The Ethical Decision-Making Model

I am the health mental health worker and I have a dilemma. To figure out the right course of action I looked at two standards in the NASW Code of Ethics. The two standards I chose are 1.01, which is in the best interest of the client, and 1.07 c, which is; keep information told to me in the file since it is confidential. Standard 1.01 is linked to the context because if I follow this standard I will be helping the client because he can be reunited with his son. 1.07c is linked to this dilemma because what is told to me in confidence needs to stay confidential. The action to follow 1.01 tells the child protection worker because it is in the best interest of the client. For standard 1.07c the action to follow would be that I cannot tell because

The counselor did not treat Mary without gaining consent from her mom. the case states that Mary;s her mother gave legal permission for Mary’s treatment with the same limitations that the counselor made which was that he would maintain the confidentiality of Mary at all time. The counselor could get into lots of trouble if they were to begin seeing Mary without a consent on file.

A collateral interview was conducted with Rami Kaminski, the mother’s therapist. Dr. Kaminski reported that he sees the mother alone for individual treatment. He indicated that he has not seen her husband. Dr. Kaminski reported that he started seeing Ms. Englebardt for about 2.5 years, while she was still living with her husband. He reported that she wanted to be out of the marriage and felt unable to initiate the proceedings. The mother tried to communicate with her husband but he was uncooperative in communicating with her. There was no domestic violence however, she felt frightened of the husband. The mother reported that the father would shout at her, tell her she was lazy and not a good mother. He was extremely critical of her.

According to According to (Gerald, Corey, Schneider, & Callanan, 2015) “Informed consent involves the right of clients to be informed about their therapy and to make autonomous decisions pertaining to it” (p.154). Section B of the ASCA National standards for School Counselors states “Recognize that providing services to minors in a school setting requires school counselors to collaborate with students’ parents/ guardians as appropriate” (pg.6). Since I will be working in the school system. I have to be aware that parents and guardians are heavily involved with the student’s school counseling experience.

Patient’s Perspective. The infant (child to Kelly and her husband, Dan) is clearly unable to act as a moral agent. The infant is only a few days old and obviously unable to make decision making capabilities.

The reporting party (RP) stated on 5/16/16 a visit was made to the foster home for a visit with Danny and Alex. While the RP was speaking with Danny, his brother Alex interrupted and informed the RP the foster mother is hitting him. Alex disclosed that his foster mother pushed him and pulled him by his shirt when she grabbed him. The RP stated no marks or bruises were observed on the child. Danny intervened and informed the RP he brother was lying. According to the RP the foster mother was informed regarding the information regarding Alex's statement. The foster mother stated she told the RP just before her arrival that Alex kicked his brother Danny in his mouth and Danny retaliated by pushing and pulling Alex by his shirt. The foster mother

1. Partner did not use prudence when making the decision to interview the minors alone, with no parental contact and choosing not to videotape the interview/confession. Ethical decisions were not made while conducting the interview.

Ms. Watson, I am letting you to know that, I am 100 percent certain that there is nothing in that transcripts that shield light on how the child support were calculated. Beware that Ms. Lacy the opposite attorney, is one of the political contributor in that court room, this how they play the dirty game. Could you imagine a judge to say to you that it is your funeral for taken this case? At the hearing I tried to ask questions, but she wouldn't let me say anything, I know what to ask and when to challenge an irrelevant testimony, but anytime I do that, she warned me of jail term. I understand, you a lawyer, but Ms. Lacy is a dirty lawyer, she can't win a case in real court room, but that is how that court room is run. I will assure you that his so call Temporary order child support payment I wouldn't comply with it, until this issue is resolved. I am not a coward, and I am not threatening by jail, but I will do my very best. I am in the middle of complaint to the states commissioner on judicial conduct. I have personally recorded everything including the one she said today. All they are trying to do, is buying time to execute this dirty game. Your best option if I may suggest, is an open court request to talk to Judge Alecia. I am aware that every order should be accompanied with factual finding before a Judge can signed, however, in that court room, no one look at those fact, they just sign a bare asserted order drafted by a lawyer. I am very appreciative of your effort to know the truth behind this temporary order.

