If a counselor or psychologist finds herself in a conflict with colleagues or in a negative work environment, it can have many adverse effects. In the scenario, Sally informs the health suitor that she feels the baby is not hers, that she feels anger towards the baby, and does not want to be left alone with it. 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. 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. Case examples are used to illustrate several distinct ethical features of mental health care in small, isolated, and otherwise "closed" communities with limited resources. 2010). The ACA code of ethics is more detailed in its guidelines, however. 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. A List of Ethical Dilemmas Facing Social Work. Ethical dilemmas in community mental health care is the focus of this article. Hard paternalism is justified in healthcare if the action will probably prevent harm, and when the risks of an action, outweigh the potential risks to a patient (Béchamel and Childless, 2009). New York: Oxford. (2008). Key strategies to help address dilemmas in rural mental health care are also outlined. As in any work environment, conflict with coworkers is inevitable. Colleagues and Ethical Dilemmas in the Mental Health Profession. 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. 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. Examples of Ethical Dilemmas that Nurses Deal with on a Regular Basis •Dealing with the pro-life and pro-choice debate. Below I will describe how mental health professionals should proceed to minimize these adverse effects. Required fields are marked *. Severe mental illness tends to occur and recur among women in the reproductive period. We use cookies to give you the best experience possible. 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. If all else fails, the last option would be to make a report to the appropriate ethical board (Koocher & Keith-Spiegel, 2008). Sorry, but copying text is forbidden on this website. Working with colleagues from different cultural backgrounds may lead to some misunderstandings, as well. 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). Personality styles that counselors/psychologists may encounter and prove troublesome include those who are rigid, overly critical, and narcissistic. 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. 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). It is therefore important that nurses are equipped with the skills and knowledge to understand ethics within their practice. 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). Here are 10. 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. It may result in an emergency assessment by the child safeguarding practitioners’. The challenges for practitioners usually involve attention to four subsets of concerns that all begin with the letter c: competence, consent … Questions arise about the use of coercion, e.g., when a patient doesn’t want to take his … Depending on what type of licensure one holds will determine what code of ethics one follows. Professional code of ethics offer very little guidelines on how to resolve conflict between professionals. Ethical Issues in Mental Health Nursing. To be incapacitated due to trauma or mental ill-health (for example) means that practitioners will Often work in your best interests (Kulak, 2005). This is an example of autonomous principles verses paternalistic principles, which is recently less acceptable (Hendricks, 2004): unless the benefits outweigh the rent risk. As in the other example, mental health professionals should strive to be open minded and accepting of various theoretical approaches. American Psychological Association ethical. 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 any work environment problems or difficulties with coworkers and colleagues may arise. 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). & Keith-Spiegel, P.A. ). 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? Ethical principles are the framework that guides a mental health counselor’s practice. Ethics in Psychology and the Mental Health Professions: Standards and Cases. Get Your Custom Essay on, By clicking “Write my paper”, you agree to our, Legal and Ethical Issues for Mental Health Professionals, Applying ethical principles in nursing management, https://graduateway.com/ethical-issues-in-mental-health-nursing/, Get your custom Even amongst professionals with similar educational backgrounds, educational levels, and identical licensures, conflict can come about between those who practice different therapeutic approaches. 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”. Ethical values and principles involved. 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. 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). As nurses we often deal with ethical dilemmas in our everyday clinical practice; and as professionals we have the responsibility to analyse and examine any ethical problems that may arise. For example, it can affect the counselor’s or psychologist’s career, mental health, or his or her clients. Ethical dilemmas in community mental health care is the focus of this article. 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). 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. Hasman, A., Mcintosh, E. and Hope, T. 2008: Journal of Medical Ethics Introduction. Even with all things being equal, working closely with colleagues can still prove challenging. 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). 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. "You must agree to out terms of services and privacy policy", Don't use plagiarized sources. Furthermore, conflicts may arise amongst colleagues who hold different types of licensure or no licensure at all. Then there are three stories describing everyday interactions in an acute psychiatric unit. “I decided to join nursing industry because I enjoyed sports medicine class in school and I see a strong correlation between health and sports. There are very widespread implications if ethical issues are ignored in mental health. 