APA Ethics Case Study

Great Essays
The American Psychological Association (APA), Ethical Principles of Psychologists and Code of Conduct applies to professional psychologists and other professionals in the field of psychology. Therefore, Dr. John Smith must abide by the APA Ethics Code as his primary code of ethics, especially as an individual with a private practice and no additional code of ethics from an organization or overhead. Additionally, there are other codes Dr. Smith may consider due to his specialization in the treatment of truck drivers with active chemical dependence. Dr. Smith should also consider The National Association for Addiction and Drug Abuse Counselors (NAADAC) Code of Ethics among other resources including the Code of Federal Regulations and the United …show more content…
Smith is a professional psychologist and over half of his clients are truck drivers with active chemical dependency. Many of his clients have been recommended to him by previous clients. Due to confidentiality purposes, Dr. Smith does not report any of the clients and he does not keep record of his clients’ chemical dependency on file. Since the majority of his clients has not previously sought help for chemical dependency in fear of being reported and losing their jobs, Dr. Smith believes that by protecting confidentiality he can reach those who otherwise would not seek help. Although Dr. Smith believes he is morally justified, if his clients are driving while under the influence, especially commercial vehicles for work which have the potential to create greater damage due to vehicular size, then his confidentiality policy is not morally justified. The APA Code of Ethics, the NAADAC Code of Ethics, and researcher and educator Monique Manhal-Baugus in her article, “Confidentiality: The Legal and Ethical Issues for Chemical Dependency Counselors” all emphasize confidentiality except when the client poses risk of harm to others or themselves. Both of the Codes of Ethics leave this up to the professional’s interpretation, but Monhal-Baugus (1996) clearly states professionals have a duty to warn and breach confidentiality, even if there is no specific …show more content…
Smith’s policy of confidentiality is morally justifiable. If he files a report that his clients have broken Federal Regulations (2016), trust will be compromised and clients could discontinue counseling sessions. The federal regulations in question include the Code of Federal Regulations (2016), specifically Tittle 49, section 382.201 that states “No driver shall use alcohol while performing safety-sensitive functions” and section 382.213, “No driver shall report for duty or remain on duty requiring the performance of safety sensitive functions when the drivers uses any drug substances. . .” If Dr. Smith’s clients believe he is untrustworthy, then they will not recommend him to other chemically dependent truck drivers, less individuals will be treated, and the potential threat of harm to chemically dependent truck drivers and others will remain or even potentially increase. It is a quandary because whether he is effective in treating clients may depend on the individual client. How clients react to Dr. Smith breaking confidentiality to get them additional help, from a trained professional in that specific area may determine Dr. Smith’s effectiveness in his

Related Documents

  • Improved Essays

    Jane Smith, was referred by the Courts for treatment because of an OWI arrest. Ms. Smith was involved in a hit and run accident of a parked vehicle and denied it was her fault. She failed the sobriety field test and later admitted it was her who was driving her car when she hit the parked vehicle. Ms. Smith enjoys drinking six twelve oz. beers three times a week.…

    • 584 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Ethical dilemmas and professional challenges surround us on a daily basis, how we respond to them is crucial to our professional career. In 2005, the American Counseling Association (ACA) published a document titled the ACA Code of Ethics which was designed to aid counselors in the ethical decision making process and, in response, “expand the capacity of people to grow and develop” (Alexandria, 2014, p. 3). Counselors are obligated to follow these sets of guidelines on a daily basis, in and out of the workplace, and will be reprimanded for violating any given rule. Currently I am interning at East Coast Counseling here in Greenville, NC.…

    • 792 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Another comparison between the two ethics is that both require permission from the client before consulting other professionals about their case. The American Counseling Association and the National Association for alcoholism and drug abuse counselors value the confidentiality that is provided to all clients for their…

    • 721 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Part A- Ethical Dilemmas The client asked his counselor if he would not report that his past boyfriend raped him. He does not want the information to reach his friends in NA due to them discovering that he was using meth again. This puts the counselor in an ethical dilemma of confidentiality.…

    • 1533 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    This paper will provide a brief summary of both the American Counselor Association (ACA) and American Mental Health Counselors Association (AMHCA) code of ethics, explore similarities and differences between the two, as well as discuss the application of these codes in the future as a professional counselor. Brief Summary of ACA and AMHCA Codes of Ethics The ACA Code of Ethics was born out of necessity for the need of an ethical standard for the relatively new counseling profession.…

    • 1130 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Ronald H. Stein writes a very interesting entry titled “Lying and Deception for Counselors and Clients”. Within this entry, Stein describes a very interesting a difficult ethical situation between a counselor and a client. The example details how a family is having a conversation with a family that has a child with a clear physical and mental disability. The family is aware and accepting of the physical disability but is unaware and not accepting of the mental disability that the child has. The dilemma is, does the counselor disclose to the family that the child has a mental disability, or do they not disclose this information to avoid the family being overwhelmed with the apparent needs of this child.…

