Ethics Vignette
Chapter 12
Evaluation and Accountability
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Why do Evaluation?
To offer direction
To serve as accountability
To highlight the reality of termination
To provide a reference point for goal achievement (summative)
To provide markers to guide the process (formative)
Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017
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Formative Evaluation
Ongoing throughout the helping process
Gathering of data and feedback
Helps provide clarity and effectiveness moving forward
May be structured and formal, or informal
Should begin with the first session
Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017
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Summative Evaluation
To demonstrate that a goal/action plan has been reached
Are the original goals achieved?
What factors contributed to the goal achievement?
Were the specific strategies used helpful?
Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017
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Setting Goals and Objectives
S – specific
M – measurable
A – attainable
R – relevant
T – time bound
Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017
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Measuring Outcomes and Goals
Problem areas are operationally defined
Conceptualize the issues in a way so that the interventions impact the client to the greatest degree
BASIC ID
Behavior
Affect
Sensory
Images
Cognition
Interpersonal relationships
Biology/drugs
Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017
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Record Keeping
Document service (nature, delivery, and progress)
Review therapeutic process
Self-monitoring
Follow ethical guidelines for collection, maintenance, and dissemination
Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017
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Nature and Extent of Records
See guidelines for your specific professional organization, which may include:
Signed informed consent
Treatment plans
Types of services provided
Appointment dates and times
Discharge summary
Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017
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Record Storage and Access
Practitioners maintain confidentiality in the following when it comes to records:
Creating
Storing
Accessing
Transferring
Disposing
Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017
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Record Storage and Technology
Information recorded into databases and computers should be as secure as possible. Consider:
Using codes
No personal identifiers
Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017
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S.O.A.P. Notes
Practitioners take care to write nontechnical, clear notes and differentiated between fact and professional judgment.
An example format: S.O.A.P.
S – subjective
O – objective
A – assessment
P – plan
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 evaluation and accountability?
What are your thoughts about record keeping?
After reading this chapter, what questions do you have regarding evaluation, accountability, record keeping, and confidentiality?
Parsons, Ethical Practice in the Human Services: From Knowing to Being 1st Edition. © SAGE Publishing 2017
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