Going to war and having a traumatic experience there can cause Post Traumatic Stress Disorder, otherwise known as PTSD. This can happen right away or this could even start years after the traumatic period is over. This can cause the person to do things that might be harmful to themselves or to other people.…
Within the contract between a counsellor and client, such things as the type of counselling being offered, number of sessions, the frequency of sessions, timing of sessions, length of sessions, payment and confidentiality should be discussed and agreed to by both the counsellor and client.…
Confidentiality in all fields of work is vital. It gives the client the comfort of knowing that their personal information will remain private and safeguarded. Confidentiality guidelines within counseling sessions can make the experience with a client more productive. A breach in confidentiality can compromise the trust between the Practitioner and the client, and lead to poor treatment results, termination of treatment and legal issues.…
Is not providing reasonable, appropriate or agreed care or a failure to act in a way that any reasonable person would act.…
Counselling supervision is when a counsellor uses the service of other counsellors to review how they work with their clients and how they are developing as a counsellor. The British Association of Counselling and Psychotherapy (B.A.C.P 1984) require that all members must attend regular supervision as it is an ethical requirement. Supervision ensures that high standards of professionalism is ongoing. It exists to protect clients autonomy and improve the counsellors abilities. Supervision helps the counsellor to develop in depth understanding of their client and is seen as a third party in the counselling process. This can help to reduce oversight with the counsellor concerned. Supervision allows a counsellor to reflect on their own emotions and behaviour, giving them a chance to see how they relate and react to their client. Supervision is very important where trainee counsellors are concerned as it helps them to move beyond the basic forms of counselling skills and helps them to make sense of their learning experiences. Counsellors can become stuck with some client problems and supervision can help in readdressing the problem. Without supervision psychological counsellors would have to be regulated to practice by other professions. Throughout the supervision process a clients confidentiality is still protected as the counsellor never discusses the identity of the person and Johnson states: Gross,R. (2009)…
In the paper titled, “Poor or Inadequate Nurse to Nurse Communication: Bedside Reporting” stated bedside reported was not currently implemented at the bedside at the organization I work for currently. Based on my research and discussions with management this practice increases patient safety and patient satisfaction, was proven to be true, shown by recent studies and research.…
If the boundaries are not kept to then issues could become apparent which could effect the ethical practice of counselling. Such issues include, dual relationships is a no no, the counsellor is there to counsell and the client is there to be counselled and this is the way it must remain, the counsellor must by no means make a self disclosure to the client. If the counsellor feels they have something to disclose than they must see a counsellor themselves. It is important that the counsellor…
* Forgetfulness, maybe forgetting names of people that you have been in contact with every day, or forgetting what you did just hours or days ago.…
A duty of care exists to protect the client. It would be a counsellor’s duty to flag up any medical worries they are told, especially any mention of self-harm. If the counsellor is struggling with what is happening in a specific case because it is no longer in their field of expertise or not having been trained in the specifics of the case they must bring these issues up at supervision meetings.…
Information has been obtained about the client, Wendy, by means of a one on one interview. The client/counselor relationship and trust was established prior to the onset of the dialogue. The client verbalized her consent to take part in the sexual history interview and was advised that at any time she felt uncomfortable the interview would be halted or the subject could be changed. The counselor explained to the client, that the exchange between them was fully confidential and she was in a safe and secure environment to share what she what she felt comfortable to share. The counselor explained that the only occasion in which she would be obligated to break confidentiality was in the event the client expressed a desire to harm herself or others. The client accepted the terms of the interview and the interview detailing her sexual history was obtained.…
As previously stated counselors have an ethical duty to protect their client’s confidentiality; however, there are certain legal circumstances under which confidentiality must be broken. This occurs when a client is at immediate risk of harming themselves or others, discloses information about child abuse and when a counselor is suspended by the courts (Werth, Caroline and Rebekah 2002). In cases in which the client discloses or implies a plan for suicide, the counselor is obligated to notify legal authorities and should attempt to contact the client’s family to notify them of the situation. When a client reveals intentions or a plan to harm another person, the counselor is not only required to report the information to legal authorities, but…
It also requires that at the start of every new counselling relationship a clear contract is set up between the counsellor and the client. Confidentiality must be discussed within this contract, there should be a clear agreement between client and counsellor as to the type of counselling offered, the number of sessions, the frequency, timing and length of the session. There should be clarity on payment and the terms of payment. Counsellors must remain professional at all times and should have boundaries in place to help differentiate the client and counsellor’s relationship from any other relationships that the client may have. Good clear boundaries will also help protect the client from any kind of exploitation. The counsellor’s role and that of the client should be very clear, the counsellor is there to counsel and the client is there to be counselled, the counsellor and client are not friends and there should be no attraction between counsellor and client. The BACP also states that “Good Practice” involves clarifying and agreeing to the rights and responsibilities of both the counsellor and the client at appropriate points in their relationship.…
I have noticed a patient abuse by my CI on four different occasions with a 67 year old woman with pulmonary fibrosis and obesity. My CI and I headed to the patient’s room to do treatment. While we were on way to the patient’s room, my CI remembers to get a sliding board and she immediate asked me to get it in the OT gym. As I approach the patient’s door, I overheard my CI say to the patient “you are too fat and you never going to recover and you are going to die soon if you can transfer yourself into the wheelchair”. Sooner's my CI saw me, she quickly changed her tone of voice towards the patient and I noticed the patient’s eyes were…
In instances where harm or abuse is suspected or alleged, you have to remember that all people concerned (not only the victim) need to be treated with respect and each has their own rights. All parties involved have the right to be investigated through the correct channels and the outcome documented accordingly. Each and every person has the right to confidentially and so anyone involved in any investigation should be reminded of this and maintain absolute confidentiality. Throughout…
PostTraumatic Stress Disorder can be like that. It develops over a traumatic event or period…
