ethical dilemmas in counseling vignettes
On that card, there will be information that explains the importance of completing this assessment, the cost, and that a licensed therapist will review the results and contact the patient by phone within 3 to 5 business days. Because of busy primary care practices, the PASS-2 can be completed at home, if the office does not have internet access for patient use. What clinical concerns arise for you in this scenario? Menu. During this meeting, he realizes that while the other counselors generally behave in an ethical manner, they do not know the specifics of the code as well as hed like to. Dr. Tell focused the client on her dilemma as well as the relationship issues with her boyfriend. Hopefully, the teacher will use the Acculturation Model to help blend professional, ethical obligations with personal values and beliefs. A therapist receives a letter from an attorney indicating that he has inherited an old car from Frank Palmer. Dr. Smith was treating Mrs. Simpson for depression precipitated, in part, by a separation and pending divorce. Address the matter with the other therapist directly. The treatment notes indicate that she dropped out of therapy about one year ago. What are some recommendations that you would make to the psychologist? At that time, Dr. Miller not only wanted to evaluate the marriage, but to evaluate how impaired the husband was, and to decide whether Mrs. Drapier had assessed her husbands depression and the marriage accurately. She is also concerned about Mr. Drapiers level of depression, alcohol use, and suicidal statement. During one session, the patient indicated that her boyfriend has lost interest in sex and became more involved with online pornography. Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy. His patient reveals, during the course of therapy, th A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. Hence, the admission is voluntary. The therapist and patient discussed the type of job she was entering, because knew she might experience rejection from doctors, nurses, and other office personnel. She wants the therapist to phone the police immediately when the patient arrives and to have them arrest the cousin for unlawfully detaining the minor child. Ethical dilemmas of Turkish counsellors: A critical incidents study, Turkish school counselors experiences of reporting child sexual abuse: a brief report, Ethical judgments of counselors: Results from a Turkish sample, Breaching confidentiality to report students risk-taking behaviours to school administrators, Exploring the use of vignettes: From validity to trustworthiness, Okullarda yrtlen psikolojik danma ve rehberlik hizmetlerine ilikin okul psikolojik danmanlarnn grleri [Opinions of school counsellors on psychological counselling and guidance services carried out in schools], School counselors constructions of student confidentiality, Ethical transgressions of school psychology graduate students: A critical incidents survey, Alanda alanlarn gznden psikolojik danma ve rehberlik alannn sorunlar [Professional issues in counseling as perceived by individuals working in counseling settings], Mehmet Akif Ersoy niversitesi Journal of Faculty of Education, Okul psikolojik danmanlarnn ocuk istismaryla alma yeterliliklerine ilikin nitel bir aratrma [A qualitative research on the school psychological counselors competencies working with child abuse], Hacettepe University Journal of Education, retmen ve rencilerin rehber retmeni alglamalarna ilikin bir durum almas [A case study on the perception of the school counselor by students and teachers], The use of vignettes in qualitative research into social work values, Ortaokul mdrlerine gre okul gvenliine ynelik tehditler ve zm nerileri [Threats towards school security and solution suggestions for secondary school principals], Trakya Univerity Journal of Social Sciences, Okul psikolojik danmanlarnn okullarnda verdikleri psikolojik danma ve rehberlik hizmetlerini deerlendirmeleri [School counselors assessment of the psychological counseling and guidance services they offer at their schools], School counselors attitude and decision-making towards dual relationship and confidentiality situations in