Tuesday 2 April 2019

Ethical and legal level of counseling

honorable and sanctioned level of let the cat out of the bag over1. The concept of morality and heavy morality is nearly delimitate as a philosophical discipline that is concerned with man conduced and moral last fashioning ( cutting edge Hoose, 1985). morals argon normative in nature and focus on principles and standards that govern consanguinity between soulfulnesss, such(prenominal) as those between talk overs and guests. Morality, however, involves judgment or evaluation of fulfil. It is associated with such oral conference as good, bad, obligation, wrong ought, and should (grant, 1992). Counselors hold back morals, and the theories guidances employ go embedded at heart them moral presuppositions slightly human nature that lucidly and implicitly brain first What is a person and second, what should a person be or effect? (Christopher, 1996)For improving the good and sanctioned level of direction, first, the counseling inescapably to infrastand what the word honorable means. Before the first way session, the counselor should realize how important about making good pro ends that argon both morals and legal while being laboursaving to his or her customers. According to the Websters New World Dictionary (1980), it means 1. having to do with morals or of con defecateing to moral standards, 2. conforming to passkey standards of conduct. Notice that these twain definitions argon distinctly different. This first is a in-person phenomenon that is, what is moral is learn closely often by individuals. In contrast, the second encompasses behaviors that be considered respectable by some schoolmaster sort out. In the psychic health profession, that aggroup could be the Ameri skunk counselor linkup (ACA), or the American psychological (APA), just to name a few.2. The development of figures of morals for counselorsThe first focus code of ethics was substantial by the American Counseling Association (ACA) (The n the American Personnel and Guidance Association, or APGA) ground on the online American Psychological Association code of ethics ( each(prenominal)en, 1986). The initial ACA code was initiated by Donald Super and approved in 1961 (C whollyis Pope, 1982). It has been revised periodically since that time. The ACA to a fault produces A Practitioners Guide to Ethical conclusion Making, video conferences on answer leading-edge honorable dilemmas (Salo Hamilton, 1996), and an Ethical Standards Casebook (Herlihy Corey, 1996).The ACAs latest ethics code is entailed a Code of Ethics and Standards of Practice. This code is one of the major(ip) signs that charge has developed into a mature discipline because professions argon characterized, among other things, by a claim to specialized knowledge and a code of ethics.In the CAC, ethics standards be arranged under topical sectional headings. They contain hearty similar to that found in m any(prenominal) an(prenominal) other hono rable codes, hitherto they argon unique to the profession of direction.3. Following the Guideline for Acting honourablelyFor improving the higher level of the ethics of counseling, the counselors should follow rule of thumb for acting honestly. Swanson (1983) lists guideposts for assessing whither counselors act in estimablely responsible demeanors. The first is personal and professional honest. Counselors imbibe to operate openly with themselves and those with whom they work. Hidden agendas or unacknowledged feelings stop family and place counselors on shaky ethical ground. one(a) way to shoot down personal and professional honest problems that whitethorn get in the way of acting ethically is to arrive supervision (Kitchener, 1994).The second guideline is acting in the opera hat interest of customers. This ideal is easier to discuss than achieve. At times, a counselor may impose personal values on invitee and ignore what they really want (Gladding Hool, 1974). At other times, a counselor may fail to recognize an emergency and too readily accept the idea that the command line interfaceents opera hat interest is served by doing nonhing.The third guideline is that counselors act without malice or personal gain. Some clients are catchy to like or deal with, and it is win these individuals that counselors must(prenominal) be oddly careful. However, counselors must be careful to avoid relationships with likable clients either on a person or professional basis. Errors in judgment are most likely to occur when the counselors self-interest becomes a part of the relationship with a client (Germaine, 1993).The final guideline is whether counselors can justify an action as the better judgment of what should be done based upon the current call forth of the profession (Swanson, 1983). To make such a decision, counselors must bound up with current trends by reading the professional literature go to in-service workshops and conventions, and b ecoming actively problematic in local, state, and national counseling activities.The ACA Ethical Standards Casebook (Herlihy Corey, 1996) contains examples in which counselors are presented with issues and case studies of head wordable ethical situations and prone both guidelines and gestures to reflect on in deciding what an ethical reply would be. Each situation involves a standard of the ethical