CNL-505 Topic 7: Scenario Analysis Worksheet
Directions: Read the four scenarios below. Provide a 200–300-word response to the question in all four of the scenarios presented below. Cite the HIPAA Guidelines, ACA or ASCA Code of Ethics, and other scholarly resources to support your responses.
Scenario One: A need for a process group for domestic violence victims has been determined. Barbara has been asked to develop a counseling group to serve the needs of these individuals.
Question: What ethical considerations and advocacy strategies should Barbara consider as she develops a comprehensive plan for this group? What methods should Barbara use to ensure confidentiality and safety in the context of group counseling? If breaches of confidentiality and/or safety concerns occur, how should Barbara address them?
Scenario Two: David is a licensed professional counselor (LPC) and a licensed marriage and family therapist (LMFT) working for a family counseling center. Steve, one of his adult clients, would like to begin couples counseling with his wife.
Question: What ethical matters should David consider before beginning to see Steve and his wife? What special issues of confidentiality may arise in the case? How should David address these issues? How might differences in personal values and gender/cultural issues create ethical dilemmas in this case?
Scenario Three: Stephanie is a licensed professional counselor (LPC) who has decided to start a private practice as she transitions from public to private practice. As she makes her plans, there are many ethical issues she must consider. While these issues are of concern to all counselors, she must consider how they specifically impact a counselor in private practice.
Question: How can she ethically handle limited resources, deal with cost containment issues, respond to discrimination, and promote community change? As a service provider, with what ethical issues and practices related to state insurance laws and managed care must she be familiar? What best practice community-based interventions could she refer her clients to?
Scenario Four: Watch “Telehealth Bridging the Gap for Behavioral Health Patients.” Amari has recently passed her NCMHCE and will soon be considered an independent clinical practitioner. Her husband is in the military, and they travel often. Amari hopes to strictly provide distance counseling in her private practice. She has never provided virtual counseling, nor does she know of anyone who does it. Rely heavily on Section H: Distance Counseling, Technology, and Social Media of the American Counseling Association’s Code of Ethics to consider the following.
Question: What should Amari consider when establishing a therapeutic alliance with her clients? What strategies could she use? What cultural and ethical factors would she need to consider related to technology and virtual counseling?