Ethical dilemmas are involved for refuting the moral code or ethical systems for improving or resolving the ethical paradoxes (Shapiro & Stefkovich, 2016). 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). 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. This possible crosier may have Incapacitated Sally from making rationale decisions, as her picture of reality may be distorted (ACID-II v. 2010). Nurses and other professionals, such as midwives and health visitors make decisions everyday and often they face the argument of what is ethical practice (Lichen et al 2010). Mental health professionals who are unable to separate their problems or personal life from their work often contribute to an unpleasant work environment. Beneficence Beneficence is the principle which works towards the greatest good of the possible outcomes, to benefit the most people (Béchamel and Childless; 2009). To determine this, the counselor/psychologist should consult with his or her code of ethics. Issues and Ethics in the Helping Profession, International Edition, 8th edition, Brooks/Cole. Examples of Ethical Dilemmas that Nurses Deal with on a Regular Basis •Dealing with the pro-life and pro-choice debate. 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). Afterwards, the counselor/psychologist should discuss the situation with those who are not involved and can be objective in providing guidance and feedback. Practice Dilemmas and How to Resolve Them discusses the use of mental health law to resolve practice dilemmas and problems. 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. Save my name, email, and website in this browser for the next time I comment. ISBN-13: 9780495904687. 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. 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. 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. For example, is the disagreement between a colleague’s approach to treatment escalated to a point that it is affecting his or her clients? Sally does not want the father to be informed of these thoughts as she fears he may leave her. 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. All you need to do is fill out a short form and submit an order. For example, it can affect the counselor’s or psychologist’s career, mental health, or his or her clients. 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. Alexandria, VA . Mental health practitioners working with children and families must attend to several ethical concerns that do not typically come into play with adult clients.              principles of psychologists and code of conduct. 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? Another ethical dilemma encountered by mental health … 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. Recognizing, acknowledging, and respecting this will help to reduce potential conflict from arising in the work environment (Koocher & Keith-Spiegel, 2008). 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. Ethical Issues in Mental Health Nursing. 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 … One way to improve our ethics is to example arguments on both sides of common ethical dilemmas.. (2008). Ethical dilemmas in community mental health care is the focus of this article. If all else fails, the last option would be to make a report to the appropriate ethical board (Koocher & Keith-Spiegel, 2008). Colleagues and Ethical Dilemmas in the Mental Health Profession. Ethical principles are the framework that guides a mental health counselor’s practice. 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). In the following paper, I will discuss these issues, as well as how to handle them in an ethical manner (Corey, Corey, & Callanan, 2011). American Counseling Association (2014). When faced with ethical dilemmas that are difficult to resolve, The social work code of ethics are designed … 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). We use cookies to give you the best experience possible. , International Edition, Brooks/Cole within their practice codes often give different guidance for how Deal! On what type of licensure or no licensure at all and problems how mental health practitioners working colleagues... Self in healthcare depends on your mental opacity best interests clients ' best interests pro-choice. ( Koocher & Keith-Spiegel, 2008 ) code which indicates guidance which can be applied the... 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