CNL 505 Weekly Dq Response

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Grand Canyon University *

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CNL-505

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Philosophy

Date

Feb 20, 2024

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docx

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Uploaded by elizabethdjones55

Topic 4 DQ 1 Shelia has entered to a client/ professional relationship that is covered by confidentiality and protection of the client's right to privacy. In my opinion there has not been any declaration by Shelia that she intended any harm to herself or her husband and warrant breaking that confidentiality. On the contrary, it is quite the opposite with the limited information given in the scenario. In responding to the subpoena delicate steps must be taken. But a subpoena is a not something that should be taken lightly in any regard. The first step when subpoenaed would be to consult with an attorney, state licensing board and your malpractice insurance. But the attorney can review the documents and provide guidance in navigating the legal and ethical responsibilities. Sometimes the subpoena can even be squashed. (Ordway & Moore, 2022) . If there is no success in squashing the subpoena the information shared within the courtroom should be factual, general, and credible. Fisher (2016) created a six-step ethical practice model in reference to confidentiality rights that has legal mandates within in ethical context. The one step that stood out to me most in reference to the above situation is “Avoid Preventable Breaches of Confidentiality’. Within that step the avoidance of dual roles in the courtroom that may cause a conflict of interest as well as empower clients to protect themselves and finally not confusing laws the permit disclosure versus the laws that require them. References: Ordway, A., & Moore, R. (2022, July 22). Stuck in the middle . Counseling Today. https://ct.counseling.org/2015/10/stuck-in-the-middle/ Fisher, M. A. (2016). Confidentiality limits in psychotherapy: Ethics checklist for mental health professionals. American Psychological Association. https://doi.org/10.1037/14860-000 Topic 4 DQ 2 Susan has identified that she is a harm to herself and furthermore has detailed the way and tool she has chosen or thought of choosing to use to execute this plan. She also has access to this tool. In reading the textbook Susan has been appropriately assessed for suicidal risk and is showing dangers signs that should be evaluated in that she has a plan of action she would and has thought of executing and her depression is seemingly escalating. P.274 Assuming that all information on the next steps in treatment were shared with Susan and she is still not willing to share the information with her mother, then respecting that wish is an ethical duty. ACA code of Ethics A.7.b. – Confidentiality and Advocacy state that consent must be obtained from the client when a counselor is engaging in advocacy efforts on behalf of a client. As well as code B.1.c. Respect Confidentiality stating that a counselor protects the confidential information of clients and disclose information only with appropriate consent or with sound legal and ethical justification (ACA Code of Ethics, 2014). In this case involving her mother in my opinion is not yet warranted and may even change her decision in seeking a higher level of care. Going forward with a treatment plan may require the support of her mother as well as the implementation of a safety plan. Although not required when implementing safety plans consulting and collaborating with family members may be appropriate (Corey et al., 2024 p.276). But as for the current time frame and pathway of immediate treatment, perhaps giving the mother the basic information of where her daughter will be going is all that needs to be shared. As well Susan is of age and does not require for her mother legally to be informed. References: American Counseling Association, ACA code of ethics, (2014) https://www.counseling.org/resources/aca-code-of-ethics.pdf Corey, G., Corey, M. S., & Corey, C. (2024). Issues & Ethics in the helping professions . Cengage. (Corey et al., 2024)

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