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Ethics and Decision
Making Part 1
Brent Scobie, PhD
Ethics are generally regarded as the standards
that govern the conduct of a person. Smith and
Hodges define ethics as a “human reflecting
self-consciously on the act of being a moral
being." This implies a process of self-reflection
and awareness of how to behave as a moral
being. Some definitions are dictated by law,
individual belief systems, religion or a mixture
of all three.
NAADAC/ NCC AP Ethical Standards
NAADAC/ NCC AP Ethical Standards
 Updated January 2021
 Organized within 9 foundational principle
 The counseling relationship
 Confidentiality and privileged communication
 Professional responsibilities and workplace standards
 Working in a culturally diverse world
 Assessment, evaluation, and interpretation
 E-therapy, E-supervision and social media
 Supervision and consultation
 Resolving ethical concerns
 Research and publication
3 Key Attributes of Ethical Decision
Making
 Commitment – the desire to do the right thing, regardless of the cost
 Competency – the ability to collect and evaluate information, develop
alternatives, and foresee potential consequences and risks
 Consciousness – the awareness to act mindfully and consistently, applying
moral convictions to behavior.
NAADAC’s Ethical Decision-Making Model
 1. Identify the ethical dilemma or legal issues. Examine the nature and dimensions of
the dilemma.
 2. Apply the NAADAC/NCC AP Code of Ethics and applicable laws.
 3. Consult with a clinical supervisor, consultant-expert, or experienced colleague.
Determine if there are any potential legal concerns, and if consultation with an attorney
is warranted.
 4. Generate a list of potential courses of action and solutions.
 5. Evaluate each option to identify potential consequences of acting on the actions/
solutions generated.
 6. Implement the chosen course(s) of action.
 7. Document the entire situation, including the ethical decision-making activity,
appropriately.
 8. Analyze the implementation of the chosen course(s) of action.
 9. Reflect on the outcome(s) of the course of action. Make adjustments, if needed.
 10. Re-assess if implementation was not successful and begin decision-making process
again.
Risk Management
 It is not possible for any Code of Ethics to cover every
situation a Provider will encounter
 Many situations are not black & white events – there is a
great deal of gray area
 We can never blame the client or others for harm we have
caused
 We must proactively be engaged in ongoing self-
supervision/self-monitoring and harm reduction/risk
management.
Risk Management
 Know all applicable Code of Ethics related to your
practice and scope of competency
 Maintain appropriate clinical supervision – while seeking
licensure/certification and afterwards
 Seek expert consultation as needed
 Participate in professional development opportunities as
frequently as possible
 Know your biases & limitations and keep them in check
 Seek personal counseling to address impairment and areas
of transference

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SAC330 Ethical decision making

  • 1. Ethics and Decision Making Part 1 Brent Scobie, PhD
  • 2. Ethics are generally regarded as the standards that govern the conduct of a person. Smith and Hodges define ethics as a “human reflecting self-consciously on the act of being a moral being." This implies a process of self-reflection and awareness of how to behave as a moral being. Some definitions are dictated by law, individual belief systems, religion or a mixture of all three. NAADAC/ NCC AP Ethical Standards
  • 3. NAADAC/ NCC AP Ethical Standards  Updated January 2021  Organized within 9 foundational principle  The counseling relationship  Confidentiality and privileged communication  Professional responsibilities and workplace standards  Working in a culturally diverse world  Assessment, evaluation, and interpretation  E-therapy, E-supervision and social media  Supervision and consultation  Resolving ethical concerns  Research and publication
  • 4. 3 Key Attributes of Ethical Decision Making  Commitment – the desire to do the right thing, regardless of the cost  Competency – the ability to collect and evaluate information, develop alternatives, and foresee potential consequences and risks  Consciousness – the awareness to act mindfully and consistently, applying moral convictions to behavior.
  • 5. NAADAC’s Ethical Decision-Making Model  1. Identify the ethical dilemma or legal issues. Examine the nature and dimensions of the dilemma.  2. Apply the NAADAC/NCC AP Code of Ethics and applicable laws.  3. Consult with a clinical supervisor, consultant-expert, or experienced colleague. Determine if there are any potential legal concerns, and if consultation with an attorney is warranted.  4. Generate a list of potential courses of action and solutions.  5. Evaluate each option to identify potential consequences of acting on the actions/ solutions generated.  6. Implement the chosen course(s) of action.  7. Document the entire situation, including the ethical decision-making activity, appropriately.  8. Analyze the implementation of the chosen course(s) of action.  9. Reflect on the outcome(s) of the course of action. Make adjustments, if needed.  10. Re-assess if implementation was not successful and begin decision-making process again.
  • 6. Risk Management  It is not possible for any Code of Ethics to cover every situation a Provider will encounter  Many situations are not black & white events – there is a great deal of gray area  We can never blame the client or others for harm we have caused  We must proactively be engaged in ongoing self- supervision/self-monitoring and harm reduction/risk management.
  • 7. Risk Management  Know all applicable Code of Ethics related to your practice and scope of competency  Maintain appropriate clinical supervision – while seeking licensure/certification and afterwards  Seek expert consultation as needed  Participate in professional development opportunities as frequently as possible  Know your biases & limitations and keep them in check  Seek personal counseling to address impairment and areas of transference