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. 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. The second point is “to each person according to need”. The social work code of ethics are designed … 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). Afterwards, the counselor/psychologist should discuss the situation with those who are not involved and can be objective in providing guidance and feedback. 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. However, long term, those issues may be resolved, and the immediate risks that may be imposed upon he child, are paramount. For example, is the disagreement between a colleague’s approach to treatment escalated to a point that it is affecting his or her clients? Ethical dilemma is defined as a complex situation involving a mental conflict occurring between the moral imperatives where obeying one would make to transgress the other. mental health nursing ethical dilemmas If personal issues affect stability, objectivity, judgment or focus, the counselor may need to take a leave while undergoing therapy. Defensive medicine is not an ethical dilemma faced by most, but it is what gives rise to court cases that call into question the necessity of a doctor’s actions. Corey, G., Corey, M.S., & Callanan, P. (2011). Dilemma 1: Psychologist in … Save my name, email, and website in this browser for the next time I comment. To make matters even trickier for nurses, the same ethical dilemma on two different occasions may require a different solution each time. Ethical Dilemma in Nursing Essay Explore the example of a possible medical problem in the nursing essay. DO (AAA) guidelines also state that if decisions are based on a MIS-perception of reality, not due to culture or religion for example, then it is said that the person lacks capacity. Alexandria, VA, American Psychological Association. Harry Frankfurt, ‘Freedom of the Will and the Concept of a Person’ (1971) 68(1) J Phil 5; Gerald Dworkin, The Theory and Practice of Autonomy (CUP 1988). It used 1st person, so it is a reflective essay. Colleagues who fail to the either of these will contribute to tension in the work environment (Reiter & Runyan, 2013). For example, in addition to encouraging cooperation and self-care, the ACA code of ethics encourages respect and acceptance of various therapeutic approaches. Those who work in the mental health profession often work alongside others with different educational backgrounds. This paper describes the significant need for mental health care services in rural areas. (2007) The Human Rights Act and Mental Health Law: has it helped? Ethical Dilemmas in Mental Health Nursing | Healthfully. 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. Weaver (2011) describes beneficence in health, and social care, as delivering care in a way which will benefit the patient or service user. 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. In case you can’t find a sample example, our professional writers are ready to help you with writing The opportunity to make choices and decisions for one’s self in healthcare depends on your mental opacity. “From colleague to patient: Ethical challenges in integrated primary care.” Families, Systems, & Health, 2013, 31: 41-48. 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? Aristotle refers to justice as equal desert (Richardson-Lear, 2013; McIntyre, 1988). However, a more recent evaluation of the theory old deem it appropriate to attempt to “maximize the overall satisfaction of preferences, for the greatest number of people” by maximizing autonomy (Johnston 2009, page 64). 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). Recognizing, acknowledging, and respecting this will help to reduce potential conflict from arising in the work environment (Koocher & Keith-Spiegel, 2008). This paper will now discuss the the principle of Beneficence. The health visitor would inform her line manager as procedure. Social workers take on a variety of responsibilities that should ultimately serve their clients' best interests. Hale, B. injuries sustained as a result of a road traffic accident, an acute appendicitis, complications of diabetes, renal failure, etc. The different stakeholders are confronted with the following dilemmas: c … Beneficence Beneficence is the principle which works towards the greatest good of the possible outcomes, to benefit the most people (Béchamel and Childless; 2009). Welcome to Lighthouse Counseling Center in Bangkok, BANGKOK RELATIONSHIP AND MARRIAGE COUNSELING. 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. In the given dilemma, the baby is most at need of assistance as it cannot take care of itself. 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. In the given scenario, according to malefaction, the health visitor should impose no risk of harm; thus protect the child from harm. 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). Equally, professionals should recognize the value in a high level of education. Classic utilitarianism suggests that the outcome of a dilemma should maximize the greatest good, for the greatest amount of people Moonstone, 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. 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. 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. For example, the APA code of ethics states that psychologists should attempt to cooperate with one another in order to best serve their clients. This possible crosier may have Incapacitated Sally from making rationale decisions, as her picture of reality may be distorted (ACID-II v. 2010). One way to improve our ethics is to example arguments on both sides of common ethical dilemmas.. & Runyan, C. “The ethics of complex relationships in primary care behavioral health.” Families, Systems, & Health, 2013, 31: 20-27. 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. 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). 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. 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). 