Critical Incidents : Ethical Issues in the Prevention and Treatment of Addiction

by White, William L.; Popovits, Renee M.

• ISBN13: 9780938475101
• ISBN10: 093847510X
• Edition: 2nd
• Format: Paperback
• Copyright: 2001-02-01
• Publisher: Lighthouse Institute Bookstore

Table of Contents

Introduction	1	(12)
Ethics for a New Century	1	(1)
Ethical Issues in the Addictions Field: Special Concerns	2	(2)
The Composition of the Field	2	(1)
The History and Transience of the Field	3	(1)
The Industrialization of the Field	3	(1)
The Changing Context of Addiction	3	(1)
Rethinking Our Assumptions about Personal & Professional Ethics	4	(3)
Toward the Goal of Ethical Sensitivity	7	(1)
Systemic Approaches to Professional Practice Issues	7	(2)
How to use this Book	9	(1)
A Review of Ethical Values	10	(1)
A Note on the Relationship Between Ethics and Law	11	(1)
A Note on Legal Annotations	11	(2)
The Code of Professional Practice	13	(16)
What is a Code of Professional Practice (CPP)?	13	(1)
What purposes are such code designed to achieve?	13	(1)
Are all employees of the organization bound by the standards set forth in the code?	13	(1)
Why is there a need for a CPP?	14	(1)
Our agency is considering implementing a Corporate Compliance Program, how does this relate to the CPP?	14	(2)
How can we integrate the CPP and a Corporate Compliance Program?	16	(1)
Why should we implement a compliance program and integrate the CPP?	17	(1)
How is the CPP developed?	18	(6)
How long does it take to develop a CPP?	24	(1)
How is the CPP updated?	25	(1)
An Introduction to the Critical Incidents	25	(1)
A Model for Ethical Decision-making	26	(3)
Conduct Related to the Practice of Business	29	(42)
Macro-Planning	29	(4)
Stewardship of Resources	29	(2)
Planning	31	(2)
Lobbying	33	(5)
Misrepresentations of Information	33	(1)
Exploitation of Clients	34	(3)
Utilization of Staff Time for Political Lobbying	37	(1)
Advocacy: Interest of Field Versus Agency Self-Interest	38	(2)
Fundraising	40	(3)
Use of Professional Fundraisers	40	(1)
Staff/Board Support	41	(1)
Solicitation of Funds from Clients/Families	42	(1)
Marketing	43	(5)
Misrepresentation of Scope or Intensity of Services	43	(2)
Misrepresentation or Misallocation of Costs	45	(1)
Exaggeration of Treatment Success	45	(2)
Exploitation of Family Members	47	(1)
Financial Management	48	(4)
Fee Structure and Billing	52	(5)
Referrals	57	(1)
Dual Relationships	58	(3)
Conflict of Interests	58	(3)
Management of Facilities, Property and Supplies	61	(2)
Sale of Non-Profit	63	(1)
Merger Mania	64	(1)
Due Diligence Discovery	65	(1)
Fraud & Abuse	66	(1)
E-mailing Price Information	66	(1)
Telecommuting	67	(2)
Staff/Managerial/Executive Compensation	69	(2)
Personal Conduct	71	(18)
Use of Alcohol/Drugs	71	(6)
Relapse	77	(2)
Moral and Legal Standards	79	(1)
Financial Investments	80	(3)
Discrimination	83	(1)
Personal and Agency Reputation	84	(3)
Personal Replenishment	87	(2)
Professional Conduct	89	(28)
Self-development	89	(1)
Personal Appearance	90	(2)
Recognition of Limitations	92	(5)
Representation of Credentials	97	(3)
Use of Agency Resources	100	(1)
Secondary Employment	100	(2)
Publishing	102	(2)
Respect for Proprietary Products	104	(3)
Use of Name and Professional Judgment	107	(2)
Public Statements	109	(6)
Social Obligations	115	(2)
Conduct in Client/Family Relationships	117	(88)
Definition of Client	121	(10)
Informed Consent	131	(6)
Labeling: The Ethics of Diagnosis	137	(1)
Right to Treatment	138	(5)
Refusal to Treat	138	(5)
