Ethics Of Working With Adolescents

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Ethics of working with adolescents is not simply a response to their conflicts and dilemmas. It involves a complex deliberation of the legal context, as well as the ethical framework, that guides the practice of a healthcare practitioner (Michaud, Berg-Kelly, Macfarlane, & Benaroyo, 2010). Ethical considerations for an adolescent include the important components of duty of care, confidentiality, consent, and mandatory reporting (Sigman, Silber, English, & Epner, 1997). Sustainable service collaboration between various service providers is essential to provide holistic health and social service (Beadle, 2009). Multiagency work is at the core of providing comprehensive and integrated support services to young people especially those with multidimensional and co morbid issues (Ogenchuk, Sputt, & Bally, 2013). Bruun and Hynan (2006) emphasise the need for ‘effective, client-centred, relationship-based practice’ for positive health and wellbeing outcomes in this young group (p.19). Challenge Identified In my professional capacity as a psychotherapist in private practice, as pointed out in the case study of Amy, working with vulnerable young people is fraught with challenges. My ethical tension surfaced again when Amy shared some of her presenting issues especially surrounding sexuality, sexual abuse and abortion. These topics are rarely discussed openly in muslim communities and a taboo topic at best in most Asian cultures. An important study conducted by Sawleshwarkar et
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