Client Transfer 1. If I had a man call me, and tell me that he was interested in transferring to me, I would keep the phone conversation relatively short, but would encourage him to set up an appointment with me. The reason I would have him come in, is simply because I prefer face-to-face interaction over phone interaction. When he would come in, I would sit down with him and discuss all of the potential risks and benefits of transferring his services. I would discuss with him why he feels as though his other therapist is not effective and what can be done to help in this situation. I would encourage him to have a conversation with his current therapist about how he was feeling about the progress and relationship that they had. Standard 3.06 (b) of the NASW Code of Ethics says that “if a new client has been served by another agency or colleague, social workers should discuss with the client …show more content…
If I agreed to work with this man and he did not want me to view his old files, I would again discuss with him the benefits and risks of not viewing his file. If he chose not to sign a release of information, that I am not authorized to look at his previous file. I would respect the decision that he made for me not to look at his previous file and would not look at him any differently. I would still be willing to work with him under these circumstances, because maybe the reasoning behind his transfer is that he wanted to start from scratch. In addition, other issues would be raised if I still sought out his previous therapist to learn about the client’s clinical issues. If the man was unwilling to sign a consent for me, he likely did not sign one for his other therapist either. If I were to follow through and gather his information, there would be unethical decisions made on both sides. As a Christian, I should be honest in my work with myself and others. In doing so, I will be respecting client’s wishes as well as being true to myself and what my personal values
In the video, Whose Records, the client demonstrated frustration with her current counselor and made a request for her medical records in order to transfer to another counselor. During the conversation, the counselor remained calm and respectful to the client regardless of the clients’ disrespectful approach. I do not agree with the challenge approach made by the counselor regarding the client seeing a different counselor every three to four weeks. That seemed to increase the level of tension on behalf of the client. I feel a better approach would have been to allow the client to express her concerns regarding her current treatment. After which, the counselor could explain the process of obtaining her medical records along with requesting the client to sign the appropriate release of information to acquire her records.
...rt of the medical profession, the therapists are expected to maintain the confidentiality of their clients. A psychologist must be able to acquire a client’s trust in order to keep quality confidentiality amongst the two parties. Only on seriously occasions should the patient’s records be shared, under certain other conditions the psychotherapy records of a minor can be reviewed by others without prior written consent. The Health Insurance Portability and Accountability Act (HIPAA), psychologists can usually give way the patient records to parents or legal guardians. Some of the ethical rules that apply to the practice of child and adolescent psychiatry are clear and generally agreed upon For example, rules against sexual contact or harsh or abusive treatment are encoded as boundary violations. A psychotherapist must be able to respect the boundaries of the client.
As a practicing social worker, I at times have found it difficult not be wrapped up in my personal thoughts and beliefs and transfer them to my clients. This is what happened with Mindy during her relationship with Mr. Marshall. Spirituality and faith often times are the guiding forces for many people including myself and although it sees easy to separate my beliefs from the task as a social worker, it is very difficult. There is policy, that guides my practice with my agency and there are core values that guide my interactions with clients and these are not congruent. For Mindy the medical center/clinic’s policies related to her job performance were to assist Mr. Marshall in planning for his treatment and end of life care. This took time as Mindy’s role as a social worker entailed her to synthesis all information provided to her by Mr. Marshall about his childhood, family situation, marital experience and his faith and to assist him in taking all of this information and preparing a care plan that was client directed. While in the midst of Mr. Marshall’s illness her social work core values created dysfunction within herself and she stepped out of the worker/client role into one of friend/client role. This is why I feel that Mindy’s competency would be increased if she was able to receive further educational
The vignette indicates that he wants to move back in with his dad. If this is one of his goals it can create some interesting ethical conflicts. Social workers support the client’s right to decide for themselves and pursue a course of action. They also have a commitment to the client. This commitment to the client means that the social worker should be promoting the well-being of the client (National Association of Social Workers, 1999). If Kyle moves back in with his dad this may become a very negative thing in his life. His older brother has been struggling in school because he has to help support his dad. If Kyle moves in he may experience similar struggles in school. As Kyle’s social worker I would help him to see his options and both the positive and negative consequences for his options. If he chooses an option that is detrimental to his well-being we can have a conversation about that. Also, in this initial meeting I will be able to get some answers to the unanswered questions. These answers will shape how the course of therapy and the plan for Kyle.
