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Ethical issues in the counseling
Ethical issues in the counseling
Ethical issues in the counseling
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There are two problems being presented in the ethical dilemma of the professional counselor, Dan. First, Dan believes he does not need to keep records on his clients because they are “well-functioning” and his is a church-based practice. The problem of not maintaining client records is an ethical, clinical, and legal problem for Dan. Failure to maintain client records is related to self, and possibly agency or institution if there are no clear guidelines or policies related to client records. Second, Dan believes his clients aren’t truly “sick.” This is a statement related to self that may indicate a lack of professional judgement in which Dan is not truly vested in his clients’ needs and could have ethical and legal implications related to …show more content…
The American Counseling Association (2014) clearly states in code A.1.b, “Counselors create, safeguard, and maintain documentation necessary for rendering professional services. Regardless of the medium, counselors include sufficient and timely documentation to facilitate the delivery and continuity of services. Counselors take reasonable steps to ensure that documentation accurately reflects client progress and services provided. If amendments are made to records and documentation, counselors take steps to properly note the amendments according to agency or institutional policies.” This is again addressed in code B.6.a, “Counselors create and maintain records and documentation necessary for rendering professional services” (American Counseling Association, 2014). Dan’s attitude that his clients aren’t really “sick” may stem from his own beliefs and is a violation of ACA Code of Ethics code A.4.b. which states “ Counselors are aware of—and avoid imposing—their own values, attitudes, beliefs, and behaviors. Counselors respect the diversity of clients, trainees, and research participants and seek training in areas in which they are at risk of imposing their values onto clients, especially when the counselor’s values are inconsistent with the client’s goals or are discriminatory in nature.” What may not seem as being “sick” to Dan because of his own values and beliefs may in fact be quite traumatic to a client with differing
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.
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
These ethical concerns must be addressed with every client. This is where closed ended questions may be considered, the best approach is to intertwine these questions into the normal flow of conversation so that the client does not feel like they are being judged. One of the ethical concerns the clinician needs to address is suicide, since those dealing with the crisis have no ability to cope and are vulnerable and overwhelmed, suicide may feel like their only option to end the crisis (Kanel, 2007). The clinician needs this information to keep the client safe. Another ethical concern the clinician must address is the possibility of abuse towards a child or the elderly or any harm to others. It is always a counselor or mental health workers ' duty to report any suspicion of this kind of activity to the proper authorities (Kanel, 2007). Organic or medical concerns are one of the other ethical considerations which must be addressed in the second stage. This includes making evaluations about any mental health or behavioral disorders as well as making any necessary referrals (Kanel, 2007). Substance abuse is another ethical concern that must be addressed by the clinician. Since substance abuse is commonly used to treat stress for those in crisis the clinician must be assertive in gathering information about drug use (Kanel, 2007). This information will direct the clinician in the
The topic of this paper focuses on the battles school counselors face as the law and ethical standards collide. School counselors face a number of legal and ethical issues and recognizing a clear decision isn’t always easy. School counselors have to work with a large number of students, parents, and administrators while conforming to ethical codes, state laws, and school board guidelines. This topic is of great relevance to me as I will be going into the school counseling profession. It is also a meaningful topic to me because life-changing decisions are made every day in reference to legal and ethical issues. Researching this topic has shed some light on the difficulty for school counselors to fulfill both legal and ethical requirements. The main reason for this is that laws and ethical codes may sometimes provide differing and contradictory messages regarding the same subject. This can lead to legal ramifications, even while following ethical norms as we will look at in the example case of Woodlock v. Orange Ulster B.O.C.E.S. (2006/2008).
