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Mental health counselor ethical dilemmas
Mental health counselor ethical dilemmas
Effect of substance abuse on family
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On Monday, November,16th 2015 at or about 0027 hours, I was dispatched the 2000 block of Wilson Street, located in Hollywood Florida, in reference a to a white who was in the middle of the road way screaming . Upon further investigation, it was found to be a Marchman-act. Upon arrival, i noticed the white female, later identified through fcic/ncic as Tiffany Dale, who was lying on the ground fully nude and screaming. I also noticed that Dale was sweating profusely, and possibly on some type of narcotic. Upon approaching Dale, I could hear her yelling “SOMEONE HELP ME! IM on FLAKKA the bad guys are trying to get me!” I immediately knew that Dale needed medical assistance and was out of touch with reality and unaware where she was. Hollywood Fire-rescue transported Dale to memorial regional hospital. …show more content…
It should be noted that due to the unknown consumption of medications or possible usage of narcotics, she would have caused harm to herself and to others. I believed that dale was in need of substance abuse services. At the time, dale was incapable of accepting the need for such services and of making a rational decision in regard to receiving services. As evidenced by her recent behavior, there was a substantial likelihood that without care or treatment dale would have caused serious bodily harm to herself in the near
Charles McDuffie is serving a five-year sentence for burglary. He feels as if he has to turn to drugs for help. McDuffie’s drinking and drug addiction began
Hylton denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports today she was asked to come in to ADS to sign an authorization of release of information in hopes of finding substance abuse treatment for her legal issues that the court suggested she engage yesterday. Mrs. Hylton yesterday after court, she proceed to consume an unknown amount of alcohol due to feeling stressed over court. Mrs. Hylton reports informing her primary care physician to tell Melanie at ADS she did not feel well and was not going to her weekly Wednesday meeting this afternoon. She states, "I didn't want to go, I was tired and stressed out, I asked my doctor to call for me." She reports being called by therapist Melanie to come in to sign some papers. Mrs. Hylton reports she was under the impression her going to ADS was to aid her in finding a inpatient treatment program for substance abuse. She reports going in to ADS around 2 pm. She denies consuming alcohol before going to the meeting, however reports having "3 cups of acohol" mixed drinks after leaving ADS. Mrs. Hylton states,"I had things to do, I had to make sure my dog, who is older and sickly, I had to make sure she was okay, and I told them I would go tomorrow because I didn't want to go there with no clothes and haven't showered." She reports still smelling like alcohol because she had not showered before going to ADS, after a night of drinking." Mrs. Hylton reports she
Harm reduction can be defined as an approach that aims to reduce the consequences of high risk behaviours such as injection drug use on the individual and on society as a whole. Harm reduction programs provide injection drug users with access to a clean injection environment, sterile injections, drug-preparation equipment and safe disposal of contaminated material at the time of injection. Staff members in harm reduction facilities provide health teaching, anonymous HIV testing, information on addiction treatment, condoms and assist in connecting clients to social and health services (Semaan et al., 2011; Ball, 2007). Although, the benefits of harm reduction are evident through reduction of accidental drug overdose and prevention of disease spread, some argue that a more conservative approach such as abstinence based approaches should be enforced. In this paper, I will discuss the controversy surrounding harm reduction clinics and its adherence to the Canadian Nurses Code of Ethics. In my opinion harm reduction programs provide an effective and ethical solution to the immense harm that result from the engagement in high risk behaviours.
I am a caseworker for Delaware Division of Family Services and it has come to my attention that Ms. Gray may have made an unethical decision. As a fellow social worker and having known Ms. Gray, it is my ethical duty to investigate these accusations, and take action as stated by the Ethical Standards for Human Service Professionals (National Organization for Human Services, N.D.). Ms. Gray has been working with Mr. Eric Black a 15yr. male client who was staying with the Crofts a foster family with serval young clients. An altercation arose between Eric and another client named Jimmy. Jimmy found some adult magazines, which showed male men undressed and assumes that Eric was gay. After the altercation, the Crofts came to Ms. Gray about removing
Drugs and Behavior, Rebecca Schilit and Edith Lisansky Gomberg, Page 62, SAGE Publications, Inc.- 1991
The nursing profession is guided by the principal of nonmaleficence, or “Do no harm”. Nurses are responsible for maintaining and optimizing a patient’s quality of life. When nurses fail to care for themselves, they also put their patients at risk. The patient has a reasonable expectation to receive safe and competent care. The influence of drugs and alcohol greatly deteriorate the judgment and skills of any good nurse. Increased patient workload, long hours, personal stress, and sleep deprivation put many nurses in a position to self-medicate. It is my position that high-risk specialty employees undergo drug testing in order to be held accountable and help keep their patients and themselves safe from harm.
