Mental Health Professionals and Assisted Death: Perceived Ethical Obligations and Proposed Guidelines for Practice

Modal responses to items from a recent survey of independent practitioners regarding the impact of managed care on their practices and ethics (Murphy, DeBernardo, &; Shoemaker, 1998) were presented to participants as the responses of a hypothetical independent practitioner. Participants were asked to consider seeing this hypothetical practitioner both before and after being informed of the practitioner's responses to the managed care survey. Results indicate that when participants were informed of the practitioner's views toward managed care, their own attitudes toward therapy changed significantly. Specifically, compared to uninformed participants, informed participants were significantly more likely to believe that managed care would have a negative impact on treatment and significantly less likely to see an independent practitioner, use insurance benefits, expect to benefit from treatment, expect to form a strong working relationship, and trust that the practitioner would work in their best interest. Implications regarding ethics and informed consent are discussed.     

The Practice of Integrity for Mental Health Professionals

Summary

The focus of this article revolves around accuracy and honesty in the mental health field. Integrity, both professional and personal, is the foundation of all mental health professionals' functioning. Honesty, fairness, and respect for others are necessary ingredients to professional behavior. Mental health professionals avoid misleading other individuals with regard to professional training and other areas of expertise. In professional roles, they clarify as early as feasible the nature of the expectations and activities in which they are engaged.     

精神卫生工作者面临的困境及其对策

目前国内的精神卫生工作者不能满足社会的需要,认为精神卫生工作开展难度大、职业发展前景不乐观、工作的特殊性和职业满意度低等社会心理因素是导致目前这种状况的主要原因,提出规范精神卫生服务行业,政府增加投入、普及精神卫生知识和工作人员自我调节等措施干预目前这种困境.     

Pet Bereavement Support Groups: A Guide for Mental Health Professionals

Companion animals are becoming increasingly important in society. Pets have been recognized for their vast contributions to human lives, including emotional support, social support, health benefits, and connection. However, society does not recognize the significant loss associated with losing a pet, which can contribute to bereaved pet owners feeling isolation and shame as they cope with the loss of their beloved companion. Mental health professionals must be aware of this disenfranchised grief and creatively expand their services to provide support and advocacy for bereaved pet owners. This article includes a framework for clinicians to establish a pet loss support group in their community.     

Regulating Research for the Decisionally Impaired: Implications for Mental Health Professionals

Mental health professionals, in fulfilling their different roles, often become involved with research protocols involving decisionally impaired current or prospective human subjects, many of whom are elderly. The opening section of this paper briefly describes the present regulatory environment regarding human subjects research, followed by an overview of the Institutional Review Board (IRB) process. There then ensues an enumeration of some of the general criticisms of the current regulatory scheme that have been enunciated recently. Particular concerns concerning decisionally impaired persons as research subjects are then addressed, referring when applicable to the recommendations made by the National Bioethics Advisory Commission (NBAC) in its 1998 report on this subject and the implications of those recommendations for mental health professionals.     

The Interprofessional Collaborative Practice: Clergypersons and Mental Health Professionals

The purpose of this study is to examine the relationships among variables identified in research literature as obstacles and benefits to interprofessional collaboration-- academic education, interprofessional education, teamwork and communication skills, and trust---as it relates to the participation of clergypersons in interprofessional collaborative practice. The sample consisted of ordained Christian clergypersons in Florida who voluntarily completed a survey questionnaire. Standard and stepwise multiple regression was applied to analyze the data. The model accounts for 25% of the variation of interprofessional collaborative practice. Results also revealed that the education variables explained significantly 20% of the variance of interprofessional collaborative practice.     

Unethical Practice as Perceived by Mental Health Professionals: The Next Generation

Replicating a study done 15 years ago, the authors mailed a survey to psychiatrists, psychologists, psychotherapists, and marriage and family counselors who were listed in the San Antonio Yellow Pages to get information about their perceptions of the incidence of unethical practice. Results show a shift in perceived unethical practice over the 15-year time frame.     

The Ethics of Supervision and Consultation: Practical Guidance for Mental Health Professionals

Studies of academic dishonesty typically rely on potentially inaccurate self-reports or on actual behavior during less realistic tasks. Eliminating the drawbacks of such approaches, we assessed cheating during completion of actual coursework via electronic records of online behavior. Thirty-six college students completed unproctored, online quizzes. The majority of students responding to a follow-up questionnaire reported that they never considered consulting online sources during the quizzes. Computer logs reveal that although some students accessed relevant online information during the quizzes, many did not: 6 instances over 72 quiz attempts are attributable to 3 or 4 individuals. Although online environments may offer more opportunities for academic dishonesty, electronic records of online activity provide a valuable and objective means of detecting such dishonesty.     

Ethical and Legal Considerations in the Training of Mental Health Professionals

Summary

A discussion is provided regarding ethical and legal considerations that relate to the training of mental health professionals. A training program which emphasizes a proactive approach to identifying and resolving potential ethical and legal problems, and their close connection with clinical issues is described, as are the responsibilities of supervisors and supervisees in such a program. For illustrative purposes, a training vignette and a clinical vignette conclude the article.     

The Hmong in the United States: An Overview for Mental Health Professionals

Since Laos fell to the communist Pathet Lao, many Hmong people have relocated to the United States. Because of the vast cultural differences, the Hmong have had a notoriously difficult time adjusting to life in the United States. In view of the many problems faced by Hmong Americans, it is likely that many of them will seek or be referred to non-Hmong professionals for various counseling services. This article provides an overview of Hmong culture and a history of their migration to the United States. Specific adjustment and mental health problems are noted and suggestions are provided for designing appropriate counseling interventions for Hmong Americans.     

