35th Annual Alabama School of Alcohol and Other Drug Studies March 25th 2010

Presentedby ThurstonS.Smith,CCS,NCACI,ICADC ManagementConsultant Email:Teesmith1@hotmail.com

CourseOverview
Aswecontinuetoexperiencechangeanduncertaintyinthe healthcareprofession,theneedforenhancedstandardsofconduct withinthecounselingprofessionbecomemoreapparent. Thissixhourskillsbuildingworkshopwillfocusontheroleand importanceofethicsinthechemicaldependencyprofession.With anemphasisonsoundstandardsofpractice, participantswill reviewcasescenariosandexaminetheircurrenthealthcare practicesanddrawcomparisonswiththosestandardsoutlined withintheirprofessionaldiscipline.

CourseObjectives
Defineethicsanditsroleinbehavioralhealthcare Examinethemorecommonchallengesfacedbytodayshealthcare practitioner Explorethemostfrequentethicalinfractions Discussthetransitiveparadigmsbetweenindividualvaluesandstandardsof professionalpractice Examinestrategiesforenhancedethicalpracticeswithintheworkplace

AN ETHICS PRETEST
Ethics can have varying degrees of significance to the career prospects for different people. The following quiz is designed to help you determine if ethics are likely to play an important role in your career. Select the letter that indicates the action you would (most likely) take in the given situation. 1. If I found out that I had unintentionally violated an important policy, I would: a) Submit a written report acknowledging my mistake. b) Wait and see how bad the results were. c) Consult with my boss. d) Try to fix the problem or talk to my boss if I couldn't. 2. If my boss directed me to lie to cover a mistake of his/hers, I would: a) Resign. b) Do as I was told. c) Tell him/her, it made me uncomfortable. d) Comply, this time, but tell him/her I will not do it again.

3. If I saw a fellow employee stealing from our employer, I would:

a) Report him/her. b) Keep a close watch on that employee. c) Discuss with the employee, why he/she did it, and then decide the action to take. d) Try to convince the employee to return what he/she stole.

4. If I knew my boss was having an affair with a coworker, I would:

a) b) c) d) Ask for a transfer to another department. Act like I didn't know about it. Wait and see if it affected me. Confront the boss with the facts.

5. If I discovered a colleague had AIDS, I would:

a) b) c) d) Keep it to myself. Pretend I don't know about it, unless asked directly. Be supportive without letting on I knew anything about it. Discuss it with our boss and ask him/her for guidance.

6. If a headhunter contacted me with an attractive offer, I would:

a) Discuss it with my boss before deciding. b) Ask my current employer if they wanted to make a better offer. c) Negotiate with the headhunter and notify my boss, if I decide to leave. d) Request both employers to make their best offer, then accept the best deal.

7. If a colleague was unable to keep up with his/her work due to family problems, I would:
a) Try to help by carrying more of the workload. b) Encourage my colleague to talk to the boss. c) Assist for a little while. d) Try to intervene with a family member.

8. If a colleague was the victim of racial discrimination, I would:

a) Document the problem. b) Let him/her know that I would support him/her if he/she filed a complaint. c) Inform a sympathetic member of top management. d) Suggest to my colleague that he/she might be happier elsewhere.

9. If I thought an employee of mine had a drug problem, I would:

a) Order him/her to take a drug test. b) Wait to see if his/her performance deteriorates. c) Discuss it with the employee. d) Seek guidance from the Employee Assistance Program.

10. If I accepted a position with a competing company, I would:

a) Never use proprietary information gained during my previous employment. b) Use information for my new employer's advantage. c) Use generic information only. d) Check with an attorney before using proprietary information.

EthicsIs..

Asystemofmoralprinciplesgoverningthe appropriateconductforapersonorgroup. Thestudyofmoralstandardsandhowthey affectandinfluenceconduct

GeneralEthicalPrinciples
Publicgoodshouldbeplacedbeforeprivate interests Donotservetwomasters(avoidconflictof interests) Publicservantsmustbeabovereproach(avoidthe appearanceofaconflictofinterest)

Ethicalcodes
TenCommandments ThePrecepts EthicofReciprocity(TheGoldenRule) TheCodeofConduct TheHippocraticOath

Hippocraticoath

TheHippocraticOathiswidelybelievedtobethefirst formalprofessionalethicalcodethatwashistorically administeredtodoctorsasacodeinwhichtoguide theirmedicalpractice.