Utilizing Keith-Spiegel and Koocher 's, eight-step model to evaluate the ethical dilemma posed in example one (Nagy, 2011). Taking into consideration the previous relationship, between client and therapist is paramount to the evaluation of a possible conflict. Upon toughly evaluating their previous relationship, examining any possibility of a negative impact on their professional relationship. They have not been in each other’s lives since high school, they have grown apart and do not have any reason that this therapist cannot successfully treat this patient. It is professionally ethical for the therapists treat this client. The therapist will be expected to adhere to the APA code of ethics, which, include the five principles imperative to psychology standards and ethics (APA, 2002). These principles include beneficence and nonmaleficence, fidelity and responsibility, integrity, justice, respect for people’s rights
A counselor should always keep their thoughts to themselves and remain open-minded about the situation. The only time a counselor should share their thoughts is if it helps the client with their situation that they are dealing with. “Counselors must practice only within the boundaries of their competence (Standard C.2.a.), and, if they “determine an inability to be of professional assistance to clients” (Standard A.11.b.), they should facilitate a referral to another provider. (Kocet, M. M., & Herlihy, B. J. (2014). Addressing Value-Based Conflicts Within the Counseling Relationship: A Decision-Making Model. Journal Of Counseling & Development, 92(2), 180-186 7p. doi: 10.1002/j.1556-6676.2014.00146.x).” Keeping your thoughts to yourself is
The field of clinical mental health is one of great reward, but also one of grave responsibility. It is the duty of the counselor to provide the client with a safe environment and an open mind, in order to foster a healthy therapeutic relationship. The majority of mental health counselors would never intentionally harm their clients; however; good intentions are not enough to ensure that wrong will not occur. The ethical expectations and boundaries are regulated by both laws and professional codes. When discussing ethics, one must realize there are two categories, mandatory and aspirational. (Corey, Corey & Callanan, 2007)
The Oxford dictionary defines an ethical dilemma as “a situation in which a difficult choice has to be made between two courses of action, either of which entails transgressing a moral principle.” It is not uncommon to face such predicaments in the workplace but few occupations present more ethical dilemmas than that of a school counselor. Although jobs in counseling and social work often present ethical dilemmas, having to maintain confidentiality, share information with parents and bypass consent all while maintaining an honest relationship with the student seems almost impossible to accomplish. Deciding whether or not to breach confidentiality in order to help a minor student can seem like an unnerving task. Essentially, the final decision
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.
HS 43 Term Paper 4 Core functions of a Substance Abuse Counselor By Roslyn Smith Introduction This paper will discuss the following 4 Core Functions of a Counselor: Case Management, Client Education, Crisis Intervention, Referral and their primary purposes. Discussion Case Management According to IC & RC, Case Management is defined as, “activities intended to bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals.
In respect to counseling mandated individuals, the ACA code delinates the ethical guidelines to follow, but the AMHCA code does not mention this obligation (ACA Code of Ethics, 2014, p. 4; AMHCA Code of Ethics, 2010). It is important for counselors as a profession as well as specifically mental health counselors to understand how to ethically address mandated clients. Furthermore, as the ACA code states, it is important to counselors to discuss with clients the reprocutions for refusing services due to being mandated for treatment (ACA Code of Ethics, 2014, p. 4). Interestingtly, the AMHCA code does not include ethical standards for terminating a supervisory relationship whereas the ACA code does (ACA Code of Ethics, 2014, p. 13; AMHCA Code of Ethics, 2010). Such that the ACA ethical code indicates that both parties have the right to terminate the relationship and the supervisor should make a refferal (ACA Code of Ethics, 2014, p. 13; AMHCA Code of Ethics, 2010). It appears as though this is a highlighted difference between the expectations in a supervisor/supervisee relationship between mental health counselors and counselors as a professional entity. When addressing clients who are also receiving services from other professionals, the ACA and AMHCA codes present different guidelines for how to
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.
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...
Counselors shall utilize all available staff/workers and offer staff members who may be of assistance in aiding a counselee. Counselors shall facilitate workers/surrogate counselors and other counselors who are directly concerned, allowing routine access to all cumulative data except confidential records. Counselor shall maintain the disciplinary, behavioral and emotional records of the counselee in a confidential file - separate and apart from the cumulative file.
A clear, well-organized record-keeping system is essential for counselor who provides treatment, nutritional assessment and consultation services. But setting up such systems can be challenging. For one, a counselor need to attack the fine balance between the need to maintain client privacy and confidentiality and the need to communicate with insurers, other treating professionals and larger health systems. Counselor’s records must also follow the state and federal laws (King & Klawitter, 2007). . In addition, a counselor needs to plan for retirement and the eventual disposal of records. In order for counselor to have these records, information needs to be documented. Some of the things that need to be documented include counseling sessions, patient family history, payment history, emergency contact and patient’s vitals, privacy act, informed consent, past and present medical history.