Self-Determination and Confidentiality

ABSTRACT

This article seeks to further clarify the ambiguous nature of two of social work's most important values: self-determination and confidentiality. Previous research indicates that many ethical decisions in social work practice are difficult to make; and, many times decisions are made based on the worker's values and experiences rather than on written ethics, laws, and agency policy. To explore this concept further, an open-ended survey instrument was distributed to 82 social work students after completing the required practice classes. The participants were asked whether they would break confidentiality based on a specific vignette and describe what decision was made and why. Results indicated that degree level (MSW versus BSW) proved to be a significant factor related to whether and/or why the respondent would break confidentiality. In addition, students with more paid work experience were more likely to question the issue of confidentiality and were more likely to break it. Two issues reflected in the decision-making process involved ensuring client safety and self-determination. In conclusion, this article explores possible reasons for breaching confidentiality and pitfalls that can occur for all professionals in making these types of decisions. Furthermore, it explores the ambiguous nature of problem solving in this area, and suggests ways that social workers can improve their decision-making skills.     

Confidentiality in Substance Abuse Counseling

ABSTRACT

This paper will discuss confidentiality issues in the field of social work, specifically when working in addictions. Exceptions to the Code of Ethics and the Federal statute on Confidentiality of Alcohol and Drug Patients are discussed. Specific cases are examined around the populations of clients with HIV/AIDS and adolescence. Implications for practice and future directions are considered.     

Ethical Considerations in Adoption Research: Navigating Confidentiality and Privacy Across the Adoption Kinship Network

Abstract

Adoption research often includes multiple members of the adoption network, each of whom has distinctive perspectives. Participants may include adopted individuals and their siblings as well as adoptive parents, birth parents, and adoption professionals. Due to these multiple informants and the sensitivity of the topics explored in adoption research, researchers encounter several unique ethical concerns when working with populations impacted by adoption. The current article addresses confidentiality and privacy issues that arise when conducting adoption research. Examples from a longitudinal study on openness in adoption are provided to highlight strategies that can be used to address these issues.     

Ethical uneasiness and the need for open-ended reflexivity: the case of research into older people with a wish to die

This article focuses on research ethics in highly intimate research with possible impact on life and death. In order to stimulate an open-ended dialogue about research ethics, we reflect on four ethical challenges that came up during our research into older people with a wish to die. Drawing on our experiences, we discuss (1) the possibly confirming influence of our research on the death wish (moral experience of whether or not to disregard responsibility); (2) the suggested duty to intervene (moral experience of whether or not to compromise the person’s autonomy); (3) the researcher’s authority and power over the data (moral experience of threatening a person’s self-narrative) and (4) the dilemma of intimacy (moral experience of encountering the tragic). For guidance in addressing these challenges, we draw upon work on research ethics from phenomenological and care ethics scholars, as well as from those writing about relational ethics in health research. We suggest that being open about ethical uneasiness is important, because in most cases of a grey area, there are only open-ended answers needing an enquiring mind, rather than clear and fixed guidelines. Acknowledgement of ethical uneasiness and open-ended reflexivity are indispensable to constitute a morally good research practice.     

Privacy and confidentiality in social work

Abstract

In the human services confidentiality is a central principle defining the relationship between the worker and the client. In this paper the authors argue that the human services have privileged the notion of confidentiality over the more fundamental right of privacy. They argue there is a persistent confusion between these two concepts and that privacy is an important but neglected ethical concept within human services. The authors discuss the relationship between privacy and confidentiality and identii some of the implications of the privacy concept for practice.     

INTERNET: A Framework for Analyzing Online Human Service Practices

SUMMARY

The Internet and related electronic communication technologies are used by human service professionals for many functions ranging from the storage and transmission of sensitive medical information to online counseling. Yet, there are many aspects of telecommunications law that work against privacy and thus the potential for ethical dilemmas has increased. This paper explores and discusses the complex reasons contributing to these ethical dilemmas. The article also presents a human service oriented framework, INTERNET, for analyzing and resolving these dilemmas.     

Of Piddley Results and Unanticipated Consequences: Comments on Fein

Fein's discussion of race relations is anchored in two basic objections to planned social change. First, such attempts involve problematic ethical and values choices. Second, the very nature of society confounds our best efforts at reform. While this paper offers no solutions to the ethical dilemmas, it does contend that guided social change is not as fruitless or dangerous as Fein implies.     

