Examples Of Ethical Dilemmas In Substance Abuse Counseling

Improved Essays
Introduction
A counselor has a client that has been struggling with using crystal meth for a while now. The client goes to Narcotics Anonymous meetings and enjoys the environment and community that the group allocates. Although he goes to NA meetings, the client does not want to entirely give up using crystal meth. Given that he does not want to be fully sober, he contacts his prior boyfriend, who always has access to the drug. Whenever he wants to use meth, his former boyfriend is the person is the provider. Recently, his former boyfriend offered to trade the meth for sex in return. The client complied and used the drug. During a session, the client informs the counselor that throughout the sexual interaction he began to feel uncomfortable
…show more content…
He fears that his NA acquaintances will find out he was using meth again. When working as a substance abuse counselor at an LGBQT center, there are very ethical dilemmas that arise. A substance abuse counselor supports individuals to overpower those feelings and emotions that trigger drug and/or alcohol abuse. Operating those services in a LGBQT center will convey intersecting situations. For instance, the counselor will partaken a challenging position with the confidentiality of the client because he is being asked to not report that he was a victim of rape, on behalf of his prior boyfriend.
Part A- Ethical Dilemmas The client asked his counselor if he would not report that his past boyfriend raped him. He does not want the information to reach his friends in NA due to them discovering that he was using meth again. This puts the counselor in an ethical dilemma of confidentiality. According to the 2014 ACA Code of Ethics, section B.1.d, on the first session of counseling with a new client, counselors must notify clients about the limitations of confidentiality. They have to identify circumstances where confidentiality could be broken. In this case, the counselor could decide to report the rape because it put the wellbeing of the client at risk. The counselor might
…show more content…
According to Ethical Standards for Human Service Professionals, seventh standard during therapy, biases and values cannot be inflicted towards clients. Having ethical competence is remembering to not bring personal feelings, values and biases while with a client. Knowing you have those prejudices and working to change and control them aids your professionalism and the counselor to client relationship. Operating your services in a LGBQT center and agreeing to work there knowing that you will be discriminating against clients due to your values is ethically incorrect. Strain on individuals like not being accepted by others and not having the support of peers, family members and the community aid, the rise of mental health issues in the LGBQT community (Sue & Sue, 2016). The client using crystal meth and agreeing to trade sex for it can be a result from struggles people have put in their path due to being a member of the LBGQT community. Being a counselor to a client that is substance abusing and identifying as part of this community, you must be attentive of the intersectionality’s that are

Related Documents

  • Improved Essays

    Group members then were presented with steps/strategies to cope identified high-risk situations. PO attended group on time, clean and sober, and had a moderate level of participation, as evidenced by sharing personal HRS openly, and demonstrating the ability on how to cope with HRS in group. PO also shared with peers about his recovery experience and ways to cope with temptation and HRS. It appears that PO has gained insight into his HRS and has been working on changing his past behavioral for his recovery. PO appears to have a strong desire to maintain her sobriety.…

    • 1206 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Current Ethical Issues in Human Services. QUESTIONS: 1.What happened in your eyes? 2.What made you think it was alright to have sex with a client? 3.Why did you take the client back after he was seeing another therapist? 4.Why didn't you give him a referral when this started?…

    • 421 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    Balancing Ethical Issues in Group Counseling While ethical guidelines are established within most counseling associations, these codes do not provide rigid procedures in the event that an ethical dilemma should occur. In their research on competing values within the area of ethics in counseling, Samuel Knapp and Leon Vandencreek (2007) observe that situations occur in which neither laws nor ethical guidelines provide a clear-cut solution to these dilemmas. For example, a recent stroke victim exhibits severe anxiety and agitation at an initial meeting, which causes providing the client with detailed information about treatment and gaining consent difficult due to lack of rationality.…

    • 1589 Words
    • 7 Pages
    Great Essays
  • Superior Essays

    The ACA, APA, and NASW views on dual relationship and barter with a client are explained and how each of the codes knows how common it is for barter. Each of the codes all use the provisory "only if”, meaning its okay to barter with a client only if you attend to such issues as exploitation, commonality in the community and cultural sensitivity.” Also it explains boundary crossing and boundary violations and how they differ from each other. This part also states that how to differ a boundary violations to an unfortunate mistaken clinical judgment.…

    • 1315 Words
    • 6 Pages
    Superior Essays
  • Superior Essays

    Viginette Case Study

    • 1326 Words
    • 6 Pages

    Case Study Viginette One of the wonderful things brought about by science and technology is the use of Internet. Internet is a mechanism which makes the lives of people more diverse, colorful and richer. Through the Internet, people are able to find more jobs and opportunities in foreign shores. Communication on a daily basis is also made easier because of e-mails and other instant messaging software and programs. Further, social networking websites allow relatives in faraway land to connect with their loved ones completely.…

    • 1326 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Comparing Codes of Ethics The very nature of the counseling profession places professional counselors in close proximity with people, information, and influence. Due to this, ethical dilemmas can arise throughout the course of this work. To help aid in the protection of counselors, and to provide a framework for ethical practice, ethical codes have been developed and instituted within the profession. As Beuchamp and Childress stated (as cited in Calley, 2009), “in the counseling profession, ethical standards are required to protect clients, guide professional behavior, ensure the autonomy of professionals, increase the status of the profession, enhance the client 's and the community 's trust in the profession, and articulate collegial conduct between professionals,” (p. 476).…

