Adrian, who is a 14-year-old Caucasian and African American of Hispanic descent, was referred from the social worker at his middle school due to behavioral and emotional issues. He demonstrates “excessive absences/truancy, refusal to participate in classroom activities and complete work, disrespect of authority figures, physical assaults on teachers and peers, and verbal assault his family members as well”. Adrian has a complicated family history. Adrian’s biological parents, Virgina and Gerald lived together for no more than 2 years, and they did not marry. Also, both sides have family histories about mental illness and substance abuse. Adrian was put in foster care from 5-8 year-old because of parental neglect, and he backed to his biological mother after 8 years old. His biological mother has two older children, and they have their own issues. His biological mother does not have job because of health issues, and his biological father does not give them child support except giving money to them to buy necessities occasionally. Adrian’s mother has a couple of relationships, and has children with different fathers. Adrian does not have safe and comfortable environment to live, and he does not have good …show more content…
How I can insist on my ethical and legal obligations with confidentiality with minors regarding to nine classical core ethical principles and maintaining a good therapeutic relationship with clients? I particular consider these factors based on the classical core principles: “respect autonomy” and “be faithful”. In other words, a professional should respect clients’ autonomy and make a trustful connection with them. In Adrian’s case, he is not interested in mental health treatment at all, but his mother pushed him to come to the therapy. Therefore, I would have to respect his right to make decisions on treatment or interventions and be aware of his conflicts of
The problem solving methods that might be helpful to assist Jerry in making an ethical decision would be to establish trust with the patient and become aware of the problem. Then analyze the problems and decide on a plan with the patient. He will then want to make sure he reinforces the commitment to the patient and activate the plan. Last, he will follow through with the task and monitor everything until the situation is taken care of.
Family: Gabriel is 12 year old Hispanic male who lives in Fords NJ with DCP&P resource parent Mr. Ronny Chirichello and two foster siblings. Gabriel has been in Mr. Chirichello home for the past 19 months. Gabriel has adjusted well to Mr. Chirichello home. Mr. Chirichello holds Gabriel accountable for his acting out behaviors in school and give him appropriate consequences (i.e. taking away his cell phone, no TV, games system or outside time, etc). Gabriel responds well to Mr. Chirichello directives and house rules. Gabriel continues to have ongoing difficulties with emotional boundaries with his bio-mom. Gabriel and his sister does not have the best sibling relationship. Gabriel mention to Mr. Chirichello that before his brother passed away he and his sister was close but sine their brother’s death they do not get along.
1. The Mayor of a large city was given a free membership in an exclusive golf club by people who have received several city contracts. He also accepted gifts from organizations that have not done business with the City but might in the future. The gifts ranged from $200 tickets to professional sports events to designer watches and jewelry.
Counselors can be guided by the professional code of ethics, which are common standards designed to guide professionals through the most common difficulties in practice (Ponton, & Duba, 2009). Ethical principles just guide counselors on the better decision. In other hand, in legal issues counselors are supposed to follow the law. A counselor must be aware of the federal, state, and local legislative bodies laws that concerning children. It is important a counselor know what is the age that a minor become an adult in the state where his practice is located, for example. According to Henderson and Thompson (2011), some states recognize that a minor become an adult at age 18 and in others at age
is 8 year old Caucasian male who has a younger brother. He was taken from his biological parents who was on drugs thus client B. suffers from intense abuse and neglect. He and his brother was left with his father’s mother who had a schizophrenic diagnosis years of neglect and abuse. He had been to five foster homes over a 5 years period and to each he was abused physically, emotionally, mentally and sexually. Client B. has no friends and during the time in the foster homes, his biological mother would only call to say she is trying to getting him back. Client B. is now adopted by a new parents and is now living in a caring environment but he is still struggling with mistrust issues, hurts, and low-self-esteem and anger issues. His adoption parents is very concern and want to see him become less distressed and open to the care and love that they are sharing. Client B. has developed some medical issues which was of concern to the medical provider was called in children services to check in on
Ethical dilemmas can appear in various settings and with a variety of different clients. For instance, a 15-year-old boy, a regular client, who is dealing with depression comes in to an appointment with blurry eyes and a slurred speech. He confides in you that his is under the influence of ecstasy and crystal meth because his friends convinced him to try it. He’s worried that he will become addicted and is asking for your help with his drug abuse. You tell him about a program with other teens who have depression and substance abuse issues that is publicly funded. He agrees to enroll in the program but he doesn’t want his parents to know about it. Since your client is under 18, you are debating if you can allow him to give consent to enroll in the program without his parent’s permission (acssw.org).
