Abstract:Mental health professionals practicing in rural areas face ethical dilemmas different from those experienced by their urban counterparts and may find that the existing ethics literature and American Psychological Association (APA, 2002) ethics code not particularly helpful. We highlight parts of five standards from the APA ethics code to illustrate the dilemmas rural practitioners frequently confront and offer suggestions for how to handle them. We discuss competence, human relations, and confidentiality as sp… Show more
“…The most commonly reported scenarios referred to cases where the school psychologist was asked to establish a professional relationship with someone related to the client, or with whom a relationship of a different nature was already existent. Previous literature points out that psychologists in rural areas or small communities are more likely to experience multiple relationships dilemmas, namely, due to the lack of resources available (e.g., Curtin & Hargrove, 2010;Helbok, Marinelli, & Walls, 2006;Werth, 2010). Under these circumstances, to guarantee the client's right to access services and prevent potential harm resulting from service denial, multiple relationships such as serving multiple family members may not be avoidable.…”
This study examines the ethical dilemmas and difficulties encountered by Portuguese school psychologists. As part of a larger survey, participants were asked about ethical issues faced in daily practice and asked to describe ethical incidents. Of the 477 respondents, 274 reported 441 ethically troubling or challenging situations. Responses were coded into a six-category system based on the code of ethics of Portuguese psychologists. Most of the reported dilemmas concerned privacy and confidentiality principles (53%). Results are discussed in light of relevant literature and international findings. Implications for the development of the profession and future research are provided.
“…The most commonly reported scenarios referred to cases where the school psychologist was asked to establish a professional relationship with someone related to the client, or with whom a relationship of a different nature was already existent. Previous literature points out that psychologists in rural areas or small communities are more likely to experience multiple relationships dilemmas, namely, due to the lack of resources available (e.g., Curtin & Hargrove, 2010;Helbok, Marinelli, & Walls, 2006;Werth, 2010). Under these circumstances, to guarantee the client's right to access services and prevent potential harm resulting from service denial, multiple relationships such as serving multiple family members may not be avoidable.…”
This study examines the ethical dilemmas and difficulties encountered by Portuguese school psychologists. As part of a larger survey, participants were asked about ethical issues faced in daily practice and asked to describe ethical incidents. Of the 477 respondents, 274 reported 441 ethically troubling or challenging situations. Responses were coded into a six-category system based on the code of ethics of Portuguese psychologists. Most of the reported dilemmas concerned privacy and confidentiality principles (53%). Results are discussed in light of relevant literature and international findings. Implications for the development of the profession and future research are provided.
“…Rural residents often feel uncomfortable with mental health services because of the decreased anonymity in rural areas, and with the stigma these residents often associate with mental health services. [19][20][21] From this perspective, then, clients who participated in counseling may have appreciated the decreased likelihood of seeing the counselor in their community and thus have a reduced sense of stigma. This may be a unique and positive feature of telehealth counseling in rural areas.…”
The Leon County Health Resource Commission sought to increase access to mental health services for their rural community. The commission formed a network of partners who collaborated to increase free transportation to mental health services outside the community and developed a telehealth-based counseling program through a counseling psychology training program. Learning opportunities emerged during the development and implementation of these activities for both the students and the community in how to successfully utilize and sustain this service. This article describes the telehealth counseling model, presents lessons learned in the process, and presents recommendations for others interested in utilizing similar strategies.
“…One of these dilemmas is that psychologists living in these areas may from time to time be obligated to conduct the tests that they are not trained for, due to the insufficient number of qualified professionals. In such situations, psychologists can apply such tests under the supervision of a qualified colleague of theirs (Werth, Hastings, and Riding-Malon, 2010).…”
Section: Assessment In Rural and Low-income Regionsmentioning
Psychologists that offer psychological counseling may use psychological tests and some other measurement techniques in psychological assessment. On the other hand, they may encounter with many ethical dilemmas while doing these assessments. In this review, firstly the definition, purposes, and the stages of psychological assessment are explained. After that, ethical rules of psychological assessment are examined in ways that include both tests and other techniques in the context of ethical principles in the Ethical Guidelines of American Psychological Association. Besides, these ethical rules are discussed in the light of findings in the related literature. In the final part, other ethical issues which are psychologist-counselor relationship in psychological assessment, computer-based assessment, psychological assessment in rural and low-income areas, and assessment of mentally retarded people are mentioned and some suggestions that can be considered in doing an ethical assessment are presented.
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