ETHICAL PROBLEM SOLVING MODELS BY AMANDA GUROCK, LICSW, PLADC - PowerPoint Presentation

ETHICAL PROBLEM SOLVING MODELS BY AMANDA GUROCK, LICSW, PLADC

GOALS OF THE WEBINAR Define an Ethical Dilemma Learn Criteria needed for an Ethical Dilemma Learn Ethical Principles of our Profession Define Expressive Therapy Ethical Dilemma Solving Models How to Stay Ethically Fit

Ethical Dilemma definition DEFINITION: ethical dilemma, by definition, is a circumstance which occurs only when two or more social work values are in conflict. EXAMPLE: Suicidal Client: the conflict between the right to self-determination and the right to confidentiality in the case of a suicidal client. In this example, an ethical dilemma exists in that both values, self-determination and confidentiality, cannot be equally and necessarily upheld. Herein lies the difficulty with how to resolve ethical dilemmas--how to contend with all the facets of one's ethical obligations in light of competing social work values. 

Criteria for an ethical dilemma The first condition occurs in situations when an individual, called the “agent,” must make a decision about which course of action is best. Situations that are uncomfortable but that don’t require a choice, are not ethical dilemmas.  The second condition for ethical dilemma is that there must be different courses of action to choose from. Third condition, in an ethical dilemma, no matter what course of action is taken, some ethical principle is compromised. In other words, there is no perfect solution

ETHICAL PRINCIPleS OF OUR PROFESSION Autonomy: make client less dependent on us Justice: good treatment and deal honestly with our clients Videlity : being loyal to our clients and not harming them Self-Respect: treat clients with self respect and continue to work on their mental health Beneficence: treat everyone fairly and no discrimination Non- Malefience : being faithful and fulfilling promises to clients

EXPRESSIVE THERAPY EXPRESSIVE THERPAY IS DEFEINED AS the use of art, music, dance/movement, drama, poetry/creative writing, play, and sand tray within the context of psychotherapy, counseling, rehabilitation, or health care. Several of the expressive therapies are also considered “creative arts therapies”—specifically, art, music, dance/movement, drama, and poetry/creative writing according to the National Coalition of Creative Arts Therapies Associations (2004a; hereafter abbreviated as NCCATA). Additionally, expressive therapies are sometimes referred to as “integrative approaches” when purposively used in combination in treatment. **PLAY THERAPY is an EXPRESSIVE THERAPY**

Positives of EXPRESSIVE THERAPY MODELS POSITIVES Sometimes it’s difficult for clients— especially young ones––to talk about traumatic memories. They may do better playing, drawing, painting, or working in the sand tray. Young children think concretely. Play therapy allows children to process abstract occurrences into more concrete experiences in a language they can understand: play. Some clients find it easier to talk while they’re busy doing something else.

Ethical Concerns of EXPRESSIVE THERAPY MODELS ETHICAL CONCIDERATIONS Expressive work should be taken for what it is, nothing more. Some therapists read into things that should not be read into. Your first inclination will be to interrupt all that you are seeing, but DON’T!!!!!!!!!!! Use digital photo to document sand tray scenes, art work, and even play room constructions. Include color prints of the photos with session documentation. Be careful to keep the client out of the picture. Be watchful for abreaction, and be prepared to address it. Sometimes expressive therapy can be surprisingly overwhelming in its effect on the client—and the therapist. Know what you’re doing. As with any other therapeutic approach, get sufficient training and/or supervision before using expressive therapy interventions. Integrate expressive therapy with your own theoretical foundation. Interventions must make therapeutic, clinical sense in terms of treatment

National association of social work (NASW) model BY Frederick Reamer & Ann Patrick Conrad Determine: whether there is an ethical issue or/and dilemma Identify: the key values and principles involved Rank: the values or ethical principles which - in your professional judgement - are most relevant to the issue or dilemma Develop: an action plan that is consistent with the ethical priorities that have been determined as central to the dilemma Implement: your plan, utilizing the most appropriate practice skills and competencies Reflect: on the outcome of this ethical decision making process

Principles, Principals and Process (P3) Model (Seymour & Rubin, 2006) Principles –historic principles (Autonomy, Beneficence, Non Malfeasance, Fidelity, Justice, and Self- Respect (veracity) and specific ethical codes (NASW, APA, ACA) Principals –who is involved, invite their input (collateral voices) Process –develop a response (this is done by engaging in a dialogue with the principals about the principles and ultimately coming up with the solution)

Resolvedd method by Jonathon L Kvanig

Corey, corey , and Callanan (1993) Identify Problem Identify potential issues involved Review ethical guidelines Know relevant laws and regulations Obtain consultation Consider possible courses of action Enumerate consequences of decisions Decide on the best course of action

American Counseling Association (ACA) Ethical Dilemma Decision Making MODEL BY Holly Forester-Miller, Ph.D. Thomas Davis, Ph.D. Identify the Problem Apply the ACA Codes of Ethics Nature and Dimensions of the Dilemma (apply the moral principles) Identify Potential Courses of Action Identify Potential Consequences Select a Course of Action Implement the Course of Action

Ethical decision making model by welfel 2012 Be sensitive to the moral dimensions of counseling Define dilemmas and options: what is the situation Define the central issue and options: what is the ethical issue/s Refer to your professional organization’s code of ethics Search out ethical scholarship: what does literature say Consult with supervisor and colleagues Deliberate and Decide: what are you going to do Inform supervisor and document Reflect on the Experience

SUMMARIZE: what are the three most important aspects of all of the models

Ethical fitness guidelines Follow scope of practice of your profession Have the ability to recognize at least one ethical issue each day Engage in self care and assess own fitness Belong to your own professional organization –keep license and certifications up to date Tolerate ambiguity –learn to operate in the gray! Know and be able to apply an ethical decision making model Train yourself to think about these Remain sensitive to these types of dilemmas Be aware that dilemmas are arising Be conscious of the code of ethics daily

summary OF THE WEBINAR Define an Ethical Dilemma Learn Criteria needed for an Ethical Dilemma Learn Ethical Principles of our Profession Define Expressive Therapy Ethical Dilemma Solving Models How to Stay Ethically Fit