Case managers should be concerned about and report to physicians about safety issues, environmental issues, and financial issues, all of which revolve around medical treatment, but they absolutely should not order drugs or treatments, Owen says.
Full Answer
What is the traditional ethical ideal of the case manager?
The traditional ethical ideal of the case manager as a patient advocate directs the case manager to act in ways that will maximize the best interests of his or her own patients and their families. Ethics and Third-Party Payers
Can case managers function as patient advocates?
Case managers can function as patient advocates in the following two ways: • Ensure that patients’ interests are fully represented and protected in these consults. Case managers and social workers are more likely to encounter issues related to organizational ethics than clinical ethics.
Can a case manager actually recommend treatment?
"They can recommend, but sometimes they go beyond just recommending because they believe they are in a position to be a decision maker of medical treatment. I believe strongly that this is not the role of the case manager and not what they are trained to do," Owen says.
What are the ethical challenges of an addiction counselor?
Although all counselors face ethical challenges, addictions counselors encounter ethical issues that are, in many respects, unique to their discipline. This article provides an overview of these issues, which include but are not limited to (a) the lack of communication and continuity between researc …
Why does ethical theory not advise the case manager?
What is a case manager who does not know anything about confidentiality and privacy requirements?
What is the ethical principle that obligates you to tell the truth to your clients/support systems, professional colleagues,
What is reasonable and prudent behavior?
When is it best to intervene in a case management process?
Can a client have a legal right to behave in a particular way?
Can health professionals be sued for unresponsiveness?
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What are the greatest ethical challenges an addiction Counsellor faces?
This article provides an overview of these issues, which include but are not limited to (a) the lack of communication and continuity between research and clinical practice, (b) lack of agreement over the necessary professional credentials, (c) the questionable propensity of group work in the addictions field, (d) ...
What are the major areas of legal and ethical considerations that a substance abuse counselor must know in regard to client welfare?
The key ethical obligations and responsibilities addiction professionals have to their clients can be observed in the four cornerstones of health care ethics, which include: autonomy, justice, beneficence and nonmaleficence.
What are ethical issues in drug abuse?
As you work through this or other ethical decision-making models, you must take appropriate ethical and legal issues into consideration. These issues include informed consent, confidentiality, parents' rights, students' rights, duty to report and danger to others.
How should addiction professionals maintain ethical standards in professional conduct?
Addiction professionals shall conduct themselves with integrity. Providers shall maintain integrity in their professional and personal relationships and activities. Providers shall communicate honestly, accurately, and appropriately to clients, peers, and the public, regardless of the communication medium used.
Why are there ethical codes in addiction counseling?
The code of conduct for substance abuse counselors suggests that they roll with client resistance and respect autonomy. They build rapport, offer support and educate the client on the goals of treatment. Beneficence requires substance abuse counselors to act in their client's best interests.
What are examples of ethical considerations?
Ethical considerationsInformed consent.Voluntary participation.Do no harm.Confidentiality.Anonymity.Only assess relevant components.
What are three basic ethical principles?
Three basic principles, among those generally accepted in our cultural tradition, are particularly relevant to the ethics of research involving human subjects: the principles of respect of persons, beneficence and justice....Part B: Basic Ethical PrinciplesRespect for Persons. ... Beneficence. ... Justice.
What are three basic ethical principles RADT?
What are three basic principles? Nonmaleficence, autonomy, justice.
What is an ethical dilemma example?
Some examples of ethical dilemma include: Taking credit for others' work. Offering a client a worse product for your own profit. Utilizing inside knowledge for your own profit.
What are the 5 tiers of ethics?
Defining what an ethical culture looks like, the paper explores five levels at which business can build one: at the individual, interpersonal, group, intergroup, and inter-organizational level.
What ethical principle states that the practitioner should avoid undue influences such as alcohol or drugs?
