Coun 510 Professional School Counselor Ethical Decision Making_ A Case Study

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Professional School Counselor Ethical Decision Making: A Case Study Written by Brian K. Lee Department of Counselor Education, City University of Seattle COUN 510 Ethical Decision Making Appointed by Dr. Kimberly Walker 1/28/2023
Introduction As a school counselor, I must develop a high level of confidence in being able to resolve ethical dilemmas.. Furthermore it is equally important in being confident in resolving ethical dilemmas in the best manner. This evaluation will include an assessment of a case study including a summary of the ethical dilemma, references to the relevant American School Counseling Association (ASCA) ethical standards, an implementation of the ASCA ethical codes and standards by by utilizing the STEPS Ethical Decision-Making Model, endorsed by ASCA, as well as addressing any issues of mandated reporting per Washington state standards. Ethical Dilemma Summary The subject is a female student aged 16 years old named Leanne. She was sent by the nursing office and a teaching staff due to a suspected panic attack. Leanne discloses to me she’s experienced sexual abuse from her father. The timeline of the abuse was when Leanne was eight to 12 years old. She still lives with her father and stepmother. A desire to not disclose this information to other parties was expressed. I must consider factoring in ethical, legal, and professional perspectives when coming to a solution. The case of Leanne would be categorized as child abuse per the ASCA code A.12. (2022). The nature of child abuse would constitute a school counselor to consider other ASCA codes pertaining to confidentiality - code A.2. (2022). Due to the nature of the information, considerations of mandated reporting will be taken into account due to ASCA Code A.12., Federal law per Child Abuse Prevention and Treatment Act (CAPTA) of 1974, and Washington state RCW 26.44.020. (ASCA, 2022; United States, 1994; Domestic Relations, 2018). Relevant ASCA Standards Professional school counselors base their protocol execution based on the ASCA ethical standards (2022). “Responsibility to Students” relates to this case study (ASCA, 2022). The primary reason section A relates to this scenario is in school counseling, the primary obligation is to protect the students. This obligation in Leanne’s situation is hereby enforced by subsections of Section A.1, A.2., A.6, and A.12. (ASCA, 2022). Within Section A.1., relevant subcodes to my dilemma regarding Leanne include A.1.a.,
A.1.b, A.1g., A.1.i, and A.1.k. (ASCA 2022). Relevant subcodes in Section A.2. include A.2.a, A.2.b., A.2.c., A.2.d., and A.2.e. (ASCA, 2022). Relevant subcodes in Section A.6. include A.6.a., and A.6.c. (ASCA, 2022). Relevant subcodes under A.12. include A.12.a., A.12.b., A.12.c., A.12.d., A.12.e. (ASCA, 2022). In addition to school counselors having a primary obligation to maintain student welfare, we also have a responsibility to guardians, school, and ourselves, highlighted in Section B. (ASCA, 2022 pg. 7-8). These codes are relevant to the dilemma at hand regarding Leanne due to the fact the student’s parents, and the school are parties that should be taken into consideration when deciding an optimal resolution. Moral factors and legal factors are all supplementary reasons. The final ASCA code is Section F. (ASCA, 2022). This is largely relevant to the scenario as my goal when faced with ethical dilemmas is to ensure that proper steps are taken to ensure that an optimal resolution is implemented to uphold ethical code A.1.a. (ASCA, 2022). ASCA Ethical Decision Making Model Application Code F and its subsets lists out the procedure in which a counselor is to proceed when facing an ethical dilemma of various kinds (ASCA, 2022). The model is derived from the Solutions to Ethical Problems in Schools (STEPS) model by Carolyn Stone (2017). There are multiple factors that must be highlighted to synthesize the ethical dilemma. Primarily, the ethical dilemma of breaking the student’s right to confidentiality regarding the student’s desire to not have her sexual abuse experience being disclosed to any other personnel is what must be handled. This goes hand in hand with the dilemma I face as a mandated reporter. There are two standards in question with this student’s request. First is my responsibility to my student outlined in standard A.1. as well as A.2. (ASCA, 2022). The second factor to this ethical dilemma is the inherent nature of the disclosed information, which falls under A.12. (ASCA, 2022). Although currently she is 16, the abuse occurred during ages of 8-12. The nuance in this information is the abuse is not currently occurring. According to the U.S. Department of Health and Human Services, a report of abuse must still be made even if the abuse occurred in the past (2015). School counselors are qualified as mandated reporters under the CAPTA act of 1974 (U.S. Department of
