Ethical Dilemma Analysis

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When addressing an ethical dilemma, having the ability to identify possible outcomes to address it is essential for change. The ethical dilemma I face at my field placement is confidentiality versus the right to self-determination. One possible option I mentioned previously to address the ethical dilemma was for clients to sign a privacy and confidentiality agreement that outlines what is considered mandated reporting. I believe the possible outcome for this option would help improve the client’s confidence with the agency and the clinician but also build rapport and trust. It would result in less missed appointments, assist with client involvement, and help the client feel supported while in crisis. Combatting the ethical dilemma would help…show more content…
In other words, clients who visit my field placement have the right to receive service that is equal but also fair. Since many of the clients are referred from visiting the emergency room or are at high risk for suicide, no matter what the medical emergency is they have the right to receive respectful and dignified service. This directly correlates to the dignity and worth of a person. Second ranking in importance to resolve the ethical dilemma is “People have the right to secure their privacy and confidentiality” (Loewenberg et al., 2000). Many clients are either on parole, probation, or have open cases with DCPNP. They share their fears and paranoia but ultimately deserve the respect for their information not to be abused or mistreated. As long as clients are aware of the parameters that would break confidentiality, further solidifies the integrity of the agency and its clinciancs. Lastly in priority ranked order is “People have the right to understand the trust and all available information” (Loewenberg et al., 2000). Ultimately, no information should be kept from clients as it inhibits the rapport and the transparency of the agency. The ethical principle screens ensure that the six core social work values are adhered to in solving the ethical dilemma regarding…show more content…
If clients aren’t agreeing and signing off the confidentiality agreement, it will increase their suspicions and fears for transparency. I can recall when working with one client, she stated working with a social worker and then soon after greeted by a DCPNP worker. She expressed her distrust of outside assistance and feared that sharing information would result in being greeted unexpectedly after therapy sessions with her clinician. The goal is resolving the ethical dilemma is not for clients to withhold information in fear of being reprimanded or surprised by outside agencies. The goal would be to feel comfortable should any information breach confidentiality but then to be informed of what the next steps would be rather than being surprised or left in the
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