The principle of nonmaleficence is grounded in the practitioner's responsibility to refrain from causing harm, inflecting injury, or wronging others. While beneficence requires action to incur benefit, nonmaleficence requires non-action to avoid harm (Beauchamp & Childress, 2009).
What are the ethical principles?
The 4 main ethical principles, that is beneficence, nonmaleficence, autonomy, and justice, are defined and explained.
Case Management Code of Ethics – AIHCP
CODE OF ETHICS FOR “FELLOWS” OF THE AMERICAN ACADEMY OF CASE MANAGEMENT. Members adhere to all applicable Codes of Ethical Standards as prescribed by their current professional status and/or affiliated associations, including state/government licensing boards.
How to face down ethical dilemmas in case management
If you re a typical case manager, you are faced with ethical dilemmas several times a day. The job is pressure-filled. Case managers are under pressure from insurers to contain costs, from employers to return people to work.
National Code of Ethics for Case Management
DEFINITIONS For the purposes of this Code, unless the context indicates otherwise: Advocacy refers to the activities associated with negotiating or representing on behalf of a person. r-----·----1 r----- -- -----1 i Autonomy i i means a form of personal liberty whereby the individual possesses sufficient mental capacity to determine i
What is case management?
"Case management is an advanced practice and one that is fairly new in the health care practice arena.
Why are case managers under pressure?
Case managers are under pressure from insurers to contain costs, from employers to return people to work. They may be working with other health care professionals and don’t think they are acting ethically. They have a lot.
What is the role of a case manager?
The primary role of the case manager is to be a patient advocate. While case managers are accountable to different stakeholders — employers, insurers, physicians — the patient’s well-being should be their first consideration, says Mindy Owen, RN, CRRN, CCM, chair of the ethics committee and a member of the executive board of the CCMC.
Why does ethical theory not advise the case manager?
Because ethical theory cannot explicitly advise the case manager on whether or not to advocate for an experimental intervention for her client or at what point the client’s treatment becomes “futile,” the case manager must use her ethical reasoning and judgment to search for an answer .
What is a case manager who does not know anything about confidentiality and privacy requirements?
For example, a case manager who does not know anything about confidentiality and privacy requirements, criminal behavior, informed consent, and ordinary professional courtesy would be seriously lacking in essential information, and therefore would potentially act in ways that violate the Code.
What is the ethical principle that obligates you to tell the truth to your clients/support systems, professional colleagues,
Veracity . Veracity is the ethical principle that obligates you to tell the truth to your clients/support systems, professional colleagues, and any other individual or entity you deal with while providing case management services. Truth telling adds value both to you as case manager and to your clients/support systems.
What is reasonable and prudent behavior?
Reasonable and prudent behaviors are not only good criteria for meeting legal expectations, they usually meet ethical expectations as well. Professionals are not obligated to meet their clients’ needs endlessly, but they are obligated to meet what case management ethical standards expect.
When is it best to intervene in a case management process?
It can nevertheless be difficult for you to know at what point in the case management process it is best to intervene, especially when the intervention might result in a restriction of the client’s desires, preferences, or liberties.
Can a client have a legal right to behave in a particular way?
First, although the client has a legal right to behave in a particular way, it may be difficult for you in your duties as case manager to honor this right if you believe the individual is acting foolishly or irrationally.
Can health professionals be sued for unresponsiveness?
If none of the client’s health professionals take reasonable steps to remedy this situation – and if the client does indeed harm someone in a driving incident – those health professionals can certainly be blamed for their unresponsiveness, and they can be sued in some states for failure to protect third parties.
What happens when you are the victim of unethical addiction treatment practices?
When you are the victim of unethical addiction treatment practices, you feel violated. You have entrusted the sacred process of recovery to people who are concerned with the bottom line, rather than your well-being. This is unfortunate. Don’t be a victim.
What is the definition of ethics in addiction treatment?
The Business Directory defines ethics as “the basic concepts and fundamental principles of decent human conduct.” This is a rather general definition, but it offers a good foundation for understanding what ethics are.
