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Ethical dilemmas within health care
Ethics and confidentiality in healthcare
Ethics and patient autonomy
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In case study of Zora (age 14), the decision of whether to keep the information shared during the session confidential or disclose it to the parents is a daunting ethical challenge that requires the psychologist to balance tensions between the obligations to protect the welfare of the adolescent. The confidential rights of minors and adolescents ages 12-16 can be confusing to many professionals that are treating this age group due to the laws and guidelines every state has pertaining to this age group (Fisher, 2013). Even though adolescents are considered to have more mental capacity for decision making than that of younger children, but they are not considered to be adults (Fisher, 2013). There are many specific areas that are needed to consider in regards to consent and confidentiality that are difficult for teens, parents, health care professionals, and lawmakers …show more content…
(2008). Abortion and Parental Involvement Laws. Retrieved December 17, 2014, from Advocates for Youth: http://www.advocatesforyouth.org/publications/publications-a-z/2285-abortion-and-parental-involvement-laws
American Psychological Association. (2014). Ethical Principles of Psychologists and Codes of Conduct. Retrieved December 17, 2014, from American Psychological Association: http://www.apa.org/ethics/code/index.aspx
Confidentiality Issues. (2014). Retrieved December 17, 2014, from Adolescent HealthCurriculum: https://www.usc.edu/student-affairs/Health_Center/adolhealth/content/a5.html
Fisher, C. B. (2013). Confidentiality and Disclosure in Non-Intervention Adolescent Risk Research. Applied Developmental Science, 17(2) , 88-93.
Resnick MD, L. T. (1992). Physicians' attitudes toward confidentiality of treatment for adolescents: findings from the upper Midwest regional survey. Journal of Adolescent Health , 616-612.
Week 3 Assignment. (2014). Retrieved December 17, 2014, from Walden University :
...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.
American Counseling Association (2005). ACA Code of Ethics. Alexandria, VA: Author. - See more at: http://www.counseling.org/knowledge-center/ethics#sthash.13ImD8Lb.dpuf
Lawrence, G., & Robinson Kurpius, S. (2000). Legal and ethical issues involved when counseling minors in nonschool settings. Journal of Counseling & Development, 78, 130-135.
Having a positive approach helps psychologists clarify what they value, contemplate how they must behave, and decide what institutes suitable professional demeanor. The significance of positive ethics supports psychologists and allows them to reach their utmost ethical principles instead of violating the rules. The American Psychological Association are the top procedures to monitor to help stay within the ethical guidelines which has recently had revisions in the year two thousand two. There are a number of ethical codes to consider as a forensic psychologist cannot have the unawareness of particular psychological information, absence of specific preparation in forensic, presumptuous the lawyer will offer the expert with the essential legal ethical and professional evidence, assuming diverse jurisdictions are comparable in laws, how the laws are applied and failure to recognize the sole matters related with privacy and privileged communications for the work in the forensic
As such, they cannot legally give consent to be counseled. It is still a counselor’s duty to hold the same confidentiality rules to protect the information shared by the minor. The fact that the student is a minor would not nullify the confidentiality statute that would normally take effect upon consent during any other counseling session. After assessing the magnitude of the issue(s) at hand, the school counselor would then decide whether or not to involve the parents or other school educators who can help. This action is solely a professional judgment call and does not adhere to any pre-set rules or regulations on how to take action.
In today’s society with the blogs, the gossip sites and the other forms of social media, confidentiality is a thing of the past. However, for, physicians and other health professionals, they are held to a higher standard to maintain a level of ethics and confidentiality for their patients. Confidentiality is a major duty for a health professional, but is there ever a time to where it is okay to tell what a patient says in confident? What if the patient is a minor, or a senior citizen or someone who is mentally challenged? What if a patient is being abused or wants to commit suicide? Does it matter if it is a nurse, or a dentist, or a psychologist or is all medical professional held to the same moral standard? What roles does a consent form or Health Insurance Portability and Accountability Act plays in the medical world in being confidentiality? I would like to explore Confidentiality and the moral effects it has on the health profession.
Roe v. Wade and the Right to Abortion. (2013, January 18). Retrieved April 21, 2014, from
As a general notion, the public has agreed that minors are generally considered incompetent to provide legally binding consent regarding their healthcare, and parents are generally empowered to make those decisions on their behalf, unless that decision places the ...
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
Moskowitz, Ellen. "Parental control and teenage rights." The Hastings Center Report Mar.-Apr. 1994: 4. Opposing Viewpoints in Context. Web. 22 Apr. 2014.
(2003). The 'Secondary' of the 'Secondary'. Abortion Facts: Teenage Women, Abortion, and the Law. Retrieved from https://www.prochoice.org/about_abortion/facts/teenage_women.html Sherwin, S. (2014). Abortion Through a Feminist Ethics Lens.
Advocates of this issue believe that minors should have the right to be in charge of their medical decisions. Dr. Eric Kodish believes that decisions made by teenagers on the older side who are able to make a righteous decision should be carried out. “I think the ethics of modern American life suggest that if people have the capacity to make a decision, they should be free to refuse treatment” (Shute 1). Advocates of minors being able to make their own medical decisions believe that if the minor shows enough maturity understanding of their desired action, then it should be respected and carried out. Dr. Eric Kodish uses what he calls “The Rule of 7s” to determine when a child should be allowed to make the decision.
In my opinion, the mutual trust between healthcare providers and adolescents encourages them to seek help and talk comfortably about their health problems and concerns, thus reducing the potential risks. Therefore, the confidential reproductive health services should be provided to adolescents in some cases, because there are cases that require parents’ notification such as pregnancy, abortion or the incidence of sexually transmitted diseases (AIDS, hepatitis, etc.), which may pose a risk on an individual's life, risk and threat to society as a whole. I believe that parents have the right to know what is happening to their children, to help and support them. Adolescents may disagree with my opinion and regard the confidentiality as a right
There are some questions a patient 's doctor must be a secret, you can not tell a third party about the problem. Another example, if a teenager says to a doctor, "I am depressed, I have been trying to kill myself" ( "Youth confidential: a young person 's right to privacy"). Doctors are not sure of information, because the doctor is this guy right help. Teen confidentiality concerns may be an important barrier to access to health services. Adolescents have the right to contraception confidentiality when it comes to contraception.
American Psychiatric Association. (2010). Ethical principles of psychologists and code of conduct. American Psychological Association (APA), Retrieved from http://www.apa.org/ethics/code/index.aspx