Describe the steps the counselor should follow if he or she finds it necessary to break confidentiality.

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A counselor has been treating a client, Jay, who was recently in a bad accident that left him bedridden and partially paralyzed. With sustained physiotherapy and medication, the paralytic effect has gone, but motor movements are still affected.

Jay’s steady girlfriend left him when she could not cope with the demands of a paralytic partner. Jay lost his job too. These left a heavy dent on his self-esteem, and he was slowly letting his life slip past. He began attending therapy at the insistence of friends.

One day, he discloses to his counselor that he is contemplating suicide because there is nothing he looks forward to in life. He announces that he has had enough of living and plans to shoot himself that evening. The counselor knows he has access to an old hunting rifle and that he has attempted suicide in the past. He has been under treatment for major clinical depression for the past three months.

  • Discuss the ethical issues presented in this scenario.
  • Identify the relevant ethical standards from the ACA Code of Ethics and the APA Ethical Principles of Psychologists Code of Conduct. Provide the number, title, and definition of each relevant standard from those codes.
  • Justify whether or not the counselor would need to break confidentiality.
  • Describe the steps the counselor should follow if he or she finds it necessary to break confidentiality.

explain how you, as the human services professional, would support the clients in the case study.

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Values, culture, and underlying beliefs of human services providers may raise dilemmas when handling cases involving issues such as infidelity, domestic violence, and parenting matters. In this week’s media program, “Barbara—The Human Services Professional: Chapter 3,” a number of issues impact the family, which raises questions that might be influenced by your own personal values. For this Discussion, review the media program and consider the dilemmas affecting the family. Reflect on who is involved and what values and cultural influences might impact the case.

With these thoughts in mind:

By Day 4

Post a brief description of the dilemmas portrayed in the media presentation, including the individuals involved in the case. Then, identify the values and cultural influences that are presented in the case. Explain how these values and cultural influences might be impacting the dilemmas portrayed. Finally, explain how you, as the human services professional, would support the clients in the case study.

How does the client’s developmental stage help guide treatment and interventions?

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What are some of the areas of a client’s life that might help a counselor develop/identify patterns of mental illness in a case conceptualization? How does the client’s developmental stage help guide treatment and interventions?

This discussion question meets the following CACREP Standards:

2.F.5.h. Developmentally relevant counseling treatment or intervention plans.

5.C.3.a. Intake interview, mental status I

evaluation, biopsychosocial history, mental health history, and psychological assessment for 

treatment planning and caseload management.

This discussion question meets the following NASAC Standard: 25) Gather data systematically from the client and other available collateral sources, using screening instruments and other methods that are sensitive to age, culture and gender. At a minimum, data should include: current and historic substance use; health, mental health, and substance-related treatment history; mental status; and current social, environmental, and/or economic constraints on the client’s ability to follow-through successfully with an action plan.

· Identify the particular program or area of practice that you selected for the Final Project.

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Cultural backgrounds can greatly impact people who are in need of human services. In some cultures, for example, illness is seen as a sign of weakness, which sometimes leads to delayed medical or social assistance. This is just one of the countless ways that culture impacts human services, and as a future professional, it is important that you gain insights into how culture might impact your particular area of interest. For this Assignment, use the Walden Library databases to locate and select one peer-reviewed article that relates to culture in human services. Consider how culture might impact the program or area of practice you plan to focus on for the Final Project.

To complete this Assignment:

By Day 7

Write a 2- to 3- page paper that addresses the following:

· Identify the particular program or area of practice that you selected for the Final Project.

· Identify and describe the peer-reviewed article you selected from the Walden Library.

· Explain how culture and the article you selected are relevant to the program or area of practice that you identified.

Note: After reviewing your assignment this week, your instructor will offer suggestions, feedback, and final approval of your topic and article(s).

Reminder: Proper formatting and APA citations are required. Refer to the Writing Template for Course Papers for additional guidance.

West-Newman, C. L. (2005). Feeling for justice? Rights, laws, and cultural contexts. Law & Social Inquiry, 30(2), 305–335.

Note: Retrieved from Walden Library databases.

This article explores the influence of culture on emotions. It also explains how an understanding of culture and emotions can influence laws and legislation.

Note: The following resources are provided for you to use as references throughout this course and graduate program. It is recommended that you add these resources to your academic library.

American Psychological Association. (2009). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

 

This manual explains how to cite using APA style. It includes guidelines for formatting a manuscript, displaying results, and crediting sources. It also includes strategies for correctly using mechanics and for writing concisely and clearly.

