Each student will select one question to answer. You must include the page number in the book which assisted you with your answer. Each student will comment on two of their peers responses. No two students may answer the same question.
1. Discuss the debate within the social work profession concerning a therapist’s duty to warn a partner that they may be infected with HIV.
2. Discuss some of the costs to society that domestic violence has (judicial, medical, shelter, etc).
3. Discuss the types of ethical dilemmas that are created by managed care organizations.
4. NASW feels that client self-determination should apply to all aspects of life and death, and affirms the right of any individual to direct his or her care wishes at the end of life (Social Work Speaks Abstracts, 2007). What are your feelings related to social workers’ role in presenting clients with end-of-life options?
5. List the pros and cons of patient-assisted suicide in regards to the 1999 NASW Code of Ethics.
6. Discuss how omitting consideration of spiritual or religious orientations that are important to clients can limit the effectiveness of the social worker’s efforts.
7. Can therapeutic alliances be developed online? Discuss some of the benefits to online therapy verses face-to-face therapy.
8. Discuss the class the current debate in the mental health profession regarding whether or not a social worker has a duty to warn a partner if their client disclosed they are HIV positive and have not informed their partner.
9. Discuss what a social worker should do when managed care will not reimburse unless there is a DSM-IV-TR diagnosis. Is it ethical to misdiagnose in order for the client to receive needed services?
10. Discuss how the following issues can be ethically addressed in online sessions: explaining the limits of confidentiality and mandated reporting laws; obtaining informed consent; providing the fee structure; discussing record-keeping, and security measures and termination policies.
11. Discuss the many forms of domestic violence: who it involves, who the client is, and what the treatment outcomes are.
12. Discuss the inconsistency between Standard 1.02 of the Code, which asserts that social workers have a responsibility to limit self-determination when people pose a serious risk to themselves or others, and the NASW Standards for Palliative and End of Life Care.
11. Discuss the many forms of domestic violence: who it involves, who the client is, and what the treatment outcomes are.
ReplyDelete-Domestic violence comes in several forms: physical, sexual, psychological, economic, social isolation, stalking, and coercive control. Violence against women and men continues as an epidemic in the United States. Women are more likely to be murdered by intimates than by any other assailant. The client can be either an abused male or female. Studies on the effectiveness of couple therapy for IPV confirm that therapy results in temporary decreases in violence, but generally, therapy does not result in stopping violence in the long term.
Dolgoff, R., Frank, L., & Donna, H. (2009). Ethical Decisions for Social Work Practice. pg 180-181 Belmont: Cengage Learning.
2. Discuss the types of ethical dilemmas that are created by managed care organizations.
ReplyDeleteDifficult issues arise when the cost containment goals of managed care place limits on the length of treatment, deny care, or insist on certain treatments. When a client's situation is not improved or the problem is unresolved, managed care may deny further reimbursed treatment. Nonetheless, the client may require a continuation of services. This This problem becomes accentuated for a practitioner when two similarly situated clients both need professional social work service but have different benefit packages. On what basis does this social worker decide how to distribute services when both have equal needs? Should the client with the more generous benefit package receive more service? This is an example of how ethical dilemmas arise from managed care organizations.
Dolgoff, R., Frank, L., & Donna, H. (2009). Ethical Decisions for Social Work Practice. pg 201 Belmont: Cengage Learning.
7. Can therapeutic alliances be developed online? Discuss some of the benefits to online therapy verses face-to-face therapy.
ReplyDeleteYes. Therapeutic alliances can be developed online. One benefit of online therapy is the accessibility for rural and isolated areas and home-bound clients. Scheduling problems can be minimized because of the flexibility of the Internet, which can be used day or night. There are even those who believe that clients may be even more open about self-disclosure in an online setting.
Dolgoff, R., Frank, L., & Donna, H. (2009). Ethical Decisions for Social Work Practice. pg 190. Belmont: Cengage Learning.
6. Discuss how omitting consideration of spiritual or religious orientations that are important to clients can limit the effectiveness of the social worker’s efforts.
ReplyDeleteMany of the clients whom are served by social workers have spiritual or religious orientation of basic beliefs that may be helpful in their treatment. If a social worker was to omit a clients spiritual and religious orientation they would be limiting the effectiveness of a clients treatment as well as hindering their client from their capabilities. In order for a social worker to truly be effective, it is important that they understand all of the things that make up their client and the things that are beneficial towards them receiving the best treatment that they can.
Dolgoff, R., Frank, L., & Donna, H. (2009). Ethical Decisions for Social Work Practice. pg 192 Belmont: Cengage Learning.
5. List the pros and cons of patient-assisted suicide in regards to the 1999 NASW Code of Ethics.
ReplyDeleteAccording to Oregonians, one of the pros of physician-assisted suicide includes allowing the patient to died with dignity which happens to be justified when the person has a terminal illness that will lead to death within six months.
One of the con of physician-assisted suicide is that in at least oine nation where assisted suicide has been permitted, the definition of who is eligible has grown looser and outside the specific guidelines over time.
Dolgoff, R., Frank, L., & Donna, H. (2009). Ethical Decisions for Social Work Practice. pg 186-187 Belmont: Cengage Learning.
