ethical dilemma examples mental health

This paper will now discuss the principles of Justice. There are very widespread implications if ethical issues are ignored in mental health. Those who work in the mental health profession often work alongside others with different educational backgrounds. 1997). Working with colleagues from different cultural backgrounds may lead to some misunderstandings, as well. As a health visitor she has a duty of care to protect both parties, however, the interests of the child comes first (RCA, 2008, DO 2004, DOCS 2010). It would appear, that Sally has some insight that her feelings could be considered a risk, as she has chosen to inform the health visitor of the situation, therefore making her choices autonomous (Béchamel and Childless, 2009). Ideally, colleagues would respect/embrace one another’s differing educational backgrounds, as well as appreciate how it may contribute to unique viewpoints that may better serve clients. Lurch et al (2010) cites Florence nightingales (1859) nursing notes, where she discusses ethical duties of confidentiality, communication, and the centrality of meeting patients’ needs, this reflects the same moral and ethical issues nursing professionals face today. The following are several common ethical dilemmas that nurses face while on the job. Dignity and Worth of the Person – As the NASW Code of Ethics states, social workers seek to resolve conflicts between clients’ interests and the broader society’s interests in a socially responsible manner consistent with the values, ethical principles, and ethical standards of the profession. To make matters even trickier for nurses, the same ethical dilemma on two different occasions may require a different solution each time.              principles of psychologists and code of conduct. Key strategies to help address dilemmas in rural mental health care are also outlined. Consequential is a philosophical theory, and its ethical principle is utilitarianism. Classic utilitarianism suggests that the outcome of a dilemma should maximize the greatest good, for the greatest amount of people Moonstone, 2009). Although those from different educational levels may be just as competent as one another, conflict may easily arise when such professionals view others from lower educational levels as less competent. ISBN-13: 9780495904687. At that point in time, it is her main concern to ensure the baby is safe. Furthermore, it gives guidance on how to deal with negative work environments (such as when the environment is so negative that it may affect clients). Indeed, tempers can flare when each respective counselor feels he/she knows what is best for his/her clients, but is unwilling to be flexible. Schlemiel (2009) comments that the role of a nurse in ethical lemmas is often seen an advocate by some, Variation et al (2005) explained advocacy as assisting patients to understand treatment processes, to safeguard patients from rights violations and to show a philosophical stance to guide patients. However, in many cases, such as a disagreement over therapeutic approaches, ethics boards would be unable to help, as no ethical violations per se have taken place. When faced with ethical dilemmas that are difficult to resolve, Arguably, by breaking confidentiality the health visitor may be harming the relationship of herself and Sally, she may also be harming sally emotionally, or even be harming the bond between mother and child (Muzzy et al 2013). In addition, the mental health professional should assist the client with preparing for potential aversive circumstances and emotions that could result from disclosing information (Bonner & Vandecreek, 2006). Mental health practitioners working with children and families must attend to several ethical concerns that do not typically come into play with adult clients. Autonomy Autonomy is a term which is used for the principle of self-governance, and to make decisions, as an individual with respect to healthcare and lifestyle (Béchamel and Childless, 2009; Atkinson 1992). Ethical principles are the framework that guides a mental health counselor’s practice. Case examples are used to illustrate several distinct ethical features of mental health care in small, isolated, and otherwise "closed" communities with limited resources. Ethical Issues in Mental Health Nursing. ACA Code of Ethics. The different stakeholders are confronted with the following dilemmas: c … Georges and Gryphon (2002) state that nurses often fail to recognize the moral elements of complex situations, and they often lack the skills to effectively resolve moral dilemmas. What Is Dilemma In Health And Social Care. Recognizing, acknowledging, and respecting this will help to reduce potential conflict from arising in the work environment (Koocher & Keith-Spiegel, 2008). Welcome to Lighthouse Counseling Center in Bangkok, BANGKOK RELATIONSHIP AND MARRIAGE COUNSELING. Save my name, email, and website in this browser for the next time I comment. While all of the above effect both telehealth and tele mental health, there are additional ethical challenges to consider when using tele mental health. These points are, protecting and promoting the patients wellbeing; promoting and protecting the patients eight to, and interest in exercising self-determining choices; and protecting others who may come to harm by the patients harm-causing choices. Counselling Dilemma: A Teenager Experiencing Study Stress Anna is a 17 year old student in Year 12 who has come to counselling because she is not coping with the stress of her final year. & Runyan, C. “The ethics of complex relationships in primary care behavioral health.” Families, Systems, & Health, 2013, 31: 20-27. Firstly, the counselor/psychologist should