counseling, https://www.doi.org/10.14527/9786053183563.040, https://www.doi.org/10.17860/mersinefd.515865, http://eb.ted.org.tr/index.php/EB/article/viewFile/659/270, https://www.doi.org/0.1080/13645570050178594, https://files.eric.ed.gov/fulltext/EJ1158281.pdf, https://www.mevzuat.gov.tr/MevzuatMetin/1.5.5395.pdf, https://doi.org/10.17051/ilkonline.2017.342962, https://www.doi.org/10.1002/j.1556-6978.2005.tb00130.x, https://www.doi.org/10.1080/1754730X.2017.1285710, https://seahipaj.org/journals-ci/mar-2018/IJILPS/full/IJILPS-M-1-2018.pdf, https://www.doi.org/10.12984/egeefd.315891, https://files.eric.ed.gov/fulltext/EJ885152.pdf, https://doi.org/10.1002/j.1556-6676.1986.tb01120.x, https://www.doi.org/10.12711/tjbe.2017.10.2.0011, https://www.doi.org/10.1080/03069885.2012.718732, https://www.doi.org/10.17051/ilkonline.2019.612188, https://app.trdizin.gov.tr/publication/paper/detail/TVRZNU9USTRPQT09, https://dergipark.org.tr/tr/pub/ilkonline/issue/8587/106708, https://www.doi.org/10.1016/j.sbspro.2015.03.411, https://www.doi.org/10.1002/j.1556-6978.2010.tb00100.x, https://www.doi.org/10.1002/j.2161-007X.2013.00032.x, https://www.resmigazete.gov.tr/eskiler/2020/08/20200814-2.htm, https://www.doi.org/10.18506/anemon.425418, https://app.trdizin.gov.tr/makale/TXpZMU9EUTJOZz09/turkiye-nin-ruh-sagligi-yasasi-ile-imtihani, http://www.erguven.net/medya/okulveli.pdf, https://doi.org/10.1080/03069885.2014.987726, https://www.doi.org/10.1080/10538712.2015.1084072, https://www.doi.org/10.1080/10508422.2014.941981, https://dergipark.org.tr/tr/pub/kefad/issue/59420/853446, https://files.eric.ed.gov/fulltext/EJ1034752.pdf, https://doi.org/10.1207/S15327019EB1003_5, https://www.doi.org/10.16986/HUJE.2018044070, http://www.acarindex.com/dosyalar/makale/acarindex-1423936567.pdf, https://www.myk.gov.tr/index.php/en/haberler/53-hukuk-mueavirlii/2940-5-yeni-ulusal-meslek-standard-yaymland, https://www.doi.org/10.1177/1473325004041133, https://www.doi.org/10.26468/trakyasobed.502187, https://dergipark.org.tr/en/pub/kefdergi/issue/22606/241620, https://www.doi.org/10.3969/j.issn.1000-6729.2018.03.002. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. In the code, 18VAC115-20-130. The treating therapist believes the options are: What are the possible emotional reactions to this situation? When returning a call from Chuck who works for a company with the EAP benefit, the psychologist indicates that she is Sue from the EAP program. He believed that the custody evaluator had made several significant errors in the report concerning the psychological health of his patient. xWMs6W :4MNR)CWI/$@jt H oW5}TP(&P2?;*Ad{)t7lO=+v'EHQ'N}Y~Z5V(.oiExAEmH4g}?.cW,'Y0|\&A\FJtf3d_`M$ L U <> However, the police report indicated she has made such verbal threats in the past but also, on several occasions, has damaged her neighbors property including scratching the paint on their car and throwing rocks at their house. Qualitative content analysis in practice. Abruptly, Mr. Drapier looks at his watch and leaves the office explaining that he is late for a business meeting. The therapist and the attorney-patient meet for the initial session. He promised to call her back within a week. image.jpg Liberty University Ethical and Legal Issues in Counseling . 3. Mrs. Simpson read the report and admitted that she did not understand some of the psychological jargon used in the report and had difficulty understanding what the conclusions of the report were. How would you feel if you were the consultant? While discussing these issues, the patient suddenly stopped talking. Dr. Smith also wondered if it was appropriate to bill Mrs. Simpson for his time in reviewing the report. / ethical dilemmas in counseling vignettes. One afternoon Taras supervisor approached her and asked her if she would be interested in facilitating a group therapy session once a week at one of the centers other branches. He indicated that Dr. Cooper recommended that he discontinue a psychotropic medication in favor of an herbal remedy. Dr. Smith suggests a referral to a therapist, but Mr. Biggy states that he feels more comfortable talking with Dr. Smith. He complains loudly about his parents and his girlfriend. Cynthia had already invested quite a bit of money into her private practice, and was determined to make it work, regardless of the type of clients she had to treat. Glover, J. Widely adopted as a textbook in graduate psychology courses in ethics and continuing education development, this innovative volume presents readers with over 100 different perspectives on crucial ethical issues and offers possible solutions from an expert ethics educator, psychologist, and former APA general counsel. It was revealed that counsellors prioritise the students' benefit and respect students' privacy. What are some of the suggestions that you may have for the therapist about accepting or declining the referral? ethical decision making that guides students and practitioners as they work through and analyze complicated ethics cases that demonstrate some of the most challenging dilemmas that they will face. What are the ethical issues, if any, involved in this case? The therapist remembers the former patient as a likeable person. An ethical decision-making model provides you with a set of guidelines for making ethical decisions. 