Posted: December 5th, 2022

Ethics Scenarios

Ethics Scenarios

(Note from Employer: This work belongs to Uvocorp so apply only if you know what they want. I cannot overemphasize the need to double-check instructions, proofread your work, and follow the correct format. Sources must be within the last 5 years unless stated otherwise. Ensure you write a paper that corresponds to the level indicated in the order details (master level). The CPP can also be negotiated upwards if you can guarantee an impeccable paper. It is a Reflection Essay in APA 6 Style).

Note: In order to complete this reflective assignment, you must first have reviewed the NASW code of ethics. This is something you must do in any case, as you will be bound by it as a practitioner, by state law.

Directions:

1) Look at the document “Ten Step Ethical Decision-making Model”.
2) Review the case scenarios and choose the one that is of your practice concentration area.
3) In your reflection, walk through each of the steps as directed, applying them to the scenario you chose.
4) The key here is your PROCESS- beware of jumping to quick decisions about what you should or should not do without walking through the steps.
5) This reflection does not have a page limit – use headers and bullet points to save time and space. What we want to see is your PROCESS.
Note: In order to complete this reflective assignment, you must first have reviewed the NASW code of ethics. This is something you must do in any case, as you will be bound by it as a practitioner, by state law.
Directions:
1. Look at the document “Ten Step Ethical Decision-making Model”.
2. Review the case scenarios and choose the one that is of your practice concentration area.
3. In your reflection, walk through each of the steps as directed, applying them to the scenario you chose.
4. The key here is your PROCESS- beware jumping to quick decisions about what you should or should not do without walking through the steps.
5. This reflection does not have a page limit – use headers and bullet points to save time and space. What we want to see is your PROCESS.

Ten Step Ethical Decision Making Model

This model is based on and combines the work of others, including F.G. Reamer, Ron Hamel, and Mary Carlsen

1) Gather relevant facts and information
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 What else do you need to know?
 Do you have the facts and have them right?
2) Identify the relevant professional and personal values, ethical issues, legal issues, and dilemmas
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 Are there non-ethical problems that complicate the situation?
 What is the primary dilemma?
 For whom is this a dilemma? (note- this step requires familiarity with the NSASW code of ethics)
3) Identify individuals, groups, and organizations likely to be affected by the ethical decision.
4) Generate alternatives and likely consequences
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 What are all possible courses of action?
 What are the possible consequences of each (good/bad; short/long term)?
5) Assess alternatives and consequences in light of relevant values and ethical principles; legal issues and regulations; and social work practice theory, principles, and/or research
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 Which values, ethical principles or standards, or legal issues or regulations guide your reflection?
 Is one more important than the others?
 What social work practice theory, principles, or research-based knowledge are relevant?
6) Assess your motives
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 What life experiences or personal values (including religious, cultural, ethnic, or political ideology) might be influencing your ethical judgment? [Think about yourself and your client, agency or constituents as you do this.]
 Whose interests are being served?
7) Consult with colleagues and appropriate experts (agency staff; supervisors; administrators; attorneys; consultation groups; ethics committees or experts) For the purpose of this exercise, discuss where you would seek this consultation)
8) Choose an alternative and justify your choice
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 What ethical argument/framework can you give to justify your choice?
 If you describe your decision to a highly respected colleague, how would you feel?
9) Document (in writing) the choice and the decision-making process
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 What steps did you use in making your decision? (This step in the model is for use in practice- this reflection models what this documentation might look like)
10) Monitor and evaluate the choice and the decision-making process over time
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 What, if anything, would you have done differently and why?
 What are your reflections about yourself and your behavior in this case?
 What have you learned about yourself? (for the purpose of this exercise, reflect generally on these issues as you completed the steps)

Ethics Scenarios
Clinical Mental Health Scenario
You are a MSW providing psychotherapy in the context of a DBT-based program for young adults with a history of trauma, self-injurious behavior, and other relationship and life-interfering behaviors. Part of the therapy involves clients completing “diary cards” each week which detail instances of the targeted behaviors, and the skills clients attempt to use to cope with urges to engage in these behaviors.
One of your clients is a 19 year-old non-binary person named Finn. Finn has a history of anorexia and bulimia, as well as cutting. They have in the past been hospitalized for both of these issues. They stated that the hospitalization for cutting was “an accident”, and they consider themselves to be “an expert” on how to cut without endangering themselves. Finn lives with their single mother, who has written you a letter stating that, while she loves her child dearly, she has told them that she will kick them out of the house if they cut or engage in behaviors related to the eating disorder again, because she has reached the end of her rope. The mother was abused by her husband, who also abused Finn. You have concerns about Finn becoming homeless, as they have little social support, and report that their circle of friends
has historically been organized around damaging and injurious behavior.
Finn has expressed a commitment to the work, and repeatedly said they are invested in finding new ways to cope. They make positive contributions to the skills training group, and you feel they have been making good progress in therapy, using the skills and supports (including appropriate after-hours support as needed) and their diary cards indicate no incidents of self-harm in the last 8 weeks.
As part of your own research, you have found and read message boards related to “pro-ana” culture and mutual support sites for people who cut. In doing so, you have read posts that contain details that make you suspect they were written by Finn. These detail recent incidents of both purging and cutting, and discuss how they keep these from their mother and their therapist. After reading these, your suspicions lead you to look at Finn’s public social media, where you see posts that deepen your suspicion that Finn has been lying in therapy.
What do you do?

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