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Ethics in Psychology and the Mental Health Professions: Standards and Cases. Practice Dilemmas and How to Resolve Them discusses the use of mental health law to resolve practice dilemmas and problems. Furthermore, it gives guidance on how to deal with negative work environments (such as when the environment is so negative that it may affect clients). Even with all things being equal, working closely with colleagues can still prove challenging. Indeed, tempers can flare when each respective counselor feels he/she knows what is best for his/her clients, but is unwilling to be flexible. The clinician hence is often in a dilemma when treating pregnant women with severe mental illness and is challenged with ethical issues related to decision making in this regard. Hale, B. Malefaction Malefaction is the principle which states; that above all else, do no harm, but also impose no risk of harm (Béchamel and Childless, 2009). As in the other example, mental health professionals should strive to be open minded and accepting of various theoretical approaches. Then there are three stories describing everyday interactions in an acute psychiatric unit.              principles of psychologists and code of conduct. (2008). Beneficence Beneficence is the principle which works towards the greatest good of the possible outcomes, to benefit the most people (Béchamel and Childless; 2009). In fact, those who work in the mental health profession may encounter other complexities in dealing with colleagues not seen in other fields, such as working with colleagues who use different theoretical approaches, working with colleagues who have different educational backgrounds and training (e.g., psychology vs. social work vs. counseling), or colleagues who adhere to different codes of ethics (ACA vs. APA) and ethical standards (or no ethical standards at all). The dilemmas relating to autonomy and choice in the given scenario are; does sally have the capacity to decide that her partner is not informed; and should the health visitor breech the confidentiality of Sally, and tell her partner? Koocher, G.P. Your email address will not be published. This paper will now discuss the the principle of Beneficence. Ethical dilemmas in community mental health care is the focus of this article. For example, is the disagreement between a colleague’s approach to treatment escalated to a point that it is affecting his or her clients? It used 1st person, so it is a reflective essay. Ethical dilemmas in community mental health care is the focus of this article. It may result in an emergency assessment by the child safeguarding practitioners’. Keywords: Ethical dilemma, clinical supervision, integrated healthcare, confidentiality, and psychotherapy notes Introduction The entire March 2013 issue of Families, Systems & Health: The Journal of Collaborative In an ideal world, colleagues and professionals alike would acknowledge that a degree is but one aspect of competence and does not give one an inherent superiority over other colleagues. 2010). As in any work environment, conflict with coworkers is inevitable. Get Your Custom Essay on, By clicking “Write my paper”, you agree to our, Legal and Ethical Issues for Mental Health Professionals, Applying ethical principles in nursing management, https://graduateway.com/ethical-issues-in-mental-health-nursing/, Get your custom Ideally, colleagues would respect/embrace one another’s differing educational backgrounds, as well as appreciate how it may contribute to unique viewpoints that may better serve clients. Furthermore, conflicts may arise amongst colleagues who hold different types of licensure or no licensure at all. Severe mental illness tends to occur and recur among women in the reproductive period. Likewise, colleagues may have different educational levels, such as BA, MA, PhD or MD, which may influence their perspective on treatment. In any work environment problems or difficulties with coworkers and colleagues may arise. ). Social workers take on a variety of responsibilities that should ultimately serve their clients' best interests. If a mental health counselor is experiencing emotional problems due to a pending divorce, chemical use relapse or severe depression, there is an ethical obligation to seek consultation. The following are several common ethical dilemmas that nurses face while on the job. "You must agree to out terms of services and privacy policy", Don't use plagiarized sources. Dilemma 1: Psychologist in … ... whereby behaviour or actions of one individual could harm another in the service and this could be an individual with mental health problems who might become violent to someone. Consulting with colleagues, getting supervision, and consulting with one’s code of ethics can help determine if the conflict is a matter of ethics or not. The discussion paper will conclude with the safest outcomes and decisions the health visitor would make. They try to abide by the code of ethics from professional organizations like the National Association of … A List of Ethical Dilemmas Facing Social Work. Even amongst professionals with similar educational backgrounds, educational levels, and identical licensures, conflict can come about between those who practice different therapeutic approaches. This is an example of autonomous principles verses paternalistic principles, which is recently less acceptable (Hendricks, 2004): unless the benefits outweigh the rent risk. There are very widespread implications if ethical issues are ignored in mental health. Below I will describe how mental health professionals should proceed to minimize these adverse effects. Dignity and Worth of the Person – As the NASW Code of Ethics states, social workers seek to resolve conflicts between clients’ interests and the broader society’s interests in a socially responsible manner consistent with the values, ethical principles, and ethical standards of the profession. Capacity refers to the ability to understand and retain information given to them, and able to make a decision based on this ability, furthermore