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Case: Purpose You (as a counsellor) will use an ethical decision-making model to help in reasoning out your responses to the ethical dilemma contained in the scenario. Instructions Consider the following case for analysis: For the past two months, you have provided counselling services to Tammy, a 14-year-old girl with Type 1 diabetes. Prior to coming to see you, Tammy had been to three other counsellors in the last year, all of whom she quickly dismissed as "idiots." Although a very reluctant participant initially, the therapeutic alliance with Tammy has strengthened over time to the point where she often discloses very personal information. Tammy's parents are thrilled that their daughter has finally found a counsellor she likes and trusts. During your most recent session, Tammy hints that she drinks heavily at parties. When you probe further, Tammy quickly retracts her comments and changes the subject. Repeated attempts to get her to say more about her drinking get nowhere. You are very concerned about Tammy's medical safety if she misuses using alcohol regularly. for this case write an answer to these questions in a paper format Step One: A. What are the key ethical issues in this situation? Counsellors determine the type of problem or ethical dilemma. They then collect information about the problem, identify primary concerns/conflicts, and consider potential responsibilities. In the textbook, authors have suggested that the students describe parameters, define potential issues, or determine the type of ethical dilemma. Step Two: A. What ethical articles from the CCPA Code of Ethics are relevant to this situation? B. Are there policies, case law, statutes, regulations, bylaws or other related articles that are relevant to this situation? Provide related articles from CCPA (Code of Ethics) in relation to the presented case scenario. Review the CCPA Code of Ethics to see if ethical articles (e.g., confidentiality or record keeping) are appropriate for your particular situation. For this step, focus on using the Standards of Practice. Step Three: A. Which of the six ethical principles are of major importance in this situation? This step also involves securing additional information and examining the probable outcomes of various courses of action. Examine moral and ethical principles that are relevant and important to the situation. These principles are: a) autonomy - allowing clients the freedom to make informed decisions and to plan their own action b) nonmaleficence - doing no harm c) beneficence - doing good d) justice - acting fairly e) fidelity - upholding the clients trust Step Four: A. How can the relevant ethical articles be applied in this circumstance? B. How might any conflict between ethical principles be resolved? C. What are the potential risks and benefits of this application and resolution?
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