scholarly journals Navigating Ethical Dilemmas in Mental Health Practice Between Professional Ethics and Islamic Values

2019 ◽  
Vol 2 (1) ◽  
pp. 40-71 ◽  
Author(s):  
Khalid Elzamzamy ◽  
Hooman Keshavarzi
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Professional Ethics ◽  
Islamic Law ◽  
Ethical Dilemmas ◽  
Codes Of Conduct ◽  
Codes Of Ethics ◽  
The United States ◽  
Ethical Guidelines ◽  
Standard Practices

Religiously committed mental health practitioners frequently encounter situations in which their perceived or actual religious mandates are at odds with their client’s values, leaving them in an ethical conundrum as to how to reconcile these values with the mandates of their professional ethical codes of conduct. Examples of such conflicts include dealing with cases involving abortion, sexual orientation, gender identity, consensual extramarital affairs, substance and alcohol use, as well as working with clients who display a minimal adherence to basic Islamic rituals and tenets. Precedents to such conflicts have led to serious legal consequences in some cases (DeSantis, 2012; Keeton v. Anderson-Wiley, 2010). Such conflicts are commonplace and particularly important for Muslim mental health professionals operating in the United States and other Western European countries that have secular professional codes of ethics. This paper is a “narrative literature review” that attempts to frame the discussion about value conflicts commonly experienced by Muslim mental health clinicians working within the Islamic legal and ethical discourses in the American context. This is done by analyzing the origins of some of these conflicts as well as providing potential resolutions. First, the relevant mental health philosophies, principles, codes, and definitions are examined. Second, the authors highlight how the Islamic maqāṣid (the higher objectives of Islamic law) and uṣūl (legal maxims), as well as Islamic standard practices, morals, and professional ethics, appear to contribute to the ethical dilemma. Different approaches to conflict resolution and reconciliation between Islamic mandates and ethical dilemmas are presented to help clinicians navigate their professional practice within ethical guidelines while remaining faithful to their religious values.

The Role of Religious Professionals in Ethical Decision Making in Mental Health

2018 ◽  
Author(s):  
Nancy C. Kehoe
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Ethical Decision Making ◽  
Ethical Dilemmas ◽  
Health Issues ◽  
Ethical Guidelines ◽  
Faith Tradition ◽  
Religious Professionals ◽  
Ongoing Formation

The term religious professional refers to men and women who are recognized by a faith tradition as leaders and teachers within the tradition. In their respective ministries, religious professionals encounter many issues, including ethical dilemmas related to mental health, but their preparation to deal with these issues varies greatly. Ethical guidelines for religious professionals are in most denominations less specific than the ethical guidelines proposed for mental health professionals. Although the guidelines for religious professionals stress the need for competence and ongoing formation, few are very specific in regard to mental health issues. A review of the literature highlights how little attention has been given to this subject. Case studies are presented that illustrate the complexity of the role of the faith leader in ethical dilemmas and suggest the need for more attention to this topic in the formation of religious professionals.

scholarly journals VitalSign6: A Primary Care First (PCP-First) Model for Universal Screening and Measurement-Based Care for Depression

2019 ◽  
Vol 12 (2) ◽  
pp. 71 ◽  
Author(s):  
Madhukar Trivedi ◽  
Manish Jha ◽  
Farra Kahalnik ◽  
Ronny Pipes ◽  
Sara Levinson ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Universal Screening ◽  
Primary Care Providers ◽  
The United States ◽  
Care Providers ◽  
Similar Treatment ◽  
Measurement Based Care

Major depressive disorder affects one in five adults in the United States. While practice guidelines recommend universal screening for depression in primary care settings, clinical outcomes suffer in the absence of optimal models to manage those who screen positive for depression. The current practice of employing additional mental health professionals perpetuates the assumption that primary care providers (PCP) cannot effectively manage depression, which is not feasible, due to the added costs and shortage of mental health professionals. We have extended our previous work, which demonstrated similar treatment outcomes for depression in primary care and psychiatric settings, using measurement-based care (MBC) by developing a model, called Primary Care First (PCP-First), that empowers PCPs to effectively manage depression in their patients. This model incorporates health information technology tools, through an electronic health records (EHR) integrated web-application and facilitates the following five components: (1) Screening (2) diagnosis (3) treatment selection (4) treatment implementation and (5) treatment revision. We have implemented this model as part of a quality improvement project, called VitalSign6, and will measure its success using the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) framework. In this report, we provide the background and rationale of the PCP-First model and the operationalization of VitalSign6 project.