code. As helpful as the casebook may be, in many a(prenominal) counseling situations the straight-laced behavior is not obvious (Gladding, 2001). For example, the question of orphicity in balancing the individual rights of a person with AIDS and society s right to be protected from the spread of the disease in one with which some counselors struggle. Likewise, on that dismantle are multiple ethical dilemmas in counseling adult survivors about what to do in a given situation, it is crucial for counselors to concern and talk over situations with colleagues, in addition to using p rinciples, guidelines, casebooks, and professional codes of ethics.4. Counselor competency and ReferralThe ACA Code of Ethics (1995) clearly states that Counselors must serve solely in spite of appearance the boundaries of their competence, based on their education, training, supervised experience, state and national professional credentials, and assign professional experience. The APA Ethical Principles (1992) makes a similar statement and adds that Psychologists entrust operate, t distributively, or conduct question in crude athletic field or involving new techniques solely after first undertaking appropriate study, training, supervision, and consultation from person who are capable in those areas or techniques.The ethical standards are quite a clear regarding what a counselor should do if he is not competent to treat a accepted client problem. His first and silk hat choice is to make an appropriate referral. If on that point is no one to whom he can refer (which wou ld be an exception rather than a common occurrence), hence it is incumbent on he to educate himself through reading books and ledger articles on the presenting problem and to seek supervision of his work with the client. The counselor has the office for the wellbeing of the client therefore, it is his professional duty to stimulate for that client the best services possible be it from him or from a professional colleague. Clients are not subjects for your trial and error learning but deserve the best professional care possible. one and only(a) of counselors responsibilities is to recognize his or her strengths and weaknesses and to offer services only in the areas of his or her strengths. Defining a counselors areas of component normally involves critical and honest self-examination. Calling this subjective component an internal perspective, Robinson and impair caution counselors to do everything possible to gain the skills and knowledge based to the profession. Counselors need to stretch their skills continually by reading and attending to new and growing trends, through attaining postgraduate education, and through attending seminars and workshops aimed at sharpening and increasing both knowledge and skill bases. All counselors must come full accountability for adhering to professional codes of conduct that address the concepts of proper representation of professional qualifications, for providing only those services for which they sire been trained, and for seeking assistance with personal issues that are barriers to providing good service.Regardless of the area of the area of service being discussed, counselors are the first-line label of their professional competence. Although credentialing bodies, professional organizations, and state legislatures may set up standards for practice, the counselor must be the most critical evaluator of his or her ability to provide services. This often becomes quite a challenge when ones living dependents o n having clients who go forth pay for service. In fact, the ethical is not always the easy choice.5. change Ethics Decisions Making in CounselingThe making ethics decision is the crucial key for achieving a higher level of the ethics of counseling. Ethics decision making is often not easy yet is a part of being a counselor. It requires virtues such as character, integrity, and moral braveness as well as knowledge (Welfel, 1998). Some counselors operate from personal ethical standards without regard to the ethical guidelines developed by professional counseling companionships. They usually function well until faced with a dilemma for which there is no apparent good or best solution (Swanson, 1983). At such times, ethical issues arise and these counselors experience anxiety, doubt, hesitation, and confusion in find their conduct. Unfortunately, when they act, their behavior may turn out to be unethical because it is not grounded in any ethical code.The look intoers found five ty pes of ethical dilemmas most prevalent among the university counselors they surveys there a. confidentiality, b. role bout, c. counselor competence, d. conflicts with employer or institution, and e. degree of dangerousness. The situational dilemmas that involved danger were the least difficult to resolve and those that dealt with counselor competence and confidentiality were the most difficult. The surprising finding of this study, however, was that less than over-third of the respondents indicated that they relied on published professional codes of ethics in resolving dilemmas. Instead, most used common sense, a system that at times may be professionally unethical and at best unwise.It is in such types of situations that need to be aware of resources for ethical decision making, especially