What are some of the easiest aspects of documentation? 

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3-4 Pages. Papers will apply the topic to your work at your site, not theoretical or conceptual. Be sure to clearly respond to all parts of the prompts in a meaningful, insightful, applied, purposeful manner. The purpose of this assignment is to begin to synthesize clinical and conceptual knowledge across the curriculum, and to apply it to actual client.

My WORK SITE is The PAX Center, Intensive Out Patient

My Topic #3: Clinical Documentation IOP

What are your various documentation responsibilities at your site? 

What are some of the easiest aspects of documentation? 

What are some of the difficult aspects of documentation? 

How could the use of technology impact the administration of these assessments?

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Wechsler Memory Scales and the Minnesota Multiphasic Personality Inventory test. In reference to the two types of assessments. How could the use of technology impact the administration of these assessments? Do you feel that the incorporation of technology would be a benefit to administration? Why or why not? Provide specific examples to support your position.

Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).

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For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following:

  • Choose either a treatment group or task group as your intervention for Paula Cortez.
  • Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).
  • Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication?
  • Include the advantages and disadvantages of using this type of group as an intervention.

Discuss alternative courses of action that could be taken by the counselor to rectify each dilemma.

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James is a community counseling student who is interning with the College Counseling Center at the local university. James is a 25 year-old Caucasian male, who attended a private high school in a small rural town. In terms of being a counselor, James admits that one of his challenges is that he has not experienced much diversity in his relationships. He states that this is not a significant issue because he plans on opening a private practice in his hometown as soon as he graduates. Since he “knows the town” he doesn’t feel that this is a big deal. Also, in terms of finding clients, James states that he is sure he will be able to get referrals because his father works for the town newspaper and will run an ad as soon as he moves home. James admits he has no clinical experience but is pleased, upon arriving at his internship site, to see that his ex-girlfriend is going to be his assigned clinical supervisor.

Since they have not seen each other in years, James figures that meeting once a week will give them a good opportunity to catch up on “old times”. James also figures that she could continue to supervise him in private practice until he receives his license. James is relieved because he knows she won’t mind, since he will be graduating in nine months, if he puts her credential, Licensed Professional Counselor, after his name since she is supervising him. After discussing private practice, James asks his ex-girlfriend if he can begin to see clients right away because he is anxious to get experience and begin working on his practice. Since she figured he would be a pretty good counselor, she agreed and paired him up with Lisa, a 21 year-old Latina female. During the first session, James was running late and was unable to fully cover all of the intake documents with Lisa. He put them aside and said, “We don’t really need to review these. It is just paperwork required by the Center. Please sign here.” As the counseling session continued, James thought he might have recognized symptoms associated with depression including decreased motivation, loss of appetite and overall dissatisfaction. He thought about bringing these up with his supervisor but forgot once he left the session.

James continued to meet with Lisa. The first few sessions focused mainly on her recent break-up with her boyfriend and the resulting academic difficulties. She was very concerned that her career dream of becoming a lawyer may be in jeopardy. In the third session, Lisa casually mentioned that she began to experience depressive symptoms as a child when her mother’s partner began to physically abuse her at the age of 5½ years. Lisa told her mother about the abuse, but she did not intervene. Shortly after the physical abuse began, the man began to also sexually abuse her. Once again, Lisa reported this to her mother and also to a teacher at her school, but nothing was ever done. Lisa reported that when she was 7, she placed an unknown prescription medication of her mother’s into this man’s alcoholic drink. Later that same day, the man experienced a stroke and was rushed to the hospital where he later died. Lisa also reported learning that her mother’s partner’s stroke and subsequent death were related to the combination of prescription medication and alcohol. The client has never told anyone other than James that she had placed medication in this man’s drink.

 

  • Read the case study provided and identify all three of the ethical dilemmas presented.
  • Describe the nature and all dimensions of the three ethical issues.
  • Identify the ethical code numbers and definitions of each issue presented using both the APA and ACA codes.
  • Discuss alternative courses of action that could be taken by the counselor to rectify each dilemma.
  • Describe the implications of each alternative action; lay out the limitations and advantages of each alternative considered.
  • Choose one course of action and provide a justification for this selection.
  • Describe the ethical decision-making model (from your course materials) you used throughout the process to arrive at a final decision (i.e., Forrester-Miller and Davis). Make sure you outline each step.