Why are ethical people concerned with doing the right thing?
Ethical people are concerned with doing the right thing because it is the right thing to do. Many people say ethics is doing the right thing when no one is looking. From an addiction treatment standpoint, there is a code of ethics for addiction treatment professionals. By learning what these ethics are – and how they are enforced – you can educate ...
Why is it important to stay on top of the costs of addiction treatment?
It is important to stay on top of the costs of addiction treatment so you or your insurance company doesn’t overpay. Sexual Misconduct. No one who works at a treatment center should ever engage in a sexual relationship with a client.
What is ethical code?
Ethics serve as a code for right behavior. Although the words “moral” and “ethical” are often used interchangeably, this is a mistake. Morality typically relates to human behavior in daily living. Ethics specifically relate to business practices. An ethical businessman or woman follows a certain “code” in their professional lives, ...
Is addiction financially devastating?
Those who have been addicted to drugs or alcohol understand that addiction is a costly endeavor. Not only is addiction financially devastating, it costs people their jobs, their families, and their freedom. Most people enter recovery from an addiction completely bankrupt – spiritually, mentally, emotionally, and financially bankrupt.
Is addiction a lucrative endeavor?
On the flip side, addiction is a very lucrative endeavor for a lot of people.
What are the don'ts of a client?
Let’s start with the don’ts: Don’t get involved with a member of a client’s immediate family. Don’t nurture dual relationships that could impair your judgment or increase the risk of exploitation. Don’t become sexually active or come into sexual contact with a client.
What is a substance abuse counselor?
The substance abuse counselor is a unique professional. Taking a front row seat to the impact of drug and alcohol abuse and dependency, they work closely with people in recovery. It’s a bumpy road fraught with emotions and sometimes the stuff of movies. Ethics and values weigh heavily on every move a counselor makes, and on a daily basis, the challenges they face can create or destroy.
What is client relationship?
Client relationships often prove to be the most brutal of challenges. It’s the cornerstone of what you do. Every day, you work one-on-one and with groups of people who battle substance abuse and/or addiction. You see the ugliness of drug and alcohol abuse, and you take a front row seat to your clients’ lives. It’s natural to feel a range of emotions and to build relationships, but keeping it professional can be tough.
What is the ethical responsibility of a counselor?
A counselor has an ethical responsibility to practice only within the scope of his or her professional competence. Some typical indicators of competence include education, experience, training, and certification (Pope and Vasquez, 1998). Competence in one clinical area doesn't necessarily translate to another. Counselors with extensive experience treating general psychiatric disorders aren't necessarily competent to meet the specific needs of addicted clients, just as addiction counselors without advanced training don't always adequately recognize signs of psychiatric disorders. Cross-referral between such specialists is necessary in such situations.
When a client and a counselor hold fundamentally incompatible value orientations, should the counselor refer the case?
When a client and a counselor hold fundamentally incompatible value orientations, the counselor should either refer the case or strive to help the client achieve the goals of counseling within the context of the client's value system rather than attempting to change those values.
What is the ethical principle of confidentiality?
Confidentiality. Another core ethical principle is for a counselor to vigilantly guard against unauthorized disclosure of client information. The assurance of confidentiality is a fundamental guarantee, but it is not an absolute one.
What are the six core ethical guidelines?
What follows are six core ethical guidelines that are sufficiently broad and context-free to serve as a useful frame of reference in day-to-day counseling practice. These six guidelines are to provide informed consent; to operate in a competent and theoretically sound manner; to insure confidentiality of client information;
Why should counselors disclose personal information?
Consultation with colleagues and supervisors can help insure that the true purpose for disclosing personal information is to meet the emotional needs of the client rather than the counselor. One helpful guideline is for a counselor to reveal information about a personal life problem only well after it has been resolved, and not while it is an ongoing issue (Hunter and Struve, 1998).
What is the duty of a counselor?
