Use the vignette below. In addition, use description below of my ethical dilemma (value conflict) i have experienced or observed in my field placement.
In conducting an intake interview with a client in a family agency, you observe that both of her young children are withdrawn. Further, one of the children is badly bruised, and the other, an infant, appears malnourished. Throughout the interview, the client seems defensive, suspicious, and ambivalent about having come for an interview. At one point, she states that she feels overwhelmed with her parenting responsibilities and is having difficulty in coping with her children. She also alludes to her fear that she may hurt them but then abruptly changes the subject. As you encourage her to return to discussion of her problems with the children, your client says she has changed her mind about wanting help, takes her children in hand, and leaves the office.
My own ethical dilemma is involuntary comitment …i am placed at Far Rockaway highschool, where most students live in low income housing and feel trapped in their surroundings. I provide theraphy to the high school teens in the building with various issues. my current issue is that – We want to protect the client’s right to decide how to live his life. That said, it should be noted that the Code specifically states, “Social workers may limit clients’ right to self-determination when, in the social workers’ professional judgment, clients’ actions or potential actions pose a serious, foreseeable, and imminent risk to themselves or others.” (NASW Code of Ethics 1.02 Self-determination)
Importance of Human Relationships – There is a chance the decision to breach confidentiality will ruin the rapport you have established with that client.
With one client in particular i am having trouble knowing where to draw the line … he is a bright kid and is convinced joining a gang is his answer to his problems.. we’ve listed pros and cons to joining a gang however being that he is able to articulate short term gains (protection, needed income, stable sense of belonging, and drive) the long term cons seem very minor to him because of his current home situation. My client feels that being in gang would be no different from joining the boy scouts or a fraternity which he feels is socially acceptable however aren’t in his neighborhood.
For both of these (the vignette and your own example), please answer the following questions:
Describe your understanding of the ethical problem you have selected. Why is it a dilemma? What value conflicts are involved? (Cite literature to support your observations and discussion).
Indicate how you would address this dilemma, i.e., what you would do (say to the client or others or not say or do) and explain the ethical rationale you would use to support your intervention or no intervention (Cite literature that gives rationale to your decision).
What is the “best practice approach” in these case situations? Does the best practice approach and ethical approach differ? If so, please explain why, or why not. (Cite literature to support your practice approach).
In thinking about your current and/or last year’s field placement, how has the supervisory style and skills of your field instructor(s) influenced your learning process and practice. What was your role in the supervisory relationship? What have you learned from your experience/or not learned in supervision that will inform your thinking and behavior as a future supervisor (positive or negative, or both).
In answering this question, consider issues of authority, parallel process, dependency, privilege, autonomy, splitting, boundaries, manipulation, control, power, and differences and similarities between you and your field instructor (e.g., age, gender, race, ethnicity, class, and sexual orientation). Be sure to refer to specific readings.