ACA Code of Ethics

 

 

 

The following cases are of unethical behaviors. Please read each case then carefully decide how the behavior is unethical, which ACA Code of Ethics it violates and the damage, if any, it could cause if the behavior is not stopped.

Please write 1 paragraph for each case

Case 1:

An Intern has a new client assigned to them for therapy. The client states in the intake she just “want help with self-esteem issues”. Once she is in her first session with the Intern the client discloses that she is in an abusive relationship with her boyfriend currently and has a long history of domestic violence. The Intern does not have any training or experience in domestic violence but wants to work with the client so she continues to work with her.

Case 2:

A seasoned counselor accepts a $200.00 gift card as a “goodbye present’ from a client who is leaving therapy as he has met his goals. He insists the therapist keep the present. The gift card is to a restaurant the clients brother owns. The client also referred the brother to the counselor for therapy.

Case 3:

A counselor see’s their client in the grocery store, says hello to the client and begins a conversation and introduces the client to her friend she was shopping with “as her client”.

Case 4:

A counselor finds themselves attracted to their client they have seen for 3 sessions. After much thought and remembering the ACA Code of Ethics she decides to refer the client to another therapist so she can begin to date the client. They date for 2 years.

Case 5:

A supervisor who has been diagnosed with Bipolar Disorder and is normally stabilized on her medications and with therapy has recently stopped her medications due to side effects. She states “she feels fine”, in fact, she feels “better than ever”. Other staff have noticed that the supervisor is suddenly late often, agitated, talking very fast, and misses a lot of meetings and deadlines. The counselor insists she is fine and can continue to see clients and supervise other counselors and staff.

Case 6:

A counselor leaves all his clients’ files out on his desk open when he leaves every day, not locking them up, because he needs to write his notes the next morning and wants to make sure he remembers. Some Fridays he doesn’t get his notes done so he leaves the files out all weekend on his desk, so he remembers on Monday morning. He also finds himself falling further behind in his notes, sometimes 2 months behind.

 

 

Sample Solution

ACA Code of Ethics violated: A.1. Competence

Damage: The intern could cause significant harm to their client by not being able to provide competent care. For example, the intern may not be able to recognize the signs and symptoms of domestic violence, or they may not know how to safely assess and treat a client who is in an abusive relationship. This could lead to the client’s situation worsening, or it could put the client at risk of further harm.

Case 2: Counselor accepting a gift card from a client

ACA Code of Ethics violated: A.10. Gifts

Damage: Accepting gifts from clients can create a conflict of interest and can undermine the therapeutic relationship. For example, the counselor may feel obligated to provide preferential treatment to the client who gave them the gift. Additionally, accepting gifts from clients can create a sense of indebtedness in the client, which can interfere with their progress in therapy.

Case 3: Counselor disclosing a client’s identity to a third party

ACA Code of Ethics violated: A.5. Confidentiality

Damage: Disclosing a client’s identity to a third party without their consent is a serious breach of confidentiality. This could damage the client’s trust in the counselor and could also have negative consequences for the client’s personal and professional life.

Case 4: Counselor dating a former client

ACA Code of Ethics violated: A.11. Sexual Intimacy with Current or Former Clients

Damage: Dating a former client is a serious ethical violation. The power imbalance that exists in the therapeutic relationship makes it difficult for consent to be truly voluntary. Additionally, dating a former client can exploit the client’s vulnerability and can damage the client’s trust in the counselor.

Case 5: Supervisor with bipolar disorder who has stopped taking medication and is exhibiting signs of mania

ACA Code of Ethics violated: A.1. Competence, A.5. Confidentiality, A.6. Welfare of Others

Damage: If the supervisor is not able to provide competent care due to her mania, she could cause harm to her clients and supervisees. For example, she may make poor decisions, or she may be unable to maintain confidentiality. Additionally, her mania could create a hostile work environment for her staff.

Case 6: Counselor leaving client files out on his desk

ACA Code of Ethics violated: A.5. Confidentiality

Damage: Leaving client files out on his desk is a serious breach of confidentiality. This could allow unauthorized individuals to access the client’s personal information, which could have negative consequences for the client’s personal and professional life. Additionally, it could damage the client’s trust in the counselor.

Conclusion

All of the cases you described involve unethical behavior by counselors. It is important to remember that counselors have a professional obligation to protect their clients and to provide competent care. When counselors violate the ACA Code of Ethics, they can cause significant harm to their clients and to the profession as a whole.

If you are a counselor and you are concerned about your own ethical behavior, or if you have concerns about the ethical behavior of another counselor, it is important to seek professional consultation. You can also contact the ACA Ethics Committee for guidance.

 

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