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Ethical behavior with colleagues |
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Definition
• Respect – I.e., no tweets about their attire… • Confidentiality – Think case consultations… • Interdisciplinary Collaboration – Respecting other disciplines. • Referral for Services – No Quid Pro Quo . • Sexual Relationships – Don’t sleep where you eat… • Impairment or Incompetence – Confront & report as determined by agency policy & state law. • Unethical Behavior – Follow proper procedures (agency, state boards. |
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Ethical decision making - contextual or situational aspects of moral and ethical issues |
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Definition
1. Motives - Consider your primary and secondary purposes both as a person and as a social worker 2. Means - Consider the “ways” you might act 3. Ends - Consider the nature of the envisioned “ends” (goals) and determine if they are personal or professional 4. Effects - Consider the additional consequences that could result from use of the identified means and accomplishment of the envisioned ends |
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Ethical responsibilities to clients |
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Definition
• Self-Determination - Individuals right to make own decisions. • Informed Consent - Informing clients of all the facts, risks, and alternatives involved. • Competence – We only practice within our abilities. • Conflicts of Interests – Two competing interests that alters an intervention (e.g., referring a client to service provider who gives you a finders fee • Privacy and Confidentiality – Proper access of records. • Proper Boundaries – Disclosure is in client’s best interests, physical contact restrained, sexual overtones avoided, interaction is work related only. • Payment for Services – Clients have responsibility for their treatment, gifts are not accepted for payment or gratitude. |
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• Organic – Schizophrenia & other psychotic disorders have their root in neurobiology • Substance Induced – Drugs can cause psychosis • Sleep Depravation – Psychosis common side effect, from waking dreams to acute psychosis. • Toxic Exposure – Ergot poisoning (Salem Witch Trials) • Features of Other Condition – Mood disorders & anxiety disorders can present with psychotic symptoms |
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Home visit/ community safety |
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Definition
• Have a safety plan. • Keep your agency informed of your plans and itinerary and check in by phone on a pre-arranged schedule. • Assign two staff members for potentially dangerous home visits. • Look around the neighborhood for potential dangers. • Police are your friends, even if they don’t like it. • Keep your vehicle in good running order and full of gasoline so that you will not find yourself stranded. • If you are being followed, go immediately to a police or fire station or to a public place. • Wear shoes and clothing that permit running. • Have tools that are not weapons, but could aid in your safety. |
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Strom-Gottfried’s (2000) common ethical violations – |
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Definition
• Sexual activity • Dual relationship • Other boundary violations • Failure to seek supervision or consultation • Failure to use accepted practice skills • Fraudulent behavior • Premature termination • Inadequate provisions for case transfer or referral • Failure to maintain adequate records or report • Failure to discuss policies as part of informed consent |
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The 3 purposes of assessment |
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Definition
• Understand the client’s presenting problem – The reason they are seeking services. • Discover how biological, psychological, and/or sociological factors may be contributing to the problem AND how they may interfere, alter/limit, or otherwise affect your intervention. • Help the client start to think differently about the problem (“Why are you asking about that?” “What does that have to do with…”) |
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We only practice within our abilities |
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Two competing interests that alters an intervention (e.g., referring a client to service provider who gives you a finders fee). |
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The diagnostic guide for mental disorders including substance abuse/dependence (The Diagnostic & Statistical Manual of Mental Disorders, 4th Edition, Text Revision) |
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Dangerous client examples |
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Definition
• Those who are angry and feel mistreated by the agency and its staff. • Those with substance abuse issues • Those currently under the influence • Those with a pattern of violent behavior • Those with antiauthority attitudes • Those with active psychosis • Those with erotomania or stalker issues |
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Dangerous persons (not clients) |
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Definition
• Disgruntled employees • Former employees • Family members of clients • Abusive partners of clients • “Sheepdogs” • Individuals in the vicinity of your workplace. |
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False beliefs about what is going on… e.g. - Paranoia, ideas of reference |
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Step 1. Recognize the problem Step 2. Investigate the variables involved (the problem(s), agency role) Step 3. Get feedback from others Step 4. Appraise & evaluate what values and ethical standards apply to the dilemma Step 6. Think about possible alternatives Step 7. Make decision |
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Problematic situations whose possible solutions all offer problematic situations whose possible solutions all offer imperfect and unsatisfactory answers in terms of what ethically should be done. |