You will be graded on the process you used to arrive at your recommendations and the reasoning behind picking a specific recommendation (and not the actual recommendation itself).

You should utilize and cite at least two peer-reviewed journal articles to include in your research.

The body of the paper should be no less than 5 pages in length. Your paper should be double-spaced, in 12 point Times New Roman font, with normal 1-inch margins, written in APA style, and free of typographical and grammatical errors. It should include a title page with a running head, an abstract, and a reference page.

Compare the differences from about ten years ago when the movie was produced to today.

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As someone knowledgeable about research on children with exceptionalities, you have been given the task of presenting a report to the court on your arguments for and against people with intellectual disabilities raising children.

Do the following:

  • Launch the online library (under Academic Resources).
  • Select Find Videos.
  • Select Filmakers Library Online.
  • In the search box, type “is love enough” and click Go.
  • The first result should be Is Love Enough? directed by Tom Puchniak. Review this video.

Analyze the historical, legal, and ethical issues in the video. Make sure you include the following in your analysis (in an order that flows well in your paper):

  • Compare the historical trends related to people with disabilities. How would outcomes be different fifty years ago for the people in the movie?
    • Compare the differences from about ten years ago when the movie was produced to today.
    • Explain how far we have come and what still needs to be addressed (such as terminology, acceptance, and support).
  • Explain how laws such as the Americans with Disabilities Act (ADA) and the IDEA influence these decisions.
  • Identify the ethical principles that might apply to the situation. Consider the professional ethics codes, including the following:
  • Synthesize your research and create two arguments: one for and one against parents with intellectual disabilities raising children. Consider the perspectives of the parents as well as the children. Use evidence and examples from research, utilizing your assigned readings, and at least two peer-reviewed articles on this topic to support your argument.
  • Given what you learned in the video, your assigned readings, and research you found, recommend supports or interventions for the following:
    • The family
    • Within the community for the family and child
    • The school
  • Although this video focused on those with intellectual disabilities, generalize the issues to other exceptionalities.
  • Conclude your paper with a review of current thinking for and against people with exceptionalities raising children, based on the sources used.

Write a 7–9-page paper (not counting the title page, abstract, or reference page) in Word format. Apply APA standards to citation of sources. Be sure to include a title page, abstract, and reference page also in APA format.

Transcript from Video:

00:10fL Filmakers Library, Inc. New York , N.Y. PRESENTS Alan Handel Productions III Inc.

00:25We want a child like everybody else. We have abilities. We don’t look at her disability.

00:30Just because we’re disabled, it doesn’t mean we can’t at least try.

00:35DENNIS LINT I don’t think they should have children. I think the risk is too great.

00:45How would you feel if the kid’s retarded or… or normal? I said, “I don’tcare how the kid is, at least I will love it.”

00:55SUE But you have to think of the child. It’s just… It’s not fair.

MARY ANN But I don’t really regret anything that I’ve done, because everything that I have done has made me who I am and I think despite everything that I’ve turned out okay.

01:05I… I really want a child, badly …and I’d be a good mom.

01:15[sil.]

01:20C. DAVID JOHNSON Who has the right to be a parent? It’s the mostelemental and the most demanding of human responsibilities. A task that many people feel is far too difficult to be managed by a retarded person. Yet, today an estimated 100,000 children are born every year to retarded parents in North America and we still know relatively little about this phenomenon. The intellectually-disabled say they can provide all the devotion a baby requires, but a growing child may need much more than love.

02:00Is Love Enough? Written & Directed by Tom Puchniak Produced by Alan Handel

02:15MIKE GODMAN Batshaw Family Services, Montreal You can look at a number of intellectually handicapped adults and you’ll see someone who visually looks like a… an adult, but you have to remember that this person may be functioning at an intellectual and an emotional stage that could be closer to eight, nine, ten, which begs the question, “Would you be comfortable with an eight, nine-year-old or 10-year-old caring full time for your child?

02:3500:02:40] MADONNA FRADSHAM Assn For Community Living Many people with intellectual disabilities are short-changed and people don’t expect enough of them and therefore, you know, people decide that they are not capable before they are even given a chance.

02:50DAVE HINGSBURGER Author/Consultant You have to realize in one generation people with disabilities have gone from being idiots and morons to neighbors and friends and that’s been quite a journey.

03:00[sil.]

