week 3 Flashcards
effics 2 (27 cards)
Requirements for ethical practice
4 of them
Engagement in a continual, active process of ethical awareness
Understanding of ethical codes and legal frameworks – necessary, but not sufficient for exercising ethical responsibility
Ability to see ethical implications in specific situations and choices
Ability to critically evaluate ethical dilemmas and identify options for resolution
A matrix of considerations
Moral principles and personal values Clinical and cultural factors Professional code of ethics Agency or employer policies Federal, state and local statutes Rules and regulations Case law
National Practice Standards for the Mental Health Workforce
“The Practice Standards are intended to complement discipline specific practice standards or competencies of each of the professional groups, and to address the shared knowledge and skills required when working in an interdisciplinary mental health environment” (page 4, 2013).
Applicable to Nursing, Occupational therapy, Psychiatry, Psychology and Social Work
Practice standards
- Rights, responsibilities, safety and privacy
- Working with people, families and carers in recovery-focused ways
- Meeting diverse needs
- Working with Aboriginal and Torres Strait Islander people, families and communities
- Access
- Individual Planning
- Treatment and Support
- Transition in care
- Integration and Partnership
- Quality Improvement
- Communication and information management
- Health promotion and prevention
- Ethical practice and professional development responsibilities
Psychologists board of Australia – Core capabilities for registration
Knowledge of the discipline Ethical, legal and professional matters Psychological assessment and measurement Intervention strategies Research and evaluation Communication and interpersonal relationships Working within a cross-cultural context Practice across the lifespan
Psychology Board of AustraliaAHPRA – PBa
Mandatory Notifications Guidelines – notifiable conduct – Section 140 of national law
Mandatory Notifications Guidelines – notifiable conduct – Section 140 of national law
Practice while intoxicated by alcohol or drugs
Sexual Misconduct in connection with the practice of the practitioner’s profession
Placing the public at risk of substantial harm because of an impairment
Placing the public at risk of harm because of practice that constitutes a significant departure from accepted professional standards
APS Code of Ethics
what about it?
Latest version was released in 2007.
Articulates and promotes ethical principles
Sets specific standards to guide both psychologists and members of the public
Outlines WHAT is considered ethical professional conduct by psychologists
Expresses psychologists’ responsibilities to:
- Clients
- Community and society
- Profession
- Colleagues and members of other professions with whom they interact
3 General Principles of the APS Code of Ethics
A: Respect for
the rights and dignity
of people and peoples
B: Propriety
C: Integrity
All of the code of ethics falls under one of these 3 overarching principles
General Principle A: Respect for the rights and dignity of people and peoples
Psychologists regard people as intrinsically valuable and respect their rights, including the right to autonomy and justice.
Psychologists engage in conduct which promotes equity and protection of people’s human rights, legal rights and moral rights.
They respect the dignity of all people and peoples
General Principle A: Respect for the rights and dignity of people and peoples
what does it involve? (subsections)
Justice
Respect
Informed Consent
Privacy
Confidentiality
Release of information to clients
Collection of client information from associated parties
General Principle B:Propriety
Psychologists ensure that they are competent to deliver the psychological services they provide
They provide psychological services to benefit, and not to harm. Psychologists seek to protect the interests of the people and peoples with whom they work.
The welfare of clients and the public, and the standing of the profession, take precedence over a psychologists’ self interest
General Principle B:Propriety
whats it involve? (what are the sub-sections?)
Competence Record keeping Professional responsibility Provision of psychological services at the request of a third party Provision of psychological services to multiple clients Delegations of professional tasks Use of interpreters Collaborating with others for the benefit of clients Accepting clients of other professionals Suspension of psychological services Termination of psychological services Conflicting demands Psychological assessments Research
General Principle C:Integrity
what is it
Psychologists recognise that their knowledge of the discipline of psychology, their professional standing, and the information they gather place them in a position of power and trust.
They exercise their power appropriately and honour this position of trust.
Psychologists keep faith with the nature and intentions of their professional relationships
Psychologists act with probity (complete integrity and uprightness) and honesty in their conduct
General Principle C:Integrity
subcomponents
Reputable behaviour Communication Conflict of interest Non-exploitation Authorship Financial arrangements Ethics investigations and concerns
Ethical Guidelines (some)
Provision of psychological services for Aboriginal and Torres Strait Islander People (August 2015)
Reporting abuse/criminal activity (June 2010)
Assessment/tests (June 2010)
Aversive procedures – (Aug 2011)
Confidentiality (December 2015)
Disaster response (Nov 2014)
Voluntary services (Nov 2014)
Financial dealings (June 2012)
Forensic contexts (May 2013)
Harm to others (Nov 2013)
ethical guidelines
some more of em
Hypnosis (May 2016) Internet (Feb 2011) Lesbian, gay and bisexual clients (Feb 2010) Recovered memories (March 2010) Multiple clients (Sep 2014) Older adults (Sep 2014) Physical contact (May 2006) Professional boundaries (March 2016) Sexual relations (2007) Record keeping (May 2011) Risk of harm to others (November 2013)
Ethical guidelines cont…
even more of them
Rural and remote (March 2016)
Sex and/or gender diverse clients (May 2013)
Suicidal clients (May 2014)
Supervision (Feb 2013)
Psychological practice with women (June 2012)
Working with young people (May 2009)
Multiple Relationships
Occur when a psychologist, rendering a psychological service to a client, also is or has been:
In a non-professional relationship with the same client (e.g., friend, relative)
In a different professional relationship with the same client (e.g., psychologist and lecturer)
In a non-professional relationship with an associated party (client’s friends, relatives, employees, employers, carers and guardians, other professionals or experts, representatives from communities or organisations)
A recipient of a service provided by the same client (e.g., the client is your doctor, electrician etc.)
7-step process for ethical practice
Know the relevant ethical codes
Know the applicable state and federal laws
Know the rules and regs
Learn to identify situations with potential ethical probloems
Learn to identify potential ethical traps
Learn a method for problem soliving ethical dilemmas in complex situations
be prepared to consult senior colleagues who are knowledgeable about ethics and engage in continuing education in ethics
Identifying potential ethical problems
What questions should you ask yourself to uncover potential ethical issues in a particular situation?
- Develop insight into blindspots, weaknesses, prejudices or ignorance
- e.g., What difficulties might you have on placement ?
Do you systematically avoid certain topics with a client that you would normally cover?
Do you find yourself changing your usual practices in dealing with a particular client?
What personal triggers do you notice that can alert you to the presence of potential problems?
Identifying potential ethical problems
effect of any current personal difficulties?
operating within my limits of competence?
avoidance of any topics of questioning?
inconsistency in communication?
uncharacteristic behaviours?
discomfort with boundaries?
more self-discllosure than usual?
ask yourself ‘ If i took this action, would I feel comfortable if all of my professional colleagues knew about it?
Ethical Traps
Trap 1: The ‘Commonsense, objectivity’ trap
Trap 2: The ‘Values’ trap
Trap 3: The ‘Circumstantiality’ trap
Trap 4: The ‘Who will benefit’ trap
(From Steinman, Richardson, McEnroe, 1998)
ethical trap #1
Commonsense, objectivity trap
you believe that commonsense is objective and that because you are ethical this will allow you to make the correct decision. However in reality, You always bring your own agenda which is subjective – i.e. influenced by personal values
ethical trap #2
Values
your own moral standards are different from professional standards