As a therapist, I would work with Laura, the client, to build a strong sense of trust so that she may feel secure enough to see me as a base “from which clients can explore painful aspects of their lives and find new ways to understand themselves and others” (Coady & Lehmann, 2008 pg. 161). After engaging with Laura, I would move to assessment and intervention. I would explore with Laura how here parent’s treatment of her led to her development of her own inner representation model and how that has effected her current relationships. I would encourage her to explore her emotions and to work through hard memories to allow herself to explore her feelings. In the final stage of termination, I would work with Laura to make sure she fully understands what the termination of the therapy relationship meant and explore and thoughts or feelings that either have or may
To conclusion this, ethical issues rising in social work have regularly received substantial attention but responses to them have habitually been premised on the conviction that professional boundaries are clear for all to see and are professionally determined on the basis of separation and passivity as opposed to connection and dynamism. Working together with the client in the setting of professional boundaries is most likely to have a optimistic impact on the quality of the relationships we have with clients itself a vital factor in successful outcomes.
According to the Case Management Society of America, case management is "a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes" (Case Management Society of America [CMSA], 2010). As a method, case management has moved to the forefront of social work practice. The social work profession, along with other fields of study, recognizes the difficulty of locating and accessing comprehensive services to meet needs. Therefore, case managers work with these
...f dual relationship there was also a possibility of the client becoming dependant on the therapist which could be seen as unethical by the BACP (2010).
According to Allison L. Kramer (2016) in her “Why we can’t be friends” article, researches have observed numerous relationships between psychotherapists and their present and/ or previous clients. Boundary issues have been studied in the world of ethics and dual-role relationships with current clients are ordinary for some practitioners in their daily practice. Meaning it isn’t rare to run into dual relationships in counseling. These relationships aren’t always negative nor avoidable states Kramer. The example she used for dual-role relationships being advantageous and unavoidable was a school guidance counselor having multiple roles in the school. The counselor could also be “a coach of a sports team, thus filling both a counselor and
1.1 Explain the value of customer service as a competitive tool Customer service is valued as a competitive tool by many organisations. It gives you the ability to gain customer loyalty while meeting the customer’s expectations. Staff will have the skills and knowledge that will provide a competitive edge. Most organisations are known for the quality of their customer service. This means that they are known for good customer service or poor customer service.
This paper will explore the concept of dual relationships between counselors and clients and the ethical implications of such relationships. In addition to presenting several examples of dual relationships, this paper will also explore how ethical decisions must be made to avoid potentially harmful or exploitive relationships in therapy as well understanding how different interactions between counselor and clients can be understood from an ethical standpoint, as well as how reviewing these ethical dilemmas may shape my future career as a counselor.
The client has a responsibility when it comes to what they need to prep before surgeries or outpatient testing. For example if a patient is going to have a colonoscopy the client must know all the rules and regulation from their provider to prep for this procedure days in advance. The client will be handed specific rules beforehand that will summarize what one must and must not complete to get ready for the procedure. The client must interpret and fulfill these directions. If the client does not follow the instructions as stated then the procedure will not be performed. Not only does the doctor have to fulfill his duty to his client the client has to be responsible on their end to also fulfill the provider needs. Doctor’s must keep in mind, that it is the client’s decision to decline care. A doctor cannot pressure or push a client to
Dr.Lightfoot ethical alternatives for resolving this case are accepting Allison as a client or declining Allison as a client. The best alternative is to decline Allison as a client but refer her to another psychologist because of the possible dual relationship. Utilitarian theory guided me in my decision.
An element of surprise in the counseling relationship is not suitable. The planned change process is agreed upon between the worker and the client. The client is to be aware of when the last session will take place. With that being said, the social worker should reconcile their feelings with the needs of the client. If a referral is needed, it should be completed as soon as
In this case, the psychologist is presented with several ethical issues which could cause harm to the client. The first ethical issue that arose in this case is the potential for a role conflict. The psychologist and Mr. Hartwig had contact prior to the development of a therapeutic relationship when the psychologist bought a car from Mr. Hartwig. It may not be enough that the brief, informal relationship ended. The psychologist must assess the dimensions of the previous relationship from the viewpoint of the client as well as his/her own personal feelings (Koocher & Keith-Spiegel, 2008). For example, the client could feel that he gave the psychologist a good deal and that the psychologist was indebted to him. This could leave the psychologist vulnerable to being manipulated by the client. Or, what if the car broke down? This could leave the psychologist feeling cheated and resulted in hostile feelings toward the client. The psychologist has an ethical responsibility to examine both relationships for role incompatibility prior to forming a therapeutic relationship. The psychologist seemed to be aware that there was the potential role conflict resulting from their initial meeting, and he acted ethically by attempting to refer Mr. Hartwig to a Psychology Registry.