Ethical Nursing Practices

According to the AMHCA Code of Ethics, 2010, Section III.9, Commitment to Students, Supervisees and Employee Relationships, "the primary obligation of supervisors is to monitor services provided by supervisees to ensure client welfare." (p. 16) According to the AMHCA Code of Ethics, 2010, Section I.A.1.a, “the primary responsibility of mental health counselors is to respect client dignity and promote client welfare.” (p.2) Both codes of ethics have parallel stances when it comes to acting ethically in the benefit of the client’s interest. Supervisory roles are crucial in the development of counselors and ensuring the welfare of clients.

I believe counseling is a collaborative partnership between client and counselor. Furthermore, this collaborative partnership is built from trust and acceptance of both client and counselor. I hope in conjunction with clients to understand the issues and concerns so to help them tap into their wisdom, creativity, and strengths to meet their current challenges. I believe in a comprehensive perspective through which clients can better comprehend themselves in the framework that our thinking about events can lead to emotional and behavioral upset. Moreover, counselors are to provide a safe environment for clients to explore their challenges and identify ways to move differently in overcoming these challenges.

A mental health counselor often helps their clients make positive choices and changes due to the decisions and insights they help facilitate. Many counselors work in hospitals with psychiatric patients or with mentally ill adults in continued day treatment programs. Some choose private practice or practice in counseling centers, government agencies, and corporations and youth homes. They usually work in pleasant and comfortable surroundings, working a standard workweek. Some counselors are available weekends or evenings for the convenience and needs of their clients. Mental health counselors are an extremely valuable part of the healthcare system.

Mental Health Counselors are some of highest interacting people in the career industry. Having the highest ability to communicate with peers, you are faced with new challenges every single day. Many different types of people bring many different problems to the table. They are not expected to close the door due to the fact of not knowing how to help one. You will need a very high comprehension of the world around you, to be able to achieve high success rates in this career.

Heather believes the primary differences that separate a clinical mental health counselor and other mental health professionals such as: a social worker and psychologist are due to the type of work they focus on primarily. Although, social workers, and psychologist may counsel clients, the majority may have more in depth specification of study. Social workers are likely to work in case management and psychologist work closely with

They may interact with psychiatrists who are medical doctors. They may have relationships with other counselors with whom the may collaborate, confer or refer to another counselor or professional as needed. Counselors may have a need to help a client get in touch with another type of service such as a social worker or rehabilitation facility. A counselor may give advice to another counselor if their opinion is sought out. If a counselor works within a facility as part of a team they may be interacting with any number of professionals involved within the care of a particular client. Being cognizant of what the role is as a counselor is constant. Counselors will establish boundaries depending on these roles (Remley & Herlihy, 2016). Counselors will also develop relationships with employers, supervisors and

The mental health professional I interviewed was Carol McClelland of Freedom House Recovery Center in Chapel Hill, North Carolina. Carol has worked with Freedom House for a year as the directory of outpatient services and is licensed as a LPC, LPCS, LCAS, CCS, and MA. Carol’s job requires her to be responsible for the direct oversight of all clinical operations and clinical integrity for outpatient services at Freedom House. The hours of operation are Monday through Friday from 8am to 5pm, along with a crisis and detox center that is available for contact 24/7. Carol has plenty of experience in the mental health field, such as working as a dual diagnosis/substance abuse outpatient therapist, working with the severely mentally ill, working as a criminal justice outpatient therapist, and also working in a methadone clinic. She chose this career after her experiences in working with mental health, and her extensive education in psychology and counseling. Carol stated that outpatient services was the most interesting out of her job experiences, so when she was offered the job at Freedom House, she accepted.

There are several ethical dilemmas that the mental health professionals that are working as a team will face including “ensuring that the client has given informed consent, maintaining client confidentiality, and involving professionals, paraprofessionals, and family in appropriate coordinated processes that benefit the client” (Paproski & Haverkamp, 2000, p.96).

When mental health counselor’s work at outpatient mental health facilities; it is inevitable they will work with numerous clients who have multiple issues with multiple diagnosis. It is also favorable to say that mental health counselors wear many hats when working with their clients who can experience different crisis on a day to day basis.

The beginning section of the book describes the challenges counselors face in dealing with clients. (1). Moving from Two Areas of Competence to Three (2). Blurred Personal-Professional Distinctions (3).Expanded Definitions of Training (4). Confronting Dominant Views of Mental Health (5). Establishing a Scientific Base (6). Defining Relevant Ethical Standards (McMinn, 2011). After mapping out the challenges facing interdisciplinary integration, McMinn first divides his renowned book into eight rewarding chapters including summary and reflection following each of them. He also uses vignettes in order to ask his readers”What if this Happens” scenarios (McMinn, 2011)

Counseling is a relatively young profession when compared to other mental health professions. In my brief personal and professional experience with the field, I have come to define counseling as a process of engagement between two people, both of whom are bound to change through a collaborative process that involves both the therapist and the client in co-constructing solutions to concerns.

My role and function as a clinical mental health counselor are to promote and infused a holistic approach to my clients. As a Rehabilitation Specialist, I want to reproduce my clients back to society. As a mental health profession, I look at each person rather than a client perspective. Holistically, I want to concentrate on environmental factors, mental, physical, emotional, and spiritual aspect of the individual.

Among the competencies of the clinician, the most imperative is the quality of the counselor personality (Corey, 2016, p. 18), the clinician as a person should be able to show their identity to build interpersonal relationships, focusing on aspects like harmony, dynamic, flexibility, persuasive, immediate, and creative so that

In this case, the nurse who was supervising the hospital used her best judgment in maintaining the care for the ICU. All hospitals are licensed to provide appropriate nursing and medical care to a specific number of patients, with the understanding that a hospital will only admit those patients it has the resources, staff, equipment, and facilities needed to deliver said care. This license also directs hospitals and nursing staff to engage in practices which are unmistakably dangerous, irresponsible and unethical, and in many ways, are in direct violation of state and federal laws, HIPAA and JCAHO requirements, and the Department’s own regulations. Closing the unit by Dr. Bestknabe is not a solution; rather, it creates more

Licensed professional counselors have a unique occupation in that not only do they interact with their clients on a highly personal level, but they also momentarily share their client’s burdens, worries, and concerns. This vicarious aspect of counseling creates the possibility for a counselor to continue sharing the client’s troubles long after the session has ended. According to Norcross and Guy (2007), “The person of the psychotherapist is inextricably intertwined with treatment success” (p. 2) meaning that if we desire more positive outcomes than negative ones we must figuratively become one with our clients. Due to this fact, “self-care is not simply a personal matter but also an ethical necessity, a moral imperative” (p. 6). If we fail to leave work at work at the day’s end, then other facets of our lives are in jeopardy of becoming tainted.