Ethics Vignette
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?
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