    • 501 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Introduction The NAADAC was designed to determine what conduct is and isn’t ethical for today’s addictions counseling professionals. This list of conduct standards is determined by the National Certification Commission and is used when complaints are filed against professionals. The state certification boards and educational institutions also use this list to guide current and future addictions counseling professionals in the certification process. While I am not a certified professional I am aware that I am already exercising, in some form or another, these standards and in this paper I am going to attempt to outline the various ways that I have or am currently exercising the NAADAC Code of Ethics.…

    • 1576 Words
    • 7 Pages
    Improved Essays
  • Superior Essays

    Even if they are unable to get their patient to agree to the disclosure, they have lived up to the obligations of their profession. Kipnis (2006/2008) concludes his argument by stating that “confidentiality… is effective at getting more patients into therapeutic alliances more quickly, it is more effective in bringing about better outcomes for more of them and—counterintuitively—it is most likely to prevent serious harm to the largest number of at-risk third parties” (p. 56). He is adamant that confidentiality and trustworthiness are the professional, moral requirements of doctors, and they are not to be broken even if legal precedent requires…

    • 1212 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Dual Relationships and Their Effects on Group Counseling with the Addicted Population The American Counseling Association (ACA) lays out a substantive and encompassing groundwork in terms of ethical guidelines for practicing counselors in their Code of Ethics. Many areas are addressed, including confidentiality, personal values, issues related to diversity and multicultural competence, just to name a few. As a future counselor, who is himself in recovery from addiction, one of the ethical standards that is very poignant and relevant when working with clients who have substance abuse disorders, is the area of dual relationships.…

    • 876 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Why Is Hippa Important

    • 671 Words
    • 3 Pages

    HIPPA Regulations The agency of the case manager, is required to follow the Health Insurance Portability and Accountability Act (HIPPA) by law. The U.S. Department of Health and Human Services enacted HIPPA regulations in 1996. According to the U.S. Department of Health & Human Services (2016), HIPPA provides rules and regulation on the disclosure, privacy, and security of individually identifiable health information and individual health records.…

    • 671 Words
    • 3 Pages
    Great Essays
  • Decent Essays

    More often the answer to this question is no and probably for good reason, despite the counselor's intent of wanting to help those who want or trying to recover from alcohol and drugs, the outcome may not be what is being looked for for. The alcohol and drug counselor, may struggle with cognitive dissonance (behavioral and attitude issues) that will help them focus on there own recovery instead of the clients. The problem with someone going through therapy and recovery themselves can be a hindrance to those who are trying to get clean. It would be highly recommended for those who want to become a alcohol and drug counselor to wait a few years before pursuing. Also, it would not be a good idea to reveal much about your own recovery (self-disclosure),…

    • 430 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    My assignment was to visit a community agency or clinic offering substance abuse counseling and discuss my findings. I spoke with June Mikels, MSW, LSW, LCAC an addictions counselor who has been in the field since 1985. After discussing her qualifications, I asked June what her focal point was and the population she primarily served? She stated, as a counselor, my primary focus is education and outpatient treatment programs for alcohol and drug abuse. And, the primary population I serve is persons with mental and substance abuse disorders and active duty military personnel” (June Mikels, personal communication, April 7, 2017).…

    • 1115 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    The informed consent is like a contract that protects both the client and the therapist, it concerns the issues of confidentiality that is of special importance during our therapeutic work. Although psychologist Sean had knowledge that Will was a genius and had a wide range of knowledge, he should not assume that Will had knowledge about therapy and/or confidentiality issues. His failure of providing informed consent to the client and discuss it to make sure that the client understands his own rights violated the ACA code of ethics, as it stated in the code that “counselors have an obligation to review in writing and verbally with clients the rights and responsibilities of both counselors and clients” (American Counseling Association, 2014). In this case, Will is a client who had been mandated for counseling services, Sean as his therapist, should “explain what type of information and with whom that information is shared prior to the beginning of counseling” (American Counseling Association, 2014). Here, I recommend that in the future practice, therapists in this organization always provide clients with informed consent and thoroughly discuss it to make sure that clients fully understands their responsibilities and…

    • 1534 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Therefore, it can be stated that acting without complete confidentiality, would not only be breaking the law but would also lead to negligent of the patients and damage professional standards for both a health care professional or the association they are affiliated…

    • 1013 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Key Assessment: Legal and Ethical Application / Reflection Paper As a counselor several key components guide our decisions for ethical and legal practice. Following the designated ethical codes of your specialty is of utmost importance. Professional codes guide our judgement, practice, and sound decisions. Ethical decisions, duty to warn and protect, countertransference, and supervision are all criteria to evaluate how counselors determine an ethical practice.…

    • 1866 Words
    • 8 Pages
    Great Essays