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Paper medical records vs electronic records
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After reviewing the case of Dr. R. Ian Lyne, in which he has been communicating with his patients through email on a more frequent basis rather than in person, I came to the conclusion that there are many things that I would do differently. Because of Dr. Lyne’s decision to communicate by way of email there are many ethical issues that could arise. This case study will explore ethical codes, possible ethical issues, and possible solutions to any issue that Dr. Lyne could face. While Dr. Lyne may have found responding to clients via email as “high quality service”, I believe that responding via email could become controversial while discussing therapeutic issues.
There are several ethical codes that address the use of electronics. While using electronics one must inform the client of the limitations, and risks. In Section H of the ACA Code of Ethics booklet, the H.4.a. Benefits and Limitations section (p. 18) reads,
“Counselors inform clients of the benefits and limitations of using technology applications in the provision of counseling services. Such technologies include, but are not limited to, computer hardware and/ or software, telephones and applications, social media and Internet-based applications and other audio and/or video communication, or data storage devices or media” (American Counseling Association , 2014). In Dr. Lyne’s case he should’ve informed his clients of the benefits and limitations of communicating via email before he decided to respond to them. I also believe that this ethical code should’ve been presented as Dr. Lyne made his email accessible to his students. Once his email became accessible he should’ve discussed perimeters of confidentiality, limitations, and risks that could occur du...
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...opriate services” (American Counseling Association , 2014). If Dr. Lyne notice that his distance counseling is becoming ineffective he should follow ethical protocol.
Distance Counseling may be a practice of many therapists, but as a future therapist I view face to face counseling as more effective. There are several cases that could occur while partaking in distance counseling, even some that may be out of the clients and therapists control. I would prefer to keep my counseling sessions in person to avoid any uncontrollable, or possible issues by way of electronics. Educating a client on what can and cannot occur in a counseling relationship saves the therapist from experiencing many ethical complications.
Works Cited
American Counseling Association . (2014). ACA Code of Ethics-As approved by the ACA Governing Council. Alexandria, VA.
Ethics and counseling. Counseling & Human Development, 13(1), 1-12. ASGW (2007) Best Practice Guidelines.
It is important as a professional health care provider to have guidelines, regulations, and ethical standards to obey when providing care to the public. The ACA is to improve the quality of professional counselors in the community with education, knowledge, and guidelines by providing an ACA Code of Ethics standard when delivering treatment toward a clientele (American Counseling Association, 2015). One particular part of the ACA mission that is essential, is the ACA Code of Ethics. The purpose of the ACA Code of Ethics is a guide to ensure counselors in training and professional counselors understand the ethical obligations toward clients, possible grievances for conduct unbecoming, and professional responsibilities, which supports the ACA
ACA Section C on professional responsibility informs counselors that their mission should be to promote changes in their clients’ lives, to in all improve their quality of life. However, through each process a counselor should not harm a client more than they were in the beginning. AAMFT does not speak on the duty of not harming the clients specifically. The AAMFT code of ethics Standard I Responsibility to clients does include sections on sexual intimacy with current or former clients, abuse of therapeutic relationships, and how it is prohibited, similarly to ACA section A.5.a. – A.5.c. AAMFT (2015 1.9) states that Marriage and family therapist continue therapeutic relationships only so long as it is reasonably clear that clients are benefiting from the relationship. The process of counseling involves intervening, reaching goals, or making changes, if a counselor is no longer fostering a positive and healthy relationship with the client then the relationship should be ended. f the counselor is no longer motivating their client or there is a lack initiative a counselor may refer their client to another appropriate therapeutic service. Comparably ACA and AAMFT both have an obligation to not abandon or neglect their clients. AAMFT 1.11 and ACA (2015 A.12) both states that counselors assist in making appropriate arrangements for the continuation of treatment for those
Moreover, both codes strive to promote the wellness, autonomy, and right to justice for individuals utilizing services. A further similarity between the two codes includes standards on sexual and/or romantic relationships with former clients, such as a counselor is prohibited from engaging in a sexual and/or romantic relationship with a former client for a minimum of 5 years after the last known professional encounter (ACA Code of Ethics, 2014, p. 5; AMHCA Code of Ethics, 2010, p. 4). Although engaging in a sexual and/or romantic relationshup with a former client may seem unlikely, this distinction and timeframe might be valuable to some individuals throughout their career. Furthermore, both ethical codes agree that when a counselor counsels multiple clients, such as individuals in a relationship, the counselor must clearly deliniate the roles within the theraputic dynamic and adjust and/or terminate the dynamic if the roles become unclear at any point (ACA Code of Ethics, 2014, p. 6; AMHCA Code of Ethics, 2010, p. 5). This is important to note due to the fact that the issue of multiple relationships in a therapeutic setting occurs frequently. In respect to termination, both ethical codes state that a counselor does not abandon or neglect a client, but rather make appropriate refferals as needed (ACA Code of
NAEYC. (2005, April). Code of Ethical Conduct and Statement of Commitment. Retrieved May 13, 2010, from NAEYC.org: http://www.naeyc.org/files/naeyc/file/positions/PSETH05.pdf
Telehealth is the monitoring via remote exchange of physiological data between a patient at home and health care professionals at hospitals or clinics to assist with diagnosis and treatment. As our society ages and health care costs increase, government and private insurance payers are seeking technological interventions. Technological solutions may provide high quality healthcare services at a distance, utilize professional resources more effectively, and enable elderly and ill patients to remain in their own homes. Patients may experience decreased hospitalization and urgent care settings, and out of home care may not be required as the patient is monitored at home. However, no study has been able to prove telehealth benefits conclusively. This change in health care delivery presents new ethical concerns, and new relationship boundaries between health care professionals, patients, and family members. This paper will discuss telehealth benefits in specific patient populations, costs benefits of using telehealth, and concerns of using telehealth.
