Providing Ethical Behavioral Health Services to Children & Adolescents

CPD

Handouts

Faculty

Terry Casey, PhD Related seminars and products

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Terry Casey, PhD, is a licensed psychologist, HSP health service provider with over 30 years of professional experience, including a 16-year tenure as the director of counseling & psychological services for a non-profit agency with over 30 counselors at over a dozen locations. He is in private practice in Franklin, Tennessee, teaches ethics and professional issues in counseling at Lipscomb University’s graduate program in clinical mental health counseling, and guest lectures at Trevecca Nazarene University’s PhD program in Clinical counseling. Dr. Casey also served for several years as the chair of the ethics committee for the Tennessee Licensed Professional Counselors’ Association and in an advisory capacity for graduate counseling programs at two universities. He has presented frequently on ethics to organizations such as the American Counseling Association, the Tennessee Licensed Professional Counselors Association, the Nashville Area Association of Christian Counselors, and others. For more information, visit his practice website at rencounselingtn.com.

 

Speaker Disclosures:
Financial: Dr. Terry Casey maintains a private practice and is a faculty member of Lipscomb University. He is a published author and receives royalties. Dr. Casey receives a speaking honorarium and recording royalties from Psychotherapy Networker and PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Terry Casey is a member of the American Psychological Association, the Tennessee Psychological Association, the Tennessee Licensed Professional Counselor Association, and others. For a complete list, please contact info@pesi.com.

Objectives

1. Identify the five primary perspectives of the Multiple Perspectives Model of ethical decision making in clinical practice
2. Discuss special issues associated with working with minor clients
3. List the four steps of the Multiple Perspectives Model, and describe how to implements the steps in clinical practice
4. Compare and contrast the ethics laws that pertain to all minor clients vs. the ethics laws that apply specifically to older adolescents
5. Describe how to interpret and navigate professional codes of ethics and state licensing rules
6. Determine the ethical course of action for various scenarios involving minor clients, using the Multiple Perspectives Model

Outline

THE MULTIPLE PERSPECTIVES DECISION-MAKING MODEL

• Ethical
• Legal
• Clinical/therapeutic
• Institutional Policies
• Therapist’s well-being and interests

SPECIAL ISSUES WHEN WORKING WITH MINORS

• Assent vs. consent
• Confidentiality issues
  • Exceptions
  • Process for informing minors and parents/guardians

• Divorced/divorcing parents
• Parenting plans
• Access to a minor’s protected health information
• Laws pertaining to older adolescents

STEPS IN APPLYING THE MULTIPLE PERSPECTIVES MODEL

• Step #1: Evaluate for relevant issues in each perspective
• Step #2: If the problem has a significant ethical component…
• Step #3: Consultation
• Step #4: Decision and documentation

WORKING THE MODEL

• Round #1
  • Mandatory reporting: “The phone intake”
  • Multiple relationships: “Client in a bind”
  • Boundaries and Perceptions: “The coffee shop”
• Round #2
  • Parents at odds: “Robert’s separated parents”
  • Divorced parents: “The dilemma with Julia”
  • Virtual relationships: “Social media friends”
• Round #3
  • Competing rights: “Celeste and her father”
  • Trusting the process: “Amanda and Stephanie”
  • Competency & supervision: “The Play Therapy request”
• Supplemental (time permitting)
  • Boundaries revisited: “Dawn’s caramel macchiato”

Target Audience

• Psychologists
• Social Workers
• Counselors
• Marriage and Family Therapists
• Case Managers
• Psychiatrists
• Psychiatric Nurse Practitioners
• Educators
• Alcoholism and Drug Abuse Counselors