...Clinical supervision and consultation has been considered integral elements of training and maintaining competency for counselors. The primary responsibility of supervisions is to help professional socialization by instilling an understanding of the relevant ethical principles and standards to be a significant component in providing therapeutic rapports. The primary reasons for clinical supervisions are to ensure quality care and provide professional development in a systematic and planned manner. In todays’ society, clinical supervisions require a foundation in the understanding of the ethical and legal aspects of the supervisory relationship. There are many ethical and legal issues that can affect the supervisory relationship. All supervisors consistently approach all aspects of clinical supervision from an ethical and legal viewpoint. With more time and attention devoted to these important topics, awareness of the ethical and legal aspects can be demonstrated as they are put into practice. The role of a supervisor is to prevent harm from occurring to clients. Supervisors are in charged of reviewing and monitoring the quality of services and the key focus should be to insure that clients’ needs are being met. A primary focus of supervision is to be vigilant and aware of issues that could result in clients receiving inadequate service or being harmed by the therapeutic process. A supervisor must do everything within their power to insure that issues or behaviors of other...
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...will not be divulged by the counselor. 2. Exceptions to Confidentiality danger to the public supercedes the protective privilege of a therapeutic relationship. a. Duty to Warn b. Clear and Imminent Danger changed to “ 3. Record Keeping 4. The ACA Code of Ethics serves five main purposes: 5. 1. The Code enables the association to clarify to current and 6. future members, and to those served by members, the 7. nature of the ethical responsibilities held in common by 8. its members. 9. 2. The Code helps support the mission of the association. 10. 3. The Code establishes principles that define ethical behavior 11. and best practices of association members. 12. 4. The Code serves as an ethical guide designed to assist 13. members in constructing a professional course of action 14. that best serves those utilizing counseling services and 15. best promotes the values of the counseling profession. 16. 5. The Code serves as the basis for processing of ethical 17. complaints and inquiries initiated against members 18. of the association. 19. The ACA Code of Ethics contains eight main sections that 20. address the following areas: 21. Section A: The Counseling Relationship 22. Section B: Confidentiality, Privileged Communication, 23. and Privacy 24. Section C: Professional Responsibility 25. Section D: Relationships With Other Professionals 26. Section E: Evaluation, Assessment...
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...Why is the initial consultation so important? What factors will an ethical therapist cover at this time? There are a multitude of factors that a therapist must consider during the initial consultation. I will describe the procedures of the consultation, the ethical considerations facing the therapist and the particular challenges of the actual consultation itself. As outlined in my previous essay, the initial consultation is perhaps the most important part of the hypnotherapy process. People are different in many ways. They have different likes and dislikes, cultural backgrounds and upbringings. These factors have provided us with different outlooks, values and perspectives. Therefore there is no “one size fits all” when it comes to hypnotherapy. Personality types, suggestibility and the reason the client has come to you all have an effect on the way they will respond to hypnotherapy, and this all must be taken into account when planning a session. Every person is different and will respond to very different styles of hypnotherapy. We all see the same things, but interpret it differently, and we respond to stimuli in a unique way. What works for one client may have no effect on another, therefore hypnotic inductions must be personalised to suit everyone's needs. It is during the consultation that the therapist gathers all the information needed to write a successful screed which is personalised to the client. At this time, the therapist will assess a client’s personality...
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...and child abuse (Page, Pietrzak, & Sutton, 2001). To respond adequately to these needs, counselors must have both strong clinical skills and a keen awareness of the legal and ethical ramifications of any actions they may take or fail to take. These mandates are particularly challenging when school counselors are isolated in their settings or are so burdened with clerical and administrative tasks that they are unable to adequately address the counseling needs of the students they serve. School counselors in these situations may feel stressed and overworked and may be experiencing professional burnout. As a consequence, they can become unsure of their abilities and effectiveness and may experience erosion in their skills and competence (Crutchfield & Borders, 1997). This process runs counter to their ethical responsibility to maintain and increase their competence (American Counseling Association [ACA] 1995, Section C.2.) When school counselors fail to practice competently, this can become a legal problem as well as an ethical issue, because a malpractice lawsuit could result. Supervision can be an effective means of assisting school counselors to maintain and enhance their competence. Supervision can provide opportunities for continuing clinical-skill development, ongoing consultation regarding legal and ethical issues, and a professional support system that can mitigate against stress and burnout. According to Remley and Herlihy (2001), two types of supervision are generally discussed...