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).
Nurses are faced with ethical issues and dilemmas on a regular basis. Nurses must understand his or her values and morals to be able to deal adequately with the ethical issues he or she is faced with. Some ethical issues nurses are exposed to may be more difficult than others and the ethical decision making process is learned over time.
I am currently doing my field practicum at an agency named Quality Care and Advocacy Group (QCAG). QCAG is a therapeutic clinic that provides an assortment of mental health services to clients that need their psychological needs met. Some of the of the services provided at the agency are in-home counseling, behavior aid, family therapy, individual counseling, life skills, and crisis intervention. Our clients’ ages range from children to adults. Many have acute emotional and psychological disorders that they are struggling to overcome in their life. My caseload typically consists of children, elementary to middle school age. My client is an eight-year-old African American male. My client currently resides with his mother and step-father. He has a younger sister that is one-year-old and his mother is presently pregnant with another girl. The client’s natural father was murdered several months ago. The mother reported that the client feels some anxiety over his father’s death and frequently states that he misses him. The client has a strained relationship with his step-father and habitually opposes his rules. The client has been diagnosed with attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD). This causes him to misbehave at home and school. The client repeatedly engages in altercations with other students and even staff. The client will attack students and staff with pencils by attempted to stab them. The mother has been called to the
Presenting Problem: Kaleb is a 12 y/o white male presenting ADHD-CT, ODD, and Adjustment Disorder with anxiety and depressed mood. Kaleb was alleged locked in a closet as a form of discipline for lying, stealing and wetting the bed with only a mattress, pillow and bed sheet allowed where CPS was involved. He was required to perform numerous military style exercises as a form of discipline. He has been engaging in assaultive behaviors at school, and at the Seton house. He has demonstrated behaviors in foster care placement to include cursing using racial slurs, and threatening to run away. He is currently placed back with his biological father and stepmother. He also engages in lying, stealing, manipulating, fire setting, abusive behavior
Jose is a 16 year old Hispanic male who was born in Mexico and migrated to the US at the age of 10. He is medium build with brown eyes and is approximately 5 feet tall. Jose is currently residing with his mom and 10 year old brother in Marcy projects. He attends Midwood High School and is in the 9th grade. Jose was referred to my agency by his mother who sought services to address his frequent outbursts in the home. Jose’s mother reported that Jose punches the wall and throws objects around the home when he gets upset. She further reports replacing three TVs over this year as a result of Jose’s aggressive behaviors. The mother reported that Jose’s behavior is escalating and she is worried that his behavior may impact her younger
Noel is a fifteen year old male, who his blind and deaf. He is diagnosed with Autism and Developmental Delays. He has cognitive impairments and is relies on other to make decisions for him. The mother indicates they do everything for him. He is nonverbal; he does not understand or is not able to think independently. He also has behavioral patterns of being physically abusive when his needs are not being met. The mother states he does not like to go out and is nonsocial. He attends Westbury high school and is in a confined classroom with only three other students. The mother indicates he resist his activities of daily living and his occupational therapy treatments. He currently takes two prescribed medications. He has urinary and bowel incontinence
As a counsellor I have an obligation to follow professional standards and apply appropriate behaviour defined by mental health associations. The purpose of this is to prevent harm to clients as well as to define my own professional values.
Build a mirror CRM production system over the next two weeks so that a rebuilding of the main CRM system could occur to plug security holes and assure that another DoS attack would not be successful.
RELEVANT HISTORY: Delfina is a 9 year old Hispanic female who was placed with Angels of Grace on August 18, 2014; due to neglect from previous foster parents. Delfina is currently doing well in the home of foster parent Obdulia Martinez. Delfina enjoys drawing, dancing, singing, and going to the park for walks with her foster family. Foster parent Obdulia reports that Delfina’s behaviors have improved. She cleans up after herself and wakes up for school without protest; however, she does not like school. Delfina expressed a sense of security within the care of foster parent Obdulia. Foster parent reports that Delfina would be retained, due to lack of math and reading skills. Foster parent reports that the retention documents have been signed for the next school year. Foster parent reports that Delfina continues to display “parental like” behaviors. For example, Delfina tends to give orders to both siblings, Pedro and Isabella when they misbehave. Foster parent reports that Delfina tends to lie constantly and is concerned with her behaviors. Foster parent reminds her about the consequences of her negative actions. Delfina has no contact with paternal grandmother since Christmas of 2014. Delfina’s grandmother, reports no longer having an interested in pursuing guardianship of Delfina and her two siblings Isabella