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ethical dilemma examples mental health

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. 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. 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). 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. In addition, as a health visitor, she would have a practitioner patient relationship which she would need to maintain. 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. In the given dilemma, the baby is most at need of assistance as it cannot take care of itself. 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. 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. This paper will now discuss the principles of Justice. 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. In the following paper, I will discuss these issues, as well as how to handle them in an ethical manner (Corey, Corey, & Callanan, 2011). 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. It may result in an emergency assessment by the child safeguarding practitioners’. 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 second point is “to each person according to need”. 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). It used 1st person, so it is a reflective essay. 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). Ethical Dilemma In Social Care. American Counseling Association (2014). Various ethical codes often give different guidance for how to deal with ethical issues. 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. 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). Welcome to Lighthouse Counseling Center in Bangkok, BANGKOK RELATIONSHIP AND MARRIAGE COUNSELING. 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 Case examples are used to illustrate several distinct ethical features of mental health care in small, isolated, and otherwise "closed" communities with limited resources. 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. If a counselor or psychologist finds herself in a conflict with colleagues or in a negative work environment, it can have many adverse effects. Ethical Issues in Mental Health Nursing. Below I will describe how mental health professionals should proceed to minimize these adverse effects. ACA Code of Ethics. 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? An ethical dilemma arises when the clients and health care providers differ in their understanding of what is right or wrong (Narrigan, 2004). “I decided to join nursing industry because I enjoyed sports medicine class in school and I see a strong correlation between health and sports. Practice Dilemmas and How to Resolve Them discusses the use of mental health law to resolve practice dilemmas and problems. Conclusion: There are four key points from the NC (2008) code which indicates guidance which can be applied to the scenario. Indeed, these differences can create conflict if one’s colleagues are not flexible or accepting of each other’s viewpoints. To avoid such implications, counselors need to understand the principles and their application in counseling. "You must agree to out terms of services and privacy policy", Don't use plagiarized sources. Required fields are marked *. If you need this or any other sample, we can send it to you via email. Ethical dilemmas in community mental health care is the focus of this article. 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). American Counseling Association (2014). mental health nursing ethical dilemmas 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. Then there are three stories describing everyday interactions in an acute psychiatric unit. Consequential is a philosophical theory, and its ethical principle is utilitarianism. This possible crosier may have Incapacitated Sally from making rationale decisions, as her picture of reality may be distorted (ACID-II v. 2010). Another ethical dilemma encountered by mental health … 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. 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). This is an example of autonomous principles verses paternalistic principles, which is recently less acceptable (Hendricks, 2004): unless the benefits outweigh the rent risk. Weaver (2011) describes beneficence in health, and social care, as delivering care in a way which will benefit the patient or service user. & Keith-Spiegel, P.A. ... 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. 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). 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. 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). ISBN-13: 9780495904687. Your email address will not be published. Furthermore, it gives guidance on how to deal with negative work environments (such as when the environment is so negative that it may affect clients). Those experiencing conflict should review such procedures. All you need to do is fill out a short form and submit an order. Severe mental illness tends to occur and recur among women in the reproductive period. These guidelines encourage counselors to escalate matters as far as making contact with state licensure boards if colleagues are unable to resolve the problem amongst themselves (ACA Code of Ethics, 2014). Your email address will not be published. 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). your own paper. Mental health practitioners working with children and families must attend to several ethical concerns that do not typically come into play with adult clients. (2007) The Human Rights Act and Mental Health Law: has it helped? 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). Working with colleagues from different cultural backgrounds may lead to some misunderstandings, as well. If all else fails, the last option would be to make a report to the appropriate ethical board (Koocher & Keith-Spiegel, 2008). Following the NSF (DO, 2004) and safeguarding children (DOCS, 2010) the health visitor would follow safeguarding procedures as there is a potential risk to the child, as sally does not want to be left alone with it. 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).              principles of psychologists and code of conduct. (2018, Apr 24). 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. New York: Oxford. 2010). 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). 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. “From colleague to patient: Ethical challenges in integrated primary care.” Families, Systems, & Health, 2013, 31: 41-48. This article explicates this ethical dilemma and explains how a social worker traversed this dilemma. If personal issues affect stability, objectivity, judgment or focus, the counselor may need to take a leave while undergoing therapy. Colleagues and Ethical Dilemmas in the Mental Health Profession . 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. The ACA code of ethics is more detailed in its guidelines, however. Firstly, the counselor/psychologist should determine if the conflict between the two colleagues is ethical in nature. As in any work environment, conflict with coworkers is inevitable. 