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Ethical Dilemma In The Social Work Case Study

Decent Essays

The social work profession is rooted in a set of core values and principles which are applied as standards in determining ethical judgements. This paper will explore an ethical dilemma and how utilizing the ethical decision making model can offer different resolutions. Joseph (1983) discussed how this ethical model “suggests a structure and a systematic process for inquiry into ethical issues that emerge in clinical practice and its organizational contexts.”
Dilemma in Context
Practice Setting
The dilemma transpired in an outpatient community mental health center in a rural area of the state that accepted both children and adults for services. In this area, all mental health facilities prescribe psychiatric medications due to physician …show more content…

Maria further explained that she recently moved back to this area as she felt she was a burdened to her children and disrupted their marriages. During the consultation, Maria signed releases of information (ROI) for one child and her current and past physician; additionally we set up for a psychiatric evaluation for medication services per Maria’s request. Over the succeeding month, our agency conducted several home visits where concerns were noted over lack of food within the home, complaints by Maria that her medication had been stolen, etc. After staffing the case, the team decision was to contact Adult Protective Services (APS) for an evaluation. After the initial evaluation, APS reported they would continue to monitor the case, but the agency was not prepared to assume the case.
During the psychiatric evaluation, there was a review of current medication from Maria’s primary care physician (PCP). The psychiatric provider expressed concern over the quantity of pain medication prescribed to Maria. Maria explained she experiences joint discomfort and utilizes the medication for mobility reasons. Our agency offered alternative pain management options, Maria declined. The psychiatric provider prescribed medication to assist with anxiety, but refused to prescribe Xanax which is what Maria had originally been given by her PCP and explained the reasoning behind the denial. Maria acknowledged understanding and accepted the other medication.

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