- #ETHICAL DECISION MAKING PROCESS HOW TO#
- #ETHICAL DECISION MAKING PROCESS CODE#
- #ETHICAL DECISION MAKING PROCESS PROFESSIONAL#
#ETHICAL DECISION MAKING PROCESS HOW TO#
These two important updates, among other items, clarified how to address privacy and confidentiality when communicating with clients via smart phones, email, text and other modalities of electronic communication that were not widely prevalent when HIPAA was put into effect in 1996. This includes HIPAA (Health Insurance Portability and Accountability Act), which addresses at a federal level the degree to which client information must be kept private and confidential, and the two updates to HIPAA: the HI-Tech Act and the Final Omnibus Rule of March 2013. The second thing that must be known is the collection of laws and statutes – at both the state and federal level – that relate to our clinical work.
#ETHICAL DECISION MAKING PROCESS CODE#
It is important to know the present code or codes to help with making good ethical decisions.
#ETHICAL DECISION MAKING PROCESS PROFESSIONAL#
Some clinicians do not know their codes because they have not kept up with the changes in thinking over the course of their professional career. The codes are evolving entities, incorporating changes in ethical thinking over time. These codes are usually a very good starting point for the ethical decision making process, and may define good parameters for many, but not all, of the ethical dilemmas faced by mental health clinicians.Ī surprising number of clinicians, however, are not fully familiar with the codes of ethics under which they are supposed to work. Most mental health clinicians are familiar with both the code developed by the national organization for their profession, and a state code associated with the licensing or certification board. The first thing to know, not surprisingly, is the ethical code or codes for your profession. As is implied by the name, this stage is concerned with knowing a number of things that are involved in the ethical decision making process. It begins before you are faced with the ethical decision. The Steps or Stages of the Ethical Decision Making Process The following page shows, in diagram form, the different steps or stages in this process. This chapter will be concerned with looking at these stages in some detail. What can you do to change larger society (e.g.When you approach an ethical decision, there are several steps or stages involved in making a good decision.What can you do to change organization (e.g., suggest policy change at next dept.What can you do to have more support next time (e.g., seek future allies on this issue)?.What precautions can you take as individual (announce policy on question, change job, etc.)?.What could make it less likely you would have to make such a decision again?.Make final choice (after reviewing steps 1- 6), act, and then ask:.Make a tentative choice based on steps 1 -5.ĭid you solve the problem with which you began?.Organization test - what does the organization's ethics officer or legal counsel say about this?.Colleague test - what do my colleagues say when I describe my problem and suggest this option as my solution?.Professional test - what might my profession's ethics committee say about this option?.Virtue test - what would I become if I choose this option often?.Reversibility test - would I still think the choice of this option good if I were one of those adversely affected by it?.Defensibility test - could I defend my choice of this option before a Congressional committee, a committee of my peers, or my parents?.Publicity test - would I want my choice of this option published in the newspaper?.Harm test - does this option do less harm than any alternative?.Test options, using such tests as the following:.(Be imaginative, try to avoid “dilemma” - not “yes” or ”no” but who to go to, what to say). the environment) that will be affected by the decisions to be made. As with Step 1, think broadly and generate a list of all possible individuals, groups, or entities (e.g. Since it is impossible to include all facts in a case-study, frequently you will have to make assumptions based on the information you do have.Īt this step, all stakeholders in the decision should be identified.
For example, one may need to know the legal constraints of the decision, technical aspects that loom large, or other issues. Gather and assess relevant facts in the caseĪt this step it is important to address the non-ethical issues raised within the case.
What is the main issue at stake in this case?
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