Ethics Reivew
Terms
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- Ethical & legal standards
- historically a reaction to real situations and the abuse of people and were developed in reaction to these abuses
- Virtue ethics
- character traits of the counslor, ideals which professionals aspire
- Use of object when disciplining
- not reportable child abuse
- Confidentiality - therapist
- a restriction is placed on volunteering information to anyone
- Positive toixcological screen of motherr upon delivery of an infant
- not reportable child abuse
- Child abuse reporting steps
- call CPS within immediately (within 24 hours) provide written report within 36 hours
- Board of Behavioral Sciences
- state board which governs MFT profession, supervises the licensing procedures, runs paperwork, written and oral examinations
- Confidentiality - law
- unprofessional to fail to maintain
- Child sexual abuse laws
- sexual intercourse between a minor under 16 and an adult over 21
- Privacy issues to ponder
- use of reports, use of case information in supervision, book keeping, office location, waiting room considerations, how messages are received/left, family couple sessions, group therapy, cross-cultural differences
- Child sexual abuse laws
- sexual activity between 14/15 years old and an adult at least 10 years older
- Incestuous relationships
- is considered child abuse
- Consensual intercours between siblings
- is considered child abuse
- Reasonable and necessary force by a police officer
- not reportable child abuse
- Child abuse includes
- emotional abuse i.e. witnessing of spousal abuse, easy to validate
- Confidentiality
- ethical and legal responsiblity of a mental health professional to safeguard clients fro unauthorized disclosures
- Steps to reporting elder/dependent abuse
- 1.call adult services immediately 2.follow up with written report within 48 hours
- Spanking as a discipline
- not reportable child abuse
- Legal Issues mandated
- these are exceptions to confidentiality 1.child abuse 2.elder abuse 3.fee setting 4.owner of the practice 5.Tarasoff-duty to warn intended victim & police
- Mutual fighting between minors of similar age
- not reportable child abuse
- CAMFT Ethical Standards
- 1. responsibility to clients 2. confidentiality 3.professional competence and integrity 4.responsibility to students and supervisors 5.responsibility to research participants 6.responsibility to profession 7.financial arrangements 8.advertising 9.responsibility to legal system 10.responsibility to colleagues
- Child abuse
- physical neglect, unspoken up to age 10
- Exceptions to privilege
- 1.patient litigation exception 2.court appointed psychotherapist 3.crime or tort 4.breach of duty arising from therapist/patient relationship 5.proceeding to determine sanity 6.proceeding to establish competency 7.patient under 16 and the victim of crime
- Not attending school
- not reportable child abuse
- Privilege
- legal term that means that client has the right to not have confidential information revealed in court or legal proceeding
- Privilege - therapist/client
- right to withold information in legal proceeding
- Ethical guidelines
- ethics are guidelines not clear instructions
- California Association of Marriage and Family Therapist - volunteer
- professional organization whose control is over its own membership, power of standard setting and influence with the BBS, has no real legal authority
- Principle ethics
- set of obligations and a method on moral issues
- Not receiving medical treatment for religious reasons
- not reportable child abuse
- BBS
- has legal power to give and take MFT license
- Thinking through ethical problems
- 1.identify problem or dilemma 2.identify the potential issue involved 3.review the relevant ethics codes 4.know applicable laws and regulations 5.obtain consultation 6.consider possible and probable courses of action 7.enumerate the consequences of various decisions 8.decide on what appearrs to be the best course of action
- Privilege - therapy
- more narrow in focus than confidentiality
- Elder
- any person 65 years or older
- Confidentiality - ethical concept
- promotes trust and encourages people to share
- Positive toxicology of infant
- if family exhibits other risk factors/substance abuse it is child abuse
- Dependent
- person between 18-64 who has physical or mental limitation which restrict his or her ability to carrry out normal activities
- Abuse
- physical abuse, neglect, intimidation, cruel punishment, fiduciary abuse, abandonment, mental suffering or deprivation of custodial care which was necessary to avoid or harm or mental suffering
- Spanking, slapping or hitting
- not reportable child abuse
- Child sexual abuse laws
- consensual sexual conduct between minors wherre one is over 14 and the other is under (may apply to lewd touching)
- MFT Mandated Reporters
- marriage and family therapists are mandated reporters of any situation where there is reasonable suspicion of child abuse when they are in their therapist role
- Holder of privilege
- 1.adult patient 2.minor patient 3.patient is a minor in treatment without parental consent 4.therapist can claim psychotherapist/patient privilege in civil and criminal proceedings
- Physical child abuse
- anything that leaves a mark, welt, bruise or cut, leaves lasting scars and/or causes injury to a person