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Ethics Potpourri

Or, Ill take Dual Relationships for

$200 Dave!

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A.1.D Support Network

Involvement [e.g. AA]

Program

Prescribed beliefs, values and behaviors of 12-Step

Organizations. The 12-Steps.Home Group. Sponsor [Mentor].

Fellowship

Practice, activities and experience of a 12-Steporganization: e.g. service, helping others, sharing,

working the Steps etc.

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Program

Prescribed beliefs, values andbehaviors of 12-Step Organizations.

The 12-Steps.

Fellowship

Practice, activities and experience of a12-Step organization: e.g. service,

helping others, sharing, working the

Steps etc.

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Estimated A.A. Membership and Group Info:

(Circa 2001)

Groups in US...51,183

Members in US...1,166,927

Groups in Canada ....5,257Groups Overseas.39,804

Members Overseas. 656,938

Internationalists124

Groups in Correctional Facilities US/Canada 2,466

Lone Members 347

TotalMembers..1,989,124

Groups..98,710

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Faith Communities

Belief in God Membership Importance Attendance

30

40

50

60

70

80

90

100

Percent 18-29

30-49

50-64

65-74

75+

Religion and Age in the United StatesGallup Polls 2001-2002

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A.1.e Employment Needs

VR is effective in improving the employmentoutcomes of individuals with disabilities.

Job placement and support services have

consistently been positively associated withcompetitive employment.

In one study, 60% of VR clients were employedcompared with 33% of people with disabilities inthe general population.

(Pruett, Swett, Chan, Rosenthal, & Lee, 2008)

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Vocational Counseling

Self Directed Search [evidence-basedworkbook]

Holland Theory [evidence-based counseling

model]

What Color is My Parachute? [book thatblends the two]

Testing: Strong Interest Inventory [B Test]

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A.8 Group Work

Group Counseling Course

Family Therapy Course

Unique Issues of ConfidentialityWho is the client

Screening is ethically mandatory

Protecting clients is mandatory

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A.9 End of Life Care

1 in 5 Americans die using intensive careservices

Nationally, this translates to approximately540,000 Americans each year

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Sedation in Palliative CareDefinition and Terminology

Sedation Terminal sedation Sedation for intractable distress in the

imminently dying End of life sedation Total sedation Sedation in terminal or final stages of

life Palliative sedation Palliative sedation therapy

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Palliative sedation

The use of sedative medications to relieveintolerable suffering from refractorysymptoms by a reduction in patient

consciousness

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Criteria for Palliative Sedation -

Intolerable Suffering

Subjective

The patient can only determine thesuffering to be intolerable

If the patient is unable to express thedegree the discomfort or sufferingexperienced a proxy judgment by familyand care givers should be sought

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Criteria for Palliative Sedation -

Refractory Symptoms

Further interventions are: Not capable of providing adequate relief

Associated with excessive or intolerable

morbidity Unlikely to provide relief within a tolerable

time frame

Implies an experienced colleague orpalliative care specialist judge thesymptom refractory

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A.12 Technology Applications

Crosses state lines

Federal Website: http://www.hipaa.org/

The focus of most checklists: AssignedSecurity Responsibility: Identify thesecurity official who is responsible forthe development and implementation ofthe policies and procedures required.

http://www.hipaa.org/http://www.hipaa.org/

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B.2.b Public Health Disclosures

Counselors should have TB and HepatitisVaccinations; along with annual fluvaccines. A.1.a Welfare of those served.

Contact Department of Public Health if youare not sure what is reportable as acommunicable threat from a client.