Setting Boundaries And Ethical Considerations With Clients Essay

A social worker has a multitude of responsibilities to ensure the best care is provided for their clients. Due to conflicting interpretations of ethical guidelines and rules, and a variety of personal views, social workers can sometimes find themselves in a tough situation when there are conflicts of interest. This can cause difficult or awkward sessions between the social worker and client, and can ultimately lead to the termination of services. In the case between Allison and Carmen, conflicting views caused Carmen to discontinue her sessions with Allison.

This paper will first discuss briefly what ethics are and provide the definition for an ethical issue. An ethical leadership issue is identified and explained for this author’s practice area. We will then identify and discuss key strategies for leadership that are pertinent to the ethical issue. Next, empirical evidence which supports the strategies discussed will be analyzed. Then, the impact and importance of the strategies will be stated. The final step will be to provide a conclusion to the reader that summarizes the content and strategies.

I intend to show an understanding of the ethical framework for good practice in counselling, relating it to practice and also my own beliefs and opinions, how this influences the counselling relationship, I will also show the need for protection of self and client.

At times, a relationship between the client and the worker may occur when building a rapport with the client. Some dual relationships are not harmful but when it is for personal gain, it becomes unethical

The section of the National Association of Social Work Ethics that will be discussed will be number four which includes Social Workers’ ethical responsibilities as professionals. This ethics code concentrates on a several different factors which include: 4.01 Competence, 4.02 discrimination, 4.03 private conduct, 4.04 dishonesty, 4.05 personal impairment, 4.06 misinterpretations, 4.07 solicitations, and 4.08 acknowledging credit.

There is a pressing need for a high level of worker/client boundary identification when working within a client population, however realizing a conflict of interest scenario is vitally important when facing a dual relationship with a client. There are so many issues that are faced by a human service professional, explaining all of them may be difficult. In this field there are issues such as burnout, secondary trauma, compassion satisfaction, dual relationships, and boundary issues. (Reamer, F. (2012). As human services professional or social workers there is a code of ethics. In statement 6 of the code of ethics, it states human services experts must be mindful that in their associations with customers/clients power and status are

The social work profession’s Standards of Practice outlines the boundaries in the relationship between social workers and their clients and sets a mandate of their responsibilities as a social worker (Alberta College of Social Workers, 2013, p. 30). In the Code of Ethics, boundaries are also set at a high standard as we must draw metaphysical lines between personal roles or interests and professional (Canadian Association of Social Workers, 2005, p. 7) to prevent forming a dual relationship with clients. Another boundary is to halt the possibility of the social worker from using the time they have to help themselves rather than helping their clients (CASW, 2005, p. 6). In addition to these boundaries, it is crucial for social workers to not share too much of their personal life with clients by placing mental boundaries of how much they feel they can share of their personal life with their clients.

The APA ethical guidelines help to ensure that all psychological research maintains the integrity that it does not do harm or conflicts with the majority of the human populations moral ethical codes. However, in some situations the APA ethical guidelines must be viewed as just that: guidelines. If a study has the potential to benefit humanity as a whole and does not result in the permanent or irreparable harm to a human being then some guidelines must be permitted to be stretched or even broken in the interest of human advancement and scientific progression. After all the goal and responsibility of a psychologist is to enhance our understanding of human behavior as well as to find ways to use this information to better society and humanity

Different organizations are driven by specific sets of code of ethics, which are used to protect many different aspect of the organizations, specifically the client, counselor, and organization. Concerning the standards of a counselor, their ethics are not only provided by the laws of the state or their practice, but also outside sources who present basic values and regulations of ethical standards in their code of ethics. This paper will look at two specific associations: the American Counseling Association (ACA) and the American Association

Having an effective ethics and compliance in health care training course for employees within a company is a positive effort to keep not only the company running strong and efficient, but also developing standards for other companies to follow who are trying to create a more applicable format for corporate regulations. According to federal guidelines, designated and regulated by the Office of Inspector General (OIG), a company in compliance to federal healthcare standards will have effective education of employees, investigation measures, discipline and enforcement measures, intervention of violation standards, strong internal audit standards, compliance officers and staff, and lastly, written company standards and policies that is freely available to all employees.

Dual relationships and the ethical behavior that revolves around boundaries with clients present a multitude of very complicated situations to counselors where a clearly defined course of action is not always evident. Aside from no accord amongst mental health professionals and boundary issues being unavoidable at times, recognition and prediction of potential benefits or pitfalls correlated with dual relationships can prove to be troublesome as well (Remley & Herlihy, 2010). For most cases, it is best if an outline is used to discern when it is appropriate for a counselor to breach the client-counselor boundary.

In the case study B, “When ‘Best Interests of Client’ Harm a Third”, the ethical dilemma existing is best interest of client vs. obligation to nonmaleficence. According to the NASW Code of Ethics, there is no specific legal code that actually addresses the decision making dilemma. There is the legal code section 1.01, Commitment to Clients however, it does not effectively support and guide Suzanne’s worker in this particular case despite the discussion of the “responsibility to the larger society” (Workers, 2008) as well as, reporting “specific legal obligations” (Workers, 2008). It is Suzanne’s worker who has the primary responsibility to act in the best interest of Suzanne, but lacks in consideration and support of Suzanne’s younger sister. There is also, the legal code section 1.06 Conflicts of Interest part (d), providing “services to two or more people who have a relationship with each other” (Workers, 2008) however, it does not take into consideration that both Suzanne and her younger sister each have their own workers who are both employed with the identical agency. Needless to say, the worker made an accountable decision based on motivation to keep both Suzanne and her younger sister together, which would be beneficial to both siblings. By supporting and maintaining the sibling’s affiliation, it exemplifies a “source of continuity, identity, and security” (Rothman, 2013, p. 62), which is not only important for the bonding of both Suzanne and her younger sister, but

Social workers should be aware of potential or existing conflicts of interest, should not engage in dual relationships with clients or former clients, nor take advantage of professional relationships for personal gains. Under no circumstances should a social worker engage in sexual relations or physical contact with clients or client’s relatives even if it is consensual. Services should not be provided to an individual who has had previous sexual relations with the professionals. Social workers should not make “sexual

The autonomy of a competent patient is an issue not often debated in medical ethics. Refusal of unwanted treatment is a basic right, likened to the common law of battery, available to all people capable of a competent choice. These fundamental rules of medical ethics entered a completely new forum as medical technology developed highly effective life-sustaining care during the 20th century. Several watershed cases elucidated these emerging issues in the 1960’s and 70’s, none more effectively than that of Karen Ann Quinlan. Fundamentally, this case established that a once-competent patient without the possibility of recovery could have their autonomy exercised by a surrogate in regard to the

Ethics has become an important topic in business today with good reason. Just look at the headlines: Rajat Gupta Scandal, Anil Kumar and Rajaratnam scandal, Enron, Worldcom, Health South, Great depression, financial crisis due to unethical behaviour by the banks etc. All of these cases are related to consultants either directly or indirectly and they occurred due to the moral fallacy of some of them.