Ethics in community mental health care: commonplace concerns by Patricia Backlar, David L. Cutler

By Patricia Backlar, David L. Cutler

This quantity examines daily moral matters that clinicians stumble upon as they cross approximately their paintings taking good care of those that have critical and chronic psychological issues. It activates and provokes readers to acknowledge, to research, to mirror upon, and to answer the variety of typical moral matters that come up in group psychological healthiness care perform.

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The consumer's wishes and the responsibilities of being a payee (assuring that basic needs are met) can be in conflict or an ongoing source of consumer discontent. Regularly involving the consumer in budget planning, scrupulous record-keeping, regular contact with the Social Security office, and having someone other than the consumer's primary outreach counselor function as the money manager are very helpful strategies to prevent or reduce conflict. It is also helpful to include payeeship and money management as an area of quality assurance review.

They are symbols of gratitude, not bribes. There is a question of judgment here, but is it one of ethics as well? The resident suspects that by following the supervisor's dictates, he will hurt the patient's feelings and possibly induce abandonment of treatment. If the resident rejects his cultural knowledge in the interests of obeying or currying favor with a superior, is this an unethical act? In a lecture on culture to a group of psychiatric residents, I talk about our Hispanic clinic and the compact between psychiatrist and patient.

Profound clinical depressions, and even psychotic episodes, are not uncommon among foreign female students, or wives of foreign graduate students, as they encounter the enhanced possibilities for women in the western world. Can a therapist in a university counseling center take responsibility for altering the life and future, and alienating the support system, of a woman who will return to her country and whom the therapist will never see again? These are not new problems in our field, but they are particularly salient today in an era of increased cultural exchange.

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