6768). However, there is a lack of empirical evidence about what influences a school counselor's ethical decision making. endobj There is nothing unusual that stands out about their therapeutic relationship. V;J/$"P)T)-nC6!;D-b0 *a #Xk%u %lFhZ@=Hr|y>wtrPuDd"Q=d0bs9>CQ?Rkf-U]BFJV9>g$d\3IH:$@eU-ASq 1K [i=2y#qIg3ibct x*apx>1@y#@/#x@ s ^R9,.6^ X T9,e64vKa8%#o-%=cpi %&)}Cd$fi4/6O.FSKA^iBd<2PTG :5=@0J=kM* She has been doing much of the case management work, e.g. Dr. Jordan calls you on the phone for an ethics consultation. What are Dr. Millers potential ethical issues in this situation? Standards of Practice, B. Counselling Relationships, Confidentiality. In fact, the patient has made no such comments to anyone else other than to Dr. Solomon and has been a model patient on the unit. Along with. endobj We used a transcendental phenomenology research method and identified the themes of consulting, referring to ethical guidelines, documenting, contributing factors, and engaging in professional development. He explains that he recently lost his job and has been worrying about the financial impact that this is having on his family. Just as he is about to hang up, Buddy says, Thanks. The prospective client was using her maiden name and gave no indication during the session that she knew about her ex-husbands treatment with the therapist. If you were the psychologist, how would you feel about the situation? Some of the sessions focused on a sexually abusive relationship between a basketball coach and the patient when she was age 13 to 16. The EAP service provides a solution-focused, three-session benefit for companies within Virginia. Therefore, this article offers a brief description of the purpose and alleged benefits of supervision, and examines the current position of the law in regard to ethical dilemmas within supervision. School counsellors often encounter ethically challenging situations due to contradictory values and roles. The attending psychiatrist concurs with the discharge plan and advised Dr. Solomon not to worry about it. In fact, the psychiatrist encouraged the psychologist to omit any reference to the patients comments about the neighbor in treatment summaries or clinical notes as hysterical nonsense.. It may rather be a sign that one is fully engaged in the life of a community. Render date: 2023-03-04T21:33:13.444Z He also divulged that his risk-taking behavior has increased as well, such as speeding. The therapist does not dwell on the situation with the patient. What obligations does the therapist have to the parent? When she asks about insurance, he indicates that he will pay in cash. According to the therapy patient, Lyla is not aware that one of her customers is a therapist who works in another part of the same facility where she is receiving substance abuse treatment. Has data issue: true Feeling somewhat uncomfortable with the medication management issue, the therapist indicates that she will have to look at her schedule and call him back. x#86h)Ppcc0F( k/ PsychBuilder Inc. developed the first internet-based administration and scoring of the Personality Assessment Symptom Scale-2, the PASS-2. After some other small talk, Dr. Smith leaves to mingle with other friends. For this to be a successful venture, we ask you to promote this program to your referring physicians, nurse practitioners, and physician assistants in order to enhance their ability to identify, evaluate and provide needed treatment for their patients. She also agreed to think about the need to bring in the boyfriend, because inviting him to therapy will not necessarily help the situation. Unfortunately, many patients struggling with mental health issues in primary care settings are not properly identified or treated. While Chuck now lives in an apartment in town, she remembers him well. frequent consultation requests by the trauma service. ~Bi"$\HM"ruGz^1C+hY>3MyO6Qd7 ;zeWz7w_:y5pF{MofM$Ql )h:K A-4 aX-tW)&"0#.tD9@d I"$aqDDW"> DDfkYHPXTDplrM_Eb'N4+m+8 nh htDiMg5O=_Tlj\^5?@taB-&r\`6XV!]m(@yI@mh(8^I.6}.jLH!n"$V8xfc?jPB[:4)u0vi{RZTfywJQTl?ThOo! The therapist, her husband, and his ex-wife are on good terms. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. What are the possible downsides to entering the dual relationship? What are the options for the therapist for both his relationship with his patient and his relationship with Mr. Biggy? Dr. Ron Popeil, a local therapist, is upgrading his web site. Is Dr. Tell a mandated reporter in this situation? Kara then contacted the facility and let the supervisor know that she is not able to accept the position at this time, but that she plans to seek out the necessary training and supervision to work with substance abuse clients, and that she hopes the facility will consider her for the position once she has completed the necessary training. Most issues do not produce ethical dilemmas, but some do. Okul ruh sal hizmetlerinde yaanan sorunlar: Psikolojik danmanlarn grleri [Problems encountered on school mental health services: School psychological counselors opinions], Role stress among practicing school counselors, Ortaretimde grev yapan retmen ve okul yneticilerinin okul gvenliine ilikin alg ve beklentileri [Perceptions and expectations of teachers and school administrators working in secondary education regarding school