Ethics in Drug and Alcohol Counseling.
CCAPP Section 3,Chapter 5
Define Ethical implication - ✔️✔️Principles set forth by the ethical standards governing
a particular profession
When considering ethical implications counselors should - ✔️✔️a. Responsible to know
and understand the ethical principles whether state or national guidelines
b. Consider all implications and apply to each client
c. All variables must be reviewed in each case ( medical, legal)
d. Confidentiality, except when potential harm to self or others
e.sensitive to moral and social codes
f. Be conservative in judgement and consult with other professionals
g. Be aware of areas of competence and appreciate weaknesses
What are Patient rights concerning Involuntary Commitment - ✔️✔️-Patients are
constitutionally entitled to treatment
-Commitment without treatment violates due process
-Must be treated in the least restrictive environment
- Some states give the right to refuse treatment associated with negative side effects
(psych drugs)
What is a moral judgment - ✔️✔️The individual counselor's own value system.
"Do I feel comfortable doing ___________ ? "
Name 3 Legal or regulatory considerations for counselors - ✔️✔️- Qualified to provide
service, scope of practice
-Be aware of state licensure and certification laws
- Must refer if not qualified or unethical
What are Ethics - ✔️✔️The discipline of dealing with what is good and bad with moral
duty and obligations- ethics are the principles of conduct governing an individual or
group
Name the three perspectives of ethical considerations - ✔️✔️1. Moral/professional
judgments
2. Legal or regulatory
3. Ethical implications
What are some of the Substance abuse patient considerations - ✔️✔️- Patients are
often pressured by others to undergo "volunteer " treatment
- Sign consents but often are not truly informed
, - dependency characterized by self-delusion and it is sometimes necessary for the
counselor to use coercion
- professionals must offer freedom of choice and least restrictive treatment
What are some of the Abuses of patient rights in where and how treatment is provided?
- ✔️✔️-person forcing client into treatment owns facility
- employee organizations make arrangements with single treatment facility
-All reduce patient choice and lower quality of care
Why has there been a decline in Large chain private care facilities? - ✔️✔️-abuses
uncovered in 1992 suggested large chains not ethical
-Inappropriate admissions
-Failure to provide least restrictive care
- Paying counselors for referrals
-Inappropriate length of stay
What is the basic principle of confidentiality - ✔️✔️No information divulged by patients
in the course of treatment even the fact that the person is or is not a patient ina
treatment facility may not be revealed without written consent of the patient when he/
she is rational and drug free.
State Confidentiality laws differ from federal in what ways? - ✔️✔️-May afford
Individuals greater privacy than federal law
- State law may not be less stringent than federal law, if they are federal law prevails
- Violations may result in fines of up to $500.00 for first offense and up to $5000.00 for
subsequent
What treatment programs federal confidentiality laws apply to? - ✔️✔️- All programs
providing alcohol or drug abuse diagnosis, treatment, or referral for treatment that are
federally assisted
Federally assisted programs covered by federal confidentiality laws include - ✔️✔️-
Programs receiving any type of federal a funding
- Programs receiving tax exempt status
- Programs authorized to provide services by the federal government ( methadone)
- Programs conducted directly by the federal government or state or local government
that recieve federal funds
What is the primary intent of confidentiality laws? - ✔️✔️To prevent disclosure of
information, both written and verbal, information that a would identify a person as a
patient receiving alcohol or drug treatment. This includes patients applied but not in
treatment , former and deceased patients
Confidentiality laws prohibit disclosure of - ✔️✔️- The fact that person is a patient in
treatment cannot be revealed or denied without expressed written consent.
CCAPP Section 3,Chapter 5
Define Ethical implication - ✔️✔️Principles set forth by the ethical standards governing
a particular profession
When considering ethical implications counselors should - ✔️✔️a. Responsible to know
and understand the ethical principles whether state or national guidelines
b. Consider all implications and apply to each client
c. All variables must be reviewed in each case ( medical, legal)
d. Confidentiality, except when potential harm to self or others
e.sensitive to moral and social codes
f. Be conservative in judgement and consult with other professionals
g. Be aware of areas of competence and appreciate weaknesses
What are Patient rights concerning Involuntary Commitment - ✔️✔️-Patients are
constitutionally entitled to treatment
-Commitment without treatment violates due process
-Must be treated in the least restrictive environment
- Some states give the right to refuse treatment associated with negative side effects
(psych drugs)
What is a moral judgment - ✔️✔️The individual counselor's own value system.
"Do I feel comfortable doing ___________ ? "
Name 3 Legal or regulatory considerations for counselors - ✔️✔️- Qualified to provide
service, scope of practice
-Be aware of state licensure and certification laws
- Must refer if not qualified or unethical
What are Ethics - ✔️✔️The discipline of dealing with what is good and bad with moral
duty and obligations- ethics are the principles of conduct governing an individual or
group
Name the three perspectives of ethical considerations - ✔️✔️1. Moral/professional
judgments
2. Legal or regulatory
3. Ethical implications
What are some of the Substance abuse patient considerations - ✔️✔️- Patients are
often pressured by others to undergo "volunteer " treatment
- Sign consents but often are not truly informed
, - dependency characterized by self-delusion and it is sometimes necessary for the
counselor to use coercion
- professionals must offer freedom of choice and least restrictive treatment
What are some of the Abuses of patient rights in where and how treatment is provided?
- ✔️✔️-person forcing client into treatment owns facility
- employee organizations make arrangements with single treatment facility
-All reduce patient choice and lower quality of care
Why has there been a decline in Large chain private care facilities? - ✔️✔️-abuses
uncovered in 1992 suggested large chains not ethical
-Inappropriate admissions
-Failure to provide least restrictive care
- Paying counselors for referrals
-Inappropriate length of stay
What is the basic principle of confidentiality - ✔️✔️No information divulged by patients
in the course of treatment even the fact that the person is or is not a patient ina
treatment facility may not be revealed without written consent of the patient when he/
she is rational and drug free.
State Confidentiality laws differ from federal in what ways? - ✔️✔️-May afford
Individuals greater privacy than federal law
- State law may not be less stringent than federal law, if they are federal law prevails
- Violations may result in fines of up to $500.00 for first offense and up to $5000.00 for
subsequent
What treatment programs federal confidentiality laws apply to? - ✔️✔️- All programs
providing alcohol or drug abuse diagnosis, treatment, or referral for treatment that are
federally assisted
Federally assisted programs covered by federal confidentiality laws include - ✔️✔️-
Programs receiving any type of federal a funding
- Programs receiving tax exempt status
- Programs authorized to provide services by the federal government ( methadone)
- Programs conducted directly by the federal government or state or local government
that recieve federal funds
What is the primary intent of confidentiality laws? - ✔️✔️To prevent disclosure of
information, both written and verbal, information that a would identify a person as a
patient receiving alcohol or drug treatment. This includes patients applied but not in
treatment , former and deceased patients
Confidentiality laws prohibit disclosure of - ✔️✔️- The fact that person is a patient in
treatment cannot be revealed or denied without expressed written consent.