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Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau, 2021b). In this case study, I have no suspicion to believe there are cultural, religious, or political factors to consider. However, power dynamics may be present. The first power dynamic that could be present is between Leanne and her father, the suspected abuser. Leanne experienced this abuse for four consecutive years. With an assumption that Leanne did not reach out to anyone during the abuse, I infer her silence is driven by her fear of consequences of speaking out. Distrust to her father due to the sexual abuse could also contribute to the lack of communication. An additional power dynamic that may be at play is between myself as the school counselor, and Leanne. This is due to the nature of our counselor-student relationship. Although this is my first direct conversation with Leanne, that does not discount any authoritative atmosphere my role may bring. Her emotional state is also compromised, due to what appeared to be a panic attack prior. As my investigation into discovering a resolution path continues, these power dynamics must be taken into account. The relevant ASCA standards in this dilemma are Responsibility to Students, Confidentiality, and Child Abuse (2022). Due to the nature of the dilemma, the protocol as a mandated reporter must be followed. In this case study, my responsibility to Leanne will result in the breaching of her confidentiality for the greater interest of her protection. As quoted in the ASCA model, a “breach of confidentiality is required to prevent serious and foreseeable harm to the student or others” (ASCA, 2022). When following the protocol of mandated reporting, I may be advised to consult with other counselors (Remley & Fry, 1993). I am advised to inform my supervisors, including the school principal. The breach of confidentiality is to take place after all consultation has taken place (ASCA, 2022). Once consultation with school colleagues is complete, I will contact Child Protective Services (CPS) to make a report. Leanne is described to be 16 years of age, which constitutes her as a legal minor. The age of when her abuse occurred - eight to 12 years of age - should be taken into consideration when evaluating Leanne’s developmental level. Outside of the panic attack, the case study does not outline any behavioral limitations of Leanne or mental health illnesses. This may cause me to work with Leanne to explore any
potential behavioral limitations that have stemmed from her experiences of abuse. The difficulty in this dilemma stems from the fact the alleged abuser of Leanne is her father. In standard procedure of reporting abuse, school counselors are guided by ASCA to inform the guardians of the student (2022). According to childwelfare.org, guardians accused as the abuser must not be contacted. Instead, the procedure of reporting to CPS will necessitate the burden of contact to be on CPS (2003). The right to disclose this information to the parents does not have to be honored. Due to the nature of the dilemma being child abuse, Leanne’s privileged communication may not be upheld (Child Welfare Information Gateway, 2019). Although students have a general right to confidentiality, Leanne’s right to confidentiality must be breached in order to ensure her safety (ASCA, 2022). The limits of confidentiality is outlined in the ASCA model stating “the student poses a danger to self or others there is a court-ordered disclosure consulting with other professionals, such as colleagues, supervisors, treatment teams and other support personnel, in support of the student privileged communication is not granted by state laws and local guidelines (e.g., school board policies) the student participates in group counseling” (ASCA, 2022). In order to protect her from any future harm, her right to confidentiality and privileged communication must be breached. The choice to do so results in a higher probability of protecting Leanne from future harm. In order to ethically proceed with handling Leanne, it is important to implement all principles of beneficence, autonomy, nonmaleficence, justice, fidelity, and veracity (ACA, 2014; ASCA, 2022). Ensuring Leanne’s safety as an individual is in her best interest, and by informing the correct authorities including CPS may promote beneficence. I do not believe respecting Leanne’s desire for confidentiality is practicing nonmaleficence. I believe that my choice to not report the alleged abuse may not be practicing nonmaleficence. The environment that was created for Leanne to share her experiences of abuse with me as the school counselor provides autonomy. The responsibility to practice justice in resolving this dilemma will express itself in ensuring the selected course of action may be applied to other students. In this situation, the choice to execute my responsibility as a mandatory reporter will apply in every circumstance. Fidelity may be difficult to navigate in the case study of Leanne, as she has expressed a desire for me to keep the disclosed content of her experience of abuse only between me and her. My
responsibility as a counselor mandates me to report any situation of child abuse including sexual abuse (ASCA, 2019; CAPTA, 1974). My decision to execute my practice as a mandatory reporter and breach Leanne’s confidentiality would not be a violation of fidelity. Veracity will be upheld by ensuring that telling the truth is practiced to all relevant parties. My duty to practice ethically as a school counselor may not be upheld if I withheld the truth or practiced untruthfulness. There are two potential courses of action. The first course of action would be appealing to Leanne’s desire to keep the disclosed information of sexual abuse confidential. There can be large consequences for me as the school counselor if I choose to keep the information confidential. As ASCA and RCW 26.44.030. clarifies school counselors to be mandatory reporters, my lack of action to report the disclosed information would be a failure to report. The consequences of this can include a termination of my role. According to Child Welfare, my lack of action could be a gross misdemeanor and can include being charged with a felony, facing prison time, and a punitive fine (Child Welfare Information Gateway, 2019). Morally, my lack of reporting would not sit well. Consequences on the relationship between Leanne and myself could manifest in the form of