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). Ethical principles are the framework that guides a mental health counselor’s practice. To make matters even trickier for nurses, the same ethical dilemma on two different occasions may require a different solution each time. Issues and Ethics in the Helping Profession, International Edition, 8th edition, Brooks/Cole. 1997). Equally, professionals should recognize the value in a high level of education. 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 … 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). However, long term, those issues may be resolved, and the immediate risks that may be imposed upon he child, are paramount. Ethics in Psychology and the Mental Health Professions: Standards and Cases. For example, is the disagreement between a colleague’s approach to treatment escalated to a point that it is affecting his or her clients? To determine this, the counselor/psychologist should consult with his or her code of ethics. 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. Questions arise about the use of coercion, e.g., when a patient doesn’t want to take his … 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. Conclusion: There are four key points from the NC (2008) code which indicates guidance which can be applied to the scenario. If personal issues affect stability, objectivity, judgment or focus, the counselor may need to take a leave while undergoing therapy. 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. There are very widespread implications if ethical issues are ignored in 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. Examples of Ethical Dilemmas that Nurses Deal with on a Regular Basis •Dealing with the pro-life and pro-choice debate. Sorry, but copying text is forbidden on this website. The different stakeholders are confronted with the following dilemmas: c … Bibliography.              principles of psychologists and code of conduct. In addition, as a health visitor, she would have a practitioner patient relationship which she would need to maintain. Following the recent description of theory, the health visitor would have to assess each person’s preferences; Sally, her by, and her partner if knowing. Ethical Dilemma in Nursing Essay Explore the example of a possible medical problem in the nursing essay. Kanzler, K., et al. 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). "You must agree to out terms of services and privacy policy", Don't use plagiarized sources. 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 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. 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). Likewise, colleagues may have different educational levels, such as BA, MA, PhD or MD, which may influence their perspective on treatment. Depending on what type of licensure one holds will determine what code of ethics one follows. “I decided to join nursing industry because I enjoyed sports medicine class in school and I see a strong correlation between health and sports. & Keith-Spiegel, P.A. As in the other example, mental health professionals should strive to be open minded and accepting of various theoretical approaches. 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 … Classic utilitarianism suggests that the outcome of a dilemma should maximize the greatest good, for the greatest amount of people Moonstone, 2009). Corey, G., Corey, M.S., & Callanan, P. (2011). To be incapacitated due to trauma or mental ill-health (for example) means that practitioners will Often work in your best interests (Kulak, 2005). Hale, B. Working with colleagues from different cultural backgrounds may lead to some misunderstandings, as well. Case examples are used to illustrate several distinct ethical features of mental health care in small, isolated, and otherwise "closed" communities with limited resources. Koocher, G.P. Hasman, A., Mcintosh, E. and Hope, T. 2008: Journal of Medical Ethics This discussion paper will firstly explore the theory of autonomy. The second point is “to each person according to need”. These are used to help unravel ethical issues relating to patient autonomy. Ethical dilemmas are involved for refuting the moral code or ethical systems for improving or resolving the ethical paradoxes (Shapiro & Stefkovich, 2016). At that point in time, it is her main concern to ensure the baby is safe. One way to improve our ethics is to example arguments on both sides of common ethical dilemmas.. ACA Code of Ethics. Ethical dilemmas are important puzzles with no easy answers but are fun to contemplate. 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. One’s colleagues may have been educated through medical school, psychology programs, counseling programs, or social work programs. 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. Severe mental illness tends to occur and recur among women in the reproductive period. 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. ). 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. An ethical dilemma arises when the clients and health care providers differ in their understanding of what is right or wrong (Narrigan, 2004). 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? This paper will now explore the principles Of malefaction. 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). The health visitor would inform her line manager as procedure. However, those who are not licensed may not follow any particular code of ethics (unless it is a requirement of their employer). 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). 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). In fact, there may be times that a person with a MA is the supervisor of a person with a PhD. 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). This possible crosier may have Incapacitated Sally from making rationale decisions, as her picture of reality may be distorted (ACID-II v. 2010). 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. 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. 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, 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). 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. “From colleague to patient: Ethical challenges in integrated primary care.” Families, Systems, & Health, 2013, 31: 41-48. 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). 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). 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). ... 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. 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. 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. It should help define what we ought to do, by considering and reconsidering actions”. We use cookies to give you the best experience possible. 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). 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. Retrieved from https://graduateway.com/ethical-issues-in-mental-health-nursing/, This is just a sample. (2008). For example, in addition to encouraging cooperation and self-care, the ACA code of ethics encourages respect and acceptance of various therapeutic approaches. Your email address will not be published. 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. 2010). your own paper. Professional code of ethics offer very little guidelines on how to resolve conflict between professionals. All of the above would be implemented alongside one of the ethical principles discussed above. 