Ethical Issues in Alcohol and Other Drug Treatment

Introduction
Ethical dilemmas abound in the field of mental health treatment. Assessment and diagnosis are foundations for all treatment, yet it is far too easy to gloss over the importance of competent assessment and accurate diagnosis. Empirically based professional mental health services connect the most effective treatments with given diagnostic presentations.
Objectives
To successfully complete this learning unit, you will be expected to:
1. Demonstrate an understanding of the codes of ethics of the American Counseling Association and the Association for Addiction Professionals (NAADAC).
2. Demonstrate an ability to make ethical decisions.
3. Understand the scope of CFR 42 and HIPAA for addiction counselors.
4. Show awareness of the ethical boundaries around dual relationships for addiction counselors.

Learning Activities Studies
Readings
Complete the following:
o In your Substance Abuse Counseling text, read Chapter 2, “Ethical and Legal Issues in Substance Abuse Counseling,” pages 27–50.
o Take time to thoroughly review the following Web sites. You should use this information to incorporate into upcoming discussions and assignments:
 Legal Action Center.
 Health Information Privacy from the U.S. Department of Health and Human Services.
 NAADAC Code of Ethics.
 American Counseling Association: Ethics and Professional Standards.
 Drug Testing: SAMHSA’s Workplace Resource Center.
 Student Drug Testing Is Part of the Solution from the Drug Free America Foundation.

Optional – Book
The following book is a valuable resource that you may wish to add to your personal library. It provides further study on the topics in this course, but is not required reading. Click the link to purchase.
o Legal Action Center, Confidentiality and Communication: A Guide to the Federal Drug and Alcohol Confidentiality Laws and HIPAA (2012 Edition).

Discussion 1: 1 page needed with 2 references.
Video Reviews
The following guidelines apply to all discussions throughout this course:
It is much more important to write clearly and concisely rather than lengthily. Remember that the requirement for each discussion is that you write approximately 250 words. Each discussion post should include a minimum of two citations and two references.
For this discussion, identify two additional video vignettes from the case study selection you watched when choosing cases for your final project. For these case studies, address appropriate treatment models and explain why you selected this model. Describe any ethical issues in this case study. Specifically cite the state and national ethical codes considered in this discussion.

Discussion 2: 1 page needed with 2 references.
The Ethical Counselor
The following guidelines apply to all discussions throughout this course:
It is much more important to write clearly and concisely rather than lengthily. Remember that the requirement for each discussion is that you write approximately 250 words. Each discussion post should include a minimum of two citations and two references.
For this discussion, please answer the following questions:
o What laws or administrative regulations does your state have regarding confidentiality for AOD counselors, social workers, school counselors, licensed professional counselors, or psychologists?
o What is the impact of the following on the addiction counselor’s responsibility to the client’s confidentiality? Please be specific, citing appropriate references.
 42 CFR Part 2, the federal law that protects the confidentiality of personal health information generated during the course of alcohol or drug treatment.
 The Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191.
o What do you see as the advantages and disadvantages of random drug testing in schools and the workplace?
o If a housecleaner was seeing you for counseling, what would be the ethical concerns with trading your services for your client’s housecleaning service? What code would be considered in this situation?

 

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Ethical Issues in Alcohol and Other Drug Treatment

Ethical Issues in Alcohol and Other Drug Treatment

ANSWER


Introduction
Ethical dilemmas abound in the field of mental health treatment. Assessment and diagnosis are foundations for all treatment, yet it is far too easy to gloss over the importance of competent assessment and accurate diagnosis. Empirically based professional mental health services connect the most effective treatments with given diagnostic presentations.
Objectives
To successfully complete this learning unit, you will be expected to:
1. Demonstrate an understanding of the codes of ethics of the American Counseling Association and the Association for Addiction Professionals (NAADAC).
2. Demonstrate an ability to make ethical decisions.
3. Understand the scope of CFR 42 and HIPAA for addiction counselors.
4. Show awareness of the ethical boundaries around dual relationships for addiction counselors.

Learning Activities Studies
Readings
Complete the following:
o In your Substance Abuse Counseling text, read Chapter 2, “Ethical and Legal Issues in Substance Abuse Counseling,” pages 27–50.
o Take time to thoroughly review the following Web sites. You should use this information to incorporate into upcoming discussions and assignments:
 Legal Action Center.
 Health Information Privacy from the U.S. Department of Health and Human Services.
 NAADAC Code of Ethics.
 American Counseling Association: Ethics and Professional Standards.
 Drug Testing: SAMHSA’s Workplace Resource Center.
 Student Drug Testing Is Part of the Solution from the Drug Free America Foundation.

Optional – Book
The following book is a valuable resource that you may wish to add to your personal library. It provides further study on the topics in this course, but is not required reading. Click the link to purchase.
o Legal Action Center, Confidentiality and Communication: A Guide to the Federal Drug and Alcohol Confidentiality Laws and HIPAA (2012 Edition).

Discussion 1: 1 page needed with 2 references.
Video Reviews
The following guidelines apply to all discussions throughout this course:
It is much more important to write clearly and concisely rather than lengthily. Remember that the requirement for each discussion is that you write approximately 250 words. Each discussion post should include a minimum of two citations and two references.
For this discussion, identify two additional video vignettes from the case study selection you watched when choosing cases for your final project. For these case studies, address appropriate treatment models and explain why you selected this model. Describe any ethical issues in this case study. Specifically cite the state and national ethical codes considered in this discussion.

Ethical Issues in Alcohol and Other Drug Treatment

Discussion 2: 1 page needed with 2 references.
The Ethical Counselor
The following guidelines apply to all discussions throughout this course:
It is much more important to write clearly and concisely rather than lengthily. Remember that the requirement for each discussion is that you write approximately 250 words. Each discussion post should include a minimum of two citations and two references.
For this discussion, please answer the following questions:
o What laws or administrative regulations does your state have regarding confidentiality for AOD counselors, social workers, school counselors, licensed professional counselors, or psychologists?
o What is the impact of the following on the addiction counselor’s responsibility to the client’s confidentiality? Please be specific, citing appropriate references.
 42 CFR Part 2, the federal law that protects the confidentiality of personal health information generated during the course of alcohol or drug treatment.
 The Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191.
o What do you see as the advantages and disadvantages of random drug testing in schools and the workplace?
o If a housecleaner was seeing you for counseling, what would be the ethical concerns with trading your services for your client’s housecleaning service? What code would be considered in this situation?