03:05C. DAVID JOHNSON For hundreds of years, western society regarded the mentally retarded as sad accidents of nature to be closeted behind walls of secrecy and silence. Thousands were forcibly sterilized in an attempt to erase the genetic stain of their misfortune. But scientists now know that barely 10% of mental retardation is passed on genetically. The most common causes are illness during pregnancy and traumatic injuries to the brain. The last sterilization wards were shut down in the1970’s , but many of the attitudes which spawned them remain. And the controversy over the ability of the retarded to be adequate parents is far from over.

04:00[sil.]

04:05Atlantic Canada

04:10C. DAVID JOHNSON We cannot identify the woman whose story we are about to tell, because she was involved in legal action with child welfare. We’ll call her Susan . Susan has an intellectual disability. Fifteen years ago, she had a baby boy. Within months, child welfare officials decided she couldn’t handle the child and seized it for adoption. Two and a half years ago, she had another baby, a girl. Once again, child welfare took the child away.

04:40SUSAN PURCELL I ask one thing in life is to see my child growing up.You don’t know how hard it… hard it is not to see a child growing up, like having one child die just like Mary losing her child.

05:05[sil.]

05:10C. DAVID JOHNSON It is a frequent occurrence: the child of a mentally disabled parent removed by a social welfare system that doubts the parents’ ability to raise and educate her. Most of the time, the parents do not contest the decision. But Susan decided to fight back. She felt she was getting a raw deal and so did the local association for community living, which works with intellectually disabled people.Madonna Fradsham is an Anglican minister and executive director of the association.

05:45MADONNA FRADSHAM I didn’t know whether she was going to be a good parent or not, nor did anyone else, but the period of time that they had granted her was not enough time for them to determine whethershe was going to be a good parent to that child.

06:00C. DAVID JOHNSON The association decided to use Susan and her baby as a test case for the rights of intellectually disabled parents to raise their children. The child’s father is also mentally disabled, butSusan had broken up with him and he is not part of the case.

06:15[sil.]

06:20C. DAVID JOHNSON The Department of Child Welfare would not comment on camera, but it’s position in court was blunt.

06:25We cannot recommend that an adult of diminished capacity take on responsibilities they cannot shoulder, when such a decision would place a dependent infant at risk.

06:40C. DAVID JOHNSON The judge compromised. He decided to giveSusan a carefully controlled opportunity to demonstrate her fitness as a mother. The child was placed in a foster home. Susan was allowed weekly visits under constant surveillance by a child welfare worker. How she handled the baby would be crucial to her chances of getting her back, because the early months are critical in a baby’s life.

07:10MIKE GODMAN Given what we know now in terms of a child’s development, we’re much more careful in terms of having to make decisions, the right decision at the right point in time, because if that decision isn’t made, that child’s development forever is jeopardized so that you can’t give a parent five years to make the necessary changes, because that’s not in the best interest of that child.

07:35C. DAVID JOHNSON Child welfare workers compiled a growing list of concerns about Susan’s attempts to feed and care for her baby. They continued to feel the child was at risk. Although Susan had been atrusted babysitter over the years, social workers reported she was doing things like bathing her daughter in water that was dangerously hot.

08:00DOLORES CRANE Susan’s lawyer And consistently I saw that over and over in the notes(ph), and my point was always if… if she wasn’t that capable that she couldn’t tell hot water from cold water, don’t you think at this stage in her life that we would have found out that through these other children that she had taken care of, or through herself? I mean, if the woman didn’t know how hot the water was, you think she would have scalded herself.

08:25C. DAVID JOHNSON Susan admits that she was unprepared for her first baby 15 years ago, but since then, she has lived on her own, worked in a fast food restaurant, and returned to school to improve on her grade five education. She rejects the charges that she is incapable of caring responsibly for her daughter or herself.

08:45SUSAN PURCELL That’s not true. I can think on my own. I’ve been looking after myself for 18 years. I’m bit of a slow learner… but I can catch on.

09:05C. DAVID JOHNSON The deck was stacked against Susan from the start. She grew up one of eight children in a shattered, violent household. All eight were removed to foster homes, which were not much safer. Child welfare officials used Susan’s dismal upbringing to argue against her fitness as a parent. She was separated from her sisters at an early age. They all live in another city.

09:35My parents were alcoholics. There was abuse, never had a… stable family home at all. None.

09:45I will tell she remains sitting in the chair, belt tie… or tied to the chair,belted around for no reason at all.

09:50And if she peed in the chair, she’d get for it to get even twice as now.

10:00SUSAN PURCELL Every night, when I’d go to bed, my foster father molested me.

10:05Did you ever say anything to anybody?

