Which practice areas create ethical or legal difficulties for mental health professionals? Why?
What pressures lead us to make poor ethical decisions?
What can we do about it?
I. Where Are We Making Problematic Decisions?
Beginnings: Informed Consent & Informed Refusal at Intake
Confidentiality & Disclosure
Dual/Multiple Relationships & Boundaries
Multi-Client Therapies & Custody Cases
Legal Contexts – Subpoenas, Courtroom Role Confusion, “Overdisclosure”
Managed Care & Other Third Party Payer Complications
Endings: Termination/”Abandonment”/Continuity of Care
Is the Ethical Path Not Visible Enough?
Are Our Rationalizations Working Too Well?
Are We Unaware of the Potential Harm to Clients? Risks To Ourselves?
Are We “Following the Crowd” Instead of Making Our Own Decisions?
Are the Pressures Too Great?
III. Can We Make Better Decisions? Whose Help Do We Need?