HSM/230
01/24/2014
The type of ethical dilemma I chose occurs when a patient or client’s family attempts to influence the care plan. For a more specific example; my client (houses at an in-patient treatment facility) is suicidal, and has been struggling with severe depression, alcohol and drug abuse. Immediate family members (brother and sister) continually disrupt the treatment process regarding their sibling. The patient is in such an emotionally weakened state that their own self-determination is troublingly low, and so speaking to their siblings in efforts of calming their aggression is all but out of the question. A couple of the disruptive behaviors the brother and sister engaged in are demanding certain types of medications be prescribed and disturbing the resident staff at the in-patient center and accusing them of neglect and other types of abuse. In attempts to gaining a better understanding of this issue I would try and reach a level of dialogue with the siblings in which we can come to an arrangement concerning their actions, their sibling’s condition, and my role, to see if the issue can be resolved. If that fails I would search the contents of the NASW Code of Ethics in Ethical Leadership in Human Services. Also, without divulging any specific or personal information about my client’s needs or services being provided, I would seek council from knowledgeable and experienced professionals in the field. I would probably do some individual research online about the subject as well.
Social workers primary responsibility is to promote the well-being of client’s (Manning, 2003, p. 282). Manning (2003) also noted that social workers should inform clients when a real or potential conflict of interest arises and take reasonable steps to resolve the issue in a manner that makes the clients’ interests primary and protects clients’ interests to the greatest extent possible (p. 284).
I believe the guide