Uninsured Children With Psychosocial Problems: Primary Care Management

PEDIATRICS ◽  
2000 ◽  
Vol 106 (Supplement_3) ◽  
pp. 930-936 ◽  
Author(s):  
Thomas K. McInerny ◽  
Peter G. Szilagyi ◽  
George E. Childs ◽  
Richard C. Wasserman ◽  
Kelly J. Kelleher
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Professionals ◽  
Mental Health Problems ◽  
Psychosocial Problems ◽  
The United States ◽  
Behavior Study ◽  
Care Practices ◽  
Uninsured Children ◽  
Primary Care Practices

Objective. Nearly 14% of children in the United States are uninsured. We compared the prevalence of psychosocial problems and mental health services received by insured and uninsured children in primary care practices. Methods. The Child Behavior Study was a cohort study conducted by Pediatric Research in Office Settings and the Ambulatory Sentinel Practice Network. Four hundred one primary care clinicians enrolled an average sample of 55 consecutive children (4–15 years old) per clinician. Results. Of the 13 401 visits to clinicians with 3 or more uninsured patients, 12 518 were by insured children (93.4%) and 883 were by uninsured children (6.6%). A higher percentage of adolescents, Hispanic children, those with unmarried parents, and those with less educated parents were uninsured. According to clinicians, uninsured children and insured children had similar rates of psychosocial problems (19%) and severe psychosocial problems (2%). For children with a clinician-identified psychosocial problem, we found no differences in clinician-reported counseling, medication use, or referral to mental health professionals. Conclusions. Among children served in primary care practices, uninsured children have similar prevalence of clinician-identified psychosocial and mental health problems compared with insured children. Within their practices, clinicians managed uninsured children much the same way as insured children.psychosocial problems, uninsured children, pediatrics, family medicine, primary care.

scholarly journals QOL-51. LISTENING BEFORE WE SPEAK: A PATIENT-CENTERED APPROACH TO DEVELOPING RESOURCES FOR PEDIATRIC BRAIN TUMOR SURVIVORS AND THEIR FAMILIES

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii440-iii440
Author(s):  
Kathy Riley
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
United States ◽  
Brain Tumor ◽  
Mental Health Professionals ◽  
Pediatric Brain Tumor ◽  
The United States ◽  
Physical And Mental Health ◽  
Pediatric Brain

Abstract In the United States, more than 28,000 children and teenagers live with the diagnosis of a primary brain tumor (Porter, McCarthy, Freels, Kim, & Davis, 2010). In 2017, an estimated 4,820 new cases of childhood primary brain and other central nervous system tumors were expected to be diagnosed in children ages 0 – 19 in the United States (Central Brain Tumor Registry of the United States, 2017). Survivors suffer from lifelong side effects caused by their illness or by various treatments. Commonly identified late effects of treatment include a decline in intellectual functioning and processing speed, performance IQ deficits, memory deficits, psychological difficulties, deficits in adaptive functioning (daily life skills), and an overall decrease in health-related quality of life (Castellino, Ullrich, Whelen, & Lange, 2014). To address the ongoing challenges these survivors and their families face, the Pediatric Brain Tumor Foundation (PBTF) met extensively with working groups comprised of survivors and caregivers to develop the outline for a comprehensive Survivorship Resource Guidebook. In 2019, the PBTF published the guidebook which categorizes survivor and caregiver needs into three primary areas: physical and mental health, quality of life, and working the system. Expert authors included survivors and caregivers themselves in addition to medical and mental health professionals. Key outcomes discovered during the creation and production of this resource highlight how caregivers, survivors and professionals can collaborate to provide needed information and practical help to one segment of the pediatric cancer population who experience profound morbidities as a result of their diagnosis and treatment.

