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1 Case Review: Ethical Decision-Making in Substance Abuse Treatment Hattie L Isaac Phoenix University Psych/650: Parapsychology Professor: Nicolle Napier Ionascu October 31, 2023 Introduction-Review

2 Kassi is a 38-year-old White single mother who only agreed to get help for her substance She said her work is very stressful and it makes it hard for her to be a good mom to her daughter. She admitted that she often drinks alcohol when she gets home from work, and usually ends up having more than three drinks every night. Her drinking has gotten worse over time, and it has caused her to skip work and miss her daughters' activities. Her daughter is worried about her mom's drinking and wants her to stop. However, she does not believe that her drinking has labeled her as an alcoholic, and she does not think she has a basis for her problem with alcohol and only came to treatment because her job made her do it. The DSM-5 criteria for Alcohol Use Disorder (AUD) and from the information obtained from the daughter, Kassie has six out of eleven symptoms of AUD, which means she has a severe alcohol use disorder. This case study also presents an ethical dilemma for the mental health clinician who provided services to the client. The clinician must follow the ethical guidelines and make ethical decisions in their practice. The Forester-Miller and Davis model for ethical decision-making will be used in this report's data analysis to analyze the situation and clarify the processes in the ethical decision- making process. The Forester-Miller and Davis model for ethical decision-making will be used in this report's data analysis to analyze the situation and clarify the processes in the ethical decision- making process. The report will also evaluate the clinician's reasoning for the diagnosis given to the client and determine if the diagnosis was ethical or unethical under the codes of ethics. Analyze and Describe the Case using the Forester-Miller and Davis Model

3 A seven-step methodology for making ethical decisions that can be used in this situation is presented in the paper by Forester-Miller and Davis. The steps are as follows: (1) Identify the issue; (2) Apply the ACA Code of Ethics; (3) Assess the nature and scope of the predicament; (4) Come up with possible courses of action; (5) Think through the implications of each option and choose one; (6) Assess the chosen course of action; and (7) Put the chosen course of action into practice (Forester-Miller, 2016). Kassi's drinking is a problem that interferes with both her profession and her relationships. Kassi, her child, and the clinicians are the parties embroiled in this situation. The diagnosis, the tension between Kassi's autonomy and her daughter's well-being, and the clinician's need to give Kassi the best care possible are the ethical considerations in this case. The Ethical guidelines of the APA and the ACA The clinician must follow the ethical guidelines of the APA and the ACA when providing services to Kassi. Concerns including professional competence, informed consent, and confidentiality governed by the ACA's Code of Ethics and the APA's Ethical Principles of (NIAA, 2020). Giving Kassi a diagnosis of severe alcohol, psychologists, and a Code of Conduct

4 consumption disorder will have ethical ramifications that the clinician must consider. Even if Kassi does not believe she has an alcohol issue, the doctor is obligated by law to provide a precise diagnosis based on her evaluation and symptoms. Kassi's autonomy must be respected, and the clinician must provide her informed permission. But they must also consider her daughter's well-being and how Kassi's activities affect her. The clinician justified Kassi's diagnosis by referencing the six DSM-5 criteria for severe alcohol use disorder. By making the diagnosis, the clinician is recognizing Kassi's symptoms and providing a foundation for treatment that could help her overcome her disorder. Kassi's diagnosis was validated by the doctor based on the six DSM-5 criteria for severe alcohol consumption disorder, which she satisfies. Justifications for the Clinician diagnosis. Kassi’s case has been appropriately and accurately diagnosed by the clinician as severe alcohol use disorder based on her symptoms and the clinician's diagnosis is considered ethical based on the guidelines provided by the APA Code of Ethics. These codes state that using a diagnosis if it is founded on a precise evaluation and diagnosis of the patient's symptoms is ethically acceptable. Based on Kassi's symptoms and her description of her drinking patterns, the clinician correctly diagnosed severe alcohol use disorder in her case. The doctor must also make sure Kassi receives an accurate diagnosis and gives her informed consent before beginning any treatment.

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