security], It just doesnt feel right: A mixed methods study of help-seeking in Irish schools, Advances in School Mental Health Promotion, The need for ethical code of conduct among school guidance counsellors in Obio/Akpor local government area, International Journal of Innovative Legal & Political Studies, Okul psikolojik danmanlarnn kullandklar unvann mesleki kvan, psikolojik danman zyeterlii ve baz zniteliklerle yordanmas [Predicting the professional title of the school counselors with the professional pride and counselor self-efficacy], Psikolojik danmada etik ikilemler: Etik karar verme sreci [Ethical dilemmas in psychological counseling: Ethical decision making process], Eurasian Journal of Educational Research (EJER), An ethics challenge for school counselors, School counsellors attitudes and beliefs about child sexual abuse, Ethical dilemmas in college counseling centers, Okul psikolojik danma hizmetlerinde mesleki etik ihtiyalarn belirlenmesi [Determining the professions ethical requirements in school psychological counseling services], At risk of harm? He indicates that, in order for him to benefit from the treatment, he feels a need to pay what he makes an hour. The days allocated for her stay by her insurance are ending in two days. Apparently, no one is. After her 6 weeks of training, the company assigns her to a regional director that the therapist knows personally. endobj The main therapeutic issues are depression and loneliness. The counsellor is also conscious. Chuck is a 20-year old man who immediately expresses a great deal of agitation and anger. From: PsychBuilder High Tech Psychology at Low Cost, Subject: Online Assessment Tool to Promote your Practice. 2 Print version: page 62 6 min read 0 In the context of counseling, family includes people related through . What are some potential responses that you could offer Dr. Bishop? Jacob-Timm,S. Case Vignettes for Review Directions: The following cases are intended to facilitate the development of your ethical analysis and resolution capacities. Approaching ethical dilemmas. Dr. Tell contacts you with the above scenario. It then provides six vignettes where supervisors are faced with ethical dilemmas. "useRatesEcommerce": false endobj <> The purpose of these psychological evaluations is to identify individuals who have gross psychopathology, strong personality disorders, or other characteristics that would make them incapable of performing their religious duties adequately. Even if they terminate therapy, how does the therapist cope with family gatherings since she knows significant details about her patients life? He indicates that Mr. Biggy is a good family man. The patient is reassured, and reported less anxiety. Dr. Crane applauded and appreciated the students energy and creativity, but indicated some concern about dual role with the student. For example, the psychologist might have to evict his client for failing to pay rent--or he might . . : Ethical and Legal Ramifications of Documentation Decisions. Dr. Tell explained that the alleged perpetrator was several times removed from their sessions and she did not believe that she had the obligation to report it. Copyright Center for Ethical Practice, 977 Seminole Trail, #312, Charlottesville, Virginia 22901 Mr. Biggy starts asking questions that are more personal, forwards her funny emails, and texts some inappropriate remarks to her, mainly about her alluring power that helps make sales. I will reflect on a video presentation as well as the North Carolina rules and regulation and the ACA Code of Ethics as it relates to confidentiality and ethics. <>>> During the next session, Mr. and Mrs. Drapier arrive separately, but on time. He asked the attorney if anyone is contesting the will. The therapist phones the attorney and discovers that Mr. Palmer left him a 1993 fourwheel drive Ford Explorer. In actuality, Mr. Biggys wife is a very close friend of Dr. Smiths wife. During the last two years, she required total care. 1 0 obj Looking through his files, the therapist cannot find his file, so it must have been more than five or six years ago. Of course, they exist in all forms of counseling, from short-term advising . At the end of the day, the therapist reflects on the interaction her new lawyer-patient. There were contentious issues dealing with the custody arrangements of the children. What are potential ethical issues with this invitation? (1993). In the midst of all of this activity, the psychotherapist contacts you for an ethics consultation. While you are there, a family member arrives with a copy of a notarized advance directive, created within the last year, which specifically outlines the patients wishes not to be placed on a ventilator or any artificial life support. In hindsight, what triggered some possible difficulties in this situation? While it is not a complete assessment, it can guide patients to you for further psychological consultation. Since the web developer/consultant wants to get that page up and running, he suggests that they use some positive ratings and responses from Angies list and several other online rating sites that tell positive stories and experiences with Dr. Popeil. 