when questions arise over controversial behaviors such as set or collecting fees or conducting dual relationships (Gibson Pope, 1993). Ethical reason out, the do by of determining which et hical principles are involved and because prioritizing them based on the professional requirements and beliefs, is as well as crucial (Lanning, 1992).In making ethical decisions, counselors should jam actions based on careful, reflective thought about responses they think are professionally right in particular situations (Tennyson Strom, 1992). Several ethical principles interest to the actives and ethical choices of counselors Beneficence (doing well and preventing revile), Non malfeasance (not inflicting harm), Autonomy (respecting license of choice and self-determination), arbitrator (fairness), and Fidelity (faithfulness or honoring commandments) (Herlihy, 1996).All these principles involve conscious decision making by counselors throughout the counseling process. Of these principles, some quick-witteds identify non malfeasance as the primary ethical responsibility in the field of counseling. Non malfeasance not only involves the removal of present harm but the preventi on of future harm and passive avoidance of harm. It is the basis on which counselors respond to clients who may exist themselves or others and why they respond to colleagues unethical behavior.5.1 Educating Counselors in Ethical Decision MakingEthical can be improving in many ways, but one of the beat is through course offering that are now required in most graduate counseling programs and operable for continuing education credit. Such courses can bring about satisfying attitudinal changes in students and practicing professionals, impairment, and multiculturalism (Coll, 1993). Because ethical attitudinal changes are related to ethical behavioral changes, courses in ethics on any level are extremely valuable.Van Hoose (1979) conceptualizes the ethical behavior of counselors in terms of a five-stage developmental continuum of reasoningPunishment orientation. At this stage the counselor believes external social standards are the basis for judging behavior. If clients or counselors v iolate a societal rule, they should be punished.Institutional orientation. Counselors who operate at this stage believe in and remain by the rules of the institutions for which they work. They do not question the rules and base their decisions on them.societal orientation. Counselors at this stage base decisions on societal standards. If a question arises about whether the ineluctably of society or an individual should come first, the unavoidably of society are always given priority.Individual orientation. The individuals unavoidably receive top priority at this stage. Counselors are aware of society necessarily and are concerned about the law, but they focus on what is best for the individual.Principle (conscience) orientation. In this stage concern for the individual is primary. Ethical decisions are based on internalized ethical standards, not external considerations.As Welfel and Lipsitz (1983) point out, the work of Van Hoose and Paradise is especially important because it is the first conceptual model in the literature that attempts to explain how counselors reason about ethical issues. It is heuristic (i.e., research able or open to research) and can form the basis gor empirical studies of promotion of ethical behavior.Several other models have been proposed for educating counselors in ethical decision making. Based on Gumaer and Scott (1985), for instance, offer a method for training group workers based on the ethical guidelines of the association for specialists in group work. This method uses case vignettes and Carkhuffs three-goal, model of helping self-expectation, self-understanding, and action. Kicherner (1986) proposes an co-ordinated model of goals and components for an ethics education curriculum based on research on the psychological processes underlying moral behavior and current sentiment in applied ethics. Her curriculum includes counselors to ethical issues, improving their abilities to make ethical judgments, encourage responsible ethical actions and tolerating the ambiguity of ethical decision making (Kitchener, 1986). Her model and one proposed are process oriented and assume that counselors do not learn to make ethical decisions on their cause. Pelsma and Borgers (1986) particularly emphasise the how as opposed to what of ethics that is, how to reason ethically in a constantly changing field. other practitioner guide for making ethical decisions are a seven-step decision making model based on a synthesis of the professional literature, a nine-step ethical decision-making models follow based on critical-evaluative judgments and seven other models created between 1984 and 1998 (cottone Claus, 2000). These ethical decision-making models follow explicit stairs or stages and are often used for detail areas of counseling practice. However, through empirical comparisons and continued dialogue, the effectiveness of the models may be validated.In addition to the models already mentioned the ACA Ethics Committ ee offers a variety of educational experience. For example, members of the committee offer learning institutes at national and regional ACA conferences. In addition, they publish