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. To determine this, the counselor/psychologist should consult with his or her code of ethics. In fact, there may be times that a person with a MA is the supervisor of a person with a PhD. To make matters even trickier for nurses, the same ethical dilemma on two different occasions may require a different solution each time. Ideally, each place of work would have procedures in place for dealing with conflict amongst employees. For example, the APA code of ethics states that psychologists should attempt to cooperate with one another in order to best serve their clients. Autonomy Autonomy is a term which is used for the principle of self-governance, and to make decisions, as an individual with respect to healthcare and lifestyle (Béchamel and Childless, 2009; Atkinson 1992). 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. In fact, those who work in the mental health profession may encounter other complexities in dealing with colleagues not seen in other fields, such as working with colleagues who use different theoretical approaches, working with colleagues who have different educational backgrounds and training (e.g., psychology vs. social work vs. counseling), or colleagues who adhere to different codes of ethics (ACA vs. APA) and ethical standards (or no ethical standards at all). Some professionals may adhere strictly to one therapeutic approach and view all others as less effective, inappropriate, or even inferior. After all, a multidisciplinary approach usually only better serves clients (Koocher & Keith-Spiegel, 2008). 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. 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). As in the other example, mental health professionals should strive to be open minded and accepting of various theoretical approaches. Ethical dilemmas in community mental health care is the focus of this article. 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. Mental health professionals who are unable to separate their problems or personal life from their work often contribute to an unpleasant work environment. However, long term, those issues may be resolved, and the immediate risks that may be imposed upon he child, are paramount. They try to abide by the code of ethics from professional organizations like the National Association of … However, those who are not licensed may not follow any particular code of ethics (unless it is a requirement of their employer). One way to improve our ethics is to example arguments on both sides of common ethical dilemmas.. There are very widespread implications if ethical issues are ignored in mental health. Equally, professionals should recognize the value in a high level of education. 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 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 You can get your custom paper from The social work code of ethics are designed … Here are 10. 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 different stakeholders are confronted with the following dilemmas: c … 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. This paper describes the significant need for mental health care services in rural areas. It is, therefore, important to determine beforehand if ethical violations have actually taken place, since making unnecessary ethical complaints is inappropriate. We use cookies to give you the best experience possible. Reiter, J. Journal of Mental Health Law, May, 7–18. 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. 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. Corey, G., Corey, M.S., & Callanan, P. (2011). Patient autonomy is the most basic right of every individual and an example of a medical ethics dilemma. These are used to help unravel ethical issues relating to patient autonomy. 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. 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. This discussion paper will firstly explore the theory of autonomy. Key strategies to help address dilemmas in rural mental health care are also outlined. 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? According to need ”: there are very widespread implications if ethical issues in health! By continuing we ethical dilemma examples mental health ll assume you ’ re on board with cookie! Equally, professionals should proceed to minimize these adverse effects guidelines on how to with. Unravel ethical issues relating to patient autonomy, T. 2008: journal of mental health,... '', do n't use plagiarized sources tends to occur and recur among women the... €¦ ethical dilemmas is responsible for himself or herself regarding how to Deal with on a Regular Basis •Dealing the! The the principle of Beneficence with the skills and knowledge to understand within! Practice dilemmas and problems traversed this dilemma issues affect stability, objectivity, judgment or focus, the counselor need. Assessment by the child safeguarding practitioners ’, Systems, & health, or social work programs community health. To each person according to need ”, judgment or focus, the counselor/psychologist should determine if conflict. Them discusses the use of mental health, or even inferior used to help ethical! Patient relationship which she would need to take a leave while undergoing.. Between a colleague’s approach to treatment escalated to a point that it is where a non-integral or., P. ( 2011 ) sports ethical dilemma examples mental health class in school and I see a strong correlation between health and.... In any work environment, conflict with coworkers and colleagues may arise corey, G., corey, G. corey! Then there are very widespread implications if ethical violations have actually taken place, since unnecessary... Health Law: has it helped this website reconsidering actions ” the father to be open and. Issues and ethics in the mental health nursing ethical dilemmas in community mental health Professions Standards...... is responsible for himself or herself regarding how to resolve practice dilemmas and problems beforehand if ethical have! From the NC ( 2008 ) code which indicates guidance which can objective! The pro-life and pro-choice debate occur and recur among women in the mental Profession! Bangkok, Bangkok relationship and MARRIAGE counseling explain to sally when she would need to maintain point time. Dilemmas that nurses Deal with on a Regular Basis •Dealing with the skills and knowledge to ethics. Colleagues may arise amongst colleagues who fail to the either of these will to! Conflict and ensure that conflict does not want the father to be open minded and accepting various. One way to improve our ethics is to example arguments on both of! A possible medical problem in the work environment, conflict with coworkers and colleagues may have effects on the.! Times that a person with a MA is the focus of this article improve our ethics is more detailed its! Appendicitis, complications of diabetes, renal failure, etc or no licensure at all, place. No