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Ethical issues in clinical counseling
Ethical issues in clinical counseling
Doctor patient confidentiality law
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The Wisconsin Department of Health Services and the Mental Health and Substance Abuse Services set the confidentiality guidelines in counseling. The client’s treatment record are private, that is with all the written, everything on the computer, if it is electronic and they are microform records. As a counselor have to remember that the client’s records when counseling services are to have mental illness, are disable and people with drug and alcohol problems. You do not have to keep records of staff’s notes or for your personal use, that you will tell other people about. [See §51.30(1)(am) and § 51.30(1)(b), Wis. Stats., and DHS 92.02(16), Wis. Admin. Code].
[§ 51.30(4)(a), Stats.] this statute is the rules for treatment records are
Another concern that counselors struggle with for both individual and group counseling, is maintaining appropriate records (Crespi, 2009). State...
The counselor met with client for her scheduled assessment. CPS caseworker Margie Jones referred the client because of testing positive for illicit substance. The client is a 25 years old African American woman. She is mother of five children a set of twins and one has recently died. The mother reports the baby was laying on her chest and got tangle in the cover and died. She became tearful when talking about this. The mother reports she has been distraught and began using illicit substances to cope with her grief. The client reports being recently prescribed an anti-depressive to address her depression. She reports one prior suicide attempt in 2013 by overdoing on pills. The client reports being sexually assault at the age on 12. She reports
...urces for other interventions outside of the medical model that have proven to be effective in children with this disorder.
Confidentiality is a major topic within care environments. When it comes to deciding what information is shared and who it is shared amongst can be difficult. Confidential information, is information that is ‘not to be told to anyone’ (The Open University, 2015, p. 58). Information that is sensitive or not publicly known is confidential, also if information is given by a person who is in a setting where confidentially is expected then that information should remain private and not shared with others. It can be very difficult for a staff member to find the balance between knowing what information is confidential and appropriate information that needs to be shared between the staff team.
standard 22- all consultations between human service professional are kepth private unless to do so would results in harm to clients or communities.
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...
In the mental health profession of counseling, therapy, psychology, psychiatric and social services ethical dilemmas are faced primarily on a daily basis. Being that mental health professionals are working with clients who are often fragile and vulnerable, they must develop an intense awareness of ethical issues. On the other hand, mental health professionals would never intentionally harm their clients, students or colleagues and others whom they work with. Unfortunately, good intentions are not enough to ensure that wrong doings will not occur and mental health professionals have no choice but to make ethically determined decisions. Depending upon the experience and expertise of the professional determines the outcome of the ethical circumstance. For example, if you were practicing mental health professional and had a friend who’s a licensed psychologist, who is invited to attend the wedding of a patient that she has been seeing in court-ordered therapy for a year; what advice would you give your friend?
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)
In the modern era, the use of computer technology is very important. Back in the day people only used handwriting on the pieces of paper to save all documents, either in general documents or medical records. Now this medical field is using a computer to kept all medical records or other personnel info. Patient's records may be maintained on databases, so that quick searches can be made. But, even if the computer is very important, the facility must remain always in control all the information they store in a computer. This is because to avoid individuals who do not have a right to the patient's information.
...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.
Remley and Herlihy (2014) indicated the client has the right to obtain their records providing they are competent and we as the clinician do not feel the release of their records would cause harm to the client. The American Counseling Association Standard B.6.e
Mental health professionals have an ethical duty to protect a client’s confidences. In fact, most view confidentiality is paramount to the hel...
There is a great importance and focus in modelling a contemporary nurse. The framework for improving this focus is accountability with three main areas: professional, ethical, legal. They all cross over and interlink with each other in many of the topics that are raised within the profession. The approach of the framework were inevitable to reduces to blame and defensive nursing attitude. This attitude can lead to nurses believing accountability is the same as blaming a professional however it is conversely nurses making decisions for individuals and engaging to improve better health outcomes. The topic around this contemporary approach is confidentiality and broken into the principles of the approach.
Informed consent. Counselors, whether in a group or individual counseling setting, must obtain informed consent from their clients. Counselors must disclose information about themselves to their clients. They also need to share with potential clients how long counseling will last and the topics that will be discussed in each session. According to the ACA code of ethics (2006), “informed consent is an ongoing process, and counselors appropriately document discussions of informed consent throughout the counseling relationship” (p. 236). Informed consent in group counseling is tricky because you have multiple clients; however, counselors have the option to meet with each group member individually in order to gain consent from their
Mental health legislation is basically protecting rights of individuals with mental disabilities by protecting their human rights, autonomy and freedom (Kerbage,Chammay,Richa ,2015). In addition to access to mental health services in community setting (Kerbage,Chammay , Richa, 2015) that are currently do not exist in Lebanon. In order to examine the effectiveness of mental health legislation one should compare it to international guidelines to ensure a stronger and more effective means of protecting rights of people with mental disorders. In 2006 the United Nations General assembly conducted CRPD (convention on the rights of person with disabilities) legal binding UN document which is based on Mental Illness principles (MI) and declaration of Madrid by World Psychiatric Association as an international guideline (Kerbage,Chammay ,Richa ,2015).