June's Ethical Decision-Making Model

However, we do have control over what we

Ethical Decision Making Greg and Natalie started Business classes together since their first college year. They knew each other very well. While these two were in the senior capstone projects, along with few of Greg’s friend, he invited Natalie to join his team for the group project. As the project started, Greg and his teammates noticed that Natalie was not prioritizing the project. Natalie didn’t pay attention in the meetings, she would show up late to the meeting and she would come to meeting not sober.

It goes without saying that at some point in a counselor career, he or she can expect to be faced with an ethical dilemma. Ethical decisions are rarely easy to arrive at, as the dilemmas a counselor is faced with can be very complex

In regards, to ethical dilemmas, I recognize and acknowledge them based on both the AAMFT and the AUCFTI clinic's code of ethics and my own insight. It is important to follow the clinic’s code of ethics, but if something feels off or uncomfortable, you should acknowledge those feelings within yourself and reach out for assistance. Currently, as a student, I would reach out to my supervisor or another staff member if she isn’t available. Your supervisor is always a good source to help you process any questions or concerns. It is also important should anything arise, I would want to be able to have a clear, concise conversation with my clients holding onto and maintaining my boundaries on the issue. Within this process, I would also utilize the Koocher and Keith-Spiegel model for ethical decision-making, as outlined by pages 52 through 54 in Wilcoxon (2014). Ethical decision-making by definition can be difficult, this model allows you to decide what is the correct solution in a less biased way. It additionally, prompts you to provide adequate detail to back up your decision.

Making sound ethical decisions require an intentional process that utilizes thoughtful reflection, supervision/consultation, and action. Many ethical decision making models exist and the seven-step model introduced by Forester-Miller and Davis (1996) is a succinct amalgamation of these earlier models. The model by Forester-Miller and Davis (1996) follows seven progressive steps: (a) identify the problem, (b) apply the ACA Code of Ethics (2014), (c) determine the nature and dimensions of the dilemma, (d) generate potential courses of action, (e) consider the potential consequences of all options and determine a course of action, (f) evaluate the selected course of action, and (g) implement the course of action.

Being able to form a diagnosis properly for a client is a process that is wide-ranging and broad. The Diagnostic and Statistical Manual of Mental Disorders (DSM) (American Psychiatric Association [APA], 2013) supports recommendations and standards for identifying a diagnosis for a client. The procedure of diagnosing is more than skimming for symptoms in the DSM; one must assess, interview and identify issues, as well as refer to the DSM for a diagnosis.

Every day we are faced with certain situations that challenge us with how to act in an ethical manner. It can be human nature to feel unsure or conflicted with the correct moral choice. Some can say that one should know how to handle such dilemmas and others may say that there should be a reference of some sort to help guide through such conflicts. Sometimes we know the answers and sometimes we are unsure of how to handle certain situations. Most times we go through life wondering what we should do. As I become further educated on the different theories of ethics, I believe there are answers that are available in guiding one through an ethical dilemma and or judgment. I will discuss Vincent Ruggiero’s three basic criteria, Robert Kegan’s order of consciousness, the three schools of ethics and the correlation between all three.

According to Erford (2010) defines diagnosis as a framework used to identify problems or the focus of intervention. Mental health settings typically use the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition- Text Revision (DSM-IV- TR) (American Psychiatric Association, 2001). Diagnosis is the recognition of a problem that becomes the objective and goals of the counseling intervention it is also the detection of a disease, disorder, or syndrome based on some form of systematic assessment. “The problems associated with diagnosis include identifying clients by their diagnosis as opposed to focusing on their unique situations and experiences” (Erford, 2010 p.285). Understanding the implication of a diagnosis on the client and the counseling relationship is something that all professional counselors need to consider. To develop a treatment plan counselors uses the DSM- IV- TR which includes a five axial system that comprises of clinical disorders and other factors that are the focus of treatment, long-standing socio-emotional problems, medical conditions, environmental stressors, level of symptom distress, and functional impairment. This five axial system is intended to provide a comprehensive diagnostic picture. Professional counselors need to be diligent regarding the use of diagnosis. It is an ethical requirement that counselors providing diagnostic formulations be adequately trained in the use of DSM- IV- TR and that

While mental health professionals have had mixed feelings about the use of diagnostic labels in counseling, the diagnosis is another common outcome of the assessment process. Mears (2010) reports the advantage of diagnostic classifications as their usefulness in written and verbal interactions about the specific problems a client might experience. An example of this is when a diagnosis documented in a case conceptualization or treatment plan increases the ease of communication between clinicians or billing agencies.

