scholarly journals Comparison of Telehealth Related Ethics and Guidelines and a Checklist for Ethical Decision-making in Midst of the COVID-19 Pandemic

2020 ◽  
Author(s):  
Andrea Baumes ◽  
Marija Čolić ◽  
Sho Araiba
Keyword(s):  
Service Delivery ◽  
Applied Behavior Analysis ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
American Psychological Association ◽  
Service Delivery Model ◽  
American Psychological ◽  
Ethical Concerns ◽  
Ethical Codes ◽  
American Academy Of Pediatrics

Applied Behavior Analysis (ABA) services have been provided primarily in the fields of healthcare and education across various settings using in-person service delivery model. Due to the COVID-19 pandemic, the necessity of and demand for ABA services using telehealth have increased. The purpose of the present paper was to cross-examine the ethical codes and guidelines of different, but related fields of practice, and to discuss potential implications for telehealth-based ABA service delivery. We reviewed the telehealth-specific ethical codes and guidelines of the American Psychological Association, the American Academy of Pediatrics, and the National Association of Social Workers along with the related ABA literature. These organizations addressed several useful and unique ethical concerns that had not been addressed in ABA literature. We also developed a brief checklist for ABA practitioners to evaluate their telehealth readiness by meeting the legal, professional, and ethical requirements of the ABA services.

Tele-Ethics in Communication Disorders: Asking the Right Questions, Finding the Right Answers

2022 ◽  
pp. 1-9
Author(s):  
Kellyn Dailey Hall
Keyword(s):  
Decision Making ◽  
Service Delivery ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Communication Disorders ◽  
Service Delivery Model ◽  
Delivery Model ◽  
The Right ◽  
Decision Making Model

Purpose: A hypothetical case is used to illustrate legal and ethical issues involving the decision to replace the traditional in-person service delivery model with telepractice in schools beyond the context of the initial COVID-19 health emergency. In this clinical focus article, the reader follows Maria, the lead speech-language pathologist (SLP) in the district, as she determines the feasibility of continuing telepractice in her district now that students and clinicians are returning to schools. First, she considers the support needed to implement this service delivery model within the school setting given the anticipated changes to the rules and regulations governing lawful and ethical provision of telepractice after the health emergency ends. Next, she decides if telepractice is warranted in the district by considering the rationales behind the requests. Faced with balancing school, student, and clinician needs, Maria uses an ethical decision-making model to determine if requests for telepractice, tied to health safety concerns and potentially influenced by implicit bias, reflect legal, ethical, and/or moral issues driven by fear or unconscious discriminatory motives. Conclusions: The health emergency gave SLPs working in schools the unique opportunity to experience the benefits and utility of telepractice. Following the return to schools, continuation of telepractice services will require support and training of SLPs. Many factors must be considered including equivalency of services, technology, and protection of privacy as they relate to the changes to the laws and regulations governing telepractice after the health emergency allowances end. Of primary importance is the selection of telepractice to address student needs, not to avoid specific schools because of their characteristics or location. An ethical decision-making model can be used as a framework to guide service delivery model decisions that balance the needs of the student, the clinician, and the district.

Ethical Issues in Clinical Psychology

2010 ◽  
pp. 183-210
Author(s):  
Kenneth S. Pope
Keyword(s):  
Clinical Psychology ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
American Psychological Association ◽  
Future Research ◽  
Ethical Problems ◽  
Basic Assumptions ◽  
Ethics Code ◽  
Canadian Psychological Association

This chapter examines how ethical issues are approached differently by two prominent psychological associations, how they are encountered by psychologists, the formal complaints they give rise to, and how they can be approached systematically to avoid missteps. Included are basic assumptions about ethics; the unique approaches to developing a ethics code taken by the American Psychological Association (APA) and the Canadian Psychological Association (CPA), and what each of these two codes provides; empirical data about what ethical problems psychologists encounter and what formal complaints they face; four major sets of ethical issues that are particularly complex and challenging (confidentiality, informed consent, competence, and boundaries); an area of major controversy (clinical psychology and national security); steps in ethical decision-making; and four possible lines of future research.

“But I Didn’t Do It!”