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...Why is the initial consultation so important? What factors will an ethical therapist cover at this time? During this essay I will deliver the importance of the initial consultation between the therapist and the client including the ethical factors. I will discuss the procedures of the initial consultation and how the therapist will gather the information required. I will also look at the ethical considerations that face the therapist and any particular challenges of the actual consultation itself. The initial consultation can be a very powerful tool for both the client and the therapist. In seeing the clients for the first time, some therapists decide to offer a free initial consultation. This should last for about half an hour. There are times when it is not needed as in a one off quit smoking session, but even so it is vital that you gain information about the client’s health and current medication. However it is a personal choice as to whether you offer a free consultation. There are many pros and cons to holding an initial consultation before sessions commence. The main pros include building rapport by meeting the client face to face to assess whether or not you are able to work with them, if you need to consult your supervisor before going ahead, what their main goal is and if you can achieve this or not. You can get to know a client and gain an understanding of their history, including family history and any other therapies they may have already had, especially...
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...Running head: ETHICAL STUDY REVIEW 1 Ethical Study Review Trina Windfield Grand Canyon University: HLT-520: Legal and Ethical Principles in Health Care January 22, 2014 Running head: ETHICAL STUDY REVIEW 2 Ethical Study Review For the elderly, ethics deals with how they want to be treated and are allowed to make their own decisions. Family members who are caregivers on an ethical level have to always do what is right for the patient even when no one is looking. In this ethical study assignment, the patient is a 96-year-old male that has terminal liver cancer, admitted to the ICU with symptoms of confusion, underweight and underfed, along with bruises which are believed to be a part of the liver disorder. The daughter of the patient who is presumed to be the caregiver and a naturopathic physician insists that her father can be cured by her administering unknown substances which appear to put her father in pain. The daughter has insisted these are life-saving interventions. The healthcare staff is in need of some assistance on how to care for the patient due to their belief that the daughter is hastening the death of her father. The writer has been asked to assess the dimensions of the ethical dilemma that is at hand, discuss the issues that are involved and apply the ethical principles and the methods of ethical decision making. What are the Dimensions of the Ethical Dilemma? The healthcare staff has reached out for assistance in how to handle...
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...After reading both the American Counseling Association (ACA) (2014) Code of Ethics and the American Mental Health Counseling Association (AMHCA) (2011), I felt that it was important to touch upon certain sections that I feel could become potential issues for us as counselors. Essay 1. There are many skills needed in order to work with a patient presenting with a co-occurring disorder. According to the American Mental Health Counseling Association (AMHCA) (2011), there are eight skills that we as counselors must center our focus on. They are all very important, yet I chose to focus on us as counselors can demonstrate our skills wisely by utilizing the knowledge we have gained during training. One of the hardest part of counseling clients is trying to discover what exactly is needed to help that client maintain a healthy relationship with others and a balance within themselves. Clients with co-occurring disorders are the most difficult kind of client. We must understand the treatment and clinical management of common co-occurring disorders such as anxiety, depression, PTSD and trauma-related disorders, dissociative disorders, personality disorders, eating disorders, psychotic disorders, disruptive behaviors, and mood disorders in combination with substance abuse disorders. We must provide appropriate counseling strategies by demonstrating the ability to modify counseling systems, theories, interventions when necessary and specific techniques that will work with the client...