The ethical decision making process is based on moral rules and unchanging principles that are derived from reason and can be applied universally. These universal rules and principles must be considered separate from the consequences or the facts of a particular situation. (McWay, 2014). Health care workers face ethical issues and have to use the ethical decision making process to determine what is best for their patients.

The first step of the Ethical Decision-Making Procedure is stated as, “1.0 Become Aware of Dilemma” (McNamara). According to the given case scenario, the dilemma is clearly stated. It reads that the client (mother) does not believe in rewards or support the use of them for her son. The mother is going against what the BCBA believes in and stands for, thus causing a direct dilemma. Removing reinforcers is not feasible for the professional BCBA, and this must be properly addressed with the client. Situations like these are where the Ethical Compliance Code comes into place for the sake of the clients and professionals involved.

Management constitute amongst major components of a company, organization or a business. As such, management oversees employees interactions with their supervisors and also control of people within a particular organization. Also, it includes critical and ethical decision-making process so as to address various ethical dilemmas experienced by employees while undertaking their respective assigned duties within the company. Ethical dilemmas are hereby to stay as issues usually arise now and then and place a variety of options that bear different repercussions. Therefore, it calls for ethical and critical decision-making skills so as to make the most appropriate option that bears more benefits in comparison to other options presented. While making ethical decisions, it 's substantially important to play heed to a certain ethical decision-making theory. This would enable an individual making the decision to ripe best possible consequences rather than living to regret. Moreover, ethical decision making is typically important in business as making a wrong decision may result not only in huge losses but also poor relationship amongst colleagues and miserable life for employee(s) working in a particular company or business in question.

Background: Two staff are seen carrying the old woman and throwing her onto her bed. (YouTube) A nursing home along Braddell Road has been suspended from admitting new patients with effect from 12 April after a patient was reported to have been mistreated. The incident at Nightingale Nursing Home came to light after a video of a patient being mistreated was sent to local broadcaster Mediacorp. The footage was shot by a hidden camera on a patient's bedside. In the video, an elderly woman patient is seen sitting stark naked beside a bed with the room ceiling fans on. She is then picked up by two hospital staff and thrown onto a bed, before a staff is shown slapping her on her mouth when she wailed in pain. Reports say the patient has been a resident there for four years and is suffering from stroke. The Ministry of Health (MOH) said it has suspended the nursing home from admitting new patients from 12 April until further notice. The nursing home has also disciplined the staff involved and put in place additional measures such as ward rounds by senior staff, regular meetings with patients and their family members, and management check on staff conduct and patients In a statement to Yahoo! Singapore, a MOH spokesperson said, investigations into the video recording show "significant lapses in the care standards" to the patient in question. "This should not have happened. There should have been tighter supervision of staff rendering care to vulnerable patients. Patient's dignity

Throughtout this written assignment there will be a discussion on ethical decision making about making a decision on possible ethical consequences that may be placed in your life, and what ethical consequences will be dealt with in the mental health professional field. Decisions could possibility pertain your conduct such as an ethical dilemma that will required a serious decision to be solved by your action as an leader. Even though a leader may not have caused the problem, they do not have a choice but to respond to the issues at the workplace. The key is how would a leader react to the issue and how their reputation and career standards will interfear afterwards. An early recognition could prevent many ethical issues from increasing in the mental health field and work environment. Ethical dilemmas could happen in many different ways, such professionals do have any act of acknowledge by knowing they have allowed themselves to be placed in a predictment without any knowing about it. This assignment will also discuss the scenario, what the reactions were from the team leader, what consequences should take place, the code of ethics and what were the results from decision making.

Nurses often encountered various ethical dilemmas in the practice setting. Both virtue ethics and caring ethics support good ethical decision making for nurses (Park, 2012, p. 149) but these are inadequate to assist in solving an ethical dilemma (Park, 2012, p. 149). For that reason an ethical decision making tool is helpful for the nurses or clinicians to come up with an ethical decision (Kelly, 2012, p. 571) that allows them to gather information, identify any gap of understanding on the issue or the disagreements between the involved parties through a clear communication (Park, 2012, p. 140). Several authors presented an ethical decision making processes (Park, 2012, p. 141), here presented the two processes that can be applied in resolving an ethical dilemma. One example of ethical decision making process is the DECIDE model by Thompson, Melia & Boyd (Allen, Chapman, Francis, & O’Connor, 2008, p. 5) and the Integrated ethical decision-making model which was derived from the combination of the different ethical decision-making models strengths (Park, 2012, p. 140). These two ethical decision-making model steps are identical to each but differ on the detailed instruction on how the steps are to be done or used in actual case. By comparing the two models the integrated ethical decision-making model have a detailed instruction. The