Canadian Ethical Standards for Mental Health Service Providers APA STYLE The writer must have Complete and experience and familiarity with all relevant Canadian counselling ethical codes and Canadian Counselling and Psychotherapy Association standards of Practice. Description: The final exam is open-book and consists of four comprehensive essay questions. In preparing for these, students should be familiar with all relevant ethical codes and standards in addition to the weekly readings. Some ethical dilemmas are presented and students are required both to present the rationale behind their decisions and to delineate the issues they considered in coming to a decision. Note that the focus of these responses shall be on synthesizing and applying knowledge already acquired over the course, not new research. Ensure, however, that all references and citations are accurate and complete and, as with the style of these essays, conform to APA standards. Instructions: Please note that the following essay questions are NOT weighted equally. Be sure to consider the number of points allotted to each question and to respond accordingly in the length of your response. Please respond to each of the questions presented. (For example, there are several questions embedded within the first essay, and a complete answer must address each of those questions.) (30 points) Assume that you intend to practice in a private practice setting in Canada. Please provide a clear and exhaustive list of the limits of confidentiality (in simple language that could easily be understood by a client irrespective of level of education). Please also discuss the ethics and laws related to record keeping. Finally, discuss the extent to which the treatment of children can be kept confidential from their parents and at what age they are deemed capable of consenting to treatment. (See the CCPA Code of Ethics and Standards of Practice.) 3-4 pages (15 points) There are a number of distinct issues that emerge when working with individuals whose racial and/or cultural background is different from one’s own. Define “multicultural competence.” Describe the sort of multicultural training that the literature suggests best promotes the ethical treatment of diverse populations. 2 pages (30 points) Consider the limits of confidentiality that you delineated in Question I. Had those limits been discussed and an informed consent been signed at the onset of treatment, please discuss how you would respond to your client disclosing his intention to have unprotected sex, despite positive HIV status, with an identified other. A complete answer should make reference to cases in the past that have set precedence with respect to a clinician’s duty to warn. A complete response should also indicate what conflicting ethical considerations were weighted in coming to your conclusion. 3-4 pages (25 points) Consider the following scenario: A 40-year old therapist becomes attracted to a 38-year-old client and soon realizes that the feelings are mutual. They discuss the situation and mutually agree to terminate therapy and to begin dating. They eventually get married. In applying the professional code of ethics and practice standards for counsellors to this case, is the therapist’s decision unethical? Please discuss. What is the rationale behind prohibiting or severely limiting dual relationships? 3-4 pages In each case, answers will be assessed based in on: Clarity and organization of the response (20%) Depth and scope of response (demonstrating understanding and application of the ethical concepts and standards; 80%) Evaluation: The following rubric indicates those areas you should be focusing on in preparing your assignment, and how the professor will weigh these components relative to one another. Criteria % of Assignment Grade Question 1: Comprehension & Application Confidentiality limits; record-keeping laws & standards; Confidentiality for minors /24 Question 1: Presentation organization & clarity /6 Question 2: Comprehension & Application Multicultural competence & training /12 Question 2: Presentation Organization & clarity /3 Question 3: Comprehension & Application Case scenario involving confidentiality limits, duty to warn; conflicting ethical considerations; precedent cases involving duty to warn /24 Question 3: Presentation Organization & clarity /6 Question 4: Comprehension & Application Analysis of case scenario involving dual relations /20 Question 4: Presentation Organization & clarity /5 Total /100 Resources/References to be used: Martin, L., Shepard, B., & Lehr, R. (Eds.). (2015). Canadian counselling and psychotherapy experience: Ethics-based issues and cases. Ottawa, ON: Canadian Counselling and Psychotherapy Association. Canadian Counselling and Psychotherapy Association. (2015). Standards of practice. (5th ed.). Ottawa, ON: Author. Retrieved from https://www.ccpa-accp.ca/wp-content/uploads/2015/07/StandardsOfPractice_en_June2015.pdfCanadian Counselling and Psychotherapy Association (2007). Code of ethics. Ottawa, ON: Author. Retrieved from https://www.ccpa-accp.ca/wp-content/uploads/2014/10/CodeofEthics_en.pdfChenneville, T. (2000). HIV, confidentiality, and duty to protect: A decision-making model. Professional Psychology: Research and Practice, 31(6), 661-670. doi:10.1037/70735-7028.31.6.661Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=pdh&AN=2000-16736-010 Wong-Wylie, G. (2003). Preserving hope in the duty to protect: Counselling clients with HIV or AIDS. Canadian Journal of Counselling, 37(1), 35-42. Retrieved from https://files.eric.ed.gov/fulltext/EJ662442.pdf Pietrantonio, A. M., Wright, E., Gibson, K. N., Alldred, T., Jacobson, D., & Niec, A. (2013). Mandatory report of child abuse and neglect. Child Abuse & Neglect, 37, 102-109. Huprich, S., Fuller, K., & Schneider, R. (2003). Divergent ethical perspectives on the duty-to-warn principle with HIV patients. Ethics and Behavior, 13(3), 263-278. doi:10.1207/S15327019EB1303_05. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=a9h&AN=11021104Sanchez, H. G. (2001). Risk factor model for suicide assessment and intervention. Professional Psychology: Research and Practice, 32(4), 351-358. doi:10.1037/0735-7028.32.4.351. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=pdh&AN=2001-07733-004 Behnke, S. (2004, December). Sexual involvements with former clients: A delicate balance of core values. APA Monitor, 35(11), 76. Retrieved from https://www.apa.org/monitor/dec04/ethics.aspxBehnke, S. (2009, September). Termination and abandonment: A key ethical distinction. APA Monitor, 40(8), 70. Retrieved from https://www.apa.org/monitor/2009/09/ethics.aspx Canadian Counselling and Psychotherapy Association (2007). CCPA code of ethics. Ottawa, ON: Author. Retrieved from https://www.ccpa-accp.ca/wp-content/uploads/2014/10/CodeofEthics_en.pdf Read Articles: A1-A3; A6-A9; A11; B6-B8; B10-B12; B14; B18-B19; C1; C3; C7-C8 Doverspike, W. F. (2008). Dual relationships and psychotherapy. Georgia Psychologist, 62(3), 17. Retrieved from: https://www.gapsychology.org/?282 Moleski, S., & Kiselica, M. (2005). Dual relationships: A continuum ranging from the destructive to the therapeutic. Journal of Counseling and Development, 83, 3-11. doi:10.1002/j.1556-6678.2005.tb00574.x. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=bth&AN=16308460Pope, K. S., & Keith-Spiegel, P. (2008). A practical approach to boundaries in psychotherapy: Making decisions, bypassing blunders, and mending fences. Journal of Clinical Psychology, 64(5), 638-652. Retrieved from https://kspope.com/ethics/boundary.php#copy Rappleyea, D. L., Harris, S. M., White, M., & Simon, K. (2009). Termination: Legal and ethical considerations for marriage and family therapists. The American Journal of Family Therapy, 37(1), 12-27. doi:10.1080/01926180801960617. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=a9h&AN=35951089Treloar, H.R. (2010). Financial and ethical considerations, for professionals in psychology. Ethics and Behavior, 20(6), 454-465. https://search.ebscohost.com/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=a9h&AN=55816142American Psychological Association (2010). Ethical principles of psychologists and code of conduct, Standard 9: Assessment. Washington, DC: Author. Retrieved from https://www.apa.org/ethics/code/ (Please click on Standard 9. Below several sections of this code, you will find important sub-sections that extend the discussion further.) Canadian Counselling and Psychotherapy Association (2007). Code of ethics. Ottawa, ON: Author. Retrieved from https://www.ccpa-accp.ca/wp-content/uploads/2014/10/CodeofEthics_en.pdf Read Articles: A1-A6; C1-C3; D1-D10; F & H sections