What are the key ethical issues in this situation? Client engages in binge drinking behaviours and contacted the counsellor via text message using phrases indicating a possible imminent danger to the client's self, invoking the duty to warn/protect. The counsellor responded to the text frantically, which may violate the predetermined permission for technology use in the counselling relationship. With the phone number out of service, the counsellor has no means of contacting the client, demonstrating a potential lapse in record-keeping.
What ethical articles from the CCPA Code of Ethics are relevant to this situation? The ethical articles relating to this scenario include B3 (duty to warn), B6 (maintenance of records), and H2 (permission for technology use). Ethical article B3 states that it is a counsellor's responsibility to use reasonable care to prevent harm when a client indicates an intention of imminent harm to themselves or others. With this, the counsellor should utilize the least intrusive steps to ensure safety, which may include consultation, legal assistance, and disclosure to a significant other of the client (Canadian Counselling and Psychotherapy Association, 2020; Canadian Counselling and …show more content…
Ethical article H2 illustrates that it is relevant for counsellors to utilize a policy surrounding digital communication, such as text messaging, that a client has consented to. This article also states that a policy includes how technology is used, what technology is used, risks, and response times (Canadian Counselling and Psychotherapy Association, 2020; Canadian Counselling and Psychotherapy Association,
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The clients’ files cannot be in an exposed to the public place. The clients’ files should be saved or put in a safe place where only people with authorization have access to. Because the therapist is not aware that Merry accessed the client’s file, the therapist should talk to the receptionist about leaving unattended the client’s files, and explain to the receptionist the ethical issues regarding confidentiality. If the therapist becomes aware that Merry looked at the client’s file, the therapist should explain to Merry the importance of confidentiality. The therapist should also let the client know that his/her information was accessed by
The Code of Ethics for Psychologists 3.05 is a little more vague. In l-11 it states “Such relationships include, but are not limited to, members of the Provider’s immediate or extended family, business associates of the professional, or individuals who have a close personal relationship with the professional or the professional’s family” (NAADAC: The Association for Addiction Professionals NCC AP: The National Certification Commission for Addiction Professionals CODE OF ETHICS: Approved 10.09.2016). In the 3.05 it states “If a psychologist finds that, due to unforeseen factors, a potentially harmful multiple relationship has arisen, the psychologist takes reasonable steps to resolve it with due regard for the best interests of the affected person and maximal compliance with the Ethics Code” (Ethical Principles of Psychologists and Code of Conduct.
I enjoy reading your post; you provided sound knowledge of the ACA and NAADAC Code of Ethics. “The NAADAC Code of Ethics was written to govern the conduct of its member and it is the accepted standard of conduct for addiction professionals certified by the National Certification Commission.” Therefore, it is the responsibility of the addiction professional to safeguard the integrity of the counseling relationship and to ensure that the client is provided with services that are most beneficial. In all areas of function, the addiction professional is likely to encounter individuals who are vulnerable and exploitable. In such relationships he/she seeks to nurture and support the development of a relationship of equals rather than to take unfair
Portfolio Reflection Form Name: Alexis Wilkerson Code of Ethics Summary Course: ADRE 6991, 6992, 6993, 6994 Semester: Spring 2017 Competencies addressed: Knowledge: Foundations A.2. the legal and ethical principles specifically related to the practice of addiction and clinical counseling/clinical mental health counseling, including the Code of Ethic of the American Counseling Association (ACA); NAADAC, the Association for Addiction Professionals; North Carolina Substance Abuse Professional Practice Board (NCSAPPB); Association for Specialists in Group Work (ASGW); and American Mental Health Counselors Association (AMHCA) Code of Ethics B.1.