determine if the conflict between the two colleagues is ethical in nature. If you need this or any other sample, we can send it to you via email. To be incapacitated due to trauma or mental ill-health (for example) means that practitioners will Often work in your best interests (Kulak, 2005). Sorry, but copying text is forbidden on this website. Journal of Mental Health Law, May, 7–18. New York: Oxford. For example, those with higher level degrees may assume superiority over those with lower level degrees (such as a PhD over a MA or a MA over a BA), even when the person with the higher level degree is not a direct supervisor of the other. Professional code of ethics offer very little guidelines on how to resolve conflict between professionals. Colleagues and Ethical Dilemmas in the Mental Health Profession . The mental health profession is not exempt to this. In terms of moral duty, whatever the Health visitor decides, should be told to Sally to maintain fidelity (Hendricks, 2004) Sally feelings of anger and worry may be symptoms of a postpartum depression or a psychosis (ACID-II ‘1. (2018, Apr 24). Sally does not want the father to be informed of these thoughts as she fears he may leave her. The paper begins with a brief statement about the centrality of autonomy or self governance as a core ethical value in the interaction between health care worker and patient. Introduction. A List of Ethical Dilemmas Facing Social Work. Following this principle In this situation it appears the health visitor is not being fair to the baby or sally ends up in hospital, however in the long term, it would be unfair to them both to deny them of any help. ). Hale, B. Colleagues and Ethical Dilemmas in the Mental Health Profession. Ultimately, however, each counselor is responsible for himself or herself regarding how to resolve conflict and ensure that conflict does not become an ethical dilemma. Counselors/psychologists must be sure to adhere to their own ethical codes, while at the same time recognizing that these guidelines may be different from those of their colleagues. If a counselor or psychologist finds herself in a conflict with colleagues or in a negative work environment, it can have many adverse effects. For example, is the disagreement between a colleague’s approach to treatment escalated to a point that it is affecting his or her clients? An ethical dilemma arises when the clients and health care providers differ in their understanding of what is right or wrong (Narrigan, 2004). injuries sustained as a result of a road traffic accident, an acute appendicitis, complications of diabetes, renal failure, etc. Those experiencing conflict should review such procedures. The solution from this perspective is to protect the child, as the health visitor’s responsibilities are favored in the child’s preferences but additionally, Sally has admitted she ought not to be left alone with the baby. Reiter, J. In fact, there may be times that a person with a MA is the supervisor of a person with a PhD. Ethical Dilemma In Social Care. In addition, as a health visitor, she would have a practitioner patient relationship which she would need to maintain. Autonomy means "self-rule" and involves the right of an individual to make choices that may go against a physician's treatment advice concerning treatment, or non-treatment, of an existing health … Keywords: Ethical dilemma, clinical supervision, integrated healthcare, confidentiality, and psychotherapy notes Introduction The entire March 2013 issue of Families, Systems & Health: The Journal of Collaborative This will be tackled using the ethical framework set out by Béchamel and Childless (2009), this framework will give the structure to the complicated argument above. Mental health professionals who are unable to separate their problems or personal life from their work often contribute to an unpleasant work environment. Munroe (2007) has argued that a conflict between mum and baby, and health visitors relationships, occur nonetheless with increased surveillance as set out in DO policies (Bibb) The NC (2008) states tattoo must respect a persons’ right to confidentiality, however, it states that also, “you must disclose information if you believe someone is in harm, in line with the law of the country tattoo are practicing in”. Following the NSF (DO, 2004) and safeguarding children (DOCS, 2010) the health visitor would follow safeguarding procedures as there is a potential risk to the child, as sally does not want to be left alone with it. The clinician hence is often in a dilemma when treating pregnant women with severe mental illness and is challenged with ethical issues related to decision making in this regard. Justice The principle of Justice relates to the fairness and desert of situations, it has been stated that ‘the holder of a valid claim based in justice has a right, and is due something’ (Béchamel and Childless; 2009). Health Details: Decisions.Some ethical dilemmas are specific to mental health nursing and are seen rarely in other areas of practice 2.An involuntary commitment to care, or a decision made by a family member on behalf of the patient, is often made to protect the patient from harming herself or others. Likewise, it states that psychologists should maintain adequate self-care to ensure that their personal problems do not interfere with the quality of their work (APA Code of Ethics, 2012). This discussion paper will firstly explore the theory of autonomy. As a health visitor she has a duty of care to protect both parties, however, the interests of the child comes first (RCA, 2008, DO 2004, DOCS 2010). Here are 10. ACA Code of Ethics. Johnston (2009) comments that mental illness can impair ones capacity to make decisions, she cites