On toleration in social work

Toleration is one of many responses towards diversity and difference. With the growing diversity, the theme of toleration has often taken centre stage in discussions of multiculturalism and social pluralism. Nonetheless, it has not received much attention in the social work profession. Social workers often encounter situations in which they face a choice between tolerating and not tolerating. We argue that toleration is a legitimate and relevant topic in social work discourse. To make this point, first, this paper discusses different conceptions of toleration. Then, it demonstrates its relevance to social work and explores a potential benefit of including the idea of toleration in social work discourse. Social work codes of ethics implicitly support toleration, or at least respect-toleration and esteem-toleration. Incorporating toleration in social work discourse may help social workers to better cope with or reduce ethical stress and disjuncture.     

美国未成年人案件保密性原则及其松动

美国未成年人案件保密性原则在司法实践中比较复杂。基于"双轨制"现实,未成年人身份过错、偏差及轻微犯罪案件通常由少年法院审理;而对于较严重的未成年人刑事案件,则会移送至刑事(成人)法院审理。对于后者,因其刑事性质,被移送受审的未成年人将被视为成年人受审,其案件庭审及记录除特殊情形外原则上不予保密。而对于前者,此类案件大体上适用保密性原则。不过随着对儿童利益最佳原则及防卫社会的双向反思,对在少年司法体系内的较严重犯罪案件与虐待、遗弃及照管不良等案件,少年法院保密性原则亦有较大松动。     

Selecting social work students: lessons from research in Scotland

The issue of selection of students to social work programmes is one that remains highly contested. While it is clear that there is no single way of choosing the next generation of social work students, nevertheless, there are a number of strongly held beliefs about what ‘best practice’ means in this fraught field. These can be difficult to challenge, and even harder to shift, in spite of contrary evidence. This paper presents research conducted in Scotland in 2016 as part of the Scottish Government-sponsored Review of Social Work Education. The research set out to consider what selection processes were being used in Scotland and why; more fundamentally, it sought to explore the views of those involved in social work education alongside evidence about the outcomes of the selection processes (that is, data on student retention and success). The article concludes that while there is little evidence that one method of selection to social work programmes is intrinsically better than another, issues of fairness and transparency in selection, as well as diversity, remain pressing.     

Education for a sustainable future? Students’ experiences of workshops on ethical dilemmas

ABSTRACT

The goal of education for sustainable development (ESD) is to promote the values, behaviors, and lifestyles that are needed to find solutions to global economic, social, and environmental challenges. Social work and social work education have an important role to play in ESD, and poverty reduction, health, and well-being are important issues for social work as well. UNESCO, as well as the provisions of the Sweden’s Higher Education Ordinance, emphasizes the importance of higher education in meeting the future challenges to creating a sustainable society. Social work education at Örebro University has a long tradition of collaboration with service user organizations, for example by holding workshops on ethical dilemmas. This article describes these workshops and explores the students’ experiences of them. Four themes were identified: the perspective of ‘the other’ (and my own role), the importance of a nonjudgmental approach, the complexity of ethical dilemmas, and awareness of the complexity of social work. The workshops give the students a platform where they can gain practical knowledge and experience. Through the workshops, the students began to reflect on their own inner ethical compass, as well as on their own role and the challenging nature of social work.     

Social Work with Clients Contemplating Suicide: Complexity and Ambiguity in the Clinical, Ethical, and Legal Considerations

Social workers in agency and private practice settings often work with clients grappling with suicide, either as an acute or chronic situation. Probably more than any other clinical condition, suicide forces the practitioner to confront complex ethical, legal, and psychological questions while managing an urgent circumstance. This article attempts to illuminate the ethical and legal considerations that may arise when a client contemplates suicide. Rather than advancing one answer, we stress that in training and the workplace social workers must fully consider the complexities and ambiguities of a client's experiences as well as their own clinical, ethical, and legal obligations.     

Comparative research in social work: methodological considerations using the ‘diachronic–synchronic’ distinction in linguistics

Although there has been a significant increase in the number of comparative studies in social work, there has, to date, been a deficit in terms of methodological discussion and development in this domain. In this article, a linked pair of methodological concepts (‘diachronic’–‘synchronic’), drawn from linguistics, and often used in comparative research studies in the humanities and social sciences, has been applied to the field of comparative research in social work. The use of this distinction in comparative research of social work contributes to the progress of social work as a research-based scientific discipline. The distinction also offers the potential for the development of research methodology in the field of comparative social work research.     

