Ethics is a branch of philosophy that focuses on
morals and morality in their relationship to making decisions The customs, mores, standards, and accepted practices of a profession Ethical codes educate professionals about practice conduct, provide a means of accountability and create ways to improve
Copyright 2007 Brooks/Cole, a division of Thomson
Learning Definitions - Professional Issues
Technical, procedural, or cultural standards that
members of the profession are expected to accept as part of their practice
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Learning Definitions - Legal Issues
Related to federal, state, and municipal
standards of practice as regulated by law Laws are minimum standard that society will accept “Standard of care” target guides decisions about whether a course of action would meet that criteria
Copyright 2007 Brooks/Cole, a division of Thomson
Learning Virtue Ethics
Meara, Schmidt, and Day (1996)
everything one needs to know can not be in the code focus on “character” ethics Relate to exceeding the obligations and striving for the ideals of the profession
Copyright 2007 Brooks/Cole, a division of Thomson
Learning Virtues
Integrity: Acting consistently on personal values
Prudence: Acting with discernment and restraint Trustworthiness: Acting and following through on commitments Compassion: Deep concern and respect for the individual (Welfel, 2006)
Copyright 2007 Brooks/Cole, a division of Thomson
Learning Six Aspects of Ethical Reasoning
Remley and Herlihy (2005)
autonomy (respecting freedom of choice) nonmaleficence (do no harm) beneficence (responsibility to do good) justice (being fair) fidelity (being faithful) veracity (being honest)
Copyright 2007 Brooks/Cole, a division of Thomson
Learning Decision-Making Models
Develop ethical sensitivity
Identify and define the problem. Think about your own emotional reactions. Apply fundamental principles and theories. Define the central issues and possible options. Refer to professional standards, laws and current literature.
Copyright 2007 Brooks/Cole, a division of Thomson
Learning Decision-Making Models
Consult with colleagues or experts.
Involve the client in the decision-making. Identify desired outcomes. Consider different courses of action. Choose and act. Reflect on the actions taken.
Copyright 2007 Brooks/Cole, a division of Thomson
Learning Important Guidelines
Always act in the best interest of the client.
Always act in good faith and without malice Be aware of your personal values, attitudes, and beliefs. Refer clients to another counselor if personal characteristics interfere with your effectiveness as a helper.
Copyright 2007 Brooks/Cole, a division of Thomson
Learning Counseling Minors
Involves balancing three social systems:
1. The state 2. The parent or family 3. The minor child
Copyright 2007 Brooks/Cole, a division of Thomson
Learning Competence
Counselors need knowledge, skills and diligence
in their specialty areas of practice
To counsel children must participate in
specialized education, training, and supervised practice
Continuing education necessary
Copyright 2007 Brooks/Cole, a division of Thomson
Learning Informed Consent
Formal permission given by a client for
beginning counseling is known as informed consent People who cannot understand the contents in a consent form or who are unable to make a rational decision also cannot give consent Consent must be given voluntarily Usually parent or guardian must provide permission Written statements such as a disclosure letter or brochure are suggested Copyright 2007 Brooks/Cole, a division of Thomson Learning Confidentiality
Privacy ensures that people may choose what
others know about them Confidentiality refers to professional responsibility to respect and limit access to clients’ personal information Privilege communication exists by statue and applies only to those testifying in court of law
Copyright 2007 Brooks/Cole, a division of Thomson
Learning Privacy and Children
Younger children have little understanding or need
for privacy Preadolescents and adolescents may have a heightened need Some children may want their parents to know what is going on in counseling Children will sometimes disclose something hoping the adult will intervene. Children’s reasoning capacity may limit the decision making ability.
Copyright 2007 Brooks/Cole, a division of Thomson
Learning Confidentiality
Explain during first and subsequent interviews about
confidentiality and its limits Should be done orally and in writing Limits include Professional in court-ordered role court mandated release of files malpractice lawsuit mental state used as defense in court hospitalization is necessary client is danger to self or others client is minor and victim of a crime
Copyright 2007 Brooks/Cole, a division of Thomson
Learning Confidentiality of Files
Buckley Amendment (FERPA) grants parents and
students of legal age access to their records and limits others’ access. Exclusions are personal logs treatment records directory information
Copyright 2007 Brooks/Cole, a division of Thomson
Learning Summary
practice within your boundaries
know state laws always explain confidentiality maintain accurate/objective records purchase liability insurance confer with colleagues