Medical Case Scenarios

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Joan is a supervisor at a gerontology mental health unit within a large community mental health center in a metropolitan area. The unit provides outpatient mental health services to older adults, as well as providing services to long-term care and residential care facilities where older adults reside. Joan supervises two licensed mental health practitioners, a psychiatric nurse, four bachelor’s-level mental health workers and two support staff. (Giordano and Rich, 2001, ch 4)
During a routine supervisory session with the two licensed mental health practitioners, Bill and Harry, Joan reveals that she will be promoted to the newly created position of Assistant to the Executive Director. (Giordano and Rich, 2001, ch 4) No official announcement had been made within the organization for either the new position or Joan’s promotion, which raises the question of why it was not openly recruited for. Nonprofits in general are required to post positions for a certain period of time, however, may limit it to current employees only. Although Bill and Harry both wonder if the position should have been advertised, neither of them asks and Joan does not offer any further explanation. (Giordano and Rich, 2001, ch 4) As a leader,
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Joan confirms that the past relationship will not be a factor in her decision. Harry then makes a reference to his cousin who is a powerful member of the Board of Directors. Joan resents this inference. Harry also mentions that he knows of a possible replacement for his position should he be promoted to the supervisor position. (Giordano and Rich, 2001, ch 4) Harry’s behavior is manipulative but not necessarily unethical. Joan put him the position to compete with Bill for the promotion; he is letting Joan know he wants the promotion and is committed to the success of the

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