direct practice in social work, 2e scott w. boyle grafton h. hull, jr. jannah hurn mather larry...

Direct Practice in Social Work, 2e

Scott W. Boyle Grafton H. Hull, Jr.Jannah Hurn Mather Larry Lorenzo Smith O. William FarleyUniversity of Utah, College of Social Work

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PowerPoints by Julie Emmer, University of Central Florida

Direct Practice in Social Work

In Chapter 2 we will: Explore the role of values in Social Work Become familiar with the Code of Ethics Explore our commitments to our clients, colleagues,

practice setting, ourselves, our profession, and the broader society

Learn how to respond to ethical dilemmas Discover the consequences of ethical violations


Social Workers must be aware of the influence of personal values, such as:

Religious beliefs Cultural differences Political ideals


The NASW Code of Ethics

Social Workers commit themselves to Six Core Values


The Core Values are…

Service to others

Social Justice

Dignity and Worth

of a Person

Importance of Human Relationships

Integrity

Competence


Within our commitment to clients is:

Self determination Informed consent Competence Cultural competence Avoidance of conflicts of interest Confidentiality Respectful boundaries Carefully designed policies and procedures


Within our commitment to colleagues is:

Respect Confidentiality Interdisciplinary collaboration Respectful conflict resolution Consultation Appropriate referral procedures Respectful boundaries (including sexual and

emotional boundaries) Responses to inappropriate performance of

colleagues (impairment, incompetence, and unethical behavior)


Within our commitment to our practice setting is:

Supervision and consultation Education and training of staff and student interns Performance evaluation Client records (including HIPAA compliance, billing

practices etc.) Administrative obligations to the agency and

community Continuing education and staff development Commitment to employers Labor-management disputes


Within our commitment to ourselves as professionals is:

Competence Avoidance of discrimination Appropriate private conduct Avoidance of dishonesty, fraud, and

deception Avoidance of impairment Avoidance of misrepresentation Appropriate solicitation of clients Proper acknowledgement of credit


Within our commitment to the Social Work profession is:

Maintaining the integrity of the profession

Engaging in evaluation and responsible research


Within our commitment to the broader society is:

Social Welfare Public participation Response to public emergencies Social and political action


Process for resolving an ethical dilemma

1. Be aware of personal, societal, and professional values

2. Explore ethical options3. Identify any competing value systems and

ways to resolve the conflict4. Identify the “least harm” option5. Evaluate efficiency, effectiveness, and

ethicalness6. Evaluate long term ethical consequences


Ethical Principles Hierarchy

Protection of Life

Equality and Inequality

Autonomy and Freedom

Least Harm

Quality of Life

Privacy and Confidentiality

Truthfulness and Full Disclosure


Ethical Complaints

Can be reported to licensing board for your state

Can be reported to NASW Can result in serious sanctions,

including public sanction, loss of membership, and loss of license


Avoiding Malpractice Charges

Use empirically based methods Maintain all ethical standards Use the “knowledge, skill, and judgment”

normally practiced by others in the field


Nine situations that increase risk of malpractice charges Corey et al (2007)

Failure to obtain or document client informed consent

Abandoning a client. Departing from recognized therapeutic practices

Practicing outside of one’s competence

Inappropriate client diagnosis.

Eliciting repressed or false memory from a client

Poor management of transference and countertransference

Sexual misconduct Failure to intervene with dangerous clients


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