Ethics For Addiction Professionals - Second Edition PDF
Preview Ethics For Addiction Professionals - Second Edition
Page i Ethics for Addiction Professionals title: Ethics for Addiction Professionals author: Bissell, LeClair.; Royce, James E. publisher: Hazelden Publishing isbn10 | asin: 0894864548 print isbn13: 9780894864544 ebook isbn13: 9780585148519 language: English Alcoholism counselors--Professional ethics- -United States, Drug abuse counselors-- subject Professional ethics--United States, Allied health personnel--Professional ethics-- United States. publication date: 1987 lcc: HV5279.B57 1987eb ddc: 174/.936 Alcoholism counselors--Professional ethics- -United States, Drug abuse counselors-- subject: Professional ethics--United States, Allied health personnel--Professional ethics-- United States. Page ii About the Authors LeClair Bissell, M.D., N.C.A.C. II, is a former president of the American Medical Society on Alcoholism (now ASAM) and a lecturer, researcher, and consultant in the addiction field. She has written numerous articles and coauthored several books on chemical dependency and related topics, including To Care Enough: Intervention with Chemically Dependent Colleagues, Chemical Dependency in Nursing: The Deadly Diversion, and Alcoholism in the Professions. James E. Royce, S.J., Ph.D., is a professor emeritus of psychology and addiction studies at Seattle University. He has been on the board of directors of the National Council on Alcoholism and Drug Dependency since 1976 and received the NCA Marty Mann award for his contributions to public and professional education about alcoholism. His publications include numerous journal articles and the book Alcohol Problems and Alcoholism: A Comprehensive Survey. Page iii Ethics for Addiction Professionals Second Edition LeClair Bissell, M.D., N.C.A.C. II James E. Royce, S.J., Ph.D. With a foreword by Gary Richard Schoener INFORMATION & EDUCATIONAL SERVICES Hazelden Center City, Minnesota 55012-0176 ©1987, 1994 by Hazelden Foundation All rights reserved. Published 1987 Second Edition 1994 Printed in the United States of America No portion of this publication my be reproduced in any manner without the written permission of the publisher Library of Congress Cataloging in Publication Data Bissell, LeClair. Ethics for addiction professionals / LeClair Bissell, James E. Royce; with a foreword by Gary Richard Schoener.2nd ed. p. cm. Includes bibliographical references. ISBN: 0-89486-454-8 1. Alcoholism counselorsProfessional ethicsUnited States. 2. Drug abuse counselorsProfessional ethicsUnited States. 3. Allied health professionalsProfessional ethicsUnited States. I. Royce, James E. II. Title. HV5279.B57 1994 174' .9362dc20 94-32433 CIP The typeface used in this book is Goudy. Page v Contents About the Authors ii Foreword vii Gary Richard Schoener Preface xi LeClair Bissell Preface xiii James E. Royce 1. The Worker 1 A New Profession 1 Unique Considerations of the Chemical Dependency 2 Field Credentials 3 Level of Experience 6 Discrimination 8 The Counselor in Relapse 9 Drinking and Other Drug Use 11 2. Competence 13 Areas and Limits 13 Asking for Assistance 16 Dual Diagnosis 17 Responsibilities of Patients and Professionals 19 Professional Development 21 Page vi 3. Rights of Patients 23 The Myth of Choice 23 Meeting Patients' Individual Needs 25 Evaluation of Treatment Success 27 Confidentiality 29 Confidentiality and Child-Abuse Issues 31 Mandatory Drug Testing 33 AIDS 36 4. Exploitation 41 Financial Contacts with Patients 41 Publicity 42 Social Contacts with Patients 43 A.A. Relationships with Patients 45 Should Alcoholics Drink? 47 5. Economics, Funds, and Fictions 49 Insurance 49 Diagnostic Subterfuge 50 Enter the Family 51 Overtreatment and Undertreatment 54 When Profit Is King 56 6. Professional Relations 59 Obligations to Family and Colleagues 59 Respecting A.A. Traditions 59 Obligations to the Community 63 Other Professionals 65 Publication and Public Speaking 67 Obligations of Animal Researchers 68 7. Conclusion 71 Code of Ethics 73 Appendix: 77 Case Studies in Ethics for Addiction Counselors Bibliography 83 Index 90 Page vii Foreword The addiction field has been evolving as a profession for a number of decades. Originally, counselors were seen as paraprofessionals who helped their clients by providing support and sharing personal experiences. Early training programs, such as the one at the University of Minnesota, largely served those who had been through chemical dependency treatment or had been members of Alcoholics Anonymous. Later, addictions counselors were seen as members of a recovery program rather than independent professionals who needed more than the rules of the program to make decisions about care, release of records, and other complex concerns. During the past few years, with the advent of licensure in a number of states, as well as evolving legal standards for professional responsibility in both statutes and case law, the addictions field has clearly become an independent profession. Furthermore, with the growth of health maintenance organizations (HMOs) and the expansion of professional standards review by indemnity insurance carriers, such as Blue Cross/Blue Shield, the work of addiction counselors faces increasing review by outside parties. Treatment decisions are being more greatly affected by outside forces and are under greater scrutiny. In this context, Ethics for Addiction Professionals by LeClair Bissell, M.D., N.C.A.C. II, and James E. Royce, S.J., Ph.D.,
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