Ethical Issues In Counseling Case

is a nurse practicing in Missouri that has, already, previously been placed on probation for testing positive for heroin. She has recently had a relapse in her recovery and is fighting to get her license back so she can practice nursing. The state board has already given her one chance and she was practicing in Missouri. She has been sober for nearly 3 years and has taken suboxone the entire time of her sobriety to help with withdrawal. E.M. hates that she has a dependency on the suboxone and wanted very badly to wean herself off of it. She spoke with her physician about this matter and her physician strongly suggested that she not be taken completely off her prescription of suboxone. Her physician lowered her dose and she began taking a lower dose. After time passed, E.M. felt like she had things under control and she completely stopped taking her prescription. E.M. went under some stress at her job and ended up leaving the facility she was working at. She knew that one of her old co-workers had access to heroin and after running into him at a local store, she started abusing again. Beginning at the time of her first time being placed on probation E.M. has been required to provide urine samples at randomly selected intervals. During her time of remission, when she was abusing, she failed to call and leave urine samples. At this time, E.M. explained that she was focusing on bettering herself and working on her sobriety. I feel that E.M. was very sincere and was accountable for her actions. She truthfully took responsibility for her wrongful actions. E.M. stated that she now realizes that her heroin addiction is a lifelong addiction that will always be knocking at her door and she cannot stop taking suboxone. The board questioned her and wanted to make sure she did not have plans of going against her physician’s orders again. E.M. was in tears almost the entire time she was explaining her actions to the members of the board and I feel like they were true

D-The patient was advised that her bottles are in fact suspended due to the incident that occurred on 02/08/2017 of which the patient needs to accountability of taking a second dose of her methadone even though she has taken her methadone at home. The patient admits her accountability of her actions of taking the second dose. The patient then asked about how she can regained her take home bottles of which this writer explained the policy of take home bottles, referring to the reinstatement process. The patient is referred to attend the Take Home Bottle Group on 03/9/2017 to have her bottles reinstated. Then the patient shared that she wrote a grievance letter and still plans to submit it for the Program Director to review. Furthermore, this

Pt. called this writer to report that he no longer wanted to be in the program. Pt. asked if he needs to sign a Voluntary Request for Termination. Pt. reported that he is going to stop by the clinic to pay his tx services fees. Pt. stated, "I am done wit methadone. I'll go there tomorrow and pay my bill in full." Counselor told that he needs to talk to the head nurse and to sign the AMA Detoxification Agreement tomorrow, Saturday 2/25/17. After discussing this issue with him, he still insisted that he did not want to be in the program and he wants to sign the AMA Detoxification Agreement

D-The patient arrived on time for her appointment. Reports stable on her dose and denies the need for a dose increase when offered by this writer. This writer commends the patient complying with daily dosing; however, this writer addressed the patient UDS result patterns of positive and negative. The patient last two urines were positive for cocaine. According to the patient, a lot has been going on in her life. The patient's father has had a heart attack this past month. Also, the patient has an estranged relationship with her mother and her 17 year old daughter. During the course of the session, the patient discussed her drug history and her dysfunctional family. Alternatives and suggestions were discussed as well.

Patient didn't call or show up for his scheduled individual counseling session today at 7 am; however, he received his dose of methadone at the Clinic around 9 :30 am. This writer called pt.’s phone number on file to reschedule a mandatory individual session. Counselor will be flag pt. in the system to see counselor before dosing tomorrow, 12/15/16 to discuss his recovery progress, what the program expects of him at this stage and how to get the most of out

D-Met with the patient as she placed on HOLD due to recent concern of her overall well-being reported by Nurse Frank as he reported to this writer yesterday of his concerns that the patient's boyfriend is refusing her to increase on her methadone due to an agreement and the patient tends to appear emotional. Upon meeting with the patient, the patient immediately knew why she is meeting with her and started to get emotional. Denies feeling SI/HI. According to the patient, she had an agreement with her boyfriend of which she agreed to increase her dose up to 55mgs as her boyfriend will closely monitor her recovery. The patient does not feel unsafe around her boyfriend as she reported. This writer strongly advised the patient that she has rights to her own recovery process because it's her in the recovery and seeking treatment, at which the patient agreed. But says, "I am fine with my current

The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.