What are Social Work Students’ Perceptions of the Community Practice Method?

Summary. A unique aspect of the social work profession is the combination of intervention on the personal, community, and societal levels and their interaction. The purpose of this research is to determine students’ perceptions of community practice. Qualitative research was conducted among Israeli social work students before gaining any practical experience in community practice. Findings. The results demonstrated a change in students’ perceptions of the importance of community practice to the profession, and the factors that contributed to this change. Applications. Recommendations that may contribute to changing students’ perceptions of community practice are offered to educators.     

Is Social Work Really Being Recognized? Problems with Social Work Employment Opportunities in Mainland China

Since social work education was reintroduced in Chinese universities in the 1980s, there are 303 bachelor of social work programs and 62 master of social work programs. Yet, the development of social work positions has lagged behind. This study aimed to study the current development of social work employment opportunities in Mainland China through an empirical lens. Data on social work positions were collected from three employment websites over a 30-day period. Data on 248 social work job postings were analyzed using content analysis and ArcGIS spatial distribution analysis. We identified three problems in the current development of social work profession in China: inconsistency between government policy, social work education, and available jobs; geographic disparities of the distribution of social work jobs; and mismatch between social work education and social work employment opportunities. We provided implications to address each problem.     

Integrating welfare economics in social work curriculum: a Malaysian case

This paper makes a case for why welfare economics should be integrated and taught in social work courses, taking Malaysia a case in point. This is mainly a conceptual paper and secondary data are used to further support the arguments. Commencement of professional social work in Malaysia dates to 1946, to address the socio-economic problems of the Malaysians and migrants at that time. Social workers need a multi-pronged approach that is crucial to address the human problems that includes psychological, social, political, cultural and economic at micro and macro levels. Most of the problems referred to the social workers stem from poverty, unemployment, low access to material resources and corrupt governance practices coupled with unjust economic policies. Keeping in view the diverse economic needs and strengths of the clients referred to social workers, it is necessary that social workers are equipped with appropriate skills that include broader understanding about political economy. This paper argued that integration of welfare economics in the social work curricula is an urgent need considering the Malaysian economic development, austerity measures and the proactive role that social work as a human rights profession could play in the Malaysian society.     

Participation of Mentally Disabled Persons in Experimental Research

Abstract

The need for persons adjudged incompetent is sometimes crucial to performing necessary research. However, this is a complicated proposition since the rights of mentally challenged persons must be protected. There is an acknowledged need to balance the objective requirements of scientific research with the rights and concerns of those who are the subjects of experimentation. This article discusses the role of social workers concerning the participation of mentally challenged persons in experimental research.     

Ethical Dilemmas of Practicing Social Workers Around Psychiatric Medication

Abstract

It is acknowledged that social workers in mental health and other settings routinely experience client-related ethical dilemmas. Further, there is wide recognition of the potential impact of ethical dilemmas on social work practice with clients who use psychotropic medication. Little is know empirically, however, about the experiences of practitioners with these dilemmas. This article describes the results of a national survey of practicing social workers regarding the nature of ethical dilemmas they face related to their work with clients on medication issues. The results make it clear that social workers regularly confront a variety of ethical dilemmas in this type of practice. Many of these dilemmas are related to ambiguities around the knowledge base of practice, appropriate roles of providers, and basic personal and professional values. The authors present implications of these findings for social work practice and further research.     

Social Research and the Privacy and Participation of Children: Reflections on Researching Australian Children's Playlore

Social research into the daily activities of children is important if we are to understand how children perceive themselves in relationship to their world. Ethically managed social research that allows children to speak as informed and competent subjects is thus vital. However, research regulatory bodies may be more concerned with protecting the privacy of children than facilitating their participation in research projects. In a context where publicly funded researchers are encouraged to make their data available for reuse, the bureaucratisation of the consent and ethics processes may impinge on the conduct and benefits, and the future accessibility, of the research itself. Reflecting on the findings of the Childhood, Tradition and Change research on playlore in Australian primary schools, we argue for a more balanced approach from regulatory authorities between protection and participation in relation to low‐risk social research with children.