Dolgoff, R., Frank, L., & Donna, H. (2009). Ethical Decisions for Social Work Practice. pg 180-183. Belmont: Cengage Learning.
ReplyDelete2. Discuss some of the costs to society that domestic violence has (judicial, medical, shelter, etc).
Our society has spent many years developing shelters for women and children who suffer from abuse. Not only are women being abused but elders also. There are estimates that annual 2 million older Americans maltreated. Long term care ombudsmen programs ahave been created to lower the percentages of abuse.
Violencwe against women have created a temendous epidemic in the United States. Therapists also fail to ask about violence or may ask one partner. IPV which is known as doemestic violence or spouse abuse, comes in several different forms; physica, sexual, and mentally.
12. Discuss the inconsistency between Standard 1.02 of the Code, which asserts that social workers have a responsibility to limit self-determination when people pose a serious risk to themselves or others, and the NASW Standards for Palliative and End of Life Care.
ReplyDeleteThe NASW statement on “ End Of Life Care” provides guidance to social workers and is based on the principle that client self-determination should apply to all aspects of life and death. NASW does not take position concerning the morality of end-of-life decisions, but affirms that the right of any individual to direct his or her care wishes at the end of life. Although social workers should not discriminate, different racial and ethnic group have nevertheless been found to have differences in the end of life decision making that imply differential interventions by groups. End of life and self-determination publications includes eleven standards for social workers dealing with palliative and end of life. They can have different values about autonomy and self-determination, death and dying, uncertainty or certainty about whether one is terminally ill, communication, truth telling or not, level of care desired, and other culture-bound perceptions and values. The NASW policy statement is based on the principle of self-determination, many doubt whether meaningful self-determination and voluntary consent prevail in situations in which a person wish to harm himself or commit suicide, by suggesting that active physician-assisted suicide is more than a matter of self-determination.
Dolgoff, R., Frank, L., & Donna, H. (2009). Ethical Decisions for Social Work Practice. pg 183-185. Belmont: Cengage Learning.
11. Discuss the many forms of domestic violence: who it involves, who the client is, and what the treatment outcomes are.
ReplyDeleteDomestic violence is something that affects more than just the parties associated with it. It can affect the family and those sounding them. Different forms of domestic violence include physical, sexual, psychological, economic, stalking, and coercive control. This is an epidemic in the united stated that continues to go unreported.
Chapter 11
ReplyDelete11. Discuss the many forms of domestic violence: who it involves, who the client
is, and what the treatment outcomes are.
Some of the many forms of domestic violence can include physical violence, sexual violence,
economic control, and psychological assault which can include threats of violence or physical harm, attacks against property or just acts of intimidation, emotional abuse, isolation, and use of the children as a means of control. All of these things can be a form of domestic violence. It can involve the man, or women in the situation, and even the children. The client is the person whom is the victim of domestic violence. The treatment outcomes would be to give the client the self determination to figure out what they would like to do, there would be options and the
consequences given with each option and it would be up to the client to have the self
determination to want to get out of the situation. A shelter would be the first thing , to get them from the situation and also getting the children out of the home if any.
Dolgoff, R., Frank, L., & Donna, H. (2009). Ethical Decisions for Social Work Practice Belmont: Cengage Learning.
3. Discuss the types of ethical dilemmas that are created by managed care organizations.
ReplyDelete3. Types of ethical dilemmas that are created by managed care organization is a tense job. My internship Health and Rehabilitation Center provides care as well as rehab such as physical, speech therapy, and occupational therapy. It not an agency just for the elderly but those individual who needs therapy. One ethical dilemma is accepting a resident with AIDS. This can become a situation that makes sure other resident do not contract the disease. Since most nursing homes have patients that are sick, it is important to make sure they get better instead of worst.
Dolgoff, R., Frank, L., & Donna, H. (2009). Ethical Decisions for Social Work Practice. Belmont: Cengage Learning
Dolgoff, R., Frank, L., & Donna, H. (2009). Ethical Decisions for Social Work Practice. Belmont: Cengage Learning. Pg. 224 – 227.
ReplyDelete1. Discuss the debate within the social work profession concerning a therapist’s duty to warn a partner that they may be infected with HIV.
The ethical dilemma facing these social workers arises out of the obligation or “duty to warn” a third party that he or she is endangered by unprotected sex ( this will require breaking confidence). Often HIV-positive clients fear rejection abandonment, and/or loneliness if their partners find out that they are infected. Whether a social worker is required by law to warn a third party when there is a threat of HIV infection differs from state to state. During my junior practicum, I had the opportunity to see the social worker apply the “duty to warn” right. There was a husband and a wife. The wife was staying in the nursing home. The husband told the social worker that he had found out he was HIV- positive and that his wife may be affected as well. They called her into the office and disclosed that information personally to her and she had the right to get tested. This information remains only between the social worker, client and DON. This information may not be disclosed to any staff member.
My Citation: Dolgoff, R., Frank, L., & Donna, H. (2009). Ethical Decisions for Social Work Practice. pg 180-181 Belmont: Cengage Learning.
ReplyDeleteDolgoff, R., Frank, L., & Donna, H. (2009). Ethical Decisions for Social Work Practice. pg 180-181 Belmont: Cengage Learning.
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