David Kaplan discusses the Code of Ethics while counseling in his Journal “Ethical Implications of a Critical Legal Case for the Counseling Profession: Ward v. Wilbanks”. In this journal the case Ward v. Wilbanks is discussed on the basis of discrimination and refusal of counseling. This journal explores the background of a case filed by the ADF ( Alliance Defending Freedom, formally known as the Alliance Defense Fund) on behalf of Julea Ward against Eastern Michigan University.

Data: Client came to appointment on time with a decent attitude, and engaging during session. Today’s individual session was focused on addressing client’s treatment attendance issue. Client has not attending treatment group consistently, which will put her not in compliance with Kaiser Permanente suboxone program, as well as CD treatment at THS. Client has 7 absences from 03/01/17 – 05/25/17. Client reported no use of alcohol or other substances since started treatment. Client reported going to Kaiser Permanente weekly for counseling, UA, and obtain Suboxone prescription at Capitol Hill, Seattle. PC provided client with information for different OP groups but client stated, “I will make it work. Wednesday group works for me better.”

Client was considered to be NOT in compliance with treatment during this reporting period. UA results showed the continued marijuana use. Client attended group on 8/2, 8/9, and 8/23. She was absent on 8/16 and 8/30. Self-help support meeting attendance was not provided. Client may be discharged from treatment due to failure to comply with her behavior contact, continued the use of marijuana, and not in compliance with treatment

The differences between the ethical standards for clients being treated by psychologists in counseling sessions and the standards for conducting psychological research with human participants are based on the rules and regulations within the given setting. Counseling and research sessions are two different structured methods within psychology. From my understanding, I acknowledge research as a way to discover and identify a certain situation or issue with a person or a group of participants. Therapy, on the other hand, is used to treat a person with their emotional, social, and mental issues in life. After a research study, a person could be directed to seek help in a therapy session.

Same process as above, but everyone knows that the client is going to be sanctioned for something. The clients will try to make an excuse, lie, plead, or whatever else to avoid sanctions. Some of the clients’ stories were good and other times it is better for the client to refrain from talking. Nevertheless, most clients on this calendar were either arrested for a new crime, failed a drug test, missed group or individual therapy sessions, or violated a term of his or her probation. Failing a drug test was an automatic jail sanction no matter what. Even if the doctor prescribed medication, it was the client’s responsibility to notify the doctor that he or she is not allowed to take opiate-based pain relievers. If there was a low-creatinine drug result (urine is diluted to the point where a drug test cannot detect drugs), the court treated it as the same as a failed drug test. So, the client would be sanctioned to jail and ordered to do low-creatinine

: Met with client before IOP group this date for ISP review, and to address overall treatment progress. Presented a good attitude and engaged well in the conversation. Reported no use of Methamphetamine or other substances, C/S date as 2/28/2018, although UA on 03/21/18 was positive for methamphetamine. Client reported he is excited that he is in treatment, stating “I never been to treatment before. I would like to learn about the addiction, but I am also affair of treatment because I am worried that I won’t make it.” Client reported main arears of concern is “staying clean and sober and complete treatment”. Stated “My ex-girlfriend is not supportive, and she drives me crazy. I work and pay the bills, but she never happy. She asked me to do this to do

The patient stays with mother and she was also contacted by TACT to ensure the patient is compliant with medications, schedules an appointment in the morning with DayMark, and the patient will contact Mobile Crisis Line or call 911, if he feels unsafe. The patient has also been instructed to do the same and has agreed that he will schedule an appointment with Daymark in the morning and take all medications as prescribed. The patient reports feeling comfortable with this

The reason behind associations or bodies setting out a framework of code of ethics and a code of