1LzLxG`kvP@>. This vignette poses several ethical dilemmas for counselors. Dr. Bishop developed a strong relationship with this religious institution and they have been quite satisfied with his work. He would like help to work through the issues. The patient presents with a history of rejection and abandonment as well as being abused by persons of power. <> The clients boyfriend expressed that she should never discuss this with anyone. endobj If you were facing a difficult ethical dilemma, after identifying the problem and the potential issues involved, what would be, using Corey's model, one of the first places that you would look for assistance in the resolution of the dilemma He drives the car to a local dealer who indicated that the Explorer is worth about $3,500. Dr. Bishop calls you for a consult about this situation. You will receive a high quality report that offers diagnostic possibilities, suicide potential, and treatment planning options for new patients. The client asked if she could just give Dr. Tell the information about the uncle so that she could report it to the authorities and leave her out of the situation. Mr. DiMencha demonstrates a variety of cognitive deficits. mh:/lIk[ R#ig#hJh@xVSP~~NP&#HC"+}C.|L.B:qe -4F[QDZuee168Ioa{ 3 m&#H7 x6}K Additionally, Dr. Smith believed that some of the conclusions were in error, and had little support for those opinions in the body of the report. Ethical Vignette Paper.docx. Dr. Smith is a therapist who has worked with a young woman for about 9 months. Therapy lasted about a year and focused on depression and relationship issues. Can the client contact Child Protective Services anonymously in this case? He does not view it as a therapy group. The therapist who received this information does not know the other therapist well, but has provided some consultation for the therapist in the past. His mother had suffered from a combination of severe respiratory problems and Alzheimers. endobj The treating therapist knows the local therapist who released the information, but does not have a strong relationship with him. He will likely need to go into an assisted living facility. The cost of the online administration is $25, to be paid by the patient. stream As the session winds down, Mr. Drapier spontaneously asks for a second opinion about his treatment with Dr. Cooper. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Feeling guilty, the therapist calls you on the phone to discuss his feelings and any possible ethical concerns. 14 March 2022. An important factor is that there is no cost to you, as the therapist. Dr. Perry Francis, the chair of the Ethics Revision Task Force, states, "A code of ethics What do you believe is the best course of action? In a group setting, clients may no longer feel estranged from society or alone in their challenges, and instead view themselves as part of a community of people with shared experiences. She stated that Dr. Jordan recommended that she write down her memories. Dilemma 4: A Psychologist in Turmoil Dilemma 5: A Tricky Situation Dilemma 6: Referral and Treatment Boundaries Dilemma 7: An Invitation to Assess Dilemma 8: A Session with the Spouse Dilemma 9: Psychologist as Character Witness xVN0}-m8 ), Psikolojik danmanlk alannda mevcut ve gelien etik sorunlar [Current and developing ethical problems in psyhological counseling field], Sources of conflict between primary school principals and school counselors in Turkey, I wanna tell you a story: Exploring the application of vignettes in qualitative research with children and young people, International journal of Social Research Methodology, Using an ethical decision-making model to address ethical dilemmas in school counseling, An examination of the ethical dilemmas of school counsellors: Opinions and solution recommendations. Kara, a therapist on the county hospitals psychiatric unit, is a recent graduate from a masters degree program in mental health counseling. Out of options, Dan is asking Dr. Crane to be the faculty advisor. Ethics Rounds Multiple relationships: A vignette Finding oneself in a multiple relationship is not necessarily a sign that one has engaged in unethical behavior. Upon reflection, the therapist recalls that he had treated Mr. Palmer a number of years ago. % If you were a co-owner of the business, how would you feel about this situation? What are potential advantages in this scenario? Dan asked a number of faculty members to be the faculty advisor of this group. Finally, since these are teaching tools, any teacher, supervisor, or mental health professional can use these vignettes as part of ethics education. Ethical Dilemmas in Counseling: A Case Study Examination The American