articles in the ACA newsletter. Finally, to promote counseling practices, the committee through ACA publishes a type counselors guide entitled What you should know about the ethical practice of professional counselors, which is on the ACA website as well as printed (Williams Freeman, 2002).6. Focus on Clients RightsWhen clients enter a counseling relationship, they have a right to assume that you are competent. In addition, they have certain rights, known as client rights, as well as responsibilities. These rights have their foundation in the bill of fare of Rights, particularly the first and fourth amendment of the constitution of the United States, which are license of religion, speech, and the press and right of petition and freedom from unreasonable searches and seizures, respectively. The concept of confidentiality, inner communication, and positive(predicate) consent are based on the fourth amendment, which guarantees privacy. loneliness has been defined as the freedom of individuals to choose for themselves the time and the circumstances under which and the extent to which their beliefs, behaviors, and opinions are to be shared out or withheld from others (Corey et al., 1988).6.1 Improving Confidentiality and inside(a) CommunicationsThe concept of privacy is the foundation for the clients legal right to inner communication and counselors responsibility to hold counseling communications confidentiality is a professional concept. It is so important that both the APA (1992) Ethical principles and the ACA (1995) Code of Ethics each devote an entire section to confidentiality. However, a clients communications are not confidential in a judgeship of law unless the mental health professional is legally certified or certify in the state in which he or she practices. Most st ates grant the clients of state-certified or licensed mental health professionals (such as psychologists, professional counselors, and marriage and family therapists) the right of internal communications. This means that clients, not counselors, have control over who has access to what they have said in therapy and protects them from having their communications crackd in a motor lodge of law.In order for communication to be favor, counselors should follow four conditions. First, the communication must originate in confidence that it will not be disclosed. Second, confidentiality must be essential to the full and satisfactory maintenance of the relationship. Third, in the opinion of the greater community, the relationship must be one that should be sedulously fostered. Finally, injury to the relationship by disclosure of the communication must be greater than the benefit gained by the correct disposal of litigation regarding the pronounceation. If as a counselor can claim these four conditions, then his clients communications are not only confidential, but they are also countenance and, therefore, are protected from being disclosed in a court of law. One must remember, however, that there is always a rest between a clientss right to privacy and societys need to know.Despite the grandeur given to confidentiality and privileged communication, pope, and Keith-Spiegel (1987) reported that 62 percentage of psychologists in a national survey indicated that they had unintentionally violated a clients confidentiality and 21 percent had intentionally violated a clients confidentiality. These alarming statistics suggest that mental health professionals are at risk for violating this core ethical principle. Therefore, all mental health professionals need to be aware of the professional standards regarding confidentiality, the professional is illegal of breaching the confidentiality. Secretaries are considered extensions of the certified or licensed mental health professionals to which they are accountable.6.2 Improving Informed ConsentThe ACA (1995) Code of Ethics is very specific with respect to what should be disclosed to clients in order for them to give assured consent When counseling is initiated, and throughout the counseling process as necessary, counselors inform clients of the purposes, goals, techniques, procedures, limitations, potential risks and benefits of services to be performed, and other pertinent tuition. Counselors take steps to ensure that clients understand the implications of diagnosis, the intended use of tests and reports, fee, and billing arrangements. Clients have the right to expect confidentiality and be provided with an explanation of its limitations, including supervision and treatment team professionals to obtain clear information about the case records to participate in the on-going counseling plans and to refuse any recommended services and be advised on the consequences of such refusal.If a counselor i s asked by a client to disclose to a third party information revealed in therapy, have the client sign an informed consent form before making any disclosure. The counselor may be surprised to learn that counselor are not even permitted to respond to inquiries about whether they are seeing a person in therapy even the clients name and status in counseling are confidential, unless the client has granted license for this information to be released.One exception is when the client is paying for the services through an insurance company. This mechanically