Sexual Abuse ◽  
2010 ◽  
Vol 23 (3) ◽  
pp. 346-364 ◽  
Author(s):  
Jill S. Levenson
Keyword(s):  
Sex Offenders ◽  
Social Workers ◽  
Ethical Decision Making ◽  
American Psychological Association ◽  
Well Being ◽  
Research Literature ◽  
Empirical Literature ◽  
Ethical Codes ◽  
Therapeutic Engagement ◽  
Time Period

This article addresses ethical questions and issues related to the treatment of sex offenders in denial, using the empirical research literature and the ethical codes of American Psychological Association (APA) and National Association of Social Workers (NASW) to guide the ethical decision-making process. The empirical literature does not provide an unequivocal link between denial and recidivism, though some studies suggest that decreased denial and increased accountability appear to be associated with greater therapeutic engagement and reduced recidivism for some offenders. The ethical codes of APA and NASW value the client’s self-determination and autonomy, and psychologists and social workers have a duty to empower individual well-being while doing no harm to clients or others. Clinicians should view denial not as a categorical construct but as a continuum of distorted cognitions requiring clinical attention. Denial might also be considered as a responsivity factor that can interfere with treatment progress. Offering a reasonable time period for therapeutic engagement might provide a better alternative than automatically refusing treatment to categorical deniers.

Invisibility, Moral Knowledge and Nursing Work in the Writings of Joan Liaschenko and Patricia Rodney

2004 ◽  
Vol 11 (2) ◽  
pp. 110-121 ◽  
Author(s):  
Pamela Bjorklund
Keyword(s):  
Ethical Decision ◽  
Ethical Decision Making ◽  
Moral Vision ◽  
Nursing Ethics ◽  
Situated Knowledge ◽  
Feminist Ethics ◽  
University Of Minnesota ◽  
Ethical Concerns ◽  
The University ◽  
Critical Aspects

The ethical ‘eye’ of nursing, that is, the particular moral vision and values inherent in nursing work, is constrained by the preoccupations and practices of the superordinate biomedical structure in which nursing as a practice discipline is embedded. The intimate, situated knowledge of particular persons who construct and attach meaning to their health experience in the presence of and with the active participation of the nurse, is the knowledge that provides the evidence for nurses’ ethical decision making. It is largely invisible to all but other nurses. Two nurse researchers, Joan Liaschenko of the University of Minnesota and Patricia Rodney of the University of Victoria, have investigated the ethical concerns of practising nurses and noted in their separate enquiries the invisible nature of critical aspects of nursing work. Noting the similarities in their respective observations, and with the feminist ethics of Margaret Urban Walker as a theoretical framework, this article examines the concept of ‘invisibility’ as it relates to nursing work and nursing ethics.

scholarly journals The Role of Compassion and Ethics in Decision-Making Regarding Access to Applied Behavior Analysis Services During the COVID-19 Crisis: A Response to Cox, Plavnick &Brodhead

2020 ◽  
Author(s):  
Linda LeBlanc ◽  
Junelyn Lazo Pearson ◽  
Joy Pollard ◽  
Lorri S. Unumb
Keyword(s):  
Decision Making ◽  
Applied Behavior Analysis ◽  
Decision Model ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Position Statement ◽  
Ethical Responsibility ◽  
Centered Care ◽  
Family Centered

Cox, Plavnick, & Brodhead (2020) published a position statement in the emergency section of BAP in response to the COVID-19 crisis. They argued against a blanket interpretation that in-person ABA services for all patients should continue during the COVID-19 pandemic. They strongly argued that the risks of continued services are almost always prohibitive and that only in rare cases would continuation of in-person services be warranted. Columbo, Wallace & Taylor (2020) soon thereafter published a response to the article pointing out the potential dangers associated with the position and paper of Cox et al. They included a detailed decision model to assist providers in making nuanced and informed data-based decisions that provide the opportunity to honor the ethical responsibility for not abandoning patients. We echo the importance of the Columbo et al. response and add points of response centered on balanced ethical decision-making informed by compassionate family-centered care.

scholarly journals Ethical issues in optometric practice

2010 ◽  
Vol 69 (2) ◽  
Author(s):  
H. L. Sithole
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Unethical Behavior ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Health Care Practitioner ◽  
Ethical Practice ◽  
Ethical Concerns ◽  
Legal Constraints