Brock and Buchanan (1989) stating that when such choices arise, three points should be considered. American Psychological Association ethical. Examples of Ethical Dilemmas that Nurses Deal with on a Regular Basis •Dealing with the pro-life and pro-choice debate. It is also noted however, that mental illness does not always cause people to be incapacitated; mental capacity can fluctuate, and should be tested where there is doubt, at the time of making the decision (MAC, 2005). Issues and Ethics in the Helping Profession, International Edition, 8th edition, Brooks/Cole. We use cookies to give you the best experience possible. Beneficence Beneficence is the principle which works towards the greatest good of the possible outcomes, to benefit the most people (Béchamel and Childless; 2009). While these teaching tools have been developed by psychologists, the vignettes are likely similar to those dilemmas faced in other mental health, counseling, or helping professions. Which can make the nurses ethical dilemma difficult to manage due to balancing the two valid ethical principles of autonomy (respecting and supporting decisions making) and beneficence (relieving or minimising harm in the best interest of the patient) (Hendrick 2004, Beauchamp & Childress 2009). This paper will now explore the principles Of malefaction. As in any work environment, conflict with coworkers is inevitable. Severe mental illness tends to occur and recur among women in the reproductive period. ... is responsible for himself or herself regarding how to resolve conflict and ensure that conflict does not become an ethical dilemma. Questions arise about the use of coercion, e.g., when a patient doesn’t want to take his … An ethical dilemma is a conflict between alternatives, where choosing any of them will lead to a compromise of some ethical principle and lead to an ethical violation. Regardless of how counselors/psychologists view other therapeutic approaches, attacking one another on a personal level because they disagree with an approach will only foster an environment of negativity and resentment, which may ultimately negatively affect the clients being served (Kanzler, 2013). She continues to say that it is an important part of care as it involves both the protection of individual welfare and the promotion of the common welfare (Weaver, 2011; Béchamel and Childless 2009). Consulting with colleagues, getting supervision, and consulting with one’s code of ethics can help determine if the conflict is a matter of ethics or not. Practice Dilemmas and How to Resolve Them discusses the use of mental health law to resolve practice dilemmas and problems. A crucial feature of an ethical dilemma is that the person faced with it should do both the conflicting acts, based on a strong ethical compass, but cannot; he may only choose one. If a mental health counselor is experiencing emotional problems due to a pending divorce, chemical use relapse or severe depression, there is an ethical obligation to seek consultation. This paper will now discuss the the principle of Beneficence. & Keith-Spiegel, P.A. To avoid such implications, counselors need to understand the principles and their application in counseling. The ethical standards that guide mental health professionals in their work often conflict with the ethical principles that guide business practices, such as those employed by MCO’s. Reaches (1966) shows the 6 points of material justice which have been proposed as a valid principle of distributive justice (Béchamel and Childless, 2009). It is where a non-integral test or treatment is recommended to the patient as a means of protecting the physician from potential legal claims. responsibilities. “From colleague to patient: Ethical challenges in integrated primary care.” Families, Systems, & Health, 2013, 31: 41-48. Ethical Dilemma in Nursing Essay Explore the example of a possible medical problem in the nursing essay. For example, in addition to encouraging cooperation and self-care, the ACA code of ethics encourages respect and acceptance of various therapeutic approaches. The dilemmas relating to autonomy and choice in the given scenario are; does sally have the capacity to decide that her partner is not informed; and should the health visitor breech the confidentiality of Sally, and tell her partner? In addition to these differences, other issues may arise from different personality styles, colleagues who are experiencing personal problems (such as those who may be in recovery from a mental illness, addiction, or personality disorders), as well as those who blatantly break ethical codes of conduct. Distinguished by unique jargon, knowledge bases, and historical traditions, the mental health professions are united in the aim of assisting clients and patients with problems that often cannot be categorized within the confines of one professional discipline Situations in healthcare arise where professionals have a duty of care which often can conflict with the patient’s right to autonomy (Béchamel and Childless, 2009). Alexandria, VA . Equally, professionals should recognize the value in a high level of education. These are used to help unravel ethical issues relating to patient autonomy. In an ideal world, colleagues and professionals alike would acknowledge that a degree is but one aspect of competence and does not give one an inherent superiority over other colleagues. By continuing we’ll assume you’re on board with our cookie policy, The input space is limited by 250 symbols. In the present case study, the ethical dilemma involved is faced by the attending physician, who was requesting permission to initiate the treatment of meningitis from the parents of the … It used 1st person, so it is a reflective essay. Dilemma 