Reference no: EM133376391
Assignment:
Identify any violations of the NASW Code of Ethics in relation to confidentiality, self-determination, and informed consent. Rewrite the dialogue in a manner that corrects each of the problems you identify.
WORKER: Thank you for coming to meet with me today. I understand you were referred to me by Mrs. Kravitz, your neighbor. Mrs. Kravitz is a very nice lady. She's been coming to see me for her anxiety problems for several years now. Are you also coming for anxiety issues?
FESTUS: Actually, Mandy and I are here to discuss child-rearing issues. Our daughter Della just turned 6, and she is still wetting her bed.
MANDY: It's not really a problem. Festus is making too big a deal of it.
WORKER: So, your primary goal is to help Della with her bed-wetting?
FESTUS: No, it's really about child-rearing. We disagree about everything.
WORKER: OK. The best way for me to assess your co-parenting skills is to observe both of you at home, interacting with Della.
MANDY: I really don't think that the issue is about how we're raising Della. Maybe she has a small bladder.
WORKER: In order for us to work together, we need to have an agreement on what the issue is and how we're going to deal with it. This is called your right to self-determination. Right now, each of you has a different understanding of the issues in the family. Perhaps we can explore these further before making any decisions.
MANDY: That's fine with me. But we don't have any coparenting issues.
WORKER: Before we go on, perhaps I should explain confidentiality. Anything we discuss shall remain purely confidential. I must respect your confidentiality under all circumstances, save and except for suspicions of child maltreatment, suicidal ideation, or homicidal ideation.
FESTUS: What are you talking about? We don't mistreat Della. We love her and wouldn't do anything to hurt her.
WORKER: Good, then there shouldn't be any problems, should there? Now, I will have to contact your pediatrician to find out if there are any medical problems that I should know about. We often find that it is important to work with doctors and teachers because they have an important impact on the family.
MANDY: What about Della? I don't think she'll be too excited about seeing you. She'll probably clam up, not say a word. I don't think forcing her to meet with you is a good idea.
WORKER: I won't meet with Della unless I have your permission. Perhaps we can talk about the best way for us to meet-for instance, at home, in my office, or at her school. What would be the best way for me to get to know Della and to help her feel comfortable meeting with me?