Ethics Vignette

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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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