grants the insurance company limited access to information regarding the client. The client needs to be made aware of the parameters of the information that will be shared with the insurance company prior to beginning therapy. Again, it is evident how important it is to have potential clients sign an informed consent form before they become clients.6.3 Improving Clients WelfareAll the preceding discussion rests on the permission rests on the premise that the counselors primary obligation is to protect the welfare of the client. The introduce to the APA (1992) Ethical Principles specifically states that it has as its primary goal the welfare and fortress of the individuals and groups with whom psychologists work. A similar statement is made by ACA (1995) Code of Ethics the primary responsibility of counselors is to respect the dignity and to promote the welfare and of clients. threefold relationships, counselors personal needs have already been discussed attention now needs to be given to the third concern.An additional set of guidelines comes into play when a counselor is doing work or workss with a couple or family. In a group setting, special issues include qualifications of the group leader, informed consent when more than the group leader will be act in therapy, the limits to confidentiality and to privileged communication when third parties are present in therapy, and understanding how individuals will b e protected and their growth nurtured in a group situation. Unlike individual counseling, clients who want to be involved into a group experience need to be screened before being recognised into a group. This screening not only ensures that the client is appropriate for the group but also protects other group members from a potentially dysfunctional group member.It is evident that client welfare, whether in individual therapy or in group work, rests squarely on the shoulders of the counselor. The counselor must be witting of the various aspects of the counseling relationship that can jeopardize the clients welfare and take the steps necessary to alleviate the situation. Robinson Kurpius and Gross offer several suggestions for safeguarding the welfare of each clientCheck to be sure that you are working in harmony with any other mental health professional also seeing your client.Develop clear, written descriptions code of what clients may expert with respect to redress regime, test ing and reports, recordkeeping, billing, scheduling, and emergencies.Share your professional code of ethics with your clients, and prior to beginning therapy discuss the parameters of a therapeutic relationship.Know your own limitations, and do not hesitate to use appropriate referral sources.Be sure that the approaches and techniques used are appropriate for the client and that you have the necessary expertness for their use.Consider all other possibilities before establishing a counseling relationship that could be considered a dual relationship.Evaluate the clients ability to pay and when the payment of the usual fee would create a hardship. Either accept a reduced fee or assist the client in finding needed services at an affordable cost.Objectively evaluate client progress and the therapeutic relationship to determine if it is consistently in the best interests of the client.Improving the Ethics of Counseling in Some Specific SituationsCounselors should stopover thoroughly the general politics and principles of an institution before accepting involvement because employment in a specific setting implies that selves in institutions that maltreatment their services and do not act in the best interests of their clients, they must act either to change the institution through educational or persuasive means or find other employment.The potential for major ethical crises between a counselor and his or her employer exists in many school setting. School counselors are often used as tools by school administrators. When the possibility of conflict exists between a counselors loyalty to the employer and the client, the counselor should always attempt to find a resolution that protects the rights of the client the ethical responsibility is to the client first and the school lore other setting second (Huey, 1986). One way school counselors can assure themselves of an ethically sound program is to realize that they may encounter multiple dilemmas in providing service s to students, parents, and teachers. Therefore, before interacting with these different groups, school counselors should become families with the ethical standards of the American school counseling association, which outlines counselors responsibilities to the groups with whom they work (Henderson, 2003).One of the most common situations of counseling is about the family and marriage. The reason is that counselors are treating a number of individuals together as a system, and it is unlikely that all members of the system have the same goals. To overcome potential problems, Thomas (1994) has developed a dynamic, process-oriented framework for counselors to use when working with families. This model discusses six values that affect counselors, clients, and the counseling process (a) responsibility, (b) integrity, (c) commitment, (d) freedom of choice, (e) empowerment, and (f) right grieves. Then, when a