scholarly journals NAVIGATOR OF PRINCIPLES AND STANDARDS OF PROFESSIONAL ETHICS OF HR-MANAGERS AND SPECIALISTS OF RECRUITING AGENCIES

2021 ◽  
Author(s):  
Yuliia Hryniuk
Keyword(s):  
Professional Ethics ◽  
Conflicts Of Interest ◽  
Code Of Ethics ◽  
Codes Of Ethics ◽  
Professional Standards ◽  
Scientific Article ◽  
Large Network ◽  
Ethical Guidelines ◽  
Principles And Standards ◽  
Hr Managers

The scientific article presents a navigation scheme for guiding the principles of professional ethics of HR-managers according to the code of ethics approved by the Society for Human Resource Management (SHRM). The content and professional and ethical guidelines for them are determined according to each of the principles, including: professional compliance, professional development, ethical leadership, impartiality and fairness, conflict of interest, use of information. In addition, a navigator of professional ethics standards has been formed, guided by specialists of recruitment agencies (recruitment managers or recruiters) in relation to clients of customers (individuals – job seekers and legal entities – employers), based on the analysis of large network and boutique recruitment sites of USA companies and codes of ethics for recruiters, developed by international recruitment associations, as well as independently supplemented by the author. In particular, the paper considers such professional standards as: absence of discriminatory manifestations in relation to the candidate at all stages of selection; ban on their enticement, including through the principle of practice “off-limits” (studied different approaches to the scale of its distribution, timing, obstacles to “closed access” for employment intermediaries, provided proposals to avoid conflicts of interest in its use); ensuring the confidentiality of information; constant communication with the customer company; providing the most reliable information to the candidate and the employer; consent from the candidate for the transfer of his personal data; inadmissibility of the offer of one candidate to several customers; refusal to cooperate with “unreliable” clients; prevention of informal relations between the specialist of the recruiting agency and the candidate. It was found that the development of a civilized recruitment market in Ukraine is hindered by the lack of consolidated, adapted to the domestic realities of the recruitment business and officially recognized by its representatives as professional standards of the code of ethics for recruiters.

An Exploration of Clinical Mental Health Counselors’ Attitudes Toward Professional Identity and Interprofessionalism

2022 ◽  
Vol 44 (1) ◽  
pp. 68-81
Author(s):  
Jennifer L. Klein ◽  
Eric T. Beeson
Keyword(s):  
Mental Health ◽  
Identity Development ◽  
Professional Identity ◽  
Interprofessional Education ◽  
Short Form ◽  
Codes Of Ethics ◽  
The United States ◽  
Mental Health Counselors ◽  
The University ◽  
High Degree

Opportunities for clinical mental health counselors to practice in interprofessional settings are likely to increase as the larger health care system in the United States evolves. While aspects of interprofessionalism are embedded in the codes of ethics of the counseling profession, discussion of identity has primarily been focused on intraprofessional identity. To concurrently assess intraprofessional identity, interprofessionalism, and interprofessional identity, a study was conducted with clinical mental health counselors (CMHCs) using the Professional Identity Scale in Counseling–Short Form (PISC-S) and the University of West of England Interprofessional Questionnaire (UWE IPQ). Results indicated that CMHCs place importance on both intra- and interprofessional identity, although they have more confidence in their intraprofessional identity. A high degree of correlation was found between the PISC-S and UWE IPQ, indicating the interrelatedness of these aspects of identity. Results can be used to inform interprofessional education and identity development models for the CMHC profession.

