Providing Ethical Behavioral Health Services to Children & Adolescents – Terry Casey

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Confidently Navigate Child-Related Ethical Issues

Dealing with any ethical issue can be challenging. When it involves children or adolescents it can be especially confusing, daunting and anxiety-provoking. Mental health professionals can be left with more questions than answers and without a clear method for navigating these waters.

In this skill-building recording, Dr. Terry Casey will equip you to handle whatever ethical challenge might arise involving children, adolescents, and their families. You will learn how to employ a unique ethical decision making model developed by Dr. Casey when dealing with a variety of scenarios, including mandatory reporting, boundaries, divorce and child custody, and virtual relationships.  Using case vignettes, Dr. Casey will guide you through case studies as you evaluate decisions through the lens of applicable ethical codes as well as federal and state laws.

1. Identify the five primary perspectives of the Multiple Perspectives Model of ethical decision making in clinical practice
2. Discuss special issues associated with working with minor clients
3. List the four steps of the Multiple Perspectives Model, and describe how to implements the steps in clinical practice
4. Compare and contrast the ethics laws that pertain to all minor clients vs. the ethics laws that apply specifically to older adolescents
5. Describe how to interpret and navigate professional codes of ethics and state licensing rules
6. Determine the ethical course of action for various scenarios involving minor clients, using the Multiple Perspectives Model

THE MULTIPLE PERSPECTIVES DECISION-MAKING MODEL

• Ethical
• Legal
• Clinical/therapeutic
• Institutional Policies
• Therapist’s well-being and interests

SPECIAL ISSUES WHEN WORKING WITH MINORS

• Assent vs. consent
• Confidentiality issues
  • Exceptions
  • Process for informing minors and parents/guardians

• Divorced/divorcing parents
• Parenting plans
• Access to a minor’s protected health information
• Laws pertaining to older adolescents

STEPS IN APPLYING THE MULTIPLE PERSPECTIVES MODEL

• Step #1: Evaluate for relevant issues in each perspective
• Step #2: If the problem has a significant ethical component…
• Step #3: Consultation
• Step #4: Decision and documentation

WORKING THE MODEL

• Round #1
  • Mandatory reporting: “The phone intake”
  • Multiple relationships: “Client in a bind”
  • Boundaries and Perceptions: “The coffee shop”
• Round #2
  • Parents at odds: “Robert’s separated parents”
  • Divorced parents: “The dilemma with Julia”
  • Virtual relationships: “Social media friends”
• Round #3
  • Competing rights: “Celeste and her father”
  • Trusting the process: “Amanda and Stephanie”
  • Competency & supervision: “The Play Therapy request”
• Supplemental (time permitting)
  • Boundaries revisited: “Dawn’s caramel macchiato”

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