Ethical Dilemmas

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Recommended: Ethics AND working with people with disabilities

Ethical Issues in Counseling the Developmentally Disabled Population The focus of this paper will discuss ethical issues faced when professionally counseling the (Developmental Disability) population ages 18 and older. It will touch basis on informed consent with the knowledge that these individuals understand the care being provided. Also I will provide examples of court cases and legal aspects of the practice when dealing with such population, as well as recommendations on particular treatment. Challenges of working with this population from an ethical standpoint respecting their rights within state guidelines will be discussed as well. To give a brief description of the Developmental disabilities are a group of conditions due to impairment …show more content…

Capacity can be defined by the level of mental ability/functioning that one has to understand/process significant information during treatment. Specific information to consider when developing a treatment plan includes benefits, risks, alternatives and any other significant information included in the treatment plan that can be seen as valuable to the client. It is important for the counselor to discuss aspects of care provided with the patient. Such information provided should be specific and tailored in a way to fit the needs of the client along with documentation throughout the process. Making sure the client posses some type mental capacity whether it is mild or moderate, consent will need to be addressed accordingly. Thorough assessment and documentation for a plan of treatment is critical. At any time during the assessment process the individual has the right to refuse or accept treatment at any time they feel necessary. “Although capacity is not static and it could change over time requiring distinct abilities depending in the nature or complexity of the treatment decision. Specific capabilities may be lost or gained at different times during the life of the patient. Capacity could also vary from occurring on a day to day basis. For example, a client in an altered state of consciousness …show more content…

It is important for the counselor to help the client adapt a level or better means of communication that best fits the individual. Creating appropriate systems of communication and support tailored to fit the client will produce a better understanding for the individual’s mental capacity. Developing specific systems for client can lead to them making their own decisions to give informed consent or refuse treatment plans put in place for them. For a counselor to be effective they should try different technique approaches. Such methods/techniques may involve ones that the client may be more familiar with or have experienced before. Such technique approaches may include using symbols, gestures or electronic devices, or people that know that share a considerable amount of history with the individual. Often times such relationships/bonds occur between family members or individuals that provide paid care. The involvement with others can help the process tremendously, because valuable information can be obtained to help/accommodate the process, clients understanding and means of communication. However, if the individual is incapable of giving consent or there is doubt regarding capability, it is necessary to follow legal procedures and ethical guidelines for assessing ones capacity. If the individual is incapable, the counselor should delegate/improvise authority for decision

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