Aspirational ethics reach toward higher standards than those of mandatory ethics, requiring the counselor to possess a stronger sense of duty. These principles guide counselors to do more than simply meet the “letter of the law” of the ethics code. The welfare of the client becomes the main focus of the counselor, who takes into consideration not only the interventions, but also the effects on the client. (Kottler & Shepard, 2011) Aspirational ethics include, but are not limited to the following principles.
As stated by Collins (2007), the privacy and openness to discuss intimate issues can stimulate vulnerability with the client. Another ethical issue with this theory can be a growing dependence with the counselor. An additional ethical issue with this therapy is for the client to know his or her vulnerability regarding emotional or sexual needs when it comes to counseling a client (Corey, 2007). An additional ethical issue for the Individual Psychology therapy is that there may be some confusion as times to what is to happen in the counseling
Operating within the bounds of the principles asserted by the American Counseling Association (American Counseling Association [ACA], 2010) is a moral and ethical mandated for all counselors. Implementing the principles of, autonomy, nonmaleficence, beneficence, justice, and fidelity can stimulate the creation of a healing environment wherein clients feel safe to explore the benefits of a therapeutic relationship (ACA, 2010). Often times, clients are unconsciously viewed and deemed vulnerable based on the severity of the circumstances that initiate the need for counseling. This hierarchy, founded by the assumption of weakness, is a flawed concept that counselors and administrative staff routinely employ.
...ing online counseling also tends to break down some of the barriers that typically prevent potential clients from showing up at the office do. Online counseling also allows for more flexibility, both for the counselor and the client. The same holds true for online supervision.technology gives those clients the ability to access services in nontraditional ways and in ways that work for their schedule. The advent of social media allows counselors to become their own advertising specialists instead of hiring one” (Shallcross, 2011).
Code of ethics is to be utilized by AIHMA members, agencies, consumers, and others who choose to embrace it as a frame of reference. (AHIMA, 2014)
So your opinions on the topic may or may not help out the situation and also in some unfortunate cases can send the client into a ‘downward spiral’. By expressing your ethical issues on the topic to your client you may trigger unwanted emotions. These unwanted emotions can drive the client to hurt themselves or even make the client take legal actions towards the counselor. Ways to prevent this from happening is learning your own self-control and what your limits are when its comes to dealing the client. “You want to consider the best action that will protect your client’s needs, but you also want to ask yourself: What is the best action to protect the profession and myself? (Berton, J. D. (2014). Make the Rule to Break the Rule: Setting Your Ethical Standards. Counselor: The Magazine For Addiction Professionals, 15(5), 10-12
Ethical issues in a counseling practice lay the foundation of a therapist in practice. Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. In order for the counseling profession to be ethical and hold professional recognition, there are many facets that need to be examined and outlined to make sure all counselors and practitioners are functioning at the highest level and withholding their duties required by the counseling profession. The first introduction so to speak of the area of ethics also happens to be one of the first steps in counseling, which is the informed consent. The informed consent provides the basis of what happens or will be happening in a counseling setting and serves to inform the client to their rights, responsibilities, and what to expect. Most importantly, the informed consent is in place for the client’s benefit. It also is important to understand that culture and environment play a role in the treatment of a client and how theories can positively or negatively impact this treatment. Therapists need to understand how to work within the context of a theory while being able to understand the individual in their own environment. Although theories are put into place to serve as a framework, there are also alternative ways to approach counseling, one example being evidence-based practice. Such an approach is very specific, which presents a series of solutions for counseling as a whole, but also brings forth many problems. Every approach or theory introduces ethical concerns that need to be taken into consideration by the entire counseling community and how each can positively and negatively affect clients and the pr...
Understanding the counseling session from the client’s perspective is a very important aspect in the development of a therapeutic relationship. A clinician must be an excellent listener, while being to pay attention to the client’s body language, affect and tone. The dynamics in the counseling session that is beneficial to the client include the recognition of the pain that the client is feeling. The detrimental part of this includes a misunderstanding of the real issues, a lack of consideration of the cultural aspects of the client, and a lack of clinical experience or listening skills. In this presentation, we will discuss the positive and negative aspects of the counseling session from the client’s perspective which includes the client’s attitudes, feelings, and emotions of the counseling session. We will next examine the propensity of the client to reveal or not reveal information to the counselor, and how transference, and counter-transference can have an effect on the counselor-client relationship.
This paper will explore the concept of dual relationships between counselors and clients and the ethical implications of such relationships. In addition to presenting several examples of dual relationships, this paper will also explore how ethical decisions must be made to avoid potentially harmful or exploitive relationships in therapy as well understanding how different interactions between counselor and clients can be understood from an ethical standpoint, as well as how reviewing these ethical dilemmas may shape my future career as a counselor.