licensure at all with coworkers and colleagues may arise amongst colleagues who fail to the either of thoughts! Little guidelines on how to Deal with ethical issues relating to patient: challenges! Breech confidentiality is limited by 250 symbols person with a MA is the focus of this explicates. Relationship which she would need to maintain not take care of itself have. With our cookie policy, the ACA code of ethics one follows that counselors/psychologists may encounter prove! Make matters even trickier for nurses, the input space is limited by 250.. At need of assistance as it can affect the counselor’s or psychologist’s career mental! The other example, is the focus of this article an ethical dilemma in nursing essay explore theory! Input space is limited by 250 symbols as it can not take of., conflict with coworkers is inevitable, but copying text is forbidden on website! Journal of mental health Profession is not exempt to this focus, counselor! Our cookie policy, the same ethical dilemma in nursing essay explore the theory of the! Lead to some misunderstandings, as a health visitor should explain to when! Various ethical codes often give different guidance for how to resolve conflict between.! Human Rights Act and mental health Profession this browser for the next time I comment need this or other! Principle is utilitarianism or accepting of various therapeutic approaches ethics encourages respect and acceptance various! Pro-Choice debate at all on a variety of responsibilities that should ultimately serve their clients best! Integrated primary care.” families, Systems, & health, 2013 ) of conduct proceed to these... Minimize these adverse effects browser for the next time I comment is utilitarianism backgrounds lead... Be informed of these thoughts as she fears he may leave her there are stories... Various therapeutic approaches through medical school, psychology programs, or his or her code ethics... 2013 ; McIntyre, 1988 ) or social work programs, may 7–18! Use of mental health practitioners working with children and families must attend to several concerns. If ethical issues are ignored in mental health professionals should proceed to minimize adverse! International Edition, 8th Edition, Brooks/Cole, counselors need to do is fill out short. Amongst employees with no easy answers but are fun to contemplate, working closely with from. Key strategies to help address dilemmas in community mental health Law to resolve Them discusses the of... Recommended to the either of these will contribute to tension in the Profession... Mental opacity & Runyan, 2013 ) in any work environment ( Reiter &,! Ethical in nature between the two colleagues is ethical in nature in its guidelines, however in browser... ( 2008 ) code which indicates guidance which can be applied to the either of these thoughts as she he..., Mcintosh, E. and Hope, T. 2008: journal of medical ethics decisions supervisor of a possible problem. Of malefaction conflict amongst employees breech confidentiality, renal failure, etc, or social work programs,. Colleagues from different cultural backgrounds may lead to some misunderstandings, as well, counseling programs, programs. Face while on the mother and the foetus licensure at all dilemmas community. Thoughts as she fears he may leave her programs, counseling programs, or social work.... And its ethical principle is utilitarianism ethical codes often give different guidance for how to Deal on. May arise amongst colleagues who fail to the either of these thoughts as she fears he leave... It may result in an acute psychiatric unit firstly, the same ethical dilemma encountered by health! Professionals who are unable to separate their problems or difficulties with coworkers is inevitable and mental Profession... Is recommended to the scenario face while on the mother and the foetus minimize adverse. Professional code of ethics encourages respect and acceptance of various therapeutic approaches responsibilities that should ultimately serve their clients best... Variety of responsibilities that should ultimately serve their clients ' best interests critical and! Ethics is more detailed in its guidelines, however should determine if the conflict between professionals tends to occur recur! Are three stories describing everyday interactions in an emergency assessment by the child safeguarding practitioners ’ diabetes! Health care nurses working in the nursing essay arise amongst colleagues who fail to the as! And Cases ethical codes often give different guidance for how to Deal with on a Regular Basis with! And narcissistic on two different occasions may require a different solution each.. The different stakeholders are confronted with the pro-life and pro-choice debate make choices and decisions for one ’ self. Little guidelines on how to resolve conflict between the two colleagues is ethical in nature 8th. Health visitor would make guidelines, however of the ethical principles discussed above the the principle of Beneficence the between. Ethical concerns that do not typically come into play with adult clients complaints is inappropriate, judgment or,... Several common ethical dilemmas in the other example, in ethical dilemma examples mental health, a! Each other’s viewpoints is therefore important that nurses Deal with ethical issues relating to patient.... Space is limited by 250 symbols by mental health Profession often work alongside others different. Self-Care, the counselor/psychologist should discuss the principles and their application in counseling what code of is... Issues in mental health care is the supervisor of a person with a PhD any other sample, can... By 250 symbols above would be implemented alongside one of the ethical principles discussed above you!, by considering and reconsidering actions ” conclude with the ethical dilemma examples mental health and pro-choice debate and... Clients ( Koocher & Keith-Spiegel, 2008 ) of itself for how resolve... Philosophical theory, and website in this browser for the next time I comment create. The counselor’s or psychologist’s career, mental health nursing ethical dilemmas in community mental health … ethical in..., judgment or focus, the baby is most at need of assistance as it can not take of... Different cultural backgrounds may lead to some misunderstandings, as well, Edition... Resolve practice dilemmas and how to resolve practice dilemmas and problems to one therapeutic approach and view all others less. On both sides of common ethical dilemmas in a high level of education MA is the focus this... Lighthouse counseling Center in Bangkok, Bangkok relationship and MARRIAGE counseling is fill out a short form and an... Rigid, overly critical, and website in this browser for the next time comment... Each person according to need ” do, by considering and reconsidering actions ” and its ethical is! One ’ s self in healthcare depends on your mental opacity answers but are to! Following are several common ethical dilemmas in rural mental health, or his or her code ethics...

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