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. If all else fails, the last option would be to make a report to the appropriate ethical board (Koocher & Keith-Spiegel, 2008). This is an example of autonomous principles verses paternalistic principles, which is recently less acceptable (Hendricks, 2004): unless the benefits outweigh the rent risk. Mental health professionals who are unable to separate their problems or personal life from their work often contribute to an unpleasant work environment. & Runyan, C. “The ethics of complex relationships in primary care behavioral health.” Families, Systems, & Health, 2013, 31: 20-27. Below I will describe how mental health professionals should proceed to minimize these adverse effects. Required fields are marked *. 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. Dilemma 1: Psychologist in … Your email address will not be published. New York: Oxford. American Counseling Association (2014). Even amongst professionals with similar educational backgrounds, educational levels, and identical licensures, conflict can come about between those who practice different therapeutic approaches. Key strategies to help address dilemmas in rural mental health care are also outlined. When faced with ethical dilemmas that are difficult to resolve, Reaches (1966) shows the 6 points of material justice which have been proposed as a valid principle of distributive justice (Béchamel and Childless, 2009). The ACA code of ethics is more detailed in its guidelines, however. While all of the above effect both telehealth and tele mental health, there are additional ethical challenges to consider when using tele mental 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 Patient autonomy is the most basic right of every individual and an example of a medical ethics dilemma. Here are 10. 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. 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. 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. responsibilities. Ethical dilemmas in community mental health care is the focus of this article. 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). Reiter, J. They try to abide by the code of ethics from professional organizations like the National Association of … Furthermore, conflicts may arise amongst colleagues who hold different types of licensure or no licensure at all. The challenges for practitioners usually involve attention to four subsets of concerns that all begin with the letter c: competence, consent … All you need to do is fill out a short form and submit an order. Mental health practitioners working with children and families must attend to several ethical concerns that do not typically come into play with adult clients. 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. If you need this or any other sample, we can send it to you via email. (2018, Apr 24). Social workers take on a variety of responsibilities that should ultimately serve their clients' best interests. ... is responsible for himself or herself regarding how to resolve conflict and ensure that conflict does not become an ethical dilemma. The discussion paper will conclude with the safest outcomes and decisions the health visitor would make. The opportunity to make choices and decisions for one’s self in healthcare depends on your mental opacity. For example, the APA code of ethics states that psychologists should attempt to cooperate with one another in order to best serve their clients. 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. This paper describes the significant need for mental health care services in rural areas. Consequential is a philosophical theory, and its ethical principle is utilitarianism. 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”. 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. Save my name, email, and website in this browser for the next time I comment. Ethical values and principles involved. For example, it can affect the counselor’s or psychologist’s career, mental health, or his or her clients. 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). 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. (2012). 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). Aristotle refers to justice as equal desert (Richardson-Lear, 2013; McIntyre, 1988). In the given scenario, according to malefaction, the health visitor should impose no risk of harm; thus protect the child from harm. injuries sustained as a result of a road traffic accident, an acute appendicitis, complications of diabetes, renal failure, etc. 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. 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). 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. Decisions. Both the disorders and the treatments may have effects on the mother and the foetus. Introduction. This article explicates this ethical dilemma and explains how a social worker traversed this dilemma. A List of Ethical Dilemmas Facing Social Work. In the following paper, I will discuss these issues, as well as how to handle them in an ethical manner (Corey, Corey, & Callanan, 2011). Indeed, these differences can create conflict if one’s colleagues are not flexible or accepting of each other’s viewpoints. What Is Dilemma In Health And Social Care. 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. Those who work in the mental health profession often work alongside others with different educational backgrounds. The following are several common ethical dilemmas that nurses face while on the job. 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). 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. 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). This paper will now discuss the principles of Justice. Those experiencing conflict should review such procedures. 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. 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. 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. 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). Ethical Issues in Mental Health Nursing. 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. If a counselor or psychologist finds herself in a conflict with colleagues or in a negative work environment, it can have many adverse effects. 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. Another ethical dilemma encountered by mental health … It used 1st person, so it is a reflective essay. In case you can’t find a sample example, our professional writers are ready to help you with writing Firstly, the counselor/psychologist should determine if the conflict between the two colleagues is ethical in nature. 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. 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. Practice Dilemmas and How to Resolve Them discusses the use of mental health law to resolve practice dilemmas and problems. The ethical areas of discussion will be Autonomy, Beneficence, Malefaction and Justice; this paper will also look at Deontological and Consequentiality theories. Recognizing, acknowledging, and respecting this will help to reduce potential conflict from arising in the work environment (Koocher & Keith-Spiegel, 2008). 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). Approach and view all others as less effective, inappropriate ethical dilemma examples mental health or or... 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