Licensure Portability Through an Ethical Lens: Considering Multiple Stakeholders

2019 ◽  
Vol 41 (2) ◽  
pp. 97-111
Author(s):  
Hannah B. Bayne ◽  
Kevin Doyle
Keyword(s):  
Ethical Decision Making ◽  
Codes Of Ethics ◽  
Mental Health Counselors ◽  
Counseling Relationship ◽  
Multiple Stakeholders ◽  
American Counseling Association ◽  
Training Requirements ◽  
Ethical Implications ◽  
Decision Making Model ◽  
And Training

Counselors have been licensed to practice in all 50 U.S. states and the District of Columbia since 2009, but licensure portability (the ability to transfer a license from one state to another) remains elusive, due in large part to variations in educational and training requirements between states. In this article, we extend the American Counseling Association and American Mental Health Counselors Association counseling codes of ethics beyond the counseling relationship to consider license portability along ethical dimensions at the macro level. We apply an ethical decision-making model to demonstrate how lack of portability may have ethical implications related to both counselors and clients. We submit several considerations for how the profession can conceptualize and address these issues through an ethical lens.

Gatekeepers of the Profession: Using the Code of Ethics to Guide Supervision

2020 ◽  
Vol 38 (1) ◽  
pp. 13-16
Author(s):  
Jennifer Hicks
Keyword(s):  
Music Therapy ◽  
Ethical Decision Making ◽  
Code Of Ethics ◽  
Codes Of Ethics ◽  
American Music ◽  
Clinical Practicum ◽  
Ethical Implications ◽  
Beliefs And Values ◽  
Decision Making Model

Abstract Clinical practicum and internship supervisors often share the role of gatekeepers with university faculty to ensure that students meet all necessary and applicable professional competencies before moving on to the next step in their music therapy journey (Dileo, 2001; Hsiao, 2014). However, the interpretation of these competencies can be subjective, and predicting student success can be challenging (Dileo, 2000). Therefore, making the decision of whether to pass a student from a clinical practicum or internship can be complex and filled with ethical implications for all involved. This paper explores that decision through the lenses of both the past and current American Music Therapy Association (AMTA) Codes of Ethics using Dileo’s (2000) Ethical Decision-Making Model. An ethical dilemma, based upon the author’s supervisory experiences, is presented here and analyzed using the following guidelines: setting and context; problems and issues; personal responses, beliefs, and values; obligations; Codes of Ethics standards and principles; laws and institutional and professional policies; opportunities for consultation; possible solutions and consequences; and implementation.

Ethical Standards for a Post-COVID-19 World

2022 ◽  
Vol 44 (1) ◽  
pp. 82-96
Author(s):  
Anabel Mifsud ◽  
Barbara Herlihy
Keyword(s):  
Mental Health ◽  
Culturally Responsive ◽  
Ethical Decision Making ◽  
Ethical Reasoning ◽  
Codes Of Ethics ◽  
Family Counseling ◽  
Mental Health Counselors ◽  
Case Scenario ◽  
Health Counseling ◽  
Inclusive Approach

The cataclysmic events of 2020 created an urgent need for mental health counseling to help individuals, families, and communities deal with grief, loss, and trauma. The sheer magnitude of the challenges has highlighted the necessity for collective interventions, as the need for help far surpasses what can be met through traditional individual or family counseling. Clinical mental health counselors must be prepared to respond to the new challenges in creative, culturally responsive, and ethical ways. The authors discuss the limitations of the prevailing codes of ethics, which are grounded in principle ethics, and propose that virtue ethics and relational ethics perspectives can be incorporated into ethical reasoning to make the process more responsive to collective interventions. A case scenario is presented and analyzed to illustrate this broader and more inclusive approach to ethical decision-making in a situation that calls for a collective intervention.

scholarly journals Heuristic Patterns of Ethical Decision Making

2018 ◽  
Vol 13 (5) ◽  
pp. 561-572
Author(s):  
David J. Hartmann ◽  
Olivia McLaughlin
Keyword(s):  
Decision Making ◽  
Research Agenda ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Error Processing ◽  
Trial And Error ◽  
Decision Making Model ◽  
And Training ◽  
Made In ◽  
Heuristic Processing

This article describes the context of ethical decision making in research and suggests that direct attention to the ways in which decisions are actually made in such environments is needed. A decision-making model based on the literature on heuristic processing is proposed and is followed by a review of the method, data, and results of the authors’ research on this model. The implications of the research are developed, and a research agenda is outlined. Key findings were that competent actors do indeed process ethics problems heuristically and in ways that interweave intuitive, affective, and more rational phases. This processing does not typically follow a simple progressive pattern but evidences a sort of trial-and-error processing that is consistent with the logic of heuristic processing more generally. Finally, while diverse, participant-level processing attempts appear to follow patterns which are associated with the experience and training of the actors.

Avoiding Boundary Violations: Recommendations for Managing Attraction to and From Clients in Response to the Healthcare Providers Service Organization’s 2019 Report

2022 ◽  
Vol 44 (1) ◽  
pp. 6-17
Author(s):  
Charles J. Jacob ◽  
Rebekah Byrd ◽  
Emily Jeanne Donald ◽  
Rebecca J. Milner ◽  
Taylor Flowers
Keyword(s):  
Mental Health ◽  
Management Strategies ◽  
Healthcare Providers ◽  
Codes Of Ethics ◽  
Sexual Relationships ◽  
Mental Health Counselors ◽  
Boundary Violations ◽  
American Counseling Association ◽  
Liability Claims

The standards regarding sexual relationships with clients are among the most clearly stated in the codes of ethics for the American Counseling Association and the American Mental Health Counselors Association. However, the majority of liability claims filed against counselors are for boundary violations of a sexual/romantic nature. Aggregate insurance liability data are presented, followed by management strategies related to attraction.