    • 1130 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Methadone Titration

    • 1243 Words
    • 5 Pages

    There is a high level of stigma with Methadone clients when it comes to 12-Step groups such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) in terms of “clean time”, as well as their ability to “speak at meetings” and “sponsor other individuals,” (White, Campbell, Shea, Hoffman, Crissman, & DuPont, 2013, p. 296). The fundamental principles of these groups are incorporated in much of treatment today, and the group setting would offer a place for individuals on Methadone to discuss their experiences, concerns, and involvement with these groups. It is also an area for psychoeducational opportunities on behalf of the group leader; they can identify principles and applications from these groups, and make connections to the clients’ current treatment modality. Motivation…

    • 1243 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Introduction The NAADAC was designed to determine what conduct is and isn’t ethical for today’s addictions counseling professionals. This list of conduct standards is determined by the National Certification Commission and is used when complaints are filed against professionals. The state certification boards and educational institutions also use this list to guide current and future addictions counseling professionals in the certification process. While I am not a certified professional I am aware that I am already exercising, in some form or another, these standards and in this paper I am going to attempt to outline the various ways that I have or am currently exercising the NAADAC Code of Ethics.…

    • 1576 Words
    • 7 Pages
    Improved Essays
  • Superior Essays

    Counselors are faced with many situations that test their moral and ethical beliefs. Although there are numerous guides for counselors to follow, none can offer absolute solutions to every scenario. Some situation, no matter the course of action, may have consequences that may harm the counseling relationship. However, “A practitioner’s guide to ethical decision making”, by the American Counseling Association (ACA) offers a seven step decision making model that will help counselors with the challenges of ethical dilemmas (Forester-Miller & Davis, 1996). This paper will use the decision making model to analyze scenario 2.…

    • 2130 Words
    • 9 Pages
    Superior Essays
  • Improved Essays

    The ethical implications of a counselor expressing their values to a client Young, Scott, Craig, and Cashwell (2016) explain that it is often difficult for a person to exist and work in a manner that is value-neutral. According to Young, Scott, Craig, and Cashwell, 2016, value-neutral is a term in psychotherapy used to explain the goal of not changing the value of a client to match that of a professional, by assuming that the values of the professional are preferable. Although counselors often have their set of values, just like other people have, it is important that they understand that the goal of counseling is to ensure that a client examines his/her value systems and beliefs and make decisions accordingly. According to ACA code of ethics (2014), Section A.4.b., explains that counselors should refrain from imposing their values, behaviors, and beliefs.…

    • 1258 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    The meaning of the word ethics can be interpreted different ways depending on who you ask as it deals with an individual’s moral code. The dictionary states that ethics is an area of study that deals with ideas about what is good and bad behavior; rules about what is morally right or wrong; the principles of conduct governing an individual or a group (http://www.merriam-webster.com/dictionary/ethics). On any given day, we all make decisions based on our individual moral code and things such as dual relationships have no right or wrong way to go about them. This case study examines dual relationships and the ethical dilemma they can present within the confines of a counselor’s role.…

    • 819 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Ethics codes comparison paper Deanna Baker Class Instructor Date Ethics codes comparison paper Abstract Confidentiality, teaching and training, and community standards Ethics codes comparison paper Introduction A code of ethics is the heart and soul of any business or organization. The standard in which all business and certified activities are measured in the code of ethics of its memberships.…

    • 721 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Introduction A substance abuse counselor is in place to encourage and support clients who are addicted to alcohol and drugs. When alcohol and drug abuse client come to an agency to receive treatment, as a counselor it’s important that to encourage the client to receive the help to that the client can be rehabilitated. There are four core function of a counselor that will be discussed in this paper is client education, case management, crisis intervention, and referral. Each of these functions allows the counselor to assist the client to help them overcome their addiction.…

    • 1326 Words
    • 5 Pages
    Great Essays
  • Superior Essays

    The client Buddy, a sixteen-year-old white male, he is slim, fair and he is very discreet. He has been in residential and foster homes for the past five years of his life. Originally, Buddy was detached from the family home for arson and other delinquent behaviors. Buddy is being released to the physical custody of his mother upon his release from the residential home. The client was referred for services from the county Department of Social Services.…

    • 1587 Words
    • 7 Pages
    Superior Essays
  • Superior Essays

    Benefruence And Nonmaleficence In Counseling

    • 986 Words
    • 4 Pages
    • 3 Works Cited

    It is unclear in this case if the counselor obtained consent to share information with the father or the extent to which information was allowed to be shared. The client has the right to place limits of the amount of confidential information she wants shared with her father (Koocher & Keith-Spiegel, 2008). If consent was obtained, the counselor did not breach confidentiality by sharing information with the father, however, she acted unethically by not considering how this accusation could harm the father, who was also her client. As her client, the father has the same rights as his daughter.…

    • 986 Words
    • 4 Pages
    • 3 Works Cited
    Superior Essays

Related Topics