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? When faced with ethical dilemmas that are difficult to resolve, While all of the above effect both telehealth and tele mental health, there are additional ethical challenges to consider when using tele mental health. Decisions. The following are several common ethical dilemmas that nurses face while on the job. Retrieved from https://graduateway.com/ethical-issues-in-mental-health-nursing/, This is just a sample. To avoid such implications, counselors need to understand the principles and their application in counseling. 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). 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. Both the disorders and the treatments may have effects on the mother and the foetus. your own paper. 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). Journal of Mental Health Law, May, 7–18. 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. You can get your custom paper from 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”. Capacity refers to the ability to understand and retain information given to them, and able to make a decision based on this ability, furthermore a person is always assumed to have capacity; unless it is proven that they do not (MAC, 2005). 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). 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. The mental health profession is not exempt to this. Ethical Dilemma In Social Care. 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. By continuing we’ll assume you’re on board with our cookie policy, The input space is limited by 250 symbols. (2012). However, those who are not licensed may not follow any particular code of ethics (unless it is a requirement of their employer). 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. 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). This paper will now explore the principles Of malefaction. 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. 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. 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 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). ISBN-13: 9780495904687. 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). Mental health practitioners working with children and families must attend to several ethical concerns that do not typically come into play with adult clients. 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 All of the above would be implemented alongside one of the ethical principles discussed above. Alexandria, VA . In fact, there may be times that a person with a MA is the supervisor of a person with a PhD. American Counseling Association (2014). The issue of patients’ rights to and in health care, discussed in the previous chapter, has obvious relevance and application for people with mental illness admitted to hospital for the care and treatment of non-psychiatric conditions (e.g. Ideally, each place of work would have procedures in place for dealing with conflict amongst employees. 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. Indeed, these differences can create conflict if one’s colleagues are not flexible or accepting of each other’s viewpoints. These are used to help unravel ethical issues relating to patient autonomy. Your email address will not be published. Koocher, G.P. 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. 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). An ethical dilemma arises when the clients and health care providers differ in their understanding of what is right or wrong (Narrigan, 2004). Bibliography. Reaches (1966) shows the 6 points of material justice which have been proposed as a valid principle of distributive justice (Béchamel and Childless, 2009). This paper will now discuss the principles of Justice. 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. 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. responsibilities. Another ethical dilemma encountered by mental health … In the following paper, I will discuss these issues, as well as how to handle them in an ethical manner (Corey, Corey, & Callanan, 2011). This article explicates this ethical dilemma and explains how a social worker traversed this dilemma. To determine this, the counselor/psychologist should consult with his or her code of ethics. (2018, Apr 24). Reiter, J. 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 … our expert writers, Hi, my name is Jenn 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. They try to abide by the code of ethics from professional organizations like the National Association of … 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). Those experiencing conflict should review such procedures. Your email address will not be published. If you need this or any other sample, we can send it to you via email. 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. Ethical dilemmas are involved for refuting the moral code or ethical systems for improving or resolving the ethical paradoxes (Shapiro & Stefkovich, 2016). 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. Issues and Ethics in the Helping Profession, International Edition, 8th edition, Brooks/Cole. Conclusion: There are four key points from the NC (2008) code which indicates guidance which can be applied to the scenario. This discussion paper will firstly explore the theory of autonomy. Interventions that are intended to prevent harm ND benefit others, despite risky decisions, are autonomous; this IS known as hard paternalism (Béchamel and Childless; 2009). American Counseling Association (2014). The ethical areas of discussion will be Autonomy, Beneficence, Malefaction and Justice; this paper will also look at Deontological and Consequentiality theories. At that point in time, it is her main concern to ensure the baby is safe. ... 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. Practice Dilemmas and How to Resolve Them discusses the use of mental health law to resolve practice dilemmas and problems. Consequential is a philosophical theory, and its ethical principle is utilitarianism.
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