Transcript Direct Practice in Social Work

Direct Practice
in Social Work, 2e
Scott W. Boyle
Grafton H. Hull, Jr.
Jannah Hurn Mather
Larry Lorenzo Smith
O. William Farley
University of Utah, College of Social Work
PowerPoints by Julie Emmer, University of Central Florida
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© 2009 Allyn & Bacon
Direct Practice in Social Work
In Chapter 2 we will:
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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
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Social Workers must be aware of the
influence of personal values, such as:
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Religious beliefs
Cultural differences
Political ideals
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The NASW Code of Ethics
Social Workers commit
themselves to Six Core Values
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The Core Values are…
Service to others
Competence
Integrity
Social Justice
Dignity and Worth
of a Person
Importance of Human Relationships
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Within our commitment to clients is:
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Self determination
Informed consent
Competence
Cultural competence
Avoidance of conflicts of interest
Confidentiality
Respectful boundaries
Carefully designed policies and procedures
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Within our commitment to colleagues is:
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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)
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Within our commitment to our practice
setting is:
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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
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Within our commitment to ourselves as
professionals is:
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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
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Within our commitment to the Social Work
profession is:
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Maintaining the
integrity of the
profession
Engaging in
evaluation and
responsible
research
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Within our commitment to the broader
society is:
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Social Welfare
Public participation
Response to public emergencies
Social and political action
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Process for resolving an ethical dilemma
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Be aware of personal, societal, and
professional values
Explore ethical options
Identify any competing value systems and
ways to resolve the conflict
Identify the “least harm” option
Evaluate efficiency, effectiveness, and
ethicalness
Evaluate long term ethical consequences
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Ethical Principles Hierarchy
Protection
of Life
Equality and
Inequality
Autonomy and Freedom
Least Harm
Quality of Life
Privacy and Confidentiality
Truthfulness and Full Disclosure
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Ethical Complaints
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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
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Avoiding Malpractice Charges
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Use empirically based methods
Maintain all ethical standards
Use the “knowledge, skill, and judgment”
normally practiced by others in the field
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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
© 2009 Allyn & Bacon