Abstract TP132: Selection and Activation of Sites in a Large Multi-Center Randomized Clinical Trial

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Bart M Demaerschalk ◽  
Robert D Brown ◽  
Virginia J Howard ◽  
MeeLee Tom ◽  
Mary E Longbottom ◽  
...  
Keyword(s):  
Site Selection ◽  
Performance Metrics ◽  
Interventional Neuroradiology ◽  
Interquartile Range ◽  
Carotid Revascularization ◽  
Training Requirements ◽  
Medical Centers ◽  
Wide Range ◽  
The Times ◽  
And Training

Introduction: Careful selection and timely activation of clinical sites in multicenter clinical trials is critical for successful enrollment, subject safety, and generalizability of results. Methods: In the Carotid Revascularization and Medical Management for Asymptomatic Carotid Stenosis Trial (CREST-2), a multidisciplinary Site Selection Committee evaluated applicants referred via participation in CREST, CREST principal investigators (PIs) and other investigators, StrokeNet and industry partners. Data for consideration included performance metrics in CREST and other carotid trials and a site selection questionnaire containing information on the investigators as well as quantitative data on carotid procedures performed. Any FDA warning letters were reviewed. Results: The Committee met bi-weekly for 36 months (n=64 meetings). Applications from 176 sites between March 2014 and July 2016 were evaluated: 153 were approved, 7 are under Committee review, 5 were approved but withdrew, 5 were placed on a waiting list, and 6 were rejected. One-hundred-four sites have completed the regulatory and training requirements to randomize: 51 (49%) academic medical centers, 31 (30%) private hospital-based centers, 16 (15%) private office-based practices, and 6 (6%) Veterans Administration medical centers. The mean times from application-to- approval was 5.2 weeks (interquartile range, 1.9, 6.2), and from approval-to-randomization status was 46.7 weeks (interquartile range, 35.4, 51.7). Specialties of the 104 site PIs are vascular surgery for 35 (33.7%), cardiology for 30 (28.8%), neurology for 25 (24%), neurosurgery for 8 (7.7%), interventional radiology for 4 (3.8%), and interventional neuroradiology for 2 (1.9%). Conclusions: Careful site selection is time-consuming for prospective sites and for trial leadership. Times from application-to-site-approval were modest (mean = 5.2 weeks), in contrast to the times for completing regulatory and training requirements (mean = 46.7 weeks). However, subject enrollment by teams from a wide range of medical centers led by a multi-disciplinary cohort of PIs will promote the generalizability of trial results.

A Dilemma Within Doctoral Supervision: Applying an Ethical Decision‐Making Model

2021 ◽  
Vol 66 (2) ◽  
pp. 117-130
Author(s):  
Nancy Chae ◽  
David R. Gosling ◽  
Jeremy R. Goshorn ◽  
Shuhui Fan
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Doctoral Supervision ◽  
Decision Making Model

The Effect of Concealed Handgun Carry Deregulation in Arizona on Crime in Tucson

2018 ◽  
Vol 30 (8) ◽  
pp. 1186-1203 ◽  
Author(s):  
Michael R. Smith ◽  
Matthew Petrocelli
Keyword(s):  
El Paso ◽  
Future Research ◽  
Multiple Time ◽  
Multiple Time Series ◽  
Training Requirements ◽  
State Adoption ◽  
Concealed Carry ◽  
And Control ◽  
The Impact ◽  
And Training

In 2010, the Arizona legislature effectively deregulated concealed handgun carry in the state by passing Senate Bill (SB) 1108, which eliminated licensing and training requirements for concealed carry. Although researchers have extensively examined the impact of state adoption of concealed carry laws, almost nothing is known about the effects of deregulating concealed carry altogether. This study contributes to the more guns, less crime debate by examining the impact of Arizona’s decision to deregulate concealed carry. Using a multiple time-series research design with an experimental (Tucson) and control city (El Paso), the present study examines the impact of deregulation on handgun-related violent crime and gun larcenies in Arizona’s second largest city—Tucson. We find that the passage of SB 1108 had no impact on handgun-related offenses that could be expected to change following deregulation. The implications of these findings for policy making and future research are discussed.

Pharmacy Technician Educators' Attitudes toward Education and Training Requirements for Pharmacy Technicians

2000 ◽  
Vol 16 (4) ◽  
pp. 133-137 ◽  
Author(s):  
Kathy D Moscou
Keyword(s):  
Response Rate ◽  
Training Programs ◽  
Education And Training ◽  
Level Of Education ◽  
Training Requirements ◽  
Pharmacy Technician ◽  
National Examination ◽  
Pharmacy Technicians ◽  
And Training

Objective: To poll members of the Pharmacy Technician Educators Council (PTEC) to determine their attitudes toward the level of education and training necessary for pharmacy technicians to perform current and expanded duties. Methods: A convenience survey was developed and sent to 130 PTEC member training programs. PTEC members include directors of college, vocational, and on-the-job training programs. Results: Thirty-seven PTEC members responded, yielding a response rate of 28.5%. Responses reflected the opinions of directors of pharmacy technician programs from 19 states. All respondents agreed that the length of training for pharmacy technicians should be standardized. They also agreed that minimum competencies should be established for pharmacy technicians and that examination should be required to obtain certification or licensure that would then enable the technician to be employed in the field. Conclusions: The use of pharmacy technicians will likely increase, as will the duties pharmacy technicians perform. Expansion of the role of pharmacy technicians, however, must be in tandem with standardizing training and establishment of competencies for pharmacy technicians. Increased responsibilities should be commensurate with increased education and national examination should be required to determine competency.

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