Primumnonnocere First,donoharm.

EthicalDecisionMakingModels
Ethics Laws Values Norms Boundaries

NAADACCode of ethics
Principle1: NonDiscrimination
Ishallstrivetotreatallindividualswithimpartialityandobjectivity relatingtoallbasedsolelyontheirpersonalmeritsandmindfulofthe dignityofallhumanpersons. Assuch,Ishallnotimposemypersonalvalue valuesonmyclients. Ishallavoidbringingpersonalorprofessionalissuesintothecounseling relationship. Throughanawarenessoftheimpactofstereotypingand discrimination,Ishallguardtheindividualrightsandpersonal dignityofmy clients. Ishallrelatetoallclientswithempathyandunderstandingnomatterwhat theirdiagnosisorpersonalhistory.

CODEOFETHICS

Principle2: ClientWelfare
Ishalldoeverythingpossibletosafeguardtheprivacyandconfidentiality ofclientinformationexceptwheretheclienthasgivenspecific,written, informed,andlimitedconsentorwhentheclientposesariskto himselfor others. Ishallprovidetheclienthis/herrightsregardingconfidentiality,inwriting, aspartofinformingtheclientofanyareaslikelytoaffecttheclients confidentiality. Iunderstandandsupportallthatwillassistclientstoabetterqualityof life,greaterfreedom,andtrueindependence.

CODEOFETHICS
Ishallnotdoforotherswhattheycanreadilydoforthemselvesbutrather, facilitateandsupportthedoing. Likewise,IshallnotinsistondoingwhatI perceiveasgoodwithoutreferencetowhattheclientperceivesasgood andnecessary. Iunderstandthatsufferingisuniquetoaspecificindividualandnotof somegeneralizedorabstractsuffering,suchasmightbefoundinthe understandingofthedisorder. Ialsounderstandthattheactiontakento relievesufferingmustbeuniquelysuitedtothesufferingindividualandnot simplysomeuniversalprescription. Ishallprovideserviceswithoutregardtothecompensationprovidedbythe clientorbyathirdpartyandshallrenderequallyappropriateservicesto individualswhethertheyarepayingareducedfeeorafullfee.

CODEOFETHICS

Principle3: ClientRelationship
Ishallprovidetheclientand/orguardianwithaccurateandcomplete informationregardingtheextentofthepotentialprofessionalrelationship, suchastheCodeofEthicsandprofessionalloyaltiesandresponsibilities. Ishallinformtheclientandobtaintheclientsparticipationincludingthe recordingoftheinterview,theuseofinterviewmaterialfortraining purposes,and/orobservationofaninterviewbyanotherperson.

CODEOFETHICS

Principle4: Trustworthiness
Ishallnevermisrepresentmycredentialsorexperience IshallmakenounsubstantiatedclaimsfortheefficacyoftheservicesI provideandmakenostatementsaboutthenatureandcourseofaddictive disordersthathavenotbeenverifiedbyscientificinquiry. Ishallconstantlystriveforabetterunderstandingofaddictivedisorders andrefusetoacceptsuppositionandprejudiceasifitwerethe truth. Iunderstandthatignoranceinthosemattersthatshouldbeknowndoesnot excusemefromtheethicalfaultofmisinformingothers.

CODEOFETHICS

Iunderstandtheeffectofimpairmentonprofessionalperformanceand shallbewillingtoseekappropriatetreatmentformyselforfor a colleague. Ishallsupportpeerassistanceprogramsinthisrespect. Iunderstandthatmostpropertyinthehealingprofessionsisintellectual propertyandshallnotpresenttheideasorformulationsofothersasifthey weremyown. Rather,Ishallgiveappropriatecredittotheiroriginators bothinwrittenandspokencommunication. Iregardtheuseofanycopyrightedmaterialwithoutpermissionorthe paymentofroyaltytobetheft.

