Sally Doe Case Summary

Case Review Introduction

Sally Doe is a 40-year-old Hispanic female diagnosed with a substance abuse disorder, Human Immunodeficiency Virus (HIV), diabetes and Post-Traumatic Stress Disorder (PTSD). Sally was diagnosed with HIV when she was 30 years old. She contracted the disease during a visit to India where she received blood transfusion due to a virus infection. Sally has a history of abusing opioids and alcohol receives Medication Assisted Treatment (MAT). Sally takes Zidovudine and Enfuvirtide which are anti-retroviral regimens (ARVs) to help suppress her HIV progression. Sally’s boyfriend of 20 years recently ended their relationship. Sally became upset, went to the bar and got drunk. While driving home that night she got into an

The PCP also notified the Clinic Board and Administration about Sally’s threat to sue the clinic for releasing her information without prior consent. The Clinic Board and Administration conducted an internal investigation which reveal several ethical and legal standards were violated.
These violations include, (1). The Providers did not follow the State technical, clinical and administrative telemedicine guidelines (Association for Addiction Professionals, 2013). (2). Sally was not provided the necessary privacy because the walls of the PCP’s office was thin which resulted in other patients overhearing Sally’s sessions. (3). Sally did not sign a consent form for telemedicine and a release of information to her new boyfriend and immunologist. (4) The Clinic is not licensed to practice telemedicine.
Autonomy, Beneficence, Nonmaleficence, and

Health care providers adhere to different ethical principles depending on area of expertise (Botes, 2000). The MAT Therapist needed to comply with the Association for Addiction Professionals ethics, the Counselor should have adhered to the American Psychological Association ethical principles and the PCP needed to comply with the American Medical Association code of ethics. In a traditional setting these providers who have handled Sally’s request differently. The PCP and MAT would have bridged Sally’s medication while the counselor would resume counseling when Sally retuned to the clinic. The Integrated Care Team did not adhere to HIPAA laws and 42 CFR part 2 standards regarding information sharing, privacy and