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Ethics Potpourri

Or, “I’ll take Dual Relationships for


$200 Dave!”
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-Step


organization: e.g. service, helping others, sharing,
“working the Steps” etc.
Program

Prescribed beliefs, values and


behaviors of 12-Step Organizations.
The 12-Steps.

Fellowship

Practice, activities and experience of a


12-Step organization: e.g. service,
helping others, sharing, “working the
Steps” etc.
Estimated A.A. Membership and Group Info:
(Circa 2001)

Groups in US………………………………..….51,183
Members in US………………………….…..1,166,927
Groups in Canada………………………… …....5,257
Groups Overseas…………………………….…39,804
Members Overseas…………………………. 656,938
Internationalists……………………………………124
Groups in Correctional Facilities US/Canada… 2,466
Lone Members……………………………… ……347
Total
Members……………………………….….1,989,124
Groups………………………………………..98,710
Faith Communities
Religion and Age in the United States
Gallup Polls 2001-2002

100

90

80

18-29
Percent

70 30-49
50-64
60 65-74
75+

50

40

30
Belief in God Membership Importance Attendance
A.1.e Employment Needs
 VR is effective in improving the employment
outcomes of individuals with disabilities.

 Job placement and support services have


consistently been positively associated with
competitive employment.

 In one study, 60% of VR clients were employed


compared with 33% of people with disabilities in
the general population.
(Pruett, Swett, Chan, Rosenthal, & Lee, 2008)
Vocational Counseling
Self Directed Search [evidence-based
workbook]
Holland Theory [evidence-based counseling
model]
What Color is My Parachute? [book that
blends the two]
Testing: Strong Interest Inventory [B Test]
A.8 Group Work
Group Counseling Course
Family Therapy Course
Unique Issues of Confidentiality
“Who is the client”
Screening is ethically mandatory
Protecting clients is mandatory
A.9 End of Life Care
• 1 in 5 Americans die using intensive care
services
• Nationally, this translates to approximately
540,000 Americans each year
Sedation in Palliative Care –
Definition 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
Palliative sedation
• The use of sedative medications to relieve
intolerable suffering from refractory
symptoms by a reduction in patient
consciousness
Criteria for Palliative Sedation -
Intolerable Suffering
• Subjective
• The patient can only determine the
suffering to be intolerable
• If the patient is unable to express the
degree the discomfort or suffering
experienced a proxy judgment by family
and care givers should be sought
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 or
palliative care specialist judge the
symptom refractory
A.12 Technology Applications
Crosses state lines
Federal Website: http://www.hipaa.org/
The focus of most checklists: Assigned
Security Responsibility: Identify the
security official who is responsible for
the development and implementation of
the policies and procedures required.
B.2.b Public Health Disclosures
• Counselors should have TB and Hepatitis
Vaccinations; along with annual flu
vaccines. A.1.a Welfare of those served.
• Contact Department of Public Health if you
are not sure what is reportable as a
communicable threat from a client.

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