CODEOFETHICS

Principle5:CompliancewithLaw
Iunderstandthatthedeterminationthatalaworregulationis unjustisnotamatterofpreferenceoropinionbutamatterof rationalinvestigation,deliberation,anddispute. Iwillinglyacceptthattheremaybeapenaltyforjustified civildisobedience,andImustweighthepersonalharmofthat penaltyagainstthegooddonebycivilprotest.

CODEOFETHICS

Principle6: RightsandDuties
Iunderstandthatjusticeextendsbeyondindividualrelationshipstothe communityandsociety;therefore,Ishallparticipateinactivitiesthat promotethehealthofmycommunityandprofession. Ishall,tothebestofmyability,activelyengageinthelegislative processes,educationalinstitutions,andthegeneralpublictochangepublic policyandlegislationtomakepossibleopportunitiesandchoice ofservice forallhumanbeingsofanyethnicorsocialbackgroundwhoselivesare impairedbyalcoholismanddrugabuse. Iunderstandthattherightofconfidentialitycannotalwaysbemaintained ifitservestoprotectabuse,neglect,orexploitationofanypersonor leavesanotheratriskofbodilyharm.

CODEOFETHICS

Principle7:DualRelationships
Ishallnotengageinprofessionalrelationshipsorcommitmentsthat conflictwithfamilymembers,friends,closeassociates,orotherswhose welfaremightbejeopardizedbysuchadualrelationship. Becausearelationshipbeginswithapowerdifferential,Ishall notexploit relationshipswithcurrentorformerclientsforpersonalgain,including socialorbusinessrelationships. Ishallnotunderanycircumstancesengageinsexualbehaviorwithcurrent orformerclients. Ishallnotacceptsubstantialgiftsfromclients,othertreatment organizations,ortheprovidersofmaterialsorservicesusedin my practice.

CODEOFETHICS Principle8:PreventingHarm
Ishallrefrainfromusinganymethodsthatcouldbeconsideredcoercive suchasthreats,negativelabeling,andattemptstoprovokeshameor humiliation. Ishallmakenorequestsofclientsthatarenotnecessaryaspartofthe agreedtreatmentplan. Ishallterminateacounselingorconsultingrelationshipwhenitis reasonablyclearthattheclientisnotbenefitingfromtherelationship. Iunderstandanobligationtoprotectindividuals,institutions, andthe professionfromharmthatmightbedonebyothers. Consequently,Iam awarethattheconductofanotherindividualisanactualorlikelysourceof harmtoclients,colleagues,institutions,ortheprofession,andthatIhavean ethicalobligationtoreportsuchconducttocompetentauthorities

CODEOFETHICS

Principle9: DutyofCare
Irespecttherightofotherstoholdspiritualopinions,beliefs,andvalues differentfrommyown. Ishallstriveforunderstandingandtheestablishmentofcommon ground ratherthanfortheascendancyofoneopinionoveranother. Ishallmaintaincompetenceintheareaofmypracticethroughcontinuing education,constantlyimprovingmyknowledgeandskillsinthose approachesmosteffectivewithmyspecificclients. Ishallscrupulouslyavoidpracticinginanyareaoutsideofmycompetence.

CommonEthicalConcerns

BreachofConfidentiality Misdiagnosis Practicingbeyondonesscopeofpractice Remuneration(kickbacks) DualRelationships

AdministrativeConsiderations
Performance:whatanemployeecantdo

Conduct:whatanemployeewontdo

Resources&Acknowledgements
BissellandRoyce EthicsfortheAddictionProfessional,CenterCity,M.N.(1987),Hazeldon PopeandVasquez EthicsinPsychotherapyandCounseling,SanFrancisco,JosseyBassPub (1991) CoreyandCoreyandCallanan IssuesandEthicsintheHelpingProfession,8th Ed.,PacificGrove,CA. ChuckRabaut,PastPresident,DirectorEmeritus,FloridaSchoolofAddictionsStudies

SpecialThanks NAADAC, The Association for Addiction Professionals www.naadac.org

ThoughttoPonder..

Ideally,ethicstelluswhattodo,justnot alwayshowtodoit!

Thank You!