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Ethical Decision Making in Behavioral Health: Practical Strategies for Professionals

This seminar explores the importance of ethics in behavioral health, featuring discussions on the risks of unethical decisions, evidence from historical studies, and modern ethical challenges in technology and media. Learn the 6 steps of ethical decision making and ways to prevent and address ethical dilemmas in practice. Engage in small group exercises to analyze ethical dilemmas and compliance issues relevant to behavioral health. Gain insights on preventing unethical decisions and maintaining ethical standards within organizations. For inquiries, contact Debra Burock at dburock@nhsonline.org or 412-214-9020.

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Ethical Decision Making in Behavioral Health: Practical Strategies for Professionals

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  1. Practical Ethics in Behavioral Health One Individual at a Time Debra Burock, Ph.D., CCP Disclosure Statement: I have no real or perceived conflicts of interest that relate to this presentation. www.nhsonline.org

  2. Why do we take Ethics seminars? • Licensure Requirement • Interest • Shades of Gray • We’re unethical?

  3. Risks Leading to Unethical Decisions • Organizational Culture • Hierarchical pressure • Groupthink • Burnout

  4. The Evidence • Nuremburg • Dialysis ‘God Squads’ • Milgram

  5. Zimbardo – Prison Study • Discussion

  6. “Ethics change with technology.” ― Larry Niven, N-Space • Social Media • Reality Shows/Daytime TV • EHR’s

  7. Ethics – Compliance - Quality • HIPAA disclosures • Treatment Planning

  8. Ethical Decision Making • 6 Steps (Curtis, L.C. & Hodge, M. (1995) • Ethics Committees • Root Cause Analysis • Consultation

  9. 6 Steps of Ethical Decision Making(Curtis, L.C. & Hodge, M. (1995) • Identify the problem • Identify the ethical issues raised • Review relevant guidelines/regulations etc. • Obtain consultation • Identify and list possible responses and consequences • Decide on the best course of action Adapted from: Curtis, L.C. & Hodge, M. (1995). Ethics and boundaries in community support services: New Challenges. New Directions for Mental Health Services, 66, 43-60.

  10. Ethics Committees .

  11. Consultation • Form • Adjudicatory • Mediation • Consultation

  12. Root Cause AnalysisApplication for Ethics • 5 Whys • What processes allowed for the ethical dilemma? • What can be done to prevent it from happening again?

  13. Small Group Exercise • Choose 2 ethical dilemmas • ID the ethical challenges in the dilemmas • What are the compliance and quality issues related to the challenge? • How significant is the liability related to the challenge? • Who could you consult with? • What are 2 ways you could address the challenge to reduce risk to all parties?

  14. Ethical Dilemmas • Level of Care • Child Abuse Reporting • Prescribing practices • Gifts from staff

  15. Discussion • What are the signs of ethical collapse in an organization? • How can you prevent making unethical decisions? • Are there irresolvable ethical problems?

  16. Questions and Comments? Debra Burock dburock@nhsonline.org 412-214-9020

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