10:10SUSAN PURCELL I told the social worker and they didn’t believe me.They didn’t do nothing.

10:20[sil.]

10:25C. DAVID JOHNSON After an 18-month battle, Susan won a partial victory, the right to take her daughter home, but only under the close supervision of child welfare workers.

10:35SUSAN PURCELL Put this color on, put this color. Too high.

10:40[sil.]

10:45Put the other one.

SUSAN PURCELL Yeah, the other one.

10:50C. DAVID JOHNSON The social workers continued to have concerns. They said she had trouble measuring out the right amount of medicine. She took too long to dress and feed her daughter, and showed a high level of anxiety, which affected her ability to solve problems. Her lawyerfelt Susan was being held to a different standard than any other parent.

11:15DOLORES CRANE My client was under a microscope, and every time the director’s workers who would asked her questions, she was always petrified of saying the wrong answer and the more that she didn’t get the right answer the more nervous she became in terms of doing the chores and so on.

11:35C. DAVID JOHNSON Susan’s sisters offered to share the child raising duties, an arrangement that has helped ease the burden on mentally disabled parents in the past. When child welfare declined their offer, the sisters were dismayed by the decision.

11:50They set her up to take a fall. It’s almost like that.

I think they actually went after her and they made her feel stupid.

11:55They put her in situations to make sure she fails them.

12:00Yes, she is not stupid.

They gave her a test, a math test…

Yeah.

…which she passed the 100%, but they had to test her math skills, like she… that… that… I… I had never heard of someone being tested for math to become a parent, because I don’t know if I do too good.

12:15And that’s why she is taking courses now to better herself…

Yeah, she has been taken…

12:20She has been, yeah. So what does that tell them? They should tell them like, “hey she is trying.”

12:25Oh, she jumped too far.

You know.

12:30C. DAVID JOHNSON Susan does have help raising her child.

SUSAN PURCELL Hello.

12:35MADONNA FRADSHAM Hi.

SUSAN PURCELL How are you?

MADONNA FRADSHAM How are you?

C. DAVID JOHNSON Madonna Fradsham was touched by Susan’sdetermination, and impressed by her ability to learn and grow. She began as Susan’s official advocate, but has become her daily confidant and closest friend.

12:45MADONNA FRADSHAM She learns from watching other people. A prime example is first when… ah… when her daughter came home, she really wasn’t sure how to cuddle her and how to hold her and all those kinds of things, but her experience hadn’t been a loving family where people loved you and kissed you, and said I love you and you are beautiful, and you are special to me, and all those kinds of things. So others showed her how to do that. And today there is just this wonderfulbond between mother and child.

13:25(inaudible ).

13:30SUSAN PURCELL Make ‘em smell nice and good. Love you. I love you.

13:40C. DAVID JOHNSON Susan’s daughter is now a healthy and normaltwo and a half year old. But one of the greatest concerns with intellectually disabled parents is whether their limited reading and verbal skills will hinder the child’s education in years to come.

13:55SUSAN PURCELL I think that was the end of the story. Now, teddy is sleeping. (inaudible) about to sleep.

14:05MADONNA FRADSHAM You know what’s really interesting about this mother is that in the beginning over and over again, she would say, “If Iknow I can’t do it, I will let her be adopted. If when I try, I can’t do it, I would let her go, because I love her.”

14:30SUSAN PURCELL Can you do it? Can you do it?

MADONNA FRADSHAM She certainly would not be willing to do ittoday, because she has proven over and over again that she can parent this child.

14:40[sil.]

14:50C. DAVID JOHNSON The test case continues. The Department of Child Welfare is going back to court. It wants to continue to monitor the mother and child. Susan just wants them out of her life.

15:05SUSAN PURCELL I didn’t have a chance in life, but how… but now I do, because she is my last child I’m ever going to have. She is my pride and joy, she is my life. It’s not fair what you people are doing to me. I love her and I… and I know I could be a mother to her, if you give me a chance.

15:35C. DAVID JOHNSON In some ways, infancy is the easiest time for a parent. The child’s needs are simple. But what happens as the child grows older and begins to outgrow the parent, that can be a difficult experience.

15:50(inaudible).

16:05C. DAVID JOHNSON Can the child of retarded parents possibly turn out normal? Mary Ann lives in Victoria , British Colombia . She is 20 years old, and is going to college and pursuing a career in music. To get to where she is today, she had to overcome a major handicap. Both of her parents are intellectually disabled.