Substance abuse and additions: One of the unique ethical challenges involves the myriad of dual relationships inherent in the field and include dilemmas stemming from recovering workers attending AA meetings with clients or with their supervisors, or the changing role of some individuals to service providers within the very programs in which they had recently been clients. Dual relationships are a concern frequently addressed in the substance abuse literature (e.g., see Bissell and Royce, 1989). Additional challenges arise from the increased use of physical contact in treatment between clients and service providers, the hinging of services to abstinence, and the debates surrounding abstinence versus controlled drinking and harm reduction,
Many participants engaged the group with stories of overcoming addiction or being sexually molested by family members as reasons behind their addiction. However all of their stories were compelling and empowering to the group of individuals who have seemed to endure some of the same sentiments as their fellow group mate. It appeared as if the individuals in the group even though that were court ordered appeared to be extremely engaged and very involved during the meetings. It seemed as though most who attended found peace and solice from the group during the NA meetings. As it stated by Krentzman, Robinson, Moore, et.al (2010), client’s state that their top two reasons for attending NA meetings were to promote recovery/ sobriety and to find support acceptance and friendships. One thing that I learned from the NA group that just as in AA, family support deems to be an important function on the perseverance of an addict and that the participation and involvement of family is detrimental in the treatment process for the addicts. In several of our readings many of the passages discussed the effects of family systems support as it pertains to substance abusers chemical addiction. The passages described the family system as being a detrimental part of the treatment process as well as for the treatment of the family as well. According to past studies, family involvement has aided clients in
The counseling student attended two AA meetings as an observer in order to understand the dynamics of the AA culture and to experience the possibilities of working in the field of addictions. The purpose of this essay is to discuss the various behavioral patterns of use described in the AA meetings (e. g., intensity, frequency, length of time and attempts to quit). This paper also identifies other necessary information required for proper assessment and diagnosis. This essay concludes with a synthesis of the information gathered from personal observation and this course’s texts assignments.
It should be noticed that in the recent few decades, the science developed at an astonishing pace, and the problem of substance abuse cause a huge public concern. Currently, substance abuse has already become a pandemic around the world. It costs individuals substantially, and it of their family as a whole. It is essential for the society to help those people who struggle with drug addiction to get rid of their pain and get back their health and balance life. Therefore, I understand the substance abuse is a tough area, and people who are struggling with addiction really need help. During the course of the interview, I
In this scenario, as a psychologist I face several ethical issues. According to the American Psychological Association, Ethical Principles of Psychologist and Code of Conduct there are at least six standards I have to
There are numerous ethical issues a counselor must confront during their work; dual relationships and confidentiality being two of them and are going to be discussed here. Both are important to both the client and the profession, as they set the expectations for how counselors are to act professionally (Miller, 2015). Ethical principles “direct the moral and value-based decisions that affect the counseling process” (p. 557). Without them, the profession lacks these moral and value-based directives and the ship that is “addiction counseling” has no rudder. It is directionless and adrift.
The last five weeks of my clinical rotation I was able to spend my time at the Marjorie R. Oakley Home for women. This is one of two recovery homes that is administered by The Recovery Group of Southern West Virginia, the other home ran by this organization is the New Beginnings Home for Men. While I spent much of my time with the ladies that stay at the women’s home I was also able to meet a few of the males that was staying at the men home. The recovery home was a type of “group” home created to help provide opportunities for both adult men and women trying to free themselves from the nasty cycle of addiction. The main goal of the homes is to help these individuals to get clean, and avoid relapsing due to addictive environments. The
Substance Abuse is a problem for social workers around the country no matter where you go. There are a number of different social problems, and social systems that a social worker will have to deal with when working in this field. I will hope to address the problem of substance abuse, and the different techniques used in order to cure a client suffering from substance abuse.
Substance abuse, along with the behaviors that go accompany the disease of addiction, are incredibly dangerous and life-threatening. Not only do the substances themselves raise the chances of disease transmission, long-term negative health effects, as well as overdose, the situations in which those fighting substance use disorders find themselves are equally dangerous. It is clear that there an ethical approach to prevention and intervention with this issue would seek to limit, decrease, and hopefully, eliminate these patterns. However, with a variety of different circumstances in each individual’s unique worldview, certain strategies have the potential to cause iatrogenic harm.
