Walden University
Clinical Supervision Report: Ethical Decision-Making Process in a Duty to Warn Case
The purpose of this report is to apply the ethical decision -making process to the case of Emerich
V. Philadelphia Center for Human Development Inc. to decide an appropriate course of action
when faced with Duty to Warn ethical dilemma.
Identify the Problem
Gad Joseph was an individual who received outpatient treatment from the Philadelphia Center
for Human Development. Joseph has a history of violent behavior. Joseph was in a relationship
with Teresa Hausler, who ended the relationship due to his physical abuse towards her. On the
morning of June 27,1991 Joseph called counselor at PCHD informing them that he had plan to
, kill Teresa. The counselor recommended hospitalization, but Joseph refused. At the same time,
Teresa called counselor at PCHD notifying them that she planned to go to the apartment that her
and Joseph shared to get her belongings and PCHD counselor recommended that she not do that.
Teresa refused to comply with this information and was killed by Joseph at the apartment.
o TIPS to consider when writing the “Identify the Problem” bullets:
Assume you are currently Joseph’s counselor and are practicing in
your own state. Identify the main problem and related concerns. This
will set the stage for the remainder of this document utilizing the
embedded ethical decision-making guide
Use the following case: Watson (2005, pp. 16-17) provided a useful
case example to be used in this assignment. In 1991, Teresa Hausler
and Gad Joseph were romantically involved. At that time, they both
received ongoing outpatient psychiatric care at the Philadelphia
Center for Human Development (PCHD), which was operated by
Albert Einstein Medical Center. Joseph had a long history of violent
behavior, which included physical abuse directed towards Teresa. In
the spring of 1991, Teresa ended the relationship and moved out of the
apartment she shared with Joseph. Teresa called the counselor at
12:15pm to ascertain where Joseph was because she planned to go to
their apartment to remove her possessions. She was warned not to go,
but she ignored this and was killed at the apartment by Joseph at
12:30pm.
Apply Ethical Codes and State Laws
Confidentiality is one of the major ethical codes that is implicated by this case. Paraphrase
the code followed by the citation. Do not quote the code directly. (This bullet should be 1-2
complete sentences)
Identify another ethical code that is implicated by this case. There may be more but select
one more here. Paraphrase the code followed by the citation. Do not quote the code directly.
(This bullet should be 1-2 complete sentences)
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