Case Study Discussion Forum
This week we will cover Client’s Rights and Counselor Responsibility and Confidentiality. Confidentiality is one of the most violated ethical principles and not on intention but because of a lack of knowledge about what to disclose and what not to disclose, to whom, and when. The ASCA Codes of Ethics that are used in school counseling is attached. The ACA Codes of Ethics is attached. Both codes of ethics MUST be referenced. You should label each section of the codes of ethics prior to beginning the ethical forum.
This week will begin your ethical decision-making case study discussion forum. Remember, for these forums, you will choose ONE ethical scenario.
Case Study #1: The Case of Joan
Joan, a counselor in private practice in central Texas, has been asked to accept a new client who is Asian-American and who is having difficulty adjusting to her new home in Texas. There are very few Asian-American individuals in Joan’s community. Joan is wondering whether she is competent to accept this new client.
Case Study #2: The Case of Marcie
Marcie is a new client, a 22-year-old female who works as a receptionist in a doctor’s office. She has just revealed to you during the intake session that she has recently lost interest in most activities, has been experiencing fatigue despite sleeping a great deal, and sometimes wishes she could cease to exist. She mentioned feeling as though she were “on an emotional roller coaster” during the past year, throughout her on-again, off-again relationship with a 35-year-old married man. The last breakup with him seemed really final, and Marcie has felt herself sinking deeper and deeper ever since. When probed further about suicidal ideations, Marcie admitted that she has considered killing herself, although she is uncertain whether or not she would actually do it. She said that she is currently in possession of a gun that her friend allowed her to keep in her home following a rash of burglaries in the neighborhood, but she doesn’t know whether she would actually use it. You have consulted with your supervisor, who has agreed that Marcie should be referred immediately for a psychiatric evaluation and has instructed you to arrange for Marcie to go directly from your office to a nearby hospital. Marcie told you that her mother accompanied her to this appointment and is in the waiting room, but she has emphatically stated that she does not want her mother to know what is going on with her.