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...confidentiality challenges presented in Laureate Education Inc. (2012) video, Mental Health Counseling: Confidentiality. Colorado State Law Colo. Rev. Stat. § 13-21-117 defines the responsibilities of mental health professionals. It holds mental health professionals liable for their “duty to protect” third parties in cases in which clients communicate threat or harm (Colorado Legal Resources, 2012). The statute states that a mental health professional is not liable in civil court for the failure to warn or protect a third party from a client (Colorado Legal Resources, 2012). Furthermore, it adds that the professional is not held liable to predict their client’s behavior (Colorado Legal Resources, 2012). Though, it mandates that if the client has communicated a considerable threat of forthcoming physical harm against a third party to a mental health professional, such “duty to protect” or “duty to warn” does arise (Colorado Legal Resources, 2012). In these cases, mental health professionals are compelled to make “…reasonable and timely efforts to notify any person or persons specifically threatened…” (Colorado Legal...
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...Code of Ethics of the National Association of Social Workers Approved by the 1996 NASW Delegate Assembly and revised by the 2008 NASW Delegate Assembly The 2008 NASW Delegate Assembly approved the following revisions to the NASW Code of Ethics: 1.05 Cultural Competence and Social Diversity (c) Social workers should obtain education about and seek to understand the nature of social diversity and oppression with respect to race, ethnicity, national origin, color, sex, sexual orientation, gender identity or expression, age, marital status, political belief, religion, immigration status, and mental or physical disability. 2.01 Respect (a) Social workers should treat colleagues with respect and should represent accurately and fairly the qualifications, views, and obligations of colleagues. (b) Social workers should avoid unwarranted negative criticism of colleagues in communications with clients or with other professionals. Unwarranted negative criticism may include demeaning comments that refer to colleagues’ level of competence or to individuals’ attributes such as race, ethnicity, national origin, color, sex, sexual orientation, gender identity or expression, age, marital status, political belief, religion, immigration status, and mental or physical disability. 4.02 Discrimination Social workers should not practice, condone, facilitate, or collaborate with any form of discrimination on the basis of race, ethnicity, national origin, color, sex, sexual orientation, gender...
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...Why is the initial consultation so important? What factors will an ethical therapist cover at this time? In this essay I will be exploring the various issues raised when a therapist initially meets a new client, including ascertaining personal circumstances and applying ethical and safe practise. I will also be looking at the importance of communication and understanding between client and practitioner. When a therapist first meets with a new client it’s necessary to establish several things in order to know whether they can work together. These include background and personal circumstances of the client, previous experiences (if any) of therapy, medical and psychiatric history and very importantly, why they are seeking therapy. This first conversation is also an opportunity for the client to ask any questions they may have and to discuss the details of how the sessions will potentially work. If the therapist is happy that they can begin a therapeutic relationship with that person they can then go on to establish which modality they are most lead by in order to create the best screed and approach and also how susceptible they may be to hypnosis. There are several ways to determine this and some are more suitable than others in terms of time constraints while in consultation. A practitioner may wish to use the Balloon/Lead Test or the Eye Roll Test as these are most suitable for use in this environment. The problem with using tests to try and discover if someone is...
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...• 3 Section A The Counseling Relationship • 4 Section B Section Confidentiality and Privacy • 6 C Professional Responsibility • 8 Section D Relationships With Other Professionals • 10 Section E Evaluation, Assessment, and Interpretation • 11 Section F Supervision, Training, and Teaching • 12 Section G Research and Publication • 15 Section H Distance Counseling, Technology, and Social Media • 17 Section I Resolving Ethical Issues • 18 Glossary of Terms • 20 Index • 21 • 2 • ACA Code of Ethics Preamble The American Counseling Association (ACA) is an educational, scientific, and professional organization whose members work in a variety of settings and serve in multiple capacities. Counseling is a professional relationship that empowers diverse individuals, families, and groups to accomplish mental health, wellness, education, and career goals. Professional values are an important way of living out an ethical commitment. The following are core professional values of the counseling profession: 1. enhancing human development throughout the life span; 2. honoring diversity and embracing a multicultural approach...
