Issues and Ethics u in the Helping Professions 6th Edition资料.ppt

Informed Consent Clients need enough information about the helping process to be able to make informed choices The informed consent process begins with the intake interview and continues for the duration of the helping relationship The aim is to involve clients in a collaborative partnership Becoming A Helper - Chapter 9 (4) Confidentiality Confidentiality is a central concept in the client-helper relationship Confidentiality needs to be discussed with clients from the onset of the relationship Confidentiality is essential but is not absolute Some exceptions to confidentiality: Client poses a danger to self or others Client under age of 16 is the victim of abuse Client needs to be hospitalized Information is made an issue in a court action Client requests a release of record Becoming A Helper - Chapter 9 (5) Client Autonomy Respecting the client’s autonomy is basic Helpers do not make decisions for clients, nor do they foster dependent attitudes and behavior As helpers, your main job is to put yourself out of business Becoming A Helper - Chapter 9 (6) Ethical Issues in Managed Care Five major ethical issues regarding practices of managed care Informed Consent Confidentiality Abandonment Utilization Review Competence Becoming A Helper - Chapter 9 (7) Grounds for Malpractice Abandoning a client Sexual misconduct Breaking confidentiality inappropriately Failing to respect a clients privacy Failing to protect others from a dangerous client Practicing beyond ones competence Failing to honor a contract with a client Failing to provide for informed consent Becoming A Helper - Chapter 9 (8) Ways to Prevent Malpractice Actions Make use of informed consent procedures Define clear contracts with clients Do not practice outside of your competence Take steps to maintain your competence Document carefully Know and follow state and local laws Know and follow the codes of ethics Respect confidentiality Report any cases of suspected child abuse Carefully consider bartering arrange