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Privacy is important essay
Why is privacy important Essay
Ethical confidentiality in health care
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Approximately 1.2 million people in the United States are infected with HIV, and almost 1 in 7 people are unaware of their infection (Centers for Disease Control and Prevention, 2015). Those who are HIV positive are often ostracized, stigmatized, and discriminated against. They also have to face the day to day fear of one day possibly being diagnosed with AIDS. Counselors will one day come into contact with a client who has the HIV/AIDS virus and a lot of ethical issues pertaining to confidentiality, the duty to warn, and the duty to protect may arise when dealing with someone who has the HIV/AIDS virus. This paper will discuss the challenges of maintaining confidentiality when there is a duty to warn and a duty to protect faced by counselors …show more content…
Poddar confided in his counselor Dr. Moore his urges to want to kill Tatiana Tarasoff when she returned from a trip in Brazil. Dr. Moore sent a letter to the campus police requesting them to take Poddar to a psychiatric hospital for observation. The campus police interviewed Mr. Poddar, but he proved to be rational so they released him on the promise that he would stay away from Ms. Tarasoff. Later Dr. Moore’s supervisor called the campus police and requested that the letter be returned and ordered the letter and Dr. Moore’s case notes be destroyed with no further action taken. Shortly after Tatiana returned home from her trip in Brazil, Poddar killed her. The parents of Tatiana sued the campus police, Health Service employees, and Regents of the University of California for failing to warn them that their daughter was in danger. The trial court dismissed the case because it said there was no cause of …show more content…
Duty to protect involves working with clients who are a threat to themselves or others. The obligation of duty to protect differs for each state. If your state law permits for you as a counselor to warn or protect third parties’ you should always consider treatment as the first option. These laws do not require that the counselor make a call to the intended victim and to the police the moment a client discloses information confessing their desire to harm someone else. We are to conduct a thorough risk assessment, address these issues in the treatment plan, and work to address underlying issues, in an effort to prevent the harm from occurring, and to prevent the need to breech confidentiality (Barnett,
It is important as a professional health care provider to have guidelines, regulations, and ethical standards to obey when providing care to the public. The ACA is to improve the quality of professional counselors in the community with education, knowledge, and guidelines by providing an ACA Code of Ethics standard when delivering treatment toward a clientele (American Counseling Association, 2015). One particular part of the ACA mission that is essential, is the ACA Code of Ethics. The purpose of the ACA Code of Ethics is a guide to ensure counselors in training and professional counselors understand the ethical obligations toward clients, possible grievances for conduct unbecoming, and professional responsibilities, which supports the ACA
This is in regard to whether they should inform potential third parties of possible harmful behaviour (Bartol & Bartol 2014, Merkel 1993). This has also been evident in the past, through the Tarasoff Case where it was eventually concluded that the therapist does have some duty to take steps to protect potential individuals from harm (Bartol & Bartol 2014). As Rosie Batty had said in her statement the day after her son had been murdered, there is only so much victims can do to protect themselves, ‘an intervention order doesn’t do anything to stop something like this happening ’ (Thompson & McGregor 2014). In order to protect Rosie and Luke in this situation, I believe it would have been appropriate to inform her of the numerous death threats Anderson made, and the number of charges & arrests made against him (including child pornography). For me this did raise the yet to be solved dilemma of what duty these individuals owe in their line of work. Although a particular case was solved, Tarasoff v. Regents 1974, this answer does not apply to all. However, in saying this, I do believe this heavily disadvantaged the Batty’s as victims, as they had very little awareness of what danger they were to be exposed to. As someone who is very close to their siblings, it sickens me to think that they may be oblivious to the harm
Although doctor-patient confidentiality is standard today, a caveat about this privilege is that it does not protect all statements made to therapists and only applies to regularly scheduled appointments. Additionally, if a patient reveals that they intend to harm someone, it is the therapist’s duty to report this fact to the proper authorities.
Corbin, J.R. (2007). Confidentiality and the duty to warn: Ethical and legal implications for the therapeutic relationship. The New Social Worker, 4-7.
The ASCA reminds school counselors that they are to guide and assist students who are victims by supplying appropriate services (ASCA, 2016). When abuse is suspected, a guidance counselor must personally report the abuse to child protective services (CPS). Cuff vs. Grossmont Union High School District reminds us how vital it is to follow all reporting procedures. In the state of Virginia, teachers, and those working in public and private schools, are mandated reporters and must report within 24 hours of the suspected neglect or abuse; even if the abuse occurred in the past (DSS.VA.GOV). Failure to report will result in criminal actions. Although school counselors are held to confidentiality terms, cases such as these warrant a duty to warn and an ethical obligation to protect. The American Association of Christian Counselors (AACC) state that as Christian counselors, one should always disclose confidential information when a life is endangered, this includes events such as suicidal ideations, bullying, and abuse (AACC, 2014). Although the ASCA and the AACC provides guidance to crisis responses, there are still legal and ethical issues that may not be
Chemical dependency counseling involves direct interactions with the clients and as such standards need to be set which will promote safe and accountable counseling. Chemical dependency counseling has a set code of ethics, guidelines and regulations that seek to safeguard the interests of everybody involved. Laws and ethics ensure that everyone acts in a way that does not cause harm to others. Laws and ethics also help to give the profession its credibility. The Licensed Professional Counselors Association of Georgia (2014) gives provisions on the conduct of counselors as stipulated by the law. Chapter 135-7-01 provides the various responsibilities of counselors to their clients. Every counselor has a responsibility to their clients. It is their primary duty to promote the welfare of their clients and meet the client’s best interests.
