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Ethical Practice and Boundary Setting for Mental H ...
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This document is a summary of a presentation on ethical practice and boundary setting for mental health professionals. The presentation is part of the Clinical Support System for Serious Mental Illness (CSS-SMI) initiative implemented by the American Psychiatric Association (APA) and funded by the Substance Abuse and Mental Health Services Administration (SAMHSA). The presenter, Andrew Hannigan, is the Associate Director of Workforce Development at Thresholds.<br /><br />The presentation covers several topics, including ethical considerations related to mental health, warning signs of ethical dilemmas, ethical principles, ethical dilemmas, slippery slopes, gray areas, red flags, boundaries, multiculturalism, and shared decision-making. The presenter emphasizes the importance of values, both personal and professional, in ethical decision-making. He provides examples of ethical principles and dilemmas to illustrate their application in practice.<br /><br />The presenter also discusses the importance of setting and maintaining boundaries in therapeutic relationships. He distinguishes between fixed boundaries, which should always be followed, and variable boundaries, which require judgment and consideration of individual and clinical factors. The concept of dual relationships, in which the professional holds multiple roles with a client, is also explored.<br /><br />The presentation highlights the importance of multiculturalism and cultural responsiveness in mental health practice. It emphasizes the need for open and ongoing discussions about race, ethnicity, and cultural differences with clients.<br /><br />The presenter introduces an ethical decision-making model, which includes steps such as identifying the problem or dilemma, reviewing ethics codes and relevant laws, obtaining consultation, considering possible courses of action, and deciding the best course of action. The model promotes shared decision-making between the professional and the client, ensuring that the individual's values and preferences are considered.<br /><br />Overall, the presentation aims to provide mental health professionals with guidance and tools for navigating ethical dilemmas and setting appropriate boundaries in their practice.
Keywords
ethical practice
boundary setting
mental health professionals
ethical dilemmas
multiculturalism
shared decision-making
values
dual relationships
cultural responsiveness
ethical decision-making model
Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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