Ethical Challenges and Legal Issues for Mental Health Professionals Working With Family Caregivers of Individuals With Serious Mental Illness

Mental health professionals frequently work with family caregivers in the provision of psychotherapy services to individuals with serious mental illness. To address the need for ethical guidelines for working with family caregivers, an analysis of relevant ethical and legal issues is provided within the context of dynamic mental health care and legal systems. When working with family caregivers, practitioners utilize the American Psychological Association’s Ethics Code (2010), legal codes, and a complex decision-making plan; identify and communicate ethical obligations to family caregivers; consider the unmet needs of this population; avoid harm resulting from multiple relationships; and balance ethical duties of beneficence and respect for autonomy.     

An Open Letter to Health and Mental Health Care Professionals from a Survivor of Sexual Exploitation

The following is a personal acount from a woman who has cerebral palsy dealing with her experiences with sexual exploitation. The article gives suggestions to the mental and health care profession about working with a survivor of sexual abuse who happens to have a disability.     

Exploring the Relationship Between Gay Affirmative Practice and Empathy Among Mental Health Professionals

During the last several decades, psychologists have placed emphasis on multicultural competence as an essential aspect of training and practice. However, despite this emphasis, empirical data on the effects of multicultural training and practice are generally limited to variables such as race and ethnicity, with very little research on sexual minorities. However, a framework for understanding competent practice with sexual minorities does exist in the form of the concept of gay affirmative practice (GAP), which has been successfully operationalized by Crisp ( 2006b ). Using the GAP measure and scores of empathy, the authors examined students and practitioners in the helping profession to explore the relationship between empathy and level of gay affirmative work. Findings indicated that levels of empathy predicted overall levels of GAP. The authors discuss the clinical implications of these findings and explore how the findings fit within the literature surrounding empathic understanding. Durante las últimas décadas, los psicólogos han puesto un énfasis especial en la competencia multicultural como un aspecto esencial en la formación y la práctica. Sin embargo, a pesar de este énfasis, los datos empíricos sobre los efectos de la formación multicultural y su práctica están generalmente limitados a variables como raza y etnicidad, con escasas investigaciones realizadas sobre minorías sexuales. Aun así, existe un marco teórico para comprender la práctica competente con minorías sexuales denominado terapia afirmativa gay (GAP, por sus siglas en inglés), que fue operacionalizado con éxito por Crisp ( 2006b ). Usando las medidas GAP y puntuaciones de empatía, los autores examinaron a estudiantes y profesionales del campo de la consejería para explorar la relación entre empatía y el nivel de trabajo afirmativo con la comunidad gay. Los resultados indicaron que los niveles de empatía pronosticaron niveles totales de GAP. Los autores discuten las implicaciones clínicas de estos resultados y exploran cómo estos encajan con la literatura sobre comprensión empática.     

Spirituality and Mental Health Care in a Religiously Homogeneous Country: Definitions,Opinions, and Practices Among Polish Mental Health Professionals

Journal of Religion and Health - This qualitative study involved a sample of 121 Polish mental health professionals who were interviewed about their definitions of spirituality and their opinions...     

How Clients Are Harmed by Sexual Contact with Mental Health Professionals: The Syndrome and Its Prevalence

Research concerning the prevalence, varieties, contributing factors, and harmful consequences of sexual intimacies with clients (occurring either prior to or subsequent to termination) is reviewed. The sequelae of therapist-client sex may form a distinct syndrome, with similarities to Rape Response Syndrome, Battered Spouse Syndrome, reaction to incest, response to child abuse, and Post-Traumatic Stress Disorder. Aspects of Therapist-Patient Sex Syndrome include: (a) ambivalence, (b) a sense of guilt, (c) feelings of emptiness and isolation, (d) sexual confusion, (e) impaired ability to trust, (f) identity, boundary, and role confusion, (g) emotional lability (frequently involving severe depression and acute anxiety), (k) suppressed rage, (i) increased suicidal risk, and (j) cognitive dysfunction (especially in the areas of attention and concentration, frequently involving flashbacks, nightmares, intrusive thoughts, and unbidden images).     

Prevention of Mental Health Problems for Women in the Workplace

No abstract available for this article.     

The Relationship of Work Environment and Client Contact to Burnout in Mental Health Professionals

The authors explored the relationship of the work environment (assessed by the Work Environment Scale) and client contact to scores of 94 mental health professionals on the Emotional Exhaustion, Personal Accomplishment, and Depersonalization subscales of the Maslach Burnout Inventory.     

Postdeployment Psychological Health and Interpersonal Problems Among Air Force Mental Health Personnel

This study is one of the first to use validated screening measures to examine the rates of self-reported mental health and interpersonal problems following deployment of military mental health personnel (MMHP). Research has examined the impact of deployment on military personnel finding 10.2% to 29.0% screen positive for at least one mental health problem. However, little is known about impacts of deployment among MMHP. Utilizing health data collected three to twelve months post-deployment from a sample of 759 Air Force MMHP, this study examined rates of positive screens for psychological health or interpersonal problems, subsequent confirmation of positive screens by a medical provider upon examination, and the demographic characteristics associated with psychological health or interpersonal problems. The study found 13.9% screened positive for “possible or probable PTSD,” 4.6% for depressive symptoms, 3.9% for alcohol problems, and 12.6% for interpersonal problems. In total, nearly 26% screened positive for one or more psychological or interpersonal problem. Of those who screened positive, 48.5% of depressive problems, 36.0% of PTSD, 20.0% of alcohol problems and 29.7% of interpersonal problems were confirmed upon subsequent examination by a medical provider. Those who screened positive were more likely to be (a) female, (b) separated, widowed, or divorced, (c) a mental health nurse or psychiatric nurse practitioner, and (d) deployed to Iraq or Afghanistan. The significance, limitations, and implications of the results, along with recommendations for future research are discussed.