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Respond by Day 6 to at least two Renetta &Kelly colleagues by explaining how your colleague’s decision contradicts or supports the NASW Code of Ethics as it pertains to dual-role relationships. In addition, provide a suggestion for how your colleague might balance the needs of the client while maintaining the NASW Code of Ethics regarding dual-role relationships.
Example of a response that is exceptable with one referrence.
Hello Kelly,
Thank you for sharing! When working with children it is almost an instinctive response to involve the parents. However, as social workers, we will have times where that is not the best option for our clients. Contacting the client’s parents could cause him to withdraw and shy away from the therapeutic alternatives due to feelings of betrayal. Additionally, the client could begin to manifest hopeless feelings towards the therapeutic process due to unwanted parental involvement (Sapiro, 2020). Therefore, once in the social work field, it is essential that we disclose with informed consent only.
Reference
Sapiro, B. (2020). Assessing trustworthiness: Marginalized youth and the central relational paradox in treatment. Children and Youth Services Review, 116. https://doi.org/10.1016/j.childyouth.2020.105178
Rennetta Thomas
RE: Discussion 2 – Week 2
Post an explanation of how you might respond to the situation with the 15-year-old boy on the hotline. Include ways your decision may impact the client. Support your position with references to this week’s resources, professional experience, and additional research.
As a social worker, I would continue the process and service the client with the intent on transferring to another clinic. Although the client did not have suicidal ideations, there is a possibility that his