Ethics as a discipline is the study and analysis of values and standards related to duty, responsibility, and right and wrong behavior. The ethical obligations of optometry toward patients are similar to those of other health professionals. These obligations generally require optometrists to recognize, respect, and protect the rights of their patients. This approach encourages patients to participate actively in their care and allows them to develop arelationship with their optometrist based on trust. The ethical codes which contain guiding principles serve to help practitioners in their decisions and in practicing in accordance with a set of standards that are expected of a health care practitioner. There are four major ethical principles in health care, namely; beneficence, non-maleficence, and respect for autonomy and justice. Because these principles are easily recognized as being among the primary ethical goals of health care, using them as the basis for ethical analysis may help to explain the moral justification for certain professional actions as well as to identify unethical behavior. However, in clinical practice, the specific demands and rationales of these broad principles may be difficult to apply. This illustrates the paradox that whilst these principles are essential tools for ethical practice, if applied too rigidly, they can be problematic. How-ever, the goal of ethical decision making in optometry should be to identify one or more courses of action that will honor the profession’s essential values while minimizing conflict with other values and professional standards. Every profession, every practice and every practitioner is governed by not only legal constraints, but also by the ethical concerns of ensuring that the patient is properly served. Considering our practices from a patient’s perspective can help optometrists understand the multiple responsibilities of clinical practice. (S Afr Optom 2010 69(2) 93-99)

Evaluation of Interpersonal Skills and Ethics After Pediatric Training

PEDIATRICS ◽  
1987 ◽  
Vol 79 (5) ◽  
pp. 834-834
Author(s):  
WILLIAM C. MONTGOMERY
Keyword(s):  
Decision Making ◽  
Medical Ethics ◽  
Interpersonal Skills ◽  
Formal Education ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Joint Effort ◽  
Pediatric Residency ◽  
American Academy Of Pediatrics ◽  
Pediatric Education

In this issue of Pediatrics (pp 829-833) there is a statement by the Medical Ethics Subcommittee of the American Board of Pediatrics entitled "Teaching and Evaluation of Interpersonal Skills and Ethical Decision Making in Pediatrics." The American Academy of Pediatrics agrees with and supports the thoughts and plans expressed in this statement and agrees that candidates should be examined on these issues as part of the Board's certifying process. In 1978, the Academy published a report entitled The Future of Pediatric Education, the authorship of which was a joint effort of representatives from ten medical organizations concerned with educating pediatricians. That report clearly stated the need for formal education in medical ethics and interpersonal skills in the pediatric residency curricula in order that the biosocial needs of infants, children, and adolescents be satisfactorily addressed.

Method Tutorial

2021 ◽  
pp. 199-212
Author(s):  
Ebru Yucel ◽  
Danika Charles ◽  
D. J Angelone ◽  
Meredith Joppa
Keyword(s):  
Emerging Adults ◽  
American Psychological Association ◽  
Codes Of Conduct ◽  
National Institutes Of Health ◽  
Sexuality Research ◽  
Review Of The Literature ◽  
Ethical Considerations ◽  
American Psychological ◽  
Ethical Codes ◽  
Potential Source

This tutorial discusses ethical considerations for researchers conducting sexuality research with emerging adults. During this imperative research, participants may be asked to provide information that could be considered highly personal or intimate. This has been considered to be a potential source of distress for participants and, some have argued, a potential source of harm. This discussion is explored throughout the tutorial. This tutorial also provides a thorough review of the literature, including references to ethical codes of conduct from the National Institutes of Health and the American Psychological Association. In addition, it reviews several methods of conducting sexuality research and provides recommendations for minimizing the risk of harm. Overall, it is crucial for researchers to identify a balance between the risk of harm and their own scientific objectives.

Ethical Issues in Clinical Psychology

2014 ◽  
pp. 184-210
Author(s):  
Kenneth S. Pope
Keyword(s):  
Clinical Psychology ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
American Psychological Association ◽  
Future Research ◽  
Ethical Problems ◽  
Basic Assumptions ◽  
Ethics Code ◽  
Canadian Psychological Association

This chapter examines how ethical issues are approached differently by two prominent psychological associations, how they are encountered by psychologists, the formal complaints they give rise to, and how they can be approached systematically to avoid missteps. Included are basic assumptions about ethics; the unique approaches to developing a ethics code taken by the American Psychological Association (APA) and the Canadian Psychological Association (CPA), and what each of these two codes provides; empirical data about what ethical problems psychologists encounter and what formal complaints they face; four major sets of ethical issues that are particularly complex and challenging (confidentiality, informed consent, competence, and boundaries); an area of major controversy (clinical psychology and national security); steps in ethical decision-making; and four possible lines of future research.

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