The people that influence are my friends and family, but my biggest influencer is myself because no one can make me do something without myself already wanting to do it. My religious standpoint is atheism because in my opinion religion is a coping mechanism for people who need a purpose to their lives. I think that everyone should have at least somewhat of a moral compass, but I do not believe that everyone should be completely good all the time because that is just being realistic. Logic will always overcome acting on impulses because logic gives you time to consider every consequence and outcome, while impulses you have no idea what will happen only hoping for the best. In this world I feel that everyone either will commit unethical action or consider doing something unethical at least once in their lifetime.
A situation from my practicum where I may experience an ethical dilemma is if I needed to visit a patient I knew. If a patient was identified as potentially having social work needs and I knew them personally it may be uncomfortable for them to discuss sensitive issues, especially if I wasn’t aware of the issues prior to reading their medical history. The patient may not be as honest with me because they wouldn’t want an acquaintance to know about sensitive subjects they are experiencing. The agency requires a social worker to visit patients that lack support, are low-income, have a history of substance use, or a mental illness. Visiting these patients is consistent with the social worker’s responsibility to clients.
PLOSCOWE, Morris. "Drug Addiction, Crime, or Disease." Interim and Final Reports of the Joint Committee of the American Bar Association and the American Medical Association on Narcotic Drugs.. Joint Committee of the American Bar Association and the American Medical Association on Narcotic Drugs, n.d. Web. 1 Jul 2010. .
The moral model: The earliest approach to explaining substance abuse was to simply blame the drug abuser for a lack of moral character or a lack of self-control. Explanations of this sort often had...
...e medication to Sells. The medical hearing officer claimed that Sells delusional thinking could lead him into becoming dangerous. Sell’s challenges being medicated in court.
The two disorders I have diagnosed Sara Goldfarb with and will be discussing are “severe amphetamine-induced psychotic disorder with onset during intoxication” and “minor amphetamine use disorder in a controlled environment”. The diagnosis of amphetamine use disorder is “in a controlled environment” due to the fact that Sara has been involuntarily institutionalized, and therefore has no further access to the amphetamines her ethically-challenged doctor provided (American Psychiatric Association, 2013). Sara can also be diagnosed with “amphetamine intoxication” at multiple instances throughout the film; many side-effects and diagnostic criteria stimulant intoxication, such as excessive sweating, euphoria,
Center, N. D. (2004, April). Drug Abuse and Mental Illness. Retrieved Febrauary 9, 2011, from Justice.gov: http://www.justice.gov/ndic/pubs7/7343/7343p.pdf
Substance abuse is an issue that plays a major social problem in society, the effect of drugs on families and communities is destructive. This paper will discuss evidence showing how substance abuse is a specific social problem that is widespread, and is affecting every level of our judicial system. Many people turn to drugs for many different reasons, they will try just about anything to relieve the pain. In our society today many people go through devastating experiences in their life. Furthermore people turn to drugs to mask the horrible memories and find relief. Drugs can temporarily relieve the symptoms of angry, loneliness or boredom, but it may be a temporary fix to an individual problems. They may
It was a typical Monday morning as I drove home from work, exhausted from having to perform more than twenty-four hours of duty. Windows down, Oakley sunglasses adorn my tiresome face to block the shimmer of sunlight from my sensitive eyes. Anxiously looking forward to the softness of my pillow, I pushed the accelerator to the floor propelling my car into overdrive. Zipping by the night club Area 151 was when I notice his motionless body lying on the ground. With tires screeching I quickly came to unrehearsed stop, the rush of adrenaline and flashes of my military training captivated my mind, transferring me into autopilot. As I ran over to his location yelling “hey buddy are you ok” following the ABC’s of first aid, I could not help but notice the large pool of blood from the deep laceration on his face, the twisted front wheel of his bicycle, and a strong stench of alcohol coming from his liquor stained John Sport backpack. “All my beers are broken” was all he muttered as he fell trying to regain his footing, relieved that the fellow was alive I immediately called the police. As I spoke to the paramedics on the situation, I questioned “how could someone be so intoxicated at this time of day”? The line between medical and moral views on alcoholism remains very thin, people dependent on alcohol may be considered morally weak and responsible for their misfortune. Alcohol addiction is not just whether or not a person chooses to drink, it is also a mental illness.