1: Psychologist in … Conclusion: There are four key points from the NC (2008) code which indicates guidance which can be applied to the scenario. ... whereby behaviour or actions of one individual could harm another in the service and this could be an individual with mental health problems who might become violent to someone. To determine this, the counselor/psychologist should consult with his or her code of ethics. The social work code of ethics are designed … You can get your custom paper from Other things that can lead to conflict include interpersonal style, strong personalities, or colleagues with their own set of problems (personality disorders, psychiatric disorders, addiction, or those who may simply be experiencing an acute life stressor). Depending on what type of licensure one holds will determine what code of ethics one follows. Ultimately, if a counselor is unable to resolve conflict through the appropriate channels, it may be appropriate for the counselor to seek employment elsewhere in order to ensure that the work environment does not begin to affect them in a negative way (such as causing them to neglect clients due to a lack of motivation caused by a poor work environment) (Koocher & Keith-Spiegel, 2008). American Counseling Association (2014). The dilemmas are derived from a discussion of the results of a qualitative research project that took place in five countries of the European Union. The health visitor would inform her line manager as procedure. For example, the APA code of ethics states that psychologists should attempt to cooperate with one another in order to best serve their clients. All you need to do is fill out a short form and submit an order. Decisions. The ACA code of ethics is more detailed in its guidelines, however. Various ethical codes often give different guidance for how to deal with ethical issues. These guidelines encourage counselors to escalate matters as far as making contact with state licensure boards if colleagues are unable to resolve the problem amongst themselves (ACA Code of Ethics, 2014). As in the other example, mental health professionals should strive to be open minded and accepting of various theoretical approaches. After all, a multidisciplinary approach usually only better serves clients (Koocher & Keith-Spiegel, 2008). Theoretically, Sally partner may come to emotional harm if he is told before consent nuances are explored; therefore it would be advisable that he is only informed as a next of kin, when the decisions on the wider situation are available. However, long term, those issues may be resolved, and the immediate risks that may be imposed upon he child, are paramount. (2007) The Human Rights Act and Mental Health Law: has it helped? The health visitor should explain this to Sally that t is her jobs protocol, and she is doing it for the safety of Sally, and of the baby; as disclosing the concern for sally mental Tate will safeguard both of them. The dilemmas are derived from a discussion of the results of a qualitative research project that took place in five countries of the European Union. In the following paper, I will discuss these issues, as well as how to handle them in an ethical manner (Corey, Corey, & Callanan, 2011). Some professionals may adhere strictly to one therapeutic approach and view all others as less effective, inappropriate, or even inferior. Corey, G., Corey, M.S., & Callanan, P. (2011). It should help define what we ought to do, by considering and reconsidering actions”. Ideally, each place of work would have procedures in place for dealing with conflict amongst employees. (2012). Ethical dilemmas in community mental health care is the focus of this article. written assessment will be to present the reader with an encounter of an ethical dilemma that a social worker may come across while working with clients within the mental health system and show how interpretation, how different dilemmas will impact on practice and how the impacts influence the delivery of services for the resolution approaches. The ethical areas of discussion will be Autonomy, Beneficence, Malefaction and Justice; this paper will also look at Deontological and Consequentiality theories. Ethical issues in mental health care Nurses working in the care for psychiatric patients daily face dilemma’s concerning respect for autonomy versus paternalistic behavior. In the dilemma, the health visitor would have to make a decision based on the greater good, is the decision that he/she makes, for the greater good of Sally, or for the greater good of the baby? Mental health care providers are bound by the ethical standards of their profession and by the laws that govern mental health practice in their state. They try to abide by the code of ethics from professional organizations like the National Association of … (2008). Ethical dilemmas are involved for refuting the moral code or ethical systems for improving or resolving the ethical paradoxes (Shapiro & Stefkovich, 2016). In case you can’t find a sample example, our professional writers are ready to help you with writing Kanzler, K., et al. The health visitor would therefore by telling the truth about the situation to sally, which could be regarded as acting deontological; as demonology states it is a moral obligation to tell the truth irrespective of the consent nuances, as your intentions are what your actions are judged on (Hendricks, 2004 page 10). In fact, those who work in the mental health profession may encounter other complexities in dealing with colleagues not seen in other fields, such as working with colleagues who use different theoretical approaches, working with colleagues who have different educational backgrounds and training (e.g., psychology vs. social