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Importance of ethics in health care delivery
Ethical in health and social care
Ethical in health and social care
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Ethical standards, especially for fields that involve human service provision, are necessary to safeguard the rights and safety of both service providers and consumers. Past injustice and maltreatment have pushed different professions to develop codes of ethics that are unique to their respective fields. The chemical dependency field is no exception, and the National Association for Alcoholism and Drug Abuse Counselors (NAADAC) has produced its own code of ethics. By beginning a therapeutic relationship with clients, many doors are opened; healing and harm are both possible, depending on how the counselor handles whatever arises. As a professional, I have a duty to understand the codes, laws, best practices, and agency policies that govern my work with clients. Here I will detail the different forces that guide my own practice, how I decide if something is ethical or unethical, and produce a brief list of actions I deem unethical for chemical dependency professionals.
In any discussion of ethics, it is necessary to address the concept of moral relativism. As Driver (2007) writes, “Moral relativism does not deny that moral claims are true or false—only that their truth is relative” (p. 17). As a social worker and a chemical dependency counselor, I reject this idea. If one were to be a true relativist, he or she would be unable to judge any behavior or actions as wrong or unjust, as it is up to each individual—individual relativism—or the culture—cultural relativism—to decide what is right and wrong (Driver, 2007). Anyone working towards societal change or individual growth should find this idea unpalatable, as every decision and action could be justified (Berger & Zijderveld, 2009). There are things I believe are universally wrong...
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...y. 7) Continuing to meet a client only because it is enjoyable. We counsel to help clients towards treatment goals, and when these are met, the relationship should come to an end, and Heading One, Standard Two, Part C emphasizes this. 8) Claiming the “CDPT” title before the application is approved. While we might be eager to claim titles, Heading Four, Standard Two, Part A reminds us to honestly represent our qualifications (NAADAC, 2011). 9) Presenting educational materials from a source without citing it. Similar to academic integrity, professionals must give credit where it is due when using materials, and this is described under Heading Nine (NAADAC, 2011). 10) Failure to disclose confidential information in a crisis that leads to greater harm. Confidentiality is of the utmost importance in counseling, but there are limits, as described in Heading Three, Part A.
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
American Counseling Association (2005). ACA Code of Ethics. Alexandria, VA: Author. - See more at: http://www.counseling.org/knowledge-center/ethics#sthash.13ImD8Lb.dpuf
The expectation in the practitioner/client relationship is that any information disclosed will not be shared with others. Confidentiality is emphasized to provide the client with a safe haven in which to share traumatic events or embarrassing personal information about themselves (Krase, 2013). Disclosing this type of sensitive information...
Chemical Dependency counselors have quite a few ethical dilemmas to deal with. Therapists that are in recovery may confront some even more complex dilemmas, opposed to those who are not. There is a high percentage of addiction counselors that are in recovery. In fact, 55% of 36,000 members of the National Association of Alcohol and Drug Addiction Counselors (NAADAC) are recovering alcoholics and 21% are recovering from some other chemical dependency. This brings up two sides to counselors in recovery. "There is something about the personal experience that assists counselors to being especially attentive to the needs of the recovering client." On the other hand, counselors bringing personal experience with them are likely to raise personal/professional boundary violations. Two specific dilemmas that recovering counselors may run into are dual relationships and self-disclosure.
Scott, C. G. (2000). Ethical issues in addictions counseling. Rehabilitation Counseling Bulletin, 43(4), 209. Retrieved from http://search.proquest.com/docview/213919931?accountid=12085
Chapter 135-7-03 of the Licensed Professional Counselors Association of Georgia (2014) stipulates that confidentiality especially of client information must be observed at all times. The counselor should safeguard the client’s information to the extent stipulated by the law. The American Counseling Association (2005) incorporates confidentiality as part of their Code of Ethics. It requires counselors to keep the counselor-client relationship and information shared confidential. In the case of group counseling it stipulates that provisions must be stated that protect confidentiality. The counselor must clearly record and keep the client information confidential at all costs. According to the Texas certification Board of Addiction Professionals, the chemical dependency specialist has a duty to protect the privacy of clients and must not disclose information obtained fro...
For Example if confidentiality is the dilemma The NAADAC Code of Ethics states that” Every effort is made to protect the confidentiality of client information, and in very specific cases or situations to disclose information appropriately and according to federal law”(NAADAC, 2011, para. 5). In as much According to ACA Code of Ethics counselors are required to violate confidentiality only “to protect clients or identified others from serious and foreseeable harm or when legal requirements demand that confidential information must be revealed” (American Counseling Association [ACA], 2005). Therefore, since trust is one of the most important aspects of a counselor client relationship a counselor must be certain if confidentiality is the ethical dilemma being presented, there should be clear-cut reasons for the information to be disclosed. If a counselor is educated with the proper laws and the relevant Code of ethics pertinent to there field of study they can validate their decision to supervisor, clients, and even legal entity’s if
So your opinions on the topic may or may not help out the situation and also in some unfortunate cases can send the client into a ‘downward spiral’. By expressing your ethical issues on the topic to your client you may trigger unwanted emotions. These unwanted emotions can drive the client to hurt themselves or even make the client take legal actions towards the counselor. Ways to prevent this from happening is learning your own self-control and what your limits are when its comes to dealing the client. “You want to consider the best action that will protect your client’s needs, but you also want to ask yourself: What is the best action to protect the profession and myself? (Berton, J. D. (2014). Make the Rule to Break the Rule: Setting Your Ethical Standards. Counselor: The Magazine For Addiction Professionals, 15(5), 10-12
National Association of Social Workers [NASW]. (1998). The New NASW Code of Ethics Can Be Your Ally: Part I. Retrieved from: http://www.naswma.org/displaycommon.cfm?an=1&subarticlenbr=96
Ethics in the counselling and psychotherapy protects the client and the therapist involved in the therapeutic relationship and the therapeutic process as a whole; with the concepts that act as a guide for the therapists in provision of good practice and care for the client. The framework is built on values of counselling and psychotherapy; principles of trustworthiness, autonomy, fidelity, justice, beneficence, non-maleficence and self-respect, and provides standards of good practice and care for the practitioner (BACP, 2010). Ethical framework contributes to the development of the therapeutic relationship and process by assisting therapist’s decisions, and guides their behaviour and proceedings within their legal rights and duties. The ethical frame is structured on the boundaries of the therapeutic relationship and the therapists should be aware of their categories and be responsible for their forms. Monitoring and being aware of what goes on in and out of the room physically, emotionally and psychologically is primarily the duty of the therapist.
As a Licensed Clinical Social Worker and Chief of Social Work, he has limited time in a clinical setting. This can make a true analysis of NASW ethics in his situation difficult. With the increased responsibilities of his position he is not in the position of treatment, yet through the navigation of policies, he is ...
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
Each situation discussed in this paper provides opportunities for a counselor to explore how a dual relationship would impact the therapeutic relationship with clients and the overall well being of clients. Each ethical dilemma should be handled individually and with the support of a counselor’s supervisor while also taking into account laws or guidelines set forth by employers as decisions are made. As a new counselor I look forward to this decision making process and the personal growth I will experience and the clients I will benefit as a result of my ethical actions.
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...
For Cultural Relativism, it is perfectly normal that something one culture sees as moral, another may see as immoral. There is no connection between them so they are never in conflict relative to their moral beliefs. However, within the context of Ethical Relativism there’s a significant difference. Normally, two cultures will possess varying proportions of the same normal and abnormal habits yet from a cross-cultural standpoint, what is abnormal in one culture can be seen as properly normal in an...