College of Registered Psychotherapists and Registered Mental Health Therapists of Ontario (2012). Entry to practice competency profile for registered psychotherapists. Toronto, ON: Author. Retrieved from https://www.crpo.ca/wp-content/uploads/2017/08/RP-Competency-Profile.pdf Louisiana Licensed Professional Counselors Board of Examiners (2010). LPC guidelines for conducting child custody evaluations. Baton Rouge, LA: Author. Retrieved from https://www.lpcboard.org/LPC%20Board%20Guidelines%20for%20Child%20Custody%20Evaluation%209-8-10.pdf Urdang, E. (2010). Awareness of self – A critical tool. Social Work Education, 29(5), 523-538. Retrieved from https://www.tandfonline.com/doi/pdf/10.1080/02615470903164950?needAccess=true Jones, J. M., Sander, J. B., & Booker, K. W. (2013). Multicultural competency building: Practical solutions for training and evaluating student progress. Training and Education in Professional Psychology, 7(1), 12-22. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=a9h&AN=86381670Knapp, S., & VandeCreek, L. (2007). When values of different cultures conflict: Ethical decision making in a multicultural context. Professional Psychology: Research and Practice, 38(6), 660-666. doi:10.1037/0735-7028.38.6.660. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=pdh&AN=2007-18831-018 Malott, K. M., Paone, T. R., Maddux, C., & Rothman, T. (2010). Multicultural counselor training: Assessment of single-course objectives and pedagogical strategies. Journal of Counselor Preparation & Supervision, 1(1), 16-27. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=ehh&AN=67431028Schwiebert, V., Myers, J., & Dice, C. (2000). Ethical guidelines for counsellors working with older adults. Journal of Counselling and Development, 78, 123-129. ISSN: 0748-9633. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=bth&AN=2995864Richardson, T., & Molinaro, K. (1996). White counselor self-awareness: A prerequisite for developing multicultural competence. Journal of Counseling and Development, 74(3), 238-242. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=bth&AN=9602262353Rogers-Sirin, L. (2008). Approaches to multicultural training for professionals: A guide for choosing an appropriate program. Professional Psychology: Research and Practice, 39(3), 313-319. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=pdh&AN=pro-39-3-313&site=ehost-live Bass, B., & Quimby, J. (2006). Addressing secrets in couples counselling: An alternative approach to informed consent. The Family Journal, 14(1), 77-80. Retrieved from https://www.drpamelaharmell.com/uploads/Bass___Quimby__2006_.pdfHansen, C. (15 Mar 2015). Chapter 12: Ethical issues in group work. [Video]. Retrieved from https://youtu.be/ut-cMeNADyo Klontz, B. T. (2004). Ethical practice of group experiential psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 41(2), 172-179.https://www.researchgate.net/publication/232563953_Ethical_Practice_of_Group_Experiential_PsychotherapyLakin, M. (1994). Morality in group and family therapies: Multiperson therapies and the 1992 ethics code. Professional Psychology: Research and Practice, 25(4), 344-348. doi:10.1037/0735-7028.25.4.382. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=pdh&AN=1995-11306-001 Patten, C., Barnett, T., & Houlihan, D. (1991). Ethics in marital and family therapy: A review of the literature. Professional Psychology: Research and Practice, 22(2), 171-175. doi:10.1037/0735-7028.22.2.171. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=pdh&AN=1991-25218-001 Please do NOT use any other outside resources than these there are over 25 resources provided , the top 3 important to always refer to and from are these three listed below : Martin, L., Shepard, B., & Lehr, R. (Eds.). (2015). Canadian counselling and psychotherapy experience: Ethics-based issues and cases. Ottawa, ON: Canadian Counselling and Psychotherapy Association. Canadian Counselling and Psychotherapy Association. (2015). Standards of practice. (5th ed.). Ottawa, ON: Author. Retrieved from https://www.ccpa-accp.ca/wp-content/uploads/2015/07/StandardsOfPractice_en_June2015.pdfCanadian Counselling and Psychotherapy Association (2007). Code of ethics. Ottawa, ON: Author. Retrieved from https://www.ccpa-accp.ca/wp-content/uploads/2014/10/CodeofEthics_en.pdf

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