an overall termination of our relationship. The second potential course of action to take is to justifiably breach her right to confidentiality and follow proper protocol as a mandated reporter. School counselors are mandatory reporters (CAPTA, 1974). Any reasonable cause to believe a child has suffered abuse necessitates reporting. In the case of Leanne, there has been explicit disclosure sexual abuse has occurred. The need to report to CPS is warranted. Once CPS has been reported, any next steps taken would be guided by their direction. There is no need to speak with Leanne’s guardians. Speaking with the guardians is highly discouraged (Crosson-Tower, 2003). Any additional steps taken as the school counselor is to justify to Leanne the reason for my mandated report. I would remind Leanne the limitations of student confidentiality. Consequences for this course of action may result in acute distrust from Leanne. There may be consequences to the state of Leanne’s home environment depending on what steps are taken by CPS in the possible removal of the father, or the moving of Leanne to a new home environment. My decision is clear in this case study. The course of action I select is to fulfill my duties as a mandated reporter and report to CPS the sexual abuse that
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Leanne experienced. The choice to practice my responsibility as a mandated reporter, fulfills the standard of my responsibility to protect Leanne as one of my students in a greater manner than keeping confidentiality. My first course of action is to remind Leanne of the limits of her confidentiality rights. I may ask for further elaboration regarding her experiences of sexual abuse. I will inform her of my responsibilities as a mandated reporter. I would then inform my principal of the nature of the dilemma, and proceed to make the report to CPS. I would point out nuances of the abuse to CPS, that the victim is currently 16, but experienced the abuse between ages eight to 12. I would add the perpetrator of the abuse is alleged to be Leanne’s father. Once my report is made to CPS, my legal obligations have been completed. It is important to maintain my counselor relationship with my student to salvage the trust that may have been acutely broken due to the breach of confidentiality. Any potential consequences to the change in home environment or the removal of the father is up to the discretion of CPS. The largest potential inconsistency I see in the ASCA model in this case study is the standard of protecting confidentiality and mandated reporting. When reading these two standards, an inconsistency appears to exist. As all counselors understand, the area in which a school counselor operates in when facing ethical dilemmas is much grayer than the black and white ASCA standards makes the professional work seem. In my application of the relevant ASCA standards, the action of breaching the student’s confidentiality is stated to have mandates in regards to abuse. This means the action of practicing mandatory reporting is not officially inconsistent with the need to protect student confidentiality. The priority to protect students physically and socio-emotionally is always the standard to uphold. If that means a school counselor takes measures that prematurely looks to be in disinterest of the student, the context in which why the decision was made is needed to better understand the situation. This means the student does not have to be positively privy to the counselor’s course of action. An acute lack of trust may develop from the student towards me due to my decision to report the case to CPS, however the action plan of any necessary follow up with warm reminders of why I needed to report may take place.
References American Counseling Association (2014). Code of Ethics. Alexandria, VA: Author.Forester-Miller, H., & Davis, T. (2016). A practitioner’s Guide to Ethical Decision Making. Alexandria, VA: American Counseling Association American School Counselor Association. (2022). The ASCA National Model: A Framework for School Counseling Programs, Fourth Edition, Alexandria, VA: Author. Child Welfare Information Gateway. (2019). Mandatory reporters of child abuse and neglect. U.S. Department of Health and Human Services, Administration for Children and Families, Children’s Bureau. https://www.childwelfare.gov/topics/systemwide/lawspolicies/statutes/manda/ Child Welfare Information Gateway. (2019). Penalties for failure to report and false reporting of child abuse and neglect. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau. https://www.childwelfare.gov/topics/systemwide/laws-policies/statutes/report/ Child Welfare Information Gateway. (2003). The role of educators in preventing and responding to child abuse and neglect. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau. Crosson-Tower, C. (2003). The role of educators in preventing and responding to child abuse and neglect. The Role of Educators in Preventing and Responding to Child Abuse and Neglect - Child Welfare Information Gateway. Retrieved March 2, 2023, from https://www.childwelfare.gov/pubs/usermanuals/educator/ Remley, T. P., Jr., & Fry, L. J. (1993). Reporting suspected child abuse: Conflicting roles for the counselor. School Counselor, 40, 253-159. Stone, C. B. (2017). Ethics and Law: School Counseling Principles (4th ed.). American School Counselor Association. U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau (2021b). State statutes search. Child Welfare Information
U.S. Department of Health and Human Services (2015, August). Mandatory Reporters of Child Abuse and Neglect. Retrieved from https://www.childwelfare.gov/pubpdfs/manda.pdf
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