Ethics Of Working With Adolescents

According to Beauchamp and Childress, the principle of autonomy asserts that a capable and competent individual is free to determine, and to act in accordance with, a self-chosen plan (Beauchamp and Childress as cited in Keating and Smith, 2010). Determining a patient's competence is critical in striking a proper balance between respecting the autonomy of patients who are capable of making informed decisions and protecting those who are not fully capable (Appelbaum, 2007). Tagging children incompetent solely on the basis of their age and not involving them in decision making regarding their health is violation of children's human right. Obtaining consent from parents, rather than children, negates one of the most important principles of medical ethics, which is patient autonomy. Nurses are obligated to promote the health of children by embracing children's right. Nurses' duties which stem out of respect for autonomy include both duties to ensure children's self determination is respected and to refrain from practices that interfere with the children's right of decision making (CARNA,

The first ethical issue that counselors have to worry about in counseling children is to be a competent counselor. It includes that the counselor must be familiar with child and adolescent development. Also, in order to be competent in counseling children, a counselor must frequently participate in trainings, specialized education, and supervised practice (Henderson & Thompson, 2011). Another ethical issue in counseling minors is privacy and confidentiality. According to the American Counseling Association (ACA) (2014) Code of Ethics, when counseling minors a counselors protect the confidentiality of information received (ACA, 2014, B.5.a). Counselors also have responsibilities with the child’s parents such as inform parents about the role of counselors and the confidential nature of the counseling relationship (ACA, 2014, B.5.b). When a counselors needs to release confidential information, he needs to seek permission from the child’s parents, legal guardians, or the appropriate third party in order to disclose the information (ACA, 2014, B.5.c). According to Henderson and Thompson (2011), children have to have their parents’ consent to see a

This essay will discuss the legal and ethical concerns when working with children and young people. Confidentiality and safety issues will be discussed with relevant consideration as to how these issues may be addressed when forming a relationship with a child and their parents or caregivers. The influences of power, gender, ethnicity and cultural differences when counselling children and young people will be mentioned, with relevant aspects of key human development theories outlined. There are many things to consider when building a therapeutic relationship with a child or young person and potential challenges will be analysed and discussed. Finally, there are many skills needed to effectively communicate children and young

Health and social care organisations increasingly need to work together in partnership to get better value from the available resources and improve services and outcomes for service users, by improving quality of support for service users. Good relationships between partners, a common vision and understanding of expected achievements and what outcomes need to be delivered are critical to the success of partnerships. This will enable a more responsive service, which is well co-ordinated approach to the service delivery, and better value for money by ensuring reduced duplication of services.

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).

Throughout history there has been many ethical dilemmas that have resulted in change, and many that have still not been resolve. These dilemmas often result in controversial issues arising, and both sides of the spectrum arguing as to which proposed idea is the morally correct one. Today, there is an enormous controversy in the ethical dilemma involving child care. This issue revolves around whether the views of the parents should be upheld when their child is in danger medically. To further assess the impact of this ethical dilemmas, a case study involving the treatment implemented on a child by a physician while opposing the views and wishes held by the parents will be analyzed in terms of the ethics of the situation, the stakeholders, values,

The healthcare team will observe the legal statutes of the state of California when administering care to minor patients. Minor patients are any patients under the age of 18 at the time that services are rendered. In the state of California, minors of any age may consent to medical care related to pregnancy, contraception, abortion, emergency medical service, sexual assault and rape services (this office maintains that minors under 12 can not be expected to give consent to any sexual act* and the attending physician should notify the medical office manager immediately before the minor patient leaves) and skeletal X-ray to diagnose child for abuse or neglect (the physician doesn't need either the minor's or the parent's permission in this instance) without parental permission and the physician can not inform the parents without the minor's consent. Further, minors age 12 years and older may obtain outpatient mental health services, diagnosis and/or treatment for infectious, contagious communicable disease and sexually transmitted disease, HIV/AIDS testing and treatment, rape and alcohol and drug abuse treatment without parental/guardian consent. When

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

Many people are unsure of the rights granted to minors because of the laws in place, or the lack of laws in place. In fact there are laws, such as the Privacy Act of 1988 that could be a reason people are confused about the rights minors have to confidentiality. This act is directly described in a professional practice article when Bird (2007), stated that an adolescent’s health information can be released to a guardian, but in circumstances where a minor is capable of making their own medical decisions, they should be allowed to do so (p. 655). Bird further explained that “If an adolescent is able to consent to their own medical treatment, then they are

With the utilization of the Act-utilitarianism mindset, an alternative plan of action to focus on the circumstances surrounding Andrea and the community at large can be established using Uustals ethical decision making model. The nine steps identified by Uustal can allow the nursing process to be applied in an effort to guide the nurse in practicing proper judgment. The quandary involves community, personal and patient dilemmas. While many nurses strive for adhesion to values of patient autonomy and keeping ones word, the very nature of health care can raise cause for nurses to contradict and deviate from their own ethical stand points, all in an effort to do the right thing. Due to Andrea’s development of cervical cancer, nurse Hathaway was right in disclosing the minor’s disease to her parents. Adolescents usually are covered by their family’s insurance, but they may not have coverage for unaccompanied care, and they may

Over recent years there has been an increasing approval in Britain and elsewhere that children and young people should be involved more in decision making which may affect them. Recent years have seen an increase on the focus of children 's rights which include ways of getting young people and children involved more directly in decision making that impact their lives. In research terms, this has been mirrored in a linguistic shift from talking about 'research on ' to research with ' and now, increasingly, to 'research by ' children and young people (Kimmel, A.J., 1988).

There are many legal and ethical situations that healthcare providers will be faced with when providing medical treatment to either a child or an elderly adult. While there is often much discussion regarding the elderly and do not resuscitate orders, there are often times when the decisions for health care of a child may be overlooked. Some of the legal issues that may be faced by healthcare professionals are informed consent, confidentiality, reproductive services and child abuse. Patients have the right to decide what is done to their own bodies, but for children under eighteen, their parents decide for them. A major issue faced by healthcare professionals is parental refusal for treatment. Healthcare providers will be faced with many conflicting ethical and legal situations regarding refusal of a minor’s healthcare and treatment. These issues

Ethical issues in a counseling practice lay the foundation of a therapist in practice. Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. In order for the counseling profession to be ethical and hold professional recognition, there are many facets that need to be examined and outlined to make sure all counselors and practitioners are functioning at the highest level and withholding their duties required by the counseling profession. The first introduction so to speak of the area of ethics also happens to be one of the first steps in counseling, which is the informed consent. The informed consent provides the basis of what happens or will be

The popular belief among our society has always been “Parents know what's best”. While their kids are young, parents know how to make their medical decisions for them. Parents know what's best for their children, they know how to keep them safe and healthy. However, their children soon turn into teenagers who should be trusted to make their own choices regarding their health care. They’re no longer the children they once were; they can comprehend the extension of every decision they make. Services and treatments should not be restricted to them because of their age or need for parental consent. Teenagers should be given confidential health care and should be trusted to make the choices that regard themselves. They should be allowed the privacy from everyone, including their parents make those choices.

Ethical practise is difficult to properly define. “Caseworkers, supervisors, and other staff should be guided by an overarching set of ethical standards that inform their decision-making and conduct when working with children, youth, and families. Relationships with clients and colleagues should be based on mutual respect, commitment, and honesty, and should take into consideration cultural differences and the right to privacy.” (U.S Department of Health and Human