Ethical responsibility

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Read the Case Study: Shane.
Shane | Case Study_____________________________
Welcome to this treatment team meeting about my client, Shane. I’d like to get your consultation on this case. Shane is a 26-year-old, single, heterosexual, Caucasian male. He is diagnosed with co-occurring disorders: bipolar disorder, alcohol use disorder, and cannabis use disorder. He uses alcohol and cannabis regularly, as he has said it helps him relax. He has been prescribed medications to assist with his bipolar symptoms, but he says they do not work. He is non-compliant in taking his medication. I have been seeing Shane for the past 3 months, weekly for individual counseling and weekly for group counseling. He was referred from probation and parole after receiving his first DUI. Shane has a poor history of maintaining meaningful relationships and has limited contact with his family. He says that he can only trust his mother and that the rest of his family does not understand him or his way of life. Shane has attempted suicide twice in the past 3 years, both times by attempting to hang himself. He was not under my care during this time frame. Both times resulted in hospitalization, but he did not comply with aftercare upon discharge. He does not self-harm and has no homicidal ideations. Shane is currently employed at the local theater. He says this is a dream job for him as he loves movies. He also lives with a roommate whom, by his account, he cannot stand, and he says he only has a roommate to help pay the bills. Four years ago, Shane was diagnosed with HIV, and he is in denial with the diagnosis. He is sexually promiscuous and has many partners. It is unknown if he uses protection, as he does not want to go into detail regarding his sex life. His roommate is also unaware of his HIV status, and Shane does not take precautions around the household to prevent the spread of the virus (sharing razors and drug paraphernalia, not following proper wound care, etc.). Shane has signed a release of information to his probation officer to receive monthly reports on attendance. Today, I received a phone call from Mr. Parks, his probation officer. Shane will be back in court tomorrow, and Mr. Parks wants more information to present in court beside the monthly reports. Shane has regularly been attending both individual and group sessions; however, he missed today’s appointment. I had a message on my voicemail early this morning from Shane saying, “I can’t take this life anymore; I just want to be in a better place.” I have been attempting to contact Shane via telephone but have been unable to reach him. Mr. Parks is requesting information by the end of the business day today. I am concerned about Shane’s well-being as well as Mr. Park’s request. Any feedback or guidance about this case would be appreciated.

Resource: Safety Plan and Harm Reduction Template

Part A (2–3 pages)

Answer all questions below about ethical considerations:

What is John’s ethical responsibility versus his legal obligation to provide Shane’s mental health record to Mr. Parks?
What steps need to be taken to ethically and legally provide Mr. Parks with the requested information?
What is John’s responsibility as a licensed addiction professional regarding Shane’s unwillingness to prevent the spread of HIV (duty to warn)? What steps would need to be taken (if any) to ethically and legally address this issue?
As a licensed addiction professional, what is John’s responsibility and legal obligation to address the client’s current crisis? What specific steps need to be taken?
Are HIPAA regulations being followed? Which HIPAA regulations need to be followed in Shane’s case? Provide a rationale for your response.

Sample Solution

cial policy as they have the power to delay the implementation, or in some cases, completely stop them being implemented at all; regardless of the potential repercussions.

The way that a social problem is framed, and how much support it receives, is often dependent on how the media reports it. If a social problem is framed as a fault of an individual it has a significantly reduced chance of being resolved, than those that are framed as the fault of society not looking after their peers. In the past the issue of poverty was generally targeted as a fault of the individual, with the idea that people were taking advantage of the benefits scheme that the government was offering and that being ‘poor’ is the fault of the individual. Although this stigma can still be seen, it is not as common as it used to be; especially with research being made in the last decade that has shown that ‘for 2011-12 it is estimated that 0.8%, or £1.2bn, of total benefit expenditure was overpaid as a result of fraud. This is far lower than the figures widely believed by the public, as revealed repeatedly in opinion polls’ (Reporter, 2013). This evidence not only disproved the common thought that a large number of the public on benefits do not actually need them, but also proved that the majority of those who are on benefits depend on them. Additional evidence has also shown that the cause of poverty is down to a number of factors including; ‘low wages, insecure jobs and unemployment, lack of skills, ineffective benefit system, high costs including housing, and family problems’ (Foundation, 2016), instead of the conservative idea that it is purely down to the individual being lazy. This common view, of course, is not helped by the way in which the media publishes these sorts of issues. In 2008, The Mail Online published an article in which they wrote ‘David Cameron has unveiled a tough new stance by declaring people who are fat, poor or addicted to drugs could only have themselves to blame’ (Boden, 2008), and then proceeded to follow the line of thought throughout the article. The way that the media frames an issue ultimately affects how much support an issue will gain. This means that that if the media frames the social problem as at the fault of the individual then the issue is unlikely to gain a base for campaigning for human needs to be met as it is not deemed a collective issue. This then, in turn has significant influence over the making of social policy as it controls the way in which the public views the issue and therefore, in some cases, the success of a social policy being made.

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