Ethical and legal issues in integrated care settings: Case examples from pediatric primary care.

Williamson, Ariel A.; Bignall, Whitney J. Raglin; Swift, Lauren E.; Hung, Anna H.; Power, Thomas J.; Robins, Paul M.; Mautone, Jennifer A.

doi:10.1037/cpp0000157

Cited by 8 publications

(8 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A key aspect of integrated care’s potential to deliver specialized and superior care is providing continuity in care between the various providers combined with shared resources to accomplish this (Williamson et al , 2017). A SWHEN website was created, supported on the healthchat.ca platform.…”

Section: Discussionmentioning

confidence: 99%

“…Supporters of integrated care assert that it allows for continuity in care between providers and as a byproduct prevents patients from experiencing fragmented care and falling through gaps (Mittinty et al , 2018). Additionally, integrated care models address sociodemographic disparities, produce higher quality of life and improve health outcomes (Williamson et al , 2017). The benefits of integrated care have been shown to extend beyond the patient as well, improving the efficiency of the health care system (Shaw et al , 2011) and decreasing costs (Mittinty et al , 2018).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Creating a community driven bioethics network

Sibbald

2019

JICA

View full text Add to dashboard Cite

Purpose The South West Health Ethics Network (SWHEN) was created to bring together health care providers from a variety of health care settings across a geographical region. SWHEN’s mission was to connect health professionals who have an interest in ethical issues. SWHEN’s target participants are people with an interest in this field regardless of the individual’s capacity within an ethics profession. While other ethics networks exist, few of these expand beyond a narrow scope of ethics professionals (clinical ethicists). The preliminary vision in bringing together this group was to create a regional collaborative to educate, share lessons and begin to create a common approach to ethics issues in our region. Ethics networks increase collaboration and the exchange of resources, information and ideas among clinical ethicists. As a result, they address many of the ethical dilemmas faced in integrated care and facilitate the success of these systems in providing coordinated patient care. The paper aims to discuss these issues. Design/methodology/approach A Delphi consensus building approach was conducted to determine goals and priorities of the network. Findings Several priorities and counter priorities were discussed. In the end, the network was stifled by three major challenges: resource sharing, balance of network priorities and individual needs, and leadership. Originality/value While the journey to creating a sustainable network is long and complex, it is still worth the struggles. Network members remained connected through e-platforms, and the meetings have increased our region’s cohesiveness around ethics. We remain cautiously optimistic of SWHENs future and acknowledge that our initial plan may have shifted but our achievements are still meaningful and worthwhile.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Creating a community driven bioethics network

Sibbald

2019

JICA

View full text Add to dashboard Cite

show abstract

“…For example, Clinical Practice in Pediatric Psychology regularly publishes manuscripts on ethics through the special section on ethics. Two articles provide case studies highlighting ethical issues trainees may encounter in integrated pediatric care settings (Fehr et al, 2017; Williamson et al, 2017) and strategies to consider for training in pediatric psychology (Fehr et al, 2017). Both resources are beneficial for trainees entering a medical setting.…”

Section: Recommendations For Traineesmentioning

confidence: 99%

Ethics in pediatric psychology: Considerations for trainees transitioning to the medical setting.

Fehr¹,

Chambers²,

VanderWoude³

2023

Clinical Practice in Pediatric Psychology

View full text Add to dashboard Cite

and BestTraining Practices in Pediatric Psychology identified ethics as one of the key domains within the recommended professional competencies for training in pediatric psychology. Despite this, there has been minimal research examining specific ethical competencies required at various training levels and the necessary steps to achieve these goals. While psychology trainees have didactic and applied training in general ethical principles in clinical psychology, the introduction to clinical work in pediatric psychology presents distinct ethical challenges that are likely not covered within general ethical training as a graduate student (e.g., confidentiality within multidisciplinary interactions, different ethical standards across professions). Furthermore, there is minimal guidance available to supervisors and supervisees on strategies to prepare trainees for ethical dilemmas when entering pediatric psychology settings. Both supervisors and supervisees would benefit greatly from discussion of unique challenges and potential training solutions for trainees beginning clinical work in a pediatric medical setting. Method: The current article presents an overview of the unique ethical issues that trainees may encounter and training needs when entering the pediatric setting. Recommendations for trainees and supervisors are then provided. Results/Conclusions: Trainee recommendations include enrolling in a pediatric psychology course, reviewing available ethics resources, continually considering and revisiting ethical issues, and seeking supervision to ensure ethical practice and skill development. Supervisor recommendations include setting the expectation to discuss ethical issues, providing ongoing opportunities for ethics discussions, assessing supervisee competence, and fostering a positive training relationship to encourage disclosure and discussion of ethics-related issues. Implications for Impact StatementThis article advances the field of pediatric psychology by highlighting the importance of targeted assessment and training in the area of ethics when psychology trainees first enter the medical setting. Furthermore, common ethical challenges encountered and real-life strategies that trainees and supervisors can implement to support trainee development of ethical skills are provided.

show abstract

“…Although ethical considerations for IPC have been discussed within urban settings, there is a dearth of research focusing on ethical practice of integrated BH services in rural settings (Williamson et al, 2017). As mentioned in the preceding text, numerous barriers to BH exist in rural settings as does the potential for ethical dilemmas.…”

Section: Ethical Challenges In Ipc Rural Settingsmentioning

confidence: 99%

Small town living: Unique ethical challenges of rural pediatric integrated primary care.

Jaques-Leonard¹,

Winnick²,

Chancey³

et al. 2021

Clinical Practice in Pediatric Psychology

View full text Add to dashboard Cite

The objective of this paper is to address ethical and training considerations with behavioral health (BH) services practicing within rural, integrated primary care (IPC) sites through the conceptual framework of an ethical acculturation model. Method: Relevant articles are presented along with a description of how the acculturation model can be implemented to address ethical dilemmas. Results: Recommendations are provided regarding practice considerations when using the acculturation model and the utility of the model for both established BH practitioners and trainees. Conclusions: Psychologists integrated into rural IPC teams may be able to enhance their ethical practice and improve outcomes for patients and families through the use of the acculturation model. Psychologists serving as supervisors can utilize the acculturation model to provide valuable experiences to trainees in addressing ethical dilemmas when competing ethical principles are present. Implications for Impact StatementBy addressing ethical dilemmas through an acculturation model, psychologists may prevent themselves from drifting away from American Psychological Association ethical principles within the context of a multidisciplinary team while simultaneously providing valuable learning opportunities for trainees. This focus is particularly important in rural settings where access to specialty care and other resources are limited, and a psychologist may be the only licensed behavioral health provider on a multidisciplinary team.

show abstract

Ethical and legal issues in integrated care settings: Case examples from pediatric primary care.

Cited by 8 publications

References 26 publications

Creating a community driven bioethics network

Creating a community driven bioethics network

Ethics in pediatric psychology: Considerations for trainees transitioning to the medical setting.

Small town living: Unique ethical challenges of rural pediatric integrated primary care.

Contact Info

Product

Resources

About