Kameron is a substance abuse counselor

Kameron is a substance abuse counselor who is in recovery from alcohol use. He has been sober for 14 years and regularly attends AA meetings. He has been seeing his client, Marcus, for over a year. Marcus has a history of alcoholism and Xanax abuse but has been sober for 11 months. He came to treatment in Kameron’s clinic after being arrested for a 3rd DWI charge last year.
Marcus has been attending AA meetings as part of his treatment plan. Marcus’ sponsor is moving out of state, so Marcus is looking for a new sponsor. At their weekly session, Marcus explains to Kameron that his sponsor, Joseph, has relapsed and is no longer able to be his sponsor. Marcus tells Kameron that he has great respect for him and couldn’t imagine asking anyone else to be his sponsor.
Briefly respond to each of the following:
What ethical issues might Kameron experience if Marcus started attending Kameron’s own home group? How might Kameron work to resolve those ethical issues?
Is it legal and ethical for Kameron to act as Marcus’ sponsor? Why or why not?
As a treatment provider, is it legal and ethical for Kameron to require Marcus to attend AA meetings? Why or why not?
Is it legal and ethical for a judge to mandate Marcus to attend 90 AA meetings in 90 days? What ethical principles influence your position on this scenario?
Kameron realizes that Joseph, Marcus’ original sponsor, is also a counselor. Marcus shares that Joseph is frequently under the influence during the day at work. Does Kameron have any legal or ethical obligation to act on this information? Why or why not?

 

Sample Solution

If Marcus were to start attending Kameron’s own home group, the ethical issue that could arise is a conflict of interest. As Kameron is both a substance abuse counselor and in recovery himself, there may be a power imbalance between him and his client Marcus which can lead to ethical concerns surrounding potential exploitation or manipulation (Lambert et al., 2020). For example, if Marcus starts attending the same group as Kameron it could make it difficult for him to objectively assess whether any advice given by Kameron is purely out of professional duty or personal preference. This could then cause confusion regarding where the professional boundaries lie between them, leading to further tension.

In order to resolve this situation, Kameron should first acknowledge the potential for bias when considering his role as both a counselor and sponsor for Marcus. He should communicate openly with Marcus about these issues so they are both aware of any conflicts that may arise; emphasizing that he will maintain professionalism at all times while still providing necessary support as needed (Brenner & Barry-Kinsella, 2016). Additionally, Kameron can also look into transferring Marcus’ care from his private practice clinic over to another licensed professional who can provide more distance from their relationship outside of work hours. Alternatively if neither party wishes for this change in dynamic then two other solutions could include either referring Marcus to another AA meeting group or allowing him to join another sponsor instead.

Ultimately then, since this kind of dilemma is extremely delicate it requires careful thought before making any decisions – but with proper communication and honesty on behalf of Kameron he will be able navigate through this tricky situation without compromising either party’s safety or well-being in the end.

 

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