Ethics Vignette

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Parsons_PPT11.pptx

Chapter 11

Efficacy of Treatment

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Professional Competency

Practitioners should not engage in practice that require skills beyond those possessed

Competency requires skills to be developed and maintained

Practitioners should accurately represent their level of competency to clients, employers, and the general public

Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017

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Competence

Helpers have the knowledge, skills, and abilities needed to perform those tasks relevant to that profession

Helpers are capable of performing service as defined in professional standards or regulatory statutes, using the conduct of others within the profession as the comparative standard

Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017

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Competence: Formal Training

Theory

Skills

Guided practice

Mandatory v. aspirational levels of training

Professional accrediting bodies

Professional organizations

Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017

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Continuing Education

Practitioners should remain current with emerging knowledge relevant to their profession

Continuing education

Professional conferences

Additional coursework

Number of courses and/or credits varies between professions and states

Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017

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Supervision and Consultation

Practitioners’ competency includes working within their scope of expertise and knowing when to consult or refer to another professional

Peer consultation

May enhance the clinical care of the client

May act as a risk management tool for the helper

May act as a check and balance for boundaries of competence

Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017

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Standard of Care: Appropriate Treatment

The standard of care and definition of appropriate treatment are typically determined by comparing the practitioner’s performance with that of other professionals with comparable training and experience

Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017

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Effective Treatments

Employing tried and true techniques

Grounded in theory

Based on empirical scientific foundation

Keeping current on research on treatment effectiveness

Specific problems are targeted

Continuous monitoring and assessment

Client skill development

Brief, fewer sessions

Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017

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Standard of Care: Managed Care

Challenges:

Identifying appropriateness of services and form of services

Short-term models of treatment

Training for these models

Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017

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Action Research Approach

Action research provides practitioners with the means of acquiring valid, useful data and results in the development of effective strategies

Applied research in which the researcher is the practitioner

Systematic and rational decisions

Supports reflective thinking and increased awareness of effectiveness

A mechanism for monitoring the efficacy and adequacy of practice decisions

Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017

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Referrals

Ethical helpers provide services for which they are trained

Referral occurs when helpers are unable to provide professional, competent services

Assessing the nature of the specific support and services needed, helpers will have known referral sources to give to clients

Helpers explain the reason and process of referral to clients

Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017

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Making a Referral

Helpers assist clients in accepting a referral

Helpers:

Are clear and direct about the goal and expectation for seeking referral

Share information about the referral

Discuss clients feelings and concerns

Assist clients in making initial contact

Gain clients consent for collaboration with the other helper

Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017

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You, as the Helper

What have you learned about yourself as a helper?

What are your thoughts about helper competency?

What are your thoughts about not only practicing ethically, but being ethical?

After reading this chapter, what more would you like to learn about in the realm of helper competency?

Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017

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