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

After completing this course you’ll be able to:

1. Describe “common sense.”
2. List 4 causes of ethical breaches.
3. Define ethical sensitivity.
4. Define beneficence, stewardship, nonmaleficence, and restitution.
5. List the five purposes for Codes of Professional Practice.
6. Describe the two basic components of a compliance program.
7. List several major responsibilities of a task force.
8. Define informed consent and the most common source of liability.
9. Describe a serious and enduring problem with political lobbying for some not-for profit agencies.
10. List the recommendation given for the 30 second television spot proclaiming alcoholics and addicts family that “must initiate the change process.”
11. Discuss the ethical demands when “daily rate” fees are more than the quoted amount.
12. Define a “billable diagnosis.”
13. Define the ethical principle of fidelity.
14. Discuss the acceptance of gifts as a “token of appreciation.”
15. Describe a company’s response to “my e-mails are personal and you have no right to monitor them.”
16. Describe “The Mike Wallace Test.”
17. Discuss the issue of “on call” time being personal or professional.
18. Describe the action of an employee of an addiction prevention and treatment center observing an extremely intoxicated stranger about to drive home.
19. State why nicotine is not a drug.
20. Discuss the role of an employee in an addictions agency who belongs to a local social organization with men or non-white members never being present.
21. Describe self-replenishment.
22. Discuss “professional slumming.”
23. List the three components of professional competence according to Haas and Malouf.
24. Define “negligent hiring” and “negligent retention.”
25. Define “moral drift.”
26. List three activities an employee should observe when separating a professional role from a political role.
27. Define fiduciary, iatrogenic, and boundary.
28. Describe family of choice.
29. State the age at which minors are legally competent to enter into financial, relationship, or service contracts.
30. List preference of treatment for individuals in agencies receiving Federal Block Grant Funds.
31. List several exceptions to confidentiality that would permit disclosure.
32. State how you would respond to questions from clients when another client is no longer involved in treatment.
33. Discuss the ruling of Warner v. Orange County Department of Probation.
34. List the two alternatives, according to Bok (1978) for a “noble lie.”
35. Describe the different views of autonomy and paternalism regarding client access to records.
36. Discuss how work therapy can be therapeutic or esploitative.
37. List three counselor self-disclosure methods that are effective.
38. Define the “Minnesota Model” addiction treatment program.
39. List several factors to consider when being presented a gift from a client.(Barry 1983)
40. List two problems when using bartering for services.
41. Describe boundaries of physical touch.
42. Describe Milgrom’s two forms: “The Boundaries of Physical Touch” and “Nature of Verbal Communication.”
43. Discuss why legal consultation should be sought when a client plans his own suicide.
44. State several functions of a client’s service record.
45. List several guidelines for hiring a recovering person for a staff position.
46. Describe the statement, “Drug addiction and alcoholism are recognized as disabilities.”
47. List the two statements by White (1997) that discuss issues regarding hiring family members.
48. State how an employer can avoid being sued for defamation of character when responding to a request for reference.
49. List three ways sustained overload can be alleviated.
50. List several items to be included in a sexual harassment policy.
51. List Bowie’s six justified reasons for whistle blowing.
52. Describe progressive discipline.
53. List three approaches to reporting sexual abuse by a father to a 16 year-old client in addiction treatment.
54. Discuss the now-famous Tarasoff decision of 1976.
55. List three immediate responses the therapist should state to an acquaintance when that person maintains his neighbor and her therapist have an ongoing affair.
56. List two ethical values that apply when a nurse refuses to administer a medication prescribed by a physician that is contraindicated and at a high dosage for the client.
57. List several dangers of informed counseling or advice giving in the prevention field.
58. Discuss the statement: “Committing a criminal act should never be considered within the scope of one’s employment.”
59. Describe the Veronia School District 47J v. Acton Case.
60. List several legal issues that can arise around Student Assistant Programs.
61. Discuss the four positions an EAP professional would have when they discover conditions or practices that: 1) pose a threat to a worker or the public, 2) discriminate, or 3) conduct illegal business practices.
62. List three guidelines for school searches when there is “reasonable suspicion.”
63. Discuss the expendability of outreach workers.
64. List three options an organizational consultant can use after the agency fails to follow through on his plan three times.
65. Describe how tapes and transcripts should be secured and disposed of with confidentiality maintained.