a person is always assumed to have capacity; unless it is proven that they do not (MAC, 2005). This paper will now discuss the principles of Justice. In the scenario, Sally informs the health suitor that she feels the baby is not hers, that she feels anger towards the baby, and does not want to be left alone with it. Ultimately, however, each counselor is responsible for himself or herself regarding how to resolve conflict and ensure that conflict does not become an ethical dilemma. The dilemmas are derived from a discussion of the results of a qualitative research project that took place in five countries of the European Union. In fact, there may be times that a person with a MA is the supervisor of a person with a PhD. Counselling Dilemma: A Teenager Experiencing Study Stress Anna is a 17 year old student in Year 12 who has come to counselling because she is not coping with the stress of her final year. Likewise, it states that psychologists should maintain adequate self-care to ensure that their personal problems do not interfere with the quality of their work (APA Code of Ethics, 2012). This paper describes the significant need for mental health care services in rural areas. The ethical areas of discussion will be Autonomy, Beneficence, Malefaction and Justice; this paper will also look at Deontological and Consequentiality theories. While all of the above effect both telehealth and tele mental health, there are additional ethical challenges to consider when using tele mental health. Corey, G., Corey, M.S., & Callanan, P. (2011). If personal issues affect stability, objectivity, judgment or focus, the counselor may need to take a leave while undergoing therapy. Bibliography. Reaches (1966) shows the 6 points of material justice which have been proposed as a valid principle of distributive justice (Béchamel and Childless, 2009). It is, therefore, important to determine beforehand if ethical violations have actually taken place, since making unnecessary ethical complaints is inappropriate. Those who work in the mental health profession often work alongside others with different educational backgrounds. Classic utilitarianism suggests that the outcome of a dilemma should maximize the greatest good, for the greatest amount of people Moonstone, 2009). Both the disorders and the treatments may have effects on the mother and the foetus. Welcome to Lighthouse Counseling Center in Bangkok, BANGKOK RELATIONSHIP AND MARRIAGE COUNSELING. Anna is from a culture where academic success is highly important and she is under intense pressure from her parents to get good grades and go to university. responsibilities. Working with colleagues from different cultural backgrounds may lead to some misunderstandings, as well. This paper will now explore the principles Of malefaction. “From colleague to patient: Ethical challenges in integrated primary care.” Families, Systems, & Health, 2013, 31: 41-48. Although a high degree of education is important, and does play a role in competence, a person with a lower level degree and many years of experience may be as competent as someone with a PhD (or even more competent) (Reiter & Runyan, 2013). Some professionals may adhere strictly to one therapeutic approach and view all others as less effective, inappropriate, or even inferior. Following the NSF (DO, 2004) and safeguarding children (DOCS, 2010) the health visitor would follow safeguarding procedures as there is a potential risk to the child, as sally does not want to be left alone with it. However, in many cases, such as a disagreement over therapeutic approaches, ethics boards would be unable to help, as no ethical violations per se have taken place. Here are 10. Ethical values and principles involved. However, those who are not licensed may not follow any particular code of ethics (unless it is a requirement of their employer). If all else fails, the last option would be to make a report to the appropriate ethical board (Koocher & Keith-Spiegel, 2008). To determine this, the counselor/psychologist should consult with his or her code of ethics. Other things that can lead to conflict include interpersonal style, strong personalities, or colleagues with their own set of problems (personality disorders, psychiatric disorders, addiction, or those who may simply be experiencing an acute life stressor). The ethical standards that guide mental health professionals in their work often conflict with the ethical principles that guide business practices, such as those employed by MCO’s. The paper begins with a brief statement about the centrality of autonomy or self governance as a core ethical value in the interaction between health care worker and patient. A crucial feature of an ethical dilemma is that the person faced with it should do both the conflicting acts, based on a strong ethical compass, but cannot; he may only choose one. Although those from different educational levels may be just as competent as one another, conflict may easily arise when such professionals view others from lower educational levels as less competent. Lastly, the counselor/psychologist should consider trying to resolve the conflict with his or her colleague directly (providing that doing so would not escalate the conflict further). In the dilemma, the health visitor would have to make a decision based on the greater good, is the decision that he/she makes, for the greater good of Sally, or for the greater good of the baby? However, long term, those issues may be resolved, and the immediate risks that may be imposed upon he child, are paramount. Ideally, each place of work would have procedures in place for dealing with conflict amongst employees. Key strategies to help address dilemmas in rural mental health care are also outlined. (2018, Apr 24). Following the recent description of theory, the health visitor would have to assess each person’s preferences; Sally, her by, and her partner if knowing. The second point is “to each person according to need”. In addition to these differences, other issues may arise from different personality styles, colleagues who are experiencing personal problems (such as those who may be in recovery from a mental illness, addiction, or personality disorders), as well as those who blatantly break ethical codes of conduct. Conclusion: There are four key points from the NC (2008) code which indicates guidance which can be applied to the scenario. Case examples are used to illustrate several distinct ethical features of mental health care in small, isolated, and otherwise "closed" communities with limited resources. & Keith-Spiegel, P.A. Health Details: Decisions.Some ethical dilemmas are specific to mental health nursing and are seen rarely in other areas of practice 2.An involuntary commitment to care, or a decision made by a family member on behalf of the patient, is often made to protect the patient from harming herself or others. When faced with ethical dilemmas that are difficult to resolve, “I decided to join nursing industry because I enjoyed sports medicine class in school and I see a strong correlation between health and sports. Ethical dilemma is defined as a complex situation involving a mental conflict occurring between the moral imperatives where obeying one would make to transgress the other. For example, in addition to encouraging cooperation and self-care, the ACA code of ethics encourages respect and acceptance of various therapeutic approaches. To make matters even trickier for nurses, the same ethical dilemma on two different occasions may require a different solution each time. For example, amongst addiction counselors there is considerable debate about whether abstinence-only approaches or harm-reduction approaches (teaching clients to use in moderation) are more effective (Kanzler, 2013). If a counselor or psychologist finds herself in a conflict with colleagues or in a negative work environment, it can have many adverse effects. For example, it can affect the counselor’s or psychologist’s career, mental health, or his or her clients. The dilemmas are derived from a discussion of the results of a qualitative research project that took place in five countries of the European Union. In the following paper, I will discuss these issues, as well as how to handle them in an ethical manner (Corey, Corey, & Callanan, 2011). At that point in time, it is her main concern to ensure the baby is safe. Lurch et al (2010) cites Florence nightingales (1859) nursing notes, where she discusses ethical duties of confidentiality, communication, and the centrality of meeting patients’ needs, this reflects the same moral and ethical issues nursing professionals face today. By continuing we’ll assume you’re on board with our cookie policy, The input space is limited by 250 symbols. The health visitor would therefore by telling the truth about the situation to sally, which could be regarded as acting deontological; as demonology states it is a moral obligation to tell the truth irrespective of the consent nuances, as your intentions are what your actions are judged on (Hendricks, 2004 page 10). It would appear, that Sally has some insight that her feelings could be considered a risk, as she has chosen to inform the health visitor of the situation, therefore making her choices autonomous (Béchamel and Childless, 2009). Johnston (2009) comments that mental illness can impair ones capacity to make decisions, she cites Brock and Buchanan (1989) stating that when such choices arise, three points should be considered. To be incapacitated due to trauma or mental ill-health (for example) means that practitioners will Often work in your best interests (Kulak, 2005). Sorry, but copying text is forbidden on this website. As a health visitor she has a duty of care to protect both parties, however, the interests of the child comes first (RCA, 2008, DO 2004, DOCS 2010). All you need to do is fill out a short form and submit an order. Georges and Gryphon (2002) state that nurses often fail to recognize the moral elements of complex situations, and they often lack the skills to effectively resolve moral dilemmas. Distinguished by unique jargon, knowledge bases, and historical traditions, the mental health professions are united in the aim of assisting clients and patients with problems that often cannot be categorized within the confines of one professional discipline Personality styles that counselors/psychologists may encounter and prove troublesome include those who are rigid, overly critical, and narcissistic. Another ethical dilemma encountered by mental health … Munroe (2007) has argued that a conflict between mum and baby, and health visitors relationships, occur nonetheless with increased surveillance as set out in DO policies (Bibb) The NC (2008) states tattoo must respect a persons’ right to confidentiality, however, it states that also, “you must disclose information if you believe someone is in harm, in line with the law of the country tattoo are practicing in”. As nurses we often deal with ethical dilemmas in our everyday clinical practice; and as professionals we have the responsibility to analyse and examine any ethical problems that may arise. Recognizing, acknowledging, and respecting this will help to reduce potential conflict from arising in the work environment (Koocher & Keith-Spiegel, 2008). An ethical dilemma arises when the clients and health care providers differ in their understanding of what is right or wrong (Narrigan, 2004). (2012). She continues to say that it is an important part of care as it involves both the protection of individual welfare and the promotion of the common welfare (Weaver, 2011; Béchamel and Childless 2009). Which can make the nurses ethical dilemma difficult to manage due to balancing the two valid ethical principles of autonomy (respecting and supporting decisions making) and beneficence (relieving or minimising harm in the best interest of the patient) (Hendrick 2004, Beauchamp & Childress 2009). injuries sustained as a result of a road traffic accident, an acute appendicitis, complications of diabetes, renal failure, etc. Counselors/psychologists must be sure to adhere to their own ethical codes, while at the same time recognizing that these guidelines may be different from those of their colleagues. What Is Dilemma In Health And Social Care. Mental health practitioners working with children and families must attend to several ethical concerns that do not typically come into play with adult clients. our expert writers, Hi, my name is Jenn It is where a non-integral test or treatment is recommended to the patient as a means of protecting the physician from potential legal claims. After all, a multidisciplinary approach usually only better serves clients (Koocher & Keith-Spiegel, 2008). For example, those with higher level degrees may assume superiority over those with lower level degrees (such as a PhD over a MA or a MA over a BA), even when the person with the higher level degree is not a direct supervisor of the other. Hasman, A., Mcintosh, E. and Hope, T. 2008: Journal of Medical Ethics New York: Oxford. To avoid such implications, counselors need to understand the principles and their application in counseling. 1997). Those experiencing conflict should review such procedures. As a health visitor she has a duty of care to protect both parties, however, the interests of the child comes first (RCA, 2008, DO 2004, DOCS 2010). The social work code of ethics are designed … Ethical dilemmas are involved for refuting the moral code or ethical systems for improving or resolving the ethical paradoxes (Shapiro & Stefkovich, 2016). The opportunity to make choices and decisions for one’s self in healthcare depends on your mental opacity. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. ISBN-13: 9780495904687. Autonomy means "self-rule" and involves the right of an individual to make choices that may go against a physician's treatment advice concerning treatment, or non-treatment, of an existing health … This discussion paper will firstly explore the theory of autonomy. The solution from this perspective is to protect the child, as the health visitor’s responsibilities are favored in the child’s preferences but additionally, Sally has admitted she ought not to be left alone with the baby. An ethical dilemma is a conflict between alternatives, where choosing any of them will lead to a compromise of some ethical principle and lead to an ethical violation. Issues and Ethics in the Helping Profession, International Edition, 8th edition, Brooks/Cole. One way to improve our ethics is to example arguments on both sides of common ethical dilemmas.. Colleagues and Ethical Dilemmas in the Mental Health Profession. ... is responsible for himself or herself regarding how to resolve conflict and ensure that conflict does not become an ethical dilemma. It is also noted however, that mental illness does not always cause people to be incapacitated; mental capacity can fluctuate, and should be tested where there is doubt, at the time of making the decision (MAC, 2005). In terms of autonomy the health visitor should explain to sally when she would have to breech confidentiality. Sally does not want the father to be informed of these thoughts as she fears he may leave her. However, a more recent evaluation of the theory old deem it appropriate to attempt to “maximize the overall satisfaction of preferences, for the greatest number of people” by maximizing autonomy (Johnston 2009, page 64). The different stakeholders are confronted with the following dilemmas: c … Arguably, by breaking confidentiality the health visitor may be harming the relationship of herself and Sally, she may also be harming sally emotionally, or even be harming the bond between mother and child (Muzzy et al 2013). American Counseling Association (2014). Undoubtedly, the education and training one receives will surely influence how he or she views mental disorders, as well as how they should be treated. Reiter, J. Acting in accordance with ethical principles can often protect healthcare professionals from legal action where patient’s rights, such as autonomy have been overridden (Bingham, 2012). Ethical Decision-Making in Mental Health Marna S. Barrett, Ph.D.Marna S. Barrett, Ph.D. Department of PsychiatryDepartment of Psychiatry ... to address every possible ethical dilemma that counselors may face. All of the above would be implemented alongside one of the ethical principles discussed above. Ethical Dilemma In Social Care. American Psychological Association ethical. These are used to help unravel ethical issues relating to patient autonomy. Kanzler, K., et al. We use cookies to give you the best experience possible. Weaver (2011) describes beneficence in health, and social care, as delivering care in a way which will benefit the patient or service user. Defensive medicine is not an ethical dilemma faced by most, but it is what gives rise to court cases that call into question the necessity of a doctor’s actions. Counselors/psychologists should strive to take care of their own mental health and control their own personality defects, so that it does not affect their colleagues or more importantly their clients (Koocher & Keith-Spiegel, 2008). Colleagues who fail to the either of these will contribute to tension in the work environment (Reiter & Runyan, 2013). Consequential is a philosophical theory, and its ethical principle is utilitarianism. written assessment will be to present the reader with an encounter of an ethical dilemma that a social worker may come across while working with clients within the mental health system and show how interpretation, how different dilemmas will impact on practice and how the impacts influence the delivery of services for the resolution approaches. Ethical issues in mental health care Nurses working in the care for psychiatric patients daily face dilemma’s concerning respect for autonomy versus paternalistic behavior. Interventions that are intended to prevent harm ND benefit others, despite risky decisions, are autonomous; this IS known as hard paternalism (Béchamel and Childless; 2009). Mental health care providers are bound by the ethical standards of their profession and by the laws that govern mental health practice in their state. 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