It was extremely important to act under the NAYEC codes of ethics principle 1.3A.2 “to share resources with co-workers, collaborating to ensure that the best possible early childhood care and education program is provided” (Feeney et al, 2012 p. xxi). Aaron being acknowledged of Sally’s past as well as myself pointing out to Aaron “when teacher’s intentionally create secure relationships in early childhood programs, children benefit socially, emotionally, and academically”(Marilou Hyson, Jackie L. Taylor 2011, p. 76) he was able to grasp the important impact adapting his ways of communicating would benefit Sally and perhaps others. Nadine Burke Harris (2014) points out that “children exposed to adversity and trauma have triple the risk of getting heart disease and caner and a twenty year difference in life expectancy” (Tedmed). This highlighting the importance of meeting Sally’s needs immediately in order to combat the early stages of developmental delays, language loss and withdrawn behaviors (Florida State University Center for Prevention & Early Intervention Policy, 2010). Not providing Sally the positive relationships and environment she needed would not only go against Ideal 1-1.5 in the NEYC code of ethical conduct “to create and maintain safe and healthy settings that foster children’s social, emotional, cognitive, and physical development” (p. xvii), but would go against my responsibility as a mandated reporter by “failing as a caretaker, either deliberately or through negligence or inability, to take those actions necessary to provide a child with emotional stability and growth” (Massachusetts department of Children & Families); Without a safe-environment and trusting relationships

Miriam is a new hire at the community mental health center. Since she is a new hire, she will be working closely with her clinical supervisor Kim. This includes sharing case information with Kim while Miriam is receiving in-house supervision. The state law does allows for information sharing between professionals. Miriam’s client is a 17-year-old boy named Sam. She thoroughly discussed with Sam his confidentiality rights. Sam’s main concern was that information he shares will not get released to his probation officer or his parents. Initially, there did not appear to be any concern with information sharing to Kim. However, it was discovered that Kim is directly counseling Sam’s parents.

The psychologist needs to give a summary of his/her credentials to who was being evaluated as part of the informed consent. In a court process, everyone needs to be identified everyone needs to be ident This will give

The mother reported that a half a day later she received a call from the urgent care doctor saying that she should take the child to her own pediatrician because he was concerned about how she got hurt (three boys) he was concerned someone pushed her. Ms. Segal stated that she took the child to the pediatrician. Ms. Segal stated that she contacted her divorce lawyer and she said that the child no longer had her own room at her father’s home and she didn’t know what happened over the weekend. The mother reported that Mr. Gallardo stated that the child could

The Best Interest of the Child (BICS) refers to the legal standard for assigning a custody arrangement of a child during divorce proceedings that focuses on awarding judgment according to factors that are the best for the development and well-being of the child or children involved. Although forensic psychologists are legally allowed to make formal recommendations in child custody evaluations, the request in this case example is unacceptable because Bob’s lawyer is seeking out the evaluation and any legal assessment or custody evaluation should be performed by a neutral third party, which is typically selected by the judge and/or agreed upon by both parents. Not only does this practice help to limit the psychologist’s potential for bias in

Professional ethic codes designate the highest expectations of professional implications and describe the potential situations that we can face in practice. Instead of these great efforts, one booklet cannot include all we need when we encounter an ethical dilemma. Particularly, when the law and ethics code conflicts, ethical decision making become highly critical and problematic. According to me, one of the most challenging ethical dilemmas occurs while working with a minor client who demands for keeping her/his information confidential. As far as I concern, this might not be uncommon in the counseling field and ethical decision-making does not seem to be easy. Besides the professional ethical codes, counselors have to know laws and consider the best interest of the client. As a general rule, parents and legal guardians are responsible for and have a right to be informed about their children until these children reach the age of eighteen. Although there are some exceptions, this is the general rule in the US and most of the countries around the world. Certainly, this is a reasonable rule especially if parents and legal guardians are supportive and cooperative with the therapist. ACA Code of ethics (2014) dealt with this issue with the codes of

Reporter stated the following: Chancery court has the matter and we received the information to investigate. Both the mom and dad has attonerys. I will email the supervisor the attonerys’ name. The dad is alleging that the mom is letting the child stay with people he does not approve of. The people are his parents. The dad’s brother lost custody of his child due to drugs. The uncle lives with the grandmother. I assume that is what he is upset about. The child is exposed to drug use by the grandmother and uncle swapping pills (unknown) and it is unknown how long. I do not know if anything has happened. He (dad) alleges that the mom bite the child because the child bite her.