Counseling Association (ACA) Code of Ethics was amended in 2014 to reflect the ever-changing social, political, and technological landscape which clinicians must navigate. Would your answer differ if the advanced directive was created 7 years ago or greater? Students and their parents/guardians rely on school counselors to provide counseling services based on ethically sound principles. ; & Hartshorne,T.S. As is often the case when it comes to ethics, some of the best solutions involve counselors taking preventive steps, such as being familiar with and applying the 2014 ACA Code of Ethics. In this paper I will discuss the ethical vignette as it deals with confidentiality and ethical dilemmas that counselor's face. Applicable State Codes/or Mental Health Laws Under the legislative information system code, it explains the standards of practice by counselors. The therapist screens the potential patient and believes that she can help him. He needs assistance and monitoring with daily tasks, such as home care, shopping, transportation, understanding the settlement process, reading his mail, and paying his bills. Dr. Tell worked with a woman for several months on issues related to depression, anxiety, and relationship issues. The test usually takes approximately 40 to 60 minutes to administer. When facing uncertainty, consult a colleague, refer to APA's Ethics Code and document your decision, advised APA Ethics Committee members. If you have further questions, feel free to contact me. Currently, the patient is denying the fact that she has made past threats toward her neighbor. What would you likely do with this email solicitation? The therapist recalls that the patient had always been good-natured, attended appointments regularly, and worked well in therapy. If you were Dr. Miller, what are your emotional reactions to this situation? You have shared a couple of patients with the psychiatrist in the past and have spoken with him by telephone a few times. She eventually blurted out that, during a heated discussion, her boyfriend indicated that looking at online pornography was not as bad as what his uncle did. What would you need from the attorney? Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case. Can the therapist continue the treatment relationship with the patient? The therapist expresses her concerns about working with a patient whose father is prescribing medication. In a therapy session in an outpatient substance abuse treatment facility, a patient reveals that an agency staff person another therapist in a different department has paid to have sex with another patient in the treatment facility Lyla, who is a prostitute. As social isolation, loneliness and depression are regular themes in treatment; the therapist frames this as positive progress. The supervisee is very worried and afraid to tell What are the ethical issues for this scenario? Dan recently came out to his parents, who were accepting of his gay orientation and lifestyle. Book Description For undergraduate and graduate courses in Counseling Ethics, Legal Issues in Counseling; a supplement for Introduction to Counseling, Practicum, or Internship courses. A survey of ethical dilemmas based on salient ethical issues in counseling supervision (i.e., dual . T. he counseling field is rich with ethical issues (American Counseling Association [ACA], 2014; Bodenhorn, 2006; Herlihy & Dufrene, 2011), so counselors have to be knowledgeable about current ethical and legal topics and attentive to their day-to-day clinical work. iRE]7*ZG; K5|h{. tiny black tadpole looking bug in bathroom; ff14 plasmoid iron lake location; top 10 most dangerous areas in cape town; cockapoo rescue michigan; floris nicolas ali, baron van pallandt cause of death; Prior to their next session, Dr. Smith calls you for a consultation. The therapist knows that the ex-wife had been struggling with isolation and loneliness as well. Programs that do not qualify for NBCC credit are clearly identified. Dilemma 1: Psychologist in the Middle Dilemma 2: A Suffering Caregiver Dilemma 3: A New Referral? Dr. Bishop feels uneasy about this situation, as homosexuality has not been considered a mental illness since the 1970s. Mr. Biggy indicates that he wants to talk more about his feelings. Kara, who regularly reviews the ACA Code of Ethics and the Standards of Practice, knew that it would unethical of her to accept the position because she lacks the qualifications and competency necessary to practice at the drug and alcohol treatment facility. The mother explains that the child has run away and the mother has reported the child missing to the police. What are some possible suggestions for Dr. Jordan? Are there additional considerations for how to approach the referring physician when calling back? for this article. Dr. Goodfriend is unclear whether Buddy is serious or joking. The patient repeated this line of questioning during the first face-to-face session.