Download Ethics: Putting the Puzzle Together

Ethics: Putting the Puzzle
Together
SHANNON M. ELLER, LPC, RPT, CCS, CCADC, CCDP-D, NCC
EMAIL: [email protected]
WEBSITE: HTTP://WWW.BRIGHTER-TOMORROWS.COM
770 468 7424
Ethics: Putting the Puzzle Together
www.youtube.com/worst counseling center
Worst Personal Ethical Dilemmas
Ethics: Putting the Puzzle Together
Overview of Ethical Codes
o
LPC
o
LMFT
o
LCSW
o
ACES
o
NAADAC
o
o
o
o
APT
ASGW
APA
ACA
Ethics: Putting the Puzzle Together
Ethical Inventory
Group Discussion
Ethics: Putting the Puzzle Together
o
o
Professional Identity
Counselor
Educator
o Researcher
o Supervisor
o Advocate
o
o
Question: Who are the stakeholders?
o
(client, counselor, agencies, community, profession)
Ethics: Putting the Puzzle Together
•
•
•
•
•
•
Basic Ethical Standards
Beneficence
Non-maleficence (avoiding harm)
Autonomy (imposition of values)
Justice (power differential)
Fidelity
Client Welfare
Ethics: Putting the Puzzle Together
o
o
o
o
o
o
Ethical Responsibilities
Ethical/ Clinical
Standard
Legal
Moral
Virtue
Aspirational
Ethics: Putting the Puzzle Together
Ethical Standards/ Responsibilities
o
Confidentiality
o
Privacy
o
Privilege
o
Courtroom Ethics
o
Judicious Disclosure
Ethics: Putting the Puzzle Together
•
•
•
1.
2.
Ethical Standards
Usual, customary, reasonable (UCR)
Supervisor responsibility
Vicarious liability
form of strict, secondary liability that arises under
the common law doctrine of agency
respondent superior – the responsibility of the
superior for the acts of their supervisee (the
responsibility of any third party that had the
"right, ability or duty to control" the activities of a
violator).
Ethics: Putting the Puzzle Together
Ethical Issues
•
Duty to warn (Tarasoff v. Regents of the University of
California, 1976)
•
Mandated Reporting Status
1.
Physical, sexual, emotional/mental abuse
2.
Vulnerable parties (children, elderly, disabled)
3.
Criminal intent (S/H active intent/plan)
Ethics: Putting the Puzzle Together
Ethical Safeguards
o
o
o
o
o
Informed Consent/ Assent
Recordkeeping (formal, standardized,
clinical language)
Coordination of services
Continuity of care
Release of Information
Ethics: Putting the Puzzle Together
Ethical Dilemmas
•
Dual Relationships (Prince of Tides)
•
Sexual Relationships
•
Small Towns
•
Bartering/ Gifts
•
Common Sense
Ethics: Putting the Puzzle Together
Ethical Dilemmas
o
o
o
o
o
o
o
Case Management
Research (Tuskegee/ IRB Boards)
Ethical Use of Human Participants
Standardized Practices
Safety in Group Counseling
Deception
End-of-Life Issues
Ethics: Putting the Puzzle Together
Ethical Dilemmas
o
Competency
o
Expertise
o
Referral
o
Termination
o
Abandonment (What About Bob?)
Ethics: Putting the Puzzle Together
Ethical Standards
o
o
o
o
o
Multicultural Issues
Knowledge
Awareness
Skills Sets
Sensitivity
Respect
Ethics: Putting the Puzzle Together
Ethical Dilemmas
o
Counselor Welfare
o
Impairment
o
Ethical Complaints
o
Use of Technology (social media,
internet/web services)
Ethics: Putting the Puzzle Together
Ethical Safeguards
•
Supervision
•
Consultation
Accountability
Ethical Decision-Making Models/ Tests
Fairness
Universality
Courtroom
•
•
1.
2.
3.
4.
5.
Ethics Board
Newspaper/ Television
Ethics: Putting the Puzzle Together
Ethical Decision-Making Models
Current Research/ Literature
Ethics: Putting the Puzzle Together
Ethical Scenarios
Group Discussion
References
Andrade, B., and Ugalde, O. (2011). Ethical self-evidence and the principle of
proportionality: Two fundamental ethical principles applied to a psychiatric
case report. Ethical Human Psychology and Psychiatry, 29(18), 113-121.
Betan, E., and Stanton, A (1999) Fostering ethical willingness: Integrating
emotional and contextual awareness with rational analysis.
Professional Psychology: Research and Practice, 6 (1), 698-681
Garcia, J., Cartwright, B., Winston, S., and Borzuchowska, B. (2003). A
transcultural integrative model for ethical decision making in counseling.
Journal of Counseling & Development 268(10), 88-95.
Huebner, B., Lee, J., and Hauser, M. (2010). The moral and convention distinction
in mature moral competence. Journal of Cognition & Culture 1(26), 555-572.
Reeves, a. (2010). Maintaining confidentiality. Therapy Today, 33(3), 721-726.
Sreenivasan, G. (2010). Duties and their direction. Ethics, 465 (30), 223-232.