Now, that same part of code that the counselor interpreted and acted on may go before a review committee for them to interpret and make the best informed decision they can. Lastly, codes of ethics are meant to provide equality for all concerning norms and behavioral expectations, but how can it be enforced when “there is often no immediate oversight or system of checks and balances to support ethical practice” (Brennan, 2013, p. 245) with mental health counselors in private
For example, when it comes to the implications and the scope of when to break confidentiality, it displays different guidelines when dealing with exceptions to confidentiality. American Counseling Association (2014 Standard B.2.a) addresses serious and foreseeable harm and legal requirements; the general guidelines illustrate that confidentiality does not apply when disclosure is required to protect clients or identified others from serious and foreseeable harm or when legal requirements demand that confidential information be revealed. Counselors consult with other professionals when in doubt as to the validity of an exception. Additional considerations apply when addressing end-of-life issues. On the other hand, similar to the Texas administrative code, conveys licensee may take reasonable action to inform medical or law enforcement personnel if the licensee determines that imminent physical injury is probable by the client to the client or others or there is a probability of immediate mental or emotional injury to the client.
In my experience there are many facts that I have identified regarding my ethical dilemma. First, I am a student at this facility who is overhearing staff members, including physical therapists, other occupational therapists including my supervisor, occupational therapy assistants, and even other fieldwork students engaging in gossip about client cases that they all do not know or work with. A major fact is that each person involved in the breaching of confidentiality of their clients are not abiding by their responsibility to ensure the privacy of all residents at the facility. This leads to the fact that each member involved is risking other parties to overhear them discussing the individual cases of the clients in an open room, including the elevator and cafeteria. These unethical acts are not being brought to the awareness of the rehabilitation director, who is not present during the time confidentiality of clients are being broken.
This NOHS (2015) regulation ensures the client is fully aware of any services that may be rendered, his/her rights to accept or deny the services and to withdraw from services at any time. Standard 2 satisfies a basic human need of being fair, honest and ethical, which will help develop a better counseling relationship. On the other hand, because I believe all life is important and has purpose, standard 7, which states the professional should not impose
NAADAC Code of Ethics and the ACA Code of Ethics both serve as guide for the counseling professionals. Although, they may work from different angels, their common goals are for the well-fare of clients. Further, The ACA and NAADAC provide professionals guidelines for counselors to prepare them when providing treatment to clients. Both ethical codes can and will help you and provide you with the necessary information of what are ethical and what is not ethical behavior, it is essential in the counseling relationships (NAADAC, 2013). These codes help counselors to understand how their own values can interfere with the counseling interventions and how this can affect their patients.
Beside personal therapy, boundary setting is one of the essential elements to develop effective client-counsellor relationship. It provides a consistent framework in the counselling process which shapes the appropriate interaction and relationship structure. There are five basic principles outlined in the Psychotherapy and Counselling Federation of Australia (PACFA) Interim Code of Ethics 2015 that guides the therapeutic boundaries. They include: beneficence (to promotes the best interest of the client), non-maleficence (“doing no harm”), autonomy (to encourage independent thinking and decision-making in the client), justice (to provide equal and fair service), and fidelity (to be honest and commit to client’s progress). However, the structure
This issue would be an ethical issue since the counselor has assisted in a suicide of this client even if you didn’t literally murder or help with an overdose or whatever their attempt will be but you as the counselor assists by not reporting the threat of the client. However, the NAADAC Code of Ethics states that if a counselor who provide services to a terminally ill client who is considering hastening their own death then the counselor has the option to maintain confidentiality, depending on the state laws he/she is counseling in and specific circumstances of the situation and the counselor should order the client to seek consultation or supervision from appropriate professional and legal
Counsellors usually will obtain proper consent from client before make any disclosures of confidential information to third party. On top of that, if there is any conflict of interest, they will also inform the client in advance whenever it is predictable. The principle of autonomy is in opposition to the manipulation of
It is important for them to put their thoughts aside and place themselves in their client’s feelings and remain empathic. Any individual who are struggling to cope, are all authorized to contact counselling services. As counsellors they have to uphold equal opportunities as they are there to help clients think differently. The importance of confidentiality within counselling is extremely valuable as every individual has the right to say how their information can be accessed. Before starting a counselling session, counsellors agree not to disclose any information with anyone.