Decisions and Justifications by Community Mental Health Providers About Hypothetical Ethical Dilemmas

Perkins, David V.; Hudson, Brenda; Gray, Diana M.; Stewart, M. Kathryn

doi:10.1176/foc.1.4.389

Cited by 17 publications

(34 citation statements)

References 24 publications

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“…Unlike the mental health professionals in Perkins et al's study, 18 the mental health service users who responded to these hypothetical questions did not explicitly state that the situations described in the questions were ethical or unethical. However, as in Perkins et al's study, their responses had clear resonance with the ongoing ethical dilemmas experienced by mental health professionals, and so demonstrate a similar sensitivity to the ethical issues involved.…”

Section: Discussionmentioning

confidence: 85%

Acceptability of compulsory powers in the community: the ethical considerations of mental health service users on Supervised Discharge and Guardianship

Canvin

Bartlett²,

Pinfold³

2005

J Med Ethics

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Objectives:To explore mental health service users’ views of existing and proposed compulsory powers.Design:A qualitative study employing in-depth interviews. Participants were asked to respond to hypothetical questions regarding the application of compulsory powers under the Mental Health Act 1983 for people other than themselves.Setting:Community setting in Southeast England.Participants:Mental health service users subject to Supervised Discharge/Guardianship.Results:Participants considered that the use of compulsory powers was justified if there were some ultimate benefit, and if there was evidence of mental health problems, dangerousness, or a lack of insight. However, participants rejected intrusions into their autonomy and privacy.Conclusions:This paper’s participants indicated that the proposed CTO may be unacceptable because it would threaten service users’ autonomy. Service users’ acceptance of proposed changes is conditional and they emphasised the importance of consent; there is no suggestion that consent will be required for the CTO. The findings also have implications for the exploration of mental health service users’ views and how they might contribute to policy, service planning, and research.

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Section: Discussionmentioning

confidence: 85%

Acceptability of compulsory powers in the community: the ethical considerations of mental health service users on Supervised Discharge and Guardianship

Canvin

Bartlett²,

Pinfold³

2005

J Med Ethics

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“…Strict rules and guidelines affect everyday practice in all settings, but may operate differently in mental healthcare on ethical ground [20][21][22]. Obtaining informed consent from mentally ill persons involves educating, disclosing advantages, and disadvantages of testing for HIV, along with listening, answering questions, and seeking permission to proceed through each step of counseling and testing.…”

Section: Brief Description Of Existing Knowledge On the Barriers Of Hmentioning

confidence: 99%

“…To handle these issues, there are no definite guidelines in India as per law, which mental healthcare providers can refer while serving in their settings. This leads to huge variations in adherence and practices among providers based on their own ethical values and perceptions [20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Barriers of HIV testing among mentally ill persons in mental healthcare settings

Chakrabartty¹,

Basu²,

Sarkar³

et al. 2017

HIV & AIDS Review

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“…The 2002 APA Ethics Code (APA, 2002a) states that multiple relationships occur when a psychologist is in a professional role with a person and: (1) at the same is in another role with the same person, (2) at the same time is in a relationship with a person closely associated with or related to the person with whom the psychologist has the professional relationship, or (3) promises to enter into another relationship in the future with the person or a person closely associated with or related to the person. (p. 1065) In the ethics literature, much of the work on multiple relationships and culturally diverse groups have focused on rural communities (e.g., Campbell & Gordon, 2003;Helbok, 2003;Helbok, Marinelli, & Walls, 2006;Perkins, Hudson, Gray, & Stewart, 1998;Schank & Skovholt, 1997;Simon & Williams, 1999). Helbok et al and Perkins et al found that psychotherapists in rural areas experienced more multiple relationships than did those who practiced in urban/suburban settings.…”

mentioning

confidence: 99%

“…Only a few studies have explored how clinicians make their decisions when faced with nonsexual multiple relationships (e.g., Perkins et al, 1998;Smith, McGuire, Abbott, & Blau, 1991). In a survey conducted by Smith and colleagues, participants indicated how they made their decisions by selecting among eight rationales provided.…”

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confidence: 99%

How Psychotherapists Address Hypothetical Multiple Relationships Dilemmas with Asian American Clients: A National Survey

Littleford

2007

Ethics & Behavior

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LITTLEFORDThis study examined how psychotherapists address hypothetical nonsexual multiple relationships dilemmas with Asian American clients and identified predictors of conservative decisions and the use of culture-based rationales. This survey of 787 Asian American and non-Asian American psychotherapists revealed that clinicians rely on mostly their personal policies and seldom focus on the clients' cultural backgrounds. Psychotherapists who consider their clients' Asian culture have more cultural knowledge and awareness, have been mental health providers longer, and are Asian American and female. Clinicians who avoid multiple relationships tend to cite formal policies as justification and are less likely to consider clients' cultural worldviews, the therapeutic relationship, or their own values. The results are discussed in terms of specific revisions needed in the American Psychological Association Ethics Code, the benefits of more frequent consultation with colleagues and supervisors about ethical dilemmas, and recommendations for psychotherapists.Since the 1970s, clinical and counseling psychology have attempted to be more inclusive of cultural diversity, encouraging psychotherapists to consider in their practices the impact that culture has on people's values, worldviews, behaviors, and emotions (

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Decisions and Justifications by Community Mental Health Providers About Hypothetical Ethical Dilemmas

Cited by 17 publications

References 24 publications

Acceptability of compulsory powers in the community: the ethical considerations of mental health service users on Supervised Discharge and Guardianship

Acceptability of compulsory powers in the community: the ethical considerations of mental health service users on Supervised Discharge and Guardianship

Barriers of HIV testing among mentally ill persons in mental healthcare settings

How Psychotherapists Address Hypothetical Multiple Relationships Dilemmas with Asian American Clients: A National Survey

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