work vs. counseling), or colleagues who adhere to different codes of ethics (ACA vs. APA) and ethical standards (or no ethical standards at all). Hasman, A., Mcintosh, E. and Hope, T. 2008: Journal of Medical Ethics "You must agree to out terms of services and privacy policy", Don't use plagiarized sources. In practice, it is sometimes necessary for social workers to make a judgment call, and one needs to be sure they are choosing the best options to resolve issues wisely when encountering an ethical dilemma. If all else fails, the last option would be to make a report to the appropriate ethical board (Koocher & Keith-Spiegel, 2008). Nurses and other professionals, such as midwives and health visitors make decisions everyday and often they face the argument of what is ethical practice (Lichen et al 2010). Firstly, the code states that ‘You must act as an advocate for those in your care, helping them to access relevant health and social care, information and support”; then “you must disclose information if you believe someone may be be at risk of harm.. ; it also states “you must support people in caring for themselves to improve and maintain their health” and fourthly, “you must act without delay if you believe that anyone else may be putting someone at risk”. Both the disorders and the treatments may have effects on the mother and the foetus. Personality styles that counselors/psychologists may encounter and prove troublesome include those who are rigid, overly critical, and narcissistic. If personal issues affect stability, objectivity, judgment or focus, the counselor may need to take a leave while undergoing therapy. Lastly, the counselor/psychologist should consider trying to resolve the conflict with his or her colleague directly (providing that doing so would not escalate the conflict further). Then there are three stories describing everyday interactions in an acute psychiatric unit. This is an example of autonomous principles verses paternalistic principles, which is recently less acceptable (Hendricks, 2004): unless the benefits outweigh the rent risk. Counselors/psychologists should strive to take care of their own mental health and control their own personality defects, so that it does not affect their colleagues or more importantly their clients (Koocher & Keith-Spiegel, 2008). Afterwards, the counselor/psychologist should discuss the situation with those who are not involved and can be objective in providing guidance and feedback. Lighthouse Human Services and Counseling Bangkok, TT Building 888, Sukhumvit 81, Phra Khanong, A STUDY ON THE INFLUENCE OF THAI CULTURAL FACTORS ON ATTITUDES AND PERCEPTIONS OF ADHD. Ethical dilemmas in community mental health care is the focus of this article. It may result in an emergency assessment by the child safeguarding practitioners’. Your email address will not be published. Anna is from a culture where academic success is highly important and she is under intense pressure from her parents to get good grades and go to university. Weaver (2011) describes beneficence in health, and social care, as delivering care in a way which will benefit the patient or service user. Acting in accordance with ethical principles can often protect healthcare professionals from legal action where patient’s rights, such as autonomy have been overridden (Bingham, 2012). Ethical Decision-Making in Mental Health Marna S. Barrett, Ph.D.Marna S. Barrett, Ph.D. Department of PsychiatryDepartment of Psychiatry ... to address every possible ethical dilemma that counselors may face. Ethics in Psychology and the Mental Health Professions: Standards and Cases. Undoubtedly, the education and training one receives will surely influence how he or she views mental disorders, as well as how they should be treated. Required fields are marked *. Furthermore, conflicts may arise amongst colleagues who hold different types of licensure or no licensure at all. All of the above would be implemented alongside one of the ethical principles discussed above. Béchamel and Childless (2009) state there are five principles of beneficence; “To protect and defend people’s rights, prevent harm, remove conditions which could cause harm, to help those with disabilities, and to rescue those in danged’ (page 199). The challenges for practitioners usually involve attention to four subsets of concerns that all begin with the letter c: competence, consent … Your email address will not be published. Below I will describe how mental health professionals should proceed to minimize these adverse effects. However, those who are not licensed may not follow any particular code of ethics (unless it is a requirement of their employer). our expert writers, Hi, my name is Jenn It is therefore important that nurses are equipped with the skills and knowledge to understand ethics within their practice. American Counseling Association (2014). Even with all things being equal, working closely with colleagues can still prove challenging. One’s colleagues may have been educated through medical school, psychology programs, counseling programs, or social work programs. For example, amongst addiction counselors there is considerable debate about whether abstinence-only approaches or harm-reduction approaches (teaching clients to use in moderation) are more effective (Kanzler, 2013). Essay, Use multiple resourses when assembling your essay, Get help form professional writers when not sure you can do it yourself, Use Plagiarism Checker to double check your essay, Do not copy and paste free to download essays. Malefaction Malefaction is the principle which states; that above all else, do no harm, but also impose no risk of harm (Béchamel and Childless, 2009).

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