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Perceiving stimulus that is not there, also known as “Positive Symptoms” because something is added (auditory, visual, tactile). |
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Mini Mental Status Exam – Assesment tool of lucidity |
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a form of negligence that occurs when a practitioner acts in a manner inconsistent with the profession’s standard of care—the way an ordinary, reasonable, and prudent professional would act under the same or similar circumstances. |
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A maladaptive pattern of psychological, emotional, and/or social behavior not related to an individual’s culture or developmental stage. |
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Category of mental illnesses that are characterized by mood instability (e.g., Major Depressive Disorder, Bipolar |
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Something is taken away… e.g., catatonia, poverty of speech, “word salad,” blunted affect. More common with a dx of schizophrenia. |
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• Leave your office door partly open. • Notify others if you are planning to meet a potentially dangerous. • Have multiple ways to signal for help. • Avoid meeting with clients when you are alone. |
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An impairment in reality testing that can include positive symptoms (e.g., hallucinations, delusions) and negative symptoms (e.g., catatonia). Psychosis ≠ schizophrenia |
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Term
Risk awareness for social work safety |
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Definition
• Most acts of violence are not spontaneous – They have built up over time • There are predictable stages of escalation and indicators of violence • Threats should never be ignored • Previous violence should never be ignored |
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Severely Mentally Ill. An individual is considered disabled due to mental illness (e.g., schizophrenia. |
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Individuals rights to make own decision |
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Temperament & day to day interactions |
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How we, generally speaking, interact with our world. • Judging – Structure, schedule, purpose (Making lists, setting a schedule) • Perceiving – Flexible, casual, open (Acting spontaneously, Postpone decisions to see what else may be available) |
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Temperament & flow of energy |
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How we receive the essential part of our stimulation resulting in action. • Introversion – From within, recharge alone • Extraversion – From others – recharge with others. |
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Temperament & preference in decision making |
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The way we commit to action. • Thinking – Analysis of facts/data, consulting others (Research a purchase, resist buying a needless shirt) • Feeling – Personal experience & values (Choose a job based on the work environment, buy something we don’t need but like) |
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Temperament & taking in information |
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Our preferred method of taking in and absorbing information • Sensing – Our five senses (tasting foods, memorize a song) • iNtuiting – Instincts (Big picture consideration, finding new ways to do things) |
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• Extraverted or Introverted • Sensing or Intuitive • Thinking or Feeling • Judging or Perceiving |
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The 3 ways we harm clients without self-awareness |
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• Over-identification – You trade places • Enmeshment – You share places • Sexual Attraction/ Objectification – You touch places |
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The 4 stages of a client who is acting out/in crisis |
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Stage 1: Initial Tension and Frustration Stage 2: Verbal Attack Stage 3: Loss of Control / Acting Out Person Stage 4: Release |
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The 4 things all assessments must be |
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• Client Centered • Bio/psycho/social • Strengths Focused • Compliant with Regulations (agency, state, NASW, third-parties) |
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The 4 ways to identify your "dark side" |
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Definition
• Others HAVE pointed them out • What annoys you most in others? • What critiques do you react the strongest to? • What do those closest to you find most frustrating? |
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Term
The 6 core values of social work - |
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Definition
• Service • Social Justice • Dignity & Worth of the Individual • Importance of Human Relationships • Integrity • Competence |
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The social worker’s invisible ceiling |
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Definition
• If you are unaware of a weakness, you are not in control of it, and it is coming out in your practice. • You can only take people as far as you have gone yourself. • You are necessarily blind to your shortcomings – they are Ego Dystonic (unacceptable) • Social work settings are ALL high stress, and will result in you regressing at times, leaving you vulnerable to your “stuff.” |
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Term
Three types of malpractice |
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Definition
1. Malfeasance - The professional intentionally engages in a practice known to be harmful 2. Misfeasance - The professional makes a mistake in the application of an acceptable practice 3. Nonfeasance - The professional fails to apply a standard, acceptable practice when action is needed |
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Clients reaction to therapist |
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