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...Answer to part A Ethical dilemmas, also known as a moral dilemmas, are situations in which there are two choices to be made, neither of which resolves the situation in an ethically acceptable fashion. In such cases, societal and personal ethical guidelines can provide no satisfactory outcome for the chooser. Ethical dilemmas assume that the chooser will abide by societal norms, such as codes of law or religious teachings, in order to make the choice ethically impossible. So in the Barbara Whitley case, Barbara was given to calculate vouchers of sample of all items over $20,000 plus a judgmental sample of smaller items.However the items over $20,000 contained no misstatements; however, the 50 small items she selected contained a large number of misstatements.When Barbara projected them to all such additions, the amount seemed quite significant.Jack Bean,the senior told Barbara its not our concern but being given responsible to audit the financial statement,Barbara Whitley has the moral rights and obligations to report the misstatement.In this way it is a ethical dilemma for Barbara Whitley. Answer to part B Six Steps To Resolve Ethical Dilemmas in Barbara Whitley case are: 1. Identify the Problem A. Gather as much relevant information as possible. B. Talk to the parties involved. C. Clarify if the problem is legal, moral, ethical or a combination. 2. Identify the Potential Issues Involved A. List and describe the critical issues. B. Evaluate the rights, responsibilities...
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...Introduction For this assignment I am going to be looking at the process of the initial consultation when you first meet with your client and the importance of gaining the relevant information to be able to make an accurate diagnosis to be able to help the client. I will be discussing the importance of the initial consultation in understanding the client’s goals and targets. I will also look at the ethical factors we may come across. initial Consultation As part of our initial consultation it is important to gain relevant knowledge about the client including the reason they seek help, what they want to achieve by attending the sessions and understanding the best way forward through gathering the right information from the client. Firstly, once the client contacts the therapist to request an initial consultation or they are referred by a medical practitioner, I feel it would be resourceful if the documentation, known as the Notation, is forwarded to the client prior to meeting face to face; allowing the therapist to gain relevant personal details, about the client including their background, occupation and family details plus any medical history and details of any previous sessions. Also what is the purpose of the latest request for attending hypnotherapy? This information gained prior to the consultation can give the therapist an idea of where the client’s state of mind is and where they want to be. However the first meeting there are many more questions which need...
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... | |The ethical obligations of the health information management (HIM) professional include the safeguarding of privacy and security of health information; disclosure of | |health information; development, use, and maintenance of health information systems and health information; and ensuring the accessibility and integrity of health | |information. | |Healthcare consumers are increasingly concerned about security and the potential loss of privacy and the inability to control how their personal health information is | |used and disclosed. Core health information issues include what information should be collected; how the information should be handled, who should have access to the | |information, under what conditions the information should be disclosed, how the information is retained and when it is no longer needed, and how is it disposed of in a| |confidential manner. All of the core health information issues are performed in compliance with state and federal regulations, and employer policies and procedures. | |Ethical obligations are central to the professional's responsibility, regardless of the employment site or the method of collection, storage, and security of...
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...The Case of Hillary Hillary is a 6-year-old with severe cerebral palsy and cognitive disability. Hillary has been attending a private school for children with developmental disabilities and severe handicaps for the past 2 months. According to her record, the student has a history of oral-pharyngeal dysphagia with silent aspiration and several bouts of pneumonia in the past 2 years. She has a PEG tube by which she receives her nutrition, hydration and medications. One morning Hillary’s home-room teacher approached the speech-language pathologist with a note written on a prescription paper ‘ordering’ oral feeding for Hillary while she is at school. The speech-language pathologist, John, is very concerned. He feels that it would be against professional standard to allow Hillary to eat orally. John feels that Hillary’s mother and physician do not have the student’s best interest at heart. Dysphagia Intervention in Schools As more students with chronic conditions receive their care in a traditional school setting, the speechlanguage pathologist is required to have a medical knowledge base for pediatric communication and swallowing disorders. Dysphagia intervention is becoming a more prominent component of the caseloads of speech-language pathologists who practice in the school setting. While this can be a rewarding challenge, scenarios in which clinicians find themselves can also have a more acute feel when managing a feeding tube and/or risk for aspiration...
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