The Evolving Social Worker: A Collaboration of Leadership and Ethical Philosophy

Presenter: LCDR Anthony L. Johnson, PhD, LCSW, BCD, CCHP

2012 USPHS Scientific and Training SymposiumJune 2012

Understand the core aspects of ethics and how ethics defines the standard for social work and mental health practice.

Discuss clinical practice within the scope of regulatory guidelines referencing ethical standards, values, principles, an avoidance of violations and ethical dilemmas, boundary assessment, and professional relationship development.

Apply insight within practice referencing the process to protect clients and the practitioners regarding confidentiality and disclosure.

Stimulate ethical practice and foster the evolution of effective leadership and human service for practitioners within the social work and mental health discipline.

• “A leader is someone who demonstrates what's possible.” - Mark Yarnell

• “Leaders who win the respect of others are the ones who deliver more than they promise, not the ones who promise more than they can deliver.” - Mark A. Clement (born 1955),Writer

• “Leadership and learning are indispensable to each other.” - John F. Kennedy (1917-1963), 35th US President

• “If your actions inspire others to dream more, learn more, do more and become more, you are a leader.” - John Quincy Adams (1825-1829), 6th US President

• “Ethics is in origin the art of recommending to others the sacrifices required for cooperation with oneself.” - Bertrand Russell (1872-1970); Philosopher, Mathematician

• “A man is truly ethical only when he obeys the compulsion to help all life which he is able to assist, and shrinks from injuring anything that lives.” - Albert Schweitzer

• “Ethics is knowing the difference between what you have a right to do and what is right to do.” - Potter Stewart

• “Beyond right and wrong, there is a field. I will meet you there.” - Rumi

Ethics Morality Community Standards Law Relativism

National Association of Social Workers American Association for Marriage and

Family Therapy American Psychological Associations American Counseling Association American Psychiatric Association

• Credibility • Conduct• Common Themes of Code of Ethics

a. Promoting the welfare of the consumersb. Practicing within scope of one’s competencec. Doing no harmd. Protecting clients confidentiality and privacye. Avoiding exploitationf. Upholding integrity of the profession and organization as assigned

What is an Ethical Dilemma? Cognitive Justifications Rationalizations

Protocols – Procedures for Practice Ethics- Perspectives for Practice Consequentialist vs. Absolutist

The Utilitarian Approach The Common Good Approach Justice or Fairness Approach The Rights Approach The Virtue Approach

Accountability of Ethical Leadership Limitations Identified Self-Inventory

Societal Belief Systems Diversity Adaptation Ethical Proclivities Boundary Crossing/Boundary Violations Performance Measurement

Professionalism Transference vs. Counter transference Self-disclosure

Patient’s Rights Act Privacy Disclosure Informed Consent Documentation

Confidentiality Defined Privilege Defined Autonomy Reporting

Transition Organizational Expansion Integration Implementation

Client – Autumn Team Leader- Chris

Client Rights Confidentiality and

Privacy Informed Consent Boundary Issues Conflicts of Interest Documentation Character Input

Supervision Training Consultation Referral Termination of

Services Practitioner

Impairment Approach Defined

Training Certifications Research Collaboration

Questions???

Advocacy Institute: www.advocacy.com American Association for Marriage and Family

Therapy: www.aamft.org American Counseling Association:

www.counseling.org American Psychiatric Association:

www.psychiatry.org American Psychological Associations: www.apa.org Homeless Coalition for the Homeless:

www.ari.net/hone/nch Law and Social Policy: www.clasp.org

Mental Retardation: www.thearc.org Multicultural Services: www.mc-memhr.org National Association of Social Workers:

www.socialworkers.org National Institute on Drug Abuse:

www.nida.nih.gov Substance Abuse and Mental Health Services

Administration: www.samhsa.gov Suicide Crisis Intervention: www.mhsantuary.com Welfare Information Network:

www.welfareinfo.org

Adams, P. (2009). Ethics with character: Virtues and the Ethical Social Worker. Journal of Sociology & Social Welfare, 36(3), 83-105.

American Mental Health Counselors Association. (2000). Code of ethics of the American Mental Health Counselors

Association. Alexandria, VA: Author Bryan, V. (2006). Moving from professionally specific ideals

to the common morality: Essential content in social work ethics education. Journal of Teaching in Social Work,

26(3/4), 1-17. Dickson, D. T. (1998). Confidentiality and privacy in social

work. New York: Free Press. Gambrill, E., & Pruger, R. (Eds.). (1997). Controversial

issues in social work: Ethics, values, and obligations. Needham Heights, MA: Allyn & Bacon.

Hattord-Letchfield, T. (2010). A glimpse of the truth: Evaluating debate and role play as pedagogical tools for learning about sexuality issues on a law and ethics module. Social Work Education, 29(3), 244-258.

Hugman, R., Pittaway, E., & Bartolomei, L. (2011). When ‘Do no harm’ is not enough: The ethics of research with refugees and other vulnerable groups. British Journal of Social Work, 41(7), 1271-1287.

Kagle, J. D., & Giebelhausen, P. N. (1994). Dual relationships and professional boundaries. Social Work, 39, 213-220.

Nathanson, I.L., Giffords, Elissa D., & Calderon, O. (2011). Expanding awareness: Issues in the development of an ethics scale for the social work profession.

Journal of Social Work Education, 47(1), 133-149.

Neisen, J. (1993). Healing from cultural victimization: Recovery from shame due to heterosexism. Journal of Gay & Lesbian Psychotherapy. Haworth Press.

National Association of Social Workers. (2008). Code of ethics. Washington, DC: Author.

Pullen-Sansfacon, A. (2010). Virtue ethics for social work: A new pedagogy for practical reasoning. Social

Work Education, 29(4), 402-415. Reamer, F. G. (1998). Ethical standards in social work: A

critical review of the NASW Code of Ethics. Reamer, F.G. (1998). The evolution of social work ethics.

Social Work,43(6),488-500.

Reamer, F. G. (1999). Social work values and ethics (2nd ed.). New York: Columbia University Press.

Reamer, F.G. (2000). The social work ethics audit: A risk-management strategy. Social Work, 45(4), 355-366.

Russell, K. & Keller, J.G. (2011). Ethics symposium and beyond: A model for teaching and assessing ethical competence. Journal of Baccalaureate Social Work,16(1),

47-61. Sanders, S. & Hoffman, K. (2010). Ethics education in social

work: Comparing outcomes of graduate social work students. Social Work Education, 46(1), 7-22.

Santhiveeran, J. (2009). Compliance of social work e-therapy websites to the NASW Code of Ethics. Social Work in Health Care, 48(1), 1-13.

Sherwood, D.A. (2007). Moral, believing social workers: Philosophical and theological foundations of moral obligations in social work ethics. Social Work & Christianity, 34(2), 121-145.