Attending three different types of treatment meetings helped me understand more clearly the ways that addicts mostly benefit from the provided services and support during their recovery processes. I say mostly because, although the benefits received from these meetings seem to outweigh the negatives for members, the meetings may lack the additional support offered via counseling or psychotherapy. I will share my experiences with the three types of groups I attended to demonstrate my understanding, impressions, and suggestions of possible ways to utilize and improve upon these supportive structures when working with substance abusing clients. Specifically, I intend to offer constructive feedback and criticism of ways I would like to
In the United States addiction in the healthcare industry in a serious epidemic with a large number of its workers either addicted or abusing drugs and alcohol on a regular basis, in this review paper I will focus specifically on members of the nursing profession and nursing students. According to the ADA 1984, AMA 1987, AphA 1982, and ANA 1984 ( Kenna et, al.2004) drug and alcohol abuse and addiction is recognized as a serious threat against public safety due to the fact that not only does substance abuse impair the nurses ability to do their job to the best of their ability it also puts their patients at risk for receiving inadequate and sloppy care. One of the major hurdles in receiving treatment for many nurses and others in the healthcare field in that our society has been conditioned to view addicts as villains or as morally less then (Dunn 2005).
Statement one and two are essential when conducting a dual-relationship with a patient. Statement one, includes discussing the limitations of the proposed relationship. This could include situations such as, outside of our therapy session we cannot discuss that content as friends (Kenyon, 1999, p. 63). Though that may be an unrealistic example, it is still an illustration of a rule set to differ between the two relationships. Statement two discusses serving the all clients with respect, integrity and keeping their welfare into consideration always (Kenyon, 1999, p. 63). This is a huge responsibility to all patients but is something you will need to be constantly re-evaluating in a dual-relationship. Asking yourself questions throughout the process is imperative. For example, the question of, is my professional or personal image of this person affecting the quality of care I can give them?
Substance abuse is one of the largest growing problems in the world. In addition to the growth and wide-spread popularity of alcohol and ‘recreational ' drug use, the international drug trade and alcohol distribution garners tens of billions of dollars a year in both legal and illegal revenue. This simply serves as an indicator for how common drug and alcohol has become on a global scale. Although there is a portion of the worldwide population which uses substances in a moderated and controlled manner, substance abuse is becoming a prolific problem and a concern of epidemic proportion. One of the most significant issues is the increasingly common practice of drug and alcohol abuse in the workplace. Substance abuse in the workplace provides multiple ethical concerns, both from the standpoint of the employee and management. Although corporations, companies, and institutes normally have well-defined policies guiding the response procedures for suspected or known substance abuse, there are often deviations from practiced interventions and misinterpreted reactions to the issue.
For any professional working in the substance abuse treatment field, they will very likely come across situations and be presented with dilemmas relating to personal beliefs, judgments, and values. Drug or substance use and abuse have been a controversial and heated topic around the world for centuries. Drug abuse, in a way, is a facet of human culture that has been present for a great deal of human history in general. Every culture handles the issue of drug abuse differently. The history of how a society views persons with addictions is intermeshed with emotion, misperceptions, and prejudice that directly affects the care of drug abusers. This is a kind of awareness that drug users and those who provide drug treatment or rehabilitation should have. They may be susceptible to treating patients different because of their own personal views or because of the culturally normative views of that particular society. Just like teenagers may be automatically considered dangerous or irresponsible, it is fairly normative in a health care setting for a patient to be perceived negatively just because that person is a known drug user. Because of the highly charged emotional nature of the substance abuse treatment field, providers should possess the tools to explore ethical dilemmas objectively. By doing so, and by examining their own reactions to the situation, providers can proceed with the most ethical course of action. Ethical practice is
During this summer semester, I have learned many important skills concerning my internship at Retreat of Lancaster County. These skills can be divided into four categories - social and cultural diversity, helping relationships, group work, and assessment. Retreat of Lancaster County is an inpatient drug and alcohol rehabilitation center with both rehab and detox levels. At this location, I have been able work with patients entering recovery for alcohol use, heroin use, prescription painkiller use, cocaine use, and amphetamine use. In addition, I have been able to run group sessions, take initial interviews, complete biopsychosocial assessments, and use a electronic medical record. These topics were only reinforced
Steven was still very sad a year after the passing of his wife so he decided to seek professional help. When Steven entered the therapist’s office for the first time, he could not believe how much she resembled his wife. The hair color was the same, same height and weight and even the same dimples on her cheeks. Steven, what brings you here today?