In the mental health profession of counseling, therapy, psychology, psychiatric and social services ethical dilemmas are faced primarily on a daily basis. Being that mental health professionals are working with clients who are often fragile and vulnerable, they must develop an intense awareness of ethical issues. On the other hand, mental health professionals would never intentionally harm their clients, students or colleagues and others whom they work with. Unfortunately, good intentions are not enough to ensure that wrong doings will not occur and mental health professionals have no choice but to make ethically determined decisions. Depending upon the experience and expertise of the professional determines the outcome of the ethical circumstance. For example, if you were practicing mental health professional and had a friend who’s a licensed psychologist, who is invited to attend the wedding of a patient that she has been seeing in court-ordered therapy for a year; what advice would you give your friend?
Moreover, ethical issues are ubiquitous within the field of social work. As such, social workers employed in all facets of the profession, whether it is substance abuse, mental health, among many others encounter ethical issues common and specific to each area. According to the article “Ethical Issues in Addiction Counseling” by Cynthia G. Scott (2000), prominent ethical situations specific to the field of substance abuse include, “confidentiality and privileged communication” (p. 213). In her article Scott (2000) discuss the blurred boundaries of confidentiality with regards to group counseling. The author points out the discrepancy in federal confidentiality laws that prevent the practitioner from sharing confidential information disclosed
Confidentiality and trust between the client and social worker is an important part of the therapeutic process. Confidentiality is discussed frequently with the client, in trainings, and in supervisions. When a client first begins services there are multiple forms to fill out, many of which explain the agency’s confidentiality policies and provide client’s the opportunity to agree to share information with certain parties (i.e. their PCP, psychiatrist, specialty providers) or not share any information at all. Despite this focus on confidentiality there are some areas where “the rights of others take precedence over a client’s right to confidentiality” (Hepworth, Rooney, Rooney, & Gottfried, 2017, p. 76). In situations where child abuse or neglect is suspected by the social worker, the social worker will breach confidentiality in order to protect the child. In fact, “all 50 states have statutes making it mandatory for professional to report suspected or known child abuse. Moreover,
People are afraid to admit to themselves and others that they need to help to
The ACA code of ethics “reflects the counseling profession’s understanding of changes in the role of the professional or changes in the society counselors serve” (Ponton & Duba, 2009, p. 119). The ACA code of ethics discusses many things counselors need to keep in mind when counseling an individual or a group. Some topics addressed are informed consent, confidentiality, and group work (ACA code of ethics, 2006, pp. 236-238). All three of these topics are all issues counselors will encounter in counseling a group or an individual.
, findings have implications for designing and implementing interventions supporting women with HIV disease in disclosing their HIV status appropriately, particularly to their spouse and children. In the long run, self-disclosure may help decrease depression and improve quality of life among HIV-infected women living in limited resource settings. A referral for a personal counselor and a family counselor would be beneficial for Keishea and her family.... ... middle of paper ...
Understanding the American Counseling Association (ACA) and the American Mental Health Counselors Association (AMHCA) ethical codes is an important aspect of developing one’s professional identity as a mental health counselor. More specifically, in order for a counselor to be professionally competent and ensure he/she is able to uphold ethical boundaries, it is essential that one becomes familiar with the codes. Furthermore, both ethical codes share a multitude of similarities as well as differences, including that the AMHCA code of ethics profoundly draws from the ACA code of ethics. However, it is important to note that the AMHCA code presents ethical criteria geared specifically towards mental health counselors whereas the ACA code
Sexual relationships between counselors and clients should never ben permitted due to the power associated with the counselor’s role with clients. While ethical guidelines vary between different counseling associations as to whether it is acceptable for counselors to have sexual relationships with clients after the professional relationship has ended, in many cases these relationships continue to be prohibited. This standard is held because some believe that the powe...
Ethical issues in a counseling practice lay the foundation of a therapist in practice. Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. In order for the counseling profession to be ethical and hold professional recognition, there are many facets that need to be examined and outlined to make sure all counselors and practitioners are functioning at the highest level and withholding their duties required by the counseling profession. The first introduction so to speak of the area of ethics also happens to be one of the first steps in counseling, which is the informed consent. The informed consent provides the basis of what happens or will be happening in a counseling setting and serves to inform the client to their rights, responsibilities, and what to expect. Most importantly, the informed consent is in place for the client’s benefit. It also is important to understand that culture and environment play a role in the treatment of a client and how theories can positively or negatively impact this treatment. Therapists need to understand how to work within the context of a theory while being able to understand the individual in their own environment. Although theories are put into place to serve as a framework, there are also alternative ways to approach counseling, one example being evidence-based practice. Such an approach is very specific, which presents a series of solutions for counseling as a whole, but also brings forth many problems. Every approach or theory introduces ethical concerns that need to be taken into consideration by the entire counseling community and how each can positively and negatively affect clients and the pr...