the professional to identify all problems, apply the NASW code of ethics, figure out the extent of the ethical dilemma, figure out a potential course of action, be mindful of potential consequences involved, evaluate the course of action, and implement the course of action ("ETH3338 - SECTION 2: BEST PRACTICE MODELS OF ETHICAL DECISION MAKING", 2022). Communication is key. This family needs to sit down with each other and have their concerns heard. Marie needs to know that Lisa has been taking her medication. Marie also needs to know that Toni wants to put her in an assistive living home. The professional views this because everyone in the group has a voice that needs to be heard. The social worker determined the ethical dilemma based on the NASW code of ethics. Step one, identify the key components and lack of communication between the family members. When the professional meets with the family going over data collection, that is the perfect time to address some of the issues that brought them to therapy. It will open the door for Toni to voice her concern for her mother's wellbeing and allow Marie to process and decide based on gaining the information provided by Toni. This also gives everyone in the group a general understanding that without individuals' consent, resources will not be contacted without the person's permission.

5 During sessions, Toni can bring up her concerns about the importance of family. There can be an approach to allow Marie to visit time with her family and grandchildren without overwhelming her. Perhaps visits two times a week for an hour or two will be a good compromise for the family to spend time together and for the grandchildren to see Marie. During the session, Marie can be notified that Lisa has been using her medication, and the social worker and the family can help Lisa find resources to combat her substance use disorder. Personal Values and Ethics Personal value is a standard that individuals uphold. This case study requires a lot of people's voices to be heard. I believe everyone has a right and say when it comes to their body, treatment, and resources used. I would be unable to go behind a client's back and look into resources they have no clue about just because another family member thinks it is a good option. If it is determined that the client is non-disabled, they should have a say regarding the treatment they receive. In Marie's case, she may not want to go into an assisted living home but would rather stay where she is and continue having therapy sessions to work through some of her other struggles. As a social worker, if I just decided to look into those resources that Toni wanted me to, it could potentially cause tension amongst the group and damage rapport with Marie as a client. I would make sure there are no blurred lines before seeking treatment with me as a social worker, that way, and everyone knows what to expect from the services they will be obtaining.

6 References ETH3338 - SECTION 2: BEST PRACTICE MODELS OF ETHICAL DECISION MAKING. yourceus.com. (2022). Retrieved 31 July 2022, from https://www.yourceus.com/pages/eth3338-section-ii-best-practice-models-of-ethical- decision-making. NASW-MA. (2022). Retrieved 31 July 2022, from https://www.naswma.org/page/100/Essential- Steps-for-Ethical-Problem-Solving.htm. North Jersey Health Collaborative. (2022). Ethical Considerations in Data Collection [Ebook]. Retrieved 31 July 2022, from https://www.njhealthmatters.org/content/sites/njhc/Ethical_Considerations_in_Data_Coll ection.pdf. Olejarczyk JP, Young M. Patient Rights And Ethics. [Updated 2022 Jun 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538279/

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