Duty to Warn/Protect. It is widely accepted that counselors have a general obligation to warn or protect people whom a client places in imminent harm. The right to confidential treatment is therefore balanced by the need to insure the safety of others.
Why do biases not lose their influence?
But biases don't lose their influence just because they're not discussed ; in fact they often become less amenable to change. It is often more ethically beneficial for a counselor to invite discussion about his or her personal values while conveying an ability to respect and work with many alternative positions.
What is the responsibility of addiction professionals?
Addiction Professionals understand and accept their responsibility to ensure the safety and welfare of their client, and to act for the good of each client while exercising respect, sensitivity and compassion. Providers shall treat each client with dignity, honor and respect –and act in the best interest of the client.
What is the role of confidentiality in addiction?
Addiction Professionals understand that confidentiality and anonymity are foundational to addiction treatment and embrace the duty of protecting the identity and privacy of each client as a primary obligation. Counselors communicate the parameters of confidentiality in a culturally-sensitive manner.
What are the principles of medical ethics?
There are six principles of medical ethics with special relevance to managed care: Autonomy. Autonomy refers to 1) a person’s right to be fully informed of all pertinent information related to his/her healthcare, and 2) the person ’s additional right to choose or refuse among the available treatment options. Beneficence.
What is managed care?
Although the term “managed care” refers to a rather heterogeneous group of institutions, a feature common to all managed care organizations (MCOs) is a systematic approach to controlling what had been a skyrocketing escalation in the country’s healthcare costs.
Should MCOs be honest?
Honesty should be the rule for MCOs not only when dealing with prospective members but also when dealing with those already enrolled in the plan. “Gag rules” where physicians are instructed to withhold information from patients, should be prohibited.
Why does ethical theory not advise the case manager?
Because ethical theory cannot explicitly advise the case manager on whether or not to advocate for an experimental intervention for her client or at what point the client’s treatment becomes “futile,” the case manager must use her ethical reasoning and judgment to search for an answer .
What is a case manager who does not know anything about confidentiality and privacy requirements?
For example, a case manager who does not know anything about confidentiality and privacy requirements, criminal behavior, informed consent, and ordinary professional courtesy would be seriously lacking in essential information, and therefore would potentially act in ways that violate the Code.
What is the ethical principle that obligates you to tell the truth to your clients/support systems, professional colleagues,
Veracity . Veracity is the ethical principle that obligates you to tell the truth to your clients/support systems, professional colleagues, and any other individual or entity you deal with while providing case management services. Truth telling adds value both to you as case manager and to your clients/support systems.
What is reasonable and prudent behavior?
Reasonable and prudent behaviors are not only good criteria for meeting legal expectations, they usually meet ethical expectations as well. Professionals are not obligated to meet their clients’ needs endlessly, but they are obligated to meet what case management ethical standards expect.
When is it best to intervene in a case management process?
It can nevertheless be difficult for you to know at what point in the case management process it is best to intervene, especially when the intervention might result in a restriction of the client’s desires, preferences, or liberties.
Can a client have a legal right to behave in a particular way?
First, although the client has a legal right to behave in a particular way, it may be difficult for you in your duties as case manager to honor this right if you believe the individual is acting foolishly or irrationally.
Can health professionals be sued for unresponsiveness?
If none of the client’s health professionals take reasonable steps to remedy this situation – and if the client does indeed harm someone in a driving incident – those health professionals can certainly be blamed for their unresponsiveness, and they can be sued in some states for failure to protect third parties.
Autonomy
Example of Autonomy and Change in A Client’S Condition
Nonmaleficence
Ethical Standards and Board-Certified Case Managers
Empathic Phrases and Responses
Beneficence and Justice
Veracity
- Veracity is the ethical principle that obligates you to tell the truth to your clients/support systems, professional colleagues, and any other individual or entity you deal with while providing case management services. Truth telling adds value both to you as case manager and to your clients/support systems.