counselor faces the counseling of family or marriage, he or she should try to fol low this framework.The use of computers and technology in counseling is another(prenominal) area of potential ethical difficulty. The possibilities exist for a breach of client information when computers are used to transmit information among professional counselors. Other ethically sensitive areas include client or counselor disparage and even the validity of data offered over computer links. In addition, the problem of cyber counseling or web counseling that is, counseling over the meshing in which the counselor may be hundreds of miles away is fraught with ethical dilemmas. Thus, the national board of certified counselors has issued ethical guidelines regarding such conduct.Other counseling settings or situations with significant potential for ethical dilemmas include counseling the elderly, multicultural counseling, working in managed care, diagnosis of clients, and counseling research (Jencius Rotter, 1998). In all of these areas, counselors face new situations, some of wh ich are not addressed by the ethical standards of the ACA. For instance, in working with older adults, counselors must make ethical decisions regarding the unique needs of the aging who have cognitive impairments, a endpoint illness, or who have been victims of abuse. In order to do so, counselors may withstand principle ethics to these situations that are based on a set of obligations that focus on finding socially and historically appropriate answers to the question What shall I do? In other word, Is this action ethical? They may also employ virtue ethics, which focus on the character traits of the counselor and nonobligatory ideals to which professional aspire. Rather than solving a specific ethical question, virtue ethics are focused on the questions Am I doing what is best for my client? Counselors are wise to integrate both forms of ethics reasoning into their deliberations if they handle to make the best decisions possible.In making ethical decisions where there are no gui delines, it is also critical for counselor to pillow abreast of current issues, trends, and even legislation related to the situation they face. In the process, counselors must take care not to stereotype or otherwise be insensitive to clients with whom they are working. For instance, a primary emphasis of research ethics is, appropriately, on the protection of human subjects in research. In the area of research in particular, there are four main ethical issues that must be resolved a. informed consent, b. coercion and deception, c. Confidentiality and privacy, and d. reporting the results. (Robinson Gross, 1986) All of these areas involve people whose lives are in the care of the researcher. Anticipation of problems and carrying out of policies that produce humane and fair results are essential.8. Improving the Legal Aspects of CounselingCounselors must follow specific legal guidelines in working with certain populations. But counselors may often have considerable trouble in si tuations in which the law is not clear or a conflict exists between the law and professional counseling ethics. Nevertheless, it is important that providers of mental health services be fully informed about what they can or cannot do legally. Such situations often involve the sharing of information among clients, counselors, and the court system.Sharing may be broken down into confidentiality, privacy, and privileged communication. Confidentiality is the ethical duty to fulfill a contract or promise that the information revealed during therapy will be protected from unauthorized disclosure. Confidentiality become a legal as well as an ethical concern if it is broken, whether intentionality or not. It is per year one of the most inquired about ethical and legal concerns received by the ACA Ethics Committee including dilemmas regarding right to privacy, clients right to privacy, and counselors avoiding illegal and unwarranted disclosures of confidential information (Williams Freeman , 2002).Privacy is an evolving legal concept that recognizes individuals rights to choose the time, circumstances, and extent to which they wish to share or withhold personal information. Clients who think they have been coerced into reveal information they would not normally disclose may seek legal recourse against a counselor.Privileged communication, a narrower concept, regulates privacy protection and confidentiality by protecting clients from having their confidential communications disclosed in court without their permission. It is defined as a clients legal right, guaranteed by statute, that confidences originating in a therapeutic relationship will be safeguarded (Arthur Swanson, 1993). Most states recognize and protect privileged communication in counselor-client relationships.As opposed to individuals, the legal concept of privileged communication generally does not apply in group and family counseling (Anderson, 1996). However, counselors should consider certain ethical concerns in protecting the confidentiality of group and family members.One major difficulty with any law governing client and counselor communication is that laws vary from state to state. It is essential that counselors know and communication to their cli

No comments:

Post a Comment