Confidentiality	143	(13)
Respect	156	(1)
Respect for Personal/Political/Religious Beliefs	157	(3)
Honesty	160	(1)
Right of Privacy	161	(2)
Empowerment Versus Paternalism	163	(2)
Cultivating Dependency Versus Autonomy	163	(2)
Restrictiveness of Treatment Environment	165	(2)
Stewardship of Client Resources	167	(1)
Experimental Counseling Techniques	168	(2)
Special Treatment Procedures	168	(2)
Freedom from Exploitation	170	(1)
Self-Disclosure	171	(2)
Countertransference	173	(1)
Dual Relationships	174	(21)
Casual Encounters	175	(1)
Therapeutic Bias	175	(3)
Social Relationships	178	(3)
Mutual Aid Relationships	181	(2)
Financial Transactions and Gifts	183	(6)
Physical Touch	189	(3)
Verbal Intimacy	192	(1)
Sexual Relationships	192	(3)
Verbal/Physical Abuse	195	(1)
Assisted Suicide	196	(2)
Documentation	198	(4)
Referral	202	(1)
Responsibility to Terminate	203	(2)
Responsibility to Refer	203	(2)
Conduct to Professional Peer Relationships	205	(32)
Internal Professional Relationships
Management of Human Resources	205	(8)
Staff Hiring	205	(5)
Nepotism	210	(2)
Patronage	212	(1)
Issues in Authority Relationships	213	(3)
Confidentiality	213	(3)
Mandator Training	216	(1)
Right to Privacy	216	(1)
Socializing Outside of Work	217	(1)
Role Stressors	218	(1)
Obedience and Conscientious Refusal	219	(2)
Sexual Harassment	221	(3)
Abuse of Power	221	(3)
Impaired Co-worker	224	(1)
Team Relationships	225	(1)
Managing Conflict	226	(1)
Professional or Ethical Misconduct / Whistle Blowing	227	(2)
Staff Termination	229	(1)
External Professional Relationships
Value of External Relationships	230	(1)
Multiple Service Involvement	231	(1)
Commenting on the Competence of Other Professionals	232	(2)
Allegations of Unethical Conduct	234	(3)
Conduct Related to Public Safety	237	(18)
Child Abuse Reporting	238	(1)
Duty to Warn	238	(1)
HIV/AIDS Duty to Report	239	(1)
Physical/Sexual Abuse	239	(2)
Duty to Warn (Threat of Physical Violence)	241	(3)
Allegations of Misconduct	244	(3)
AIDS and Risks to Third Parties	247	(2)
Threats to Public Safety	249	(6)
Professional Standards Related to Special Roles	255
Prevention	255
Personal Conduct	255
Role as Change Agent	257
Relationship Boundaries	258
Confidentiality and Limits of Competence	260
Alliances	262
Iatrogenic Effects	265
Honesty	268
Social Action / Civil Disobedience	269
Freedom of Access Versus Harmful Use of Information	270
Restriction of Speech	272
Intrusive or Abusive Interventions	273
Early Intervention: Employee Assistance Programs (EAP) and Student Assistance Programs (SAP)	275
Integrity of Organizational Structure	276
Independence & Objectivity of Professional Judgement	277
Definition of Client / Conflicts of Loyalty	278
Environmental Stressors	279
Early Intervention: Student Assistance Programs (SAP)	283
Confidentiality	283
Disposition of Contraband	285
Outreach	287
Confidentiality / Duty to Disclose	287
Worker Vulnerability	289
Relationship Boundaries	290
Compensation	292
Training	293
Use of Agency Resources for Personal Gain	293
Self-disclosure	294
Relationship Boundaries	295
Marketing of Seminars	296
Professional Impairment	297
Use of Clients in Training	299
Consulation	300
Confidentiality	300
Support of Toxic Organizational Conditions	301
Research	302
Sponsorship of Research	304
Research with Human Subjects	305
Confidentiality, Security, and Disposition of Data	306
Scientific Role Versus Clinical Role	307
Honesty in Reporting Findings	308
Responsibility for Use of New Knowledge	309