Delivering Psychological Services to Refugees Resettled in the United States

2019 ◽  
pp. 165-183
Author(s):  
Johanna E. Nilsson ◽  
Sally Stratmann ◽  
Aurora Molitoris ◽  
Marcella A. Beaumont ◽  
Jessica Horine
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Health Professionals ◽  
Mental Health Treatment ◽  
Treatment Options ◽  
The United States ◽  
Psychological Services ◽  
Health Needs ◽  
Mental Health Needs ◽  
The Status

Approximately 25 million refugees have fled their homelands internationally, and about 3 million have been resettled in the United States. The mental health needs of a population that has fled oppression, violence, and instability are diverse. This chapter seeks to provide a holistic overview of these needs. The introduction covers what defines the status of a refugee, current resettlement policies, and pre- and post-migration experiences and concerns among refugees, including barriers to basic services. Effective mental health treatment options and areas of competence for mental health professionals working with these individuals are discussed, along with future considerations for best meeting the mental health needs of refugees.

Technoethics

2010 ◽  
pp. 24-46
Author(s):  
Luppicini Rocci
Keyword(s):  
Ethical Dilemmas ◽  
New Technology ◽  
Knowledge Society ◽  
Codes Of Conduct ◽  
Security And Privacy ◽  
Ethical Guidelines ◽  
Online Fraud ◽  
Technological Developments ◽  
Information And Communication ◽  
Government Surveillance

A major struggle within our evolving knowledge society is that increasingly potent scientific and technological growth is forcing individuals to re-examine how technology is viewed. This is especially salient in the pure and applied sciences where technological developments offer ways to surpass current human capacities and affect life in ways that were not imaginable fifty years ago. New breakthroughs in medicine, information and communication technology, transportation and industry are juxtaposed with growing needs to deal with moral and ethical dilemmas associated with new technological developments. Increased reliance on new technology creates fundamental challenges revolving around security and privacy issues, access issues to education and health care, legal issues in online fraud and theft, employer and government surveillance, policies issues in creating and implementing ethical guidelines and professional codes of conduct, along with ethical dilemmas in a number of vital areas of research and development.

Professional Ethics and Parents as Consumers: How well are we Doing?

1995 ◽  
Vol 76 (7) ◽  
pp. 408-420 ◽  
Author(s):  
Harriette C. Johnson ◽  
David E. Cournoyer ◽  
Betsy M. Bond
Keyword(s):  
Mental Health ◽  
Informed Consent ◽  
Professional Ethics ◽  
Mental Health Problems ◽  
Codes Of Ethics ◽  
Health Problems ◽  
Self Determination ◽  
Professional Codes ◽  
Professional Codes Of Ethics ◽  
Cognitive Problems

Concerns of parents of children with emotional, behavioral, and cognitive problems with respect to the behavior and attitudes they encounter from professionals coincide with concerns professionals have about their own behavior as set forth in professional codes of ethics. Thirty-four experts on professional ethics evaluated items on a behavioral questionnaire. Parents then used the questionnaire to rate professionals who had worked with the mental health problems of their children. Problem areas identified included informed consent, parent self-determination, and respect and compassion for parents.

scholarly journals Optimal Well-Being After Major Depression

2019 ◽  
Vol 7 (3) ◽  
pp. 621-627 ◽  
Author(s):  
Jonathan Rottenberg ◽  
Andrew R. Devendorf ◽  
Vanessa Panaite ◽  
David J. Disabato ◽  
Todd B. Kashdan
Keyword(s):  
Mental Health ◽  
United States ◽  
Major Depression ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Well Being ◽  
The United States ◽  
Global Burden ◽  
Leverage Points ◽  
Midlife Development

Can people achieve optimal well-being and thrive after major depression? Contemporary epidemiology dismisses this possibility, viewing depression as a recurrent, burdensome condition with a bleak prognosis. To estimate the prevalence of thriving after depression in United States adults, we used data from the Midlife Development in the United States study. To count as thriving after depression, a person had to exhibit no evidence of major depression and had to exceed cutoffs across nine facets of psychological well-being that characterize the top 25% of U.S. nondepressed adults. Overall, nearly 10% of adults with study-documented depression were thriving 10 years later. The phenomenon of thriving after depression has implications for how the prognosis of depression is conceptualized and for how mental health professionals communicate with patients. Knowing what makes thriving outcomes possible offers new leverage points to help reduce the global burden of depression.

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