Social workers take on a variety of responsibilities that should ultimately serve their clients' best interests. 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). Béchamel and Childless (2009) state there are five principles of beneficence; “To protect and defend people’s rights, prevent harm, remove conditions which could cause harm, to help those with disabilities, and to rescue those in danged’ (page 199). 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. (2018, Apr 24). 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. 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. Ethical Dilemma in Nursing Essay Explore the example of a possible medical problem in the nursing essay. 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? 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. Justice The principle of Justice relates to the fairness and desert of situations, it has been stated that ‘the holder of a valid claim based in justice has a right, and is due something’ (Béchamel and Childless; 2009). In fact, there may be times that a person with a MA is the supervisor of a person with a PhD. responsibilities. Reaches (1966) shows the 6 points of material justice which have been proposed as a valid principle of distributive justice (Béchamel and Childless, 2009). Another ethical dilemma encountered by mental health ⦠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 Alexandria, VA, American Psychological Association. 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. 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. 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). Your email address will not be published. Severe mental illness tends to occur and recur among women in the reproductive period. 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. To avoid such implications, counselors need to understand the principles and their application in counseling. The health visitor should explain this to Sally that t is her jobs protocol, and she is doing it for the safety of Sally, and of the baby; as disclosing the concern for sally mental Tate will safeguard both of them. Aristotle refers to justice as equal desert (Richardson-Lear, 2013; McIntyre, 1988). 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. Firstly, the counselor/psychologist should determine if the conflict between the two colleagues is ethical in nature. 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). This is an example of autonomous principles verses paternalistic principles, which is recently less acceptable (Hendricks, 2004): unless the benefits outweigh the rent risk. In addition, as a health visitor, she would have a practitioner patient relationship which she would need to maintain. This paper will now discuss the principles of Justice. We use cookies to give you the best experience possible. However, those who are not licensed may not follow any particular code of ethics (unless it is a requirement of their employer). Even with all things being equal, working closely with colleagues can still prove challenging. The discussion paper will conclude with the safest outcomes and decisions the health visitor would make. The opportunity to make choices and decisions for one’s self in healthcare depends on your mental opacity. American Counseling Association (2014). 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). Sally does not want the father to be informed of these thoughts as she fears he may leave her. If you need this or any other sample, we can send it to you via email. 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. This paper will now explore the principles Of malefaction. Reiter, J. 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). Practice Dilemmas and How to Resolve Them discusses the use of mental health law to resolve practice dilemmas and problems. Equally, professionals should recognize the value in a high level of education. For example, the APA code of ethics states that psychologists should attempt to cooperate with one another in order to best serve their clients. Ethics in Psychology and the Mental Health Professions: Standards and Cases. (2008). This article explicates this ethical dilemma and explains how a social worker traversed this dilemma. Afterwards, the counselor/psychologist should discuss the situation with those who are not involved and can be objective in providing guidance and feedback. Autonomy Autonomy is a term which is used for the principle of self-governance, and to make decisions, as an individual with respect to healthcare and lifestyle (Béchamel and Childless, 2009; Atkinson 1992). American Counseling Association (2014). ACA Code of Ethics. 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. Even amongst professionals with similar educational backgrounds, educational levels, and identical licensures, conflict can come about between those who practice different therapeutic approaches. & Runyan, C. âThe ethics of complex relationships in primary care behavioral health.â Families, Systems, & Health, 2013, 31: 20-27. Koocher, G.P. Ethical Dilemma In Social Care. Hasman, A., Mcintosh, E. and Hope, T. 2008: Journal of Medical Ethics 1997). Likewise, colleagues may have different educational levels, such as BA, MA, PhD or MD, which may influence their perspective on treatment. These points are, protecting and promoting the patients wellbeing; promoting and protecting the patients eight to, and interest in exercising self-determining choices; and protecting others who may come to harm by the patients harm-causing choices. What Is Dilemma In Health And Social Care. It used 1st person, so it is a reflective essay. 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. 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. Save my name, email, and website in this browser for the next time I comment. (2012). Harry Frankfurt, âFreedom of the Will and the Concept of a Personâ (1971) 68(1) J Phil 5; Gerald Dworkin, The Theory and Practice of Autonomy (CUP 1988). While these teaching tools have been developed by psychologists, the vignettes are likely similar to those dilemmas faced in other mental health, counseling, or helping professions. Questions arise about the use of coercion, e.g., when a patient doesnât want to take his ⦠Recognizing, acknowledging, and respecting this will help to reduce potential conflict from arising in the work environment (Koocher & Keith-Spiegel, 2008). 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). 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. The issue of patientsâ rights to and in health care, discussed in the previous chapter, has obvious relevance and application for people with mental illness admitted to hospital for the care and treatment of non-psychiatric conditions (e.g. The following are several common ethical dilemmas that nurses face while on the job. It should help define what we ought to do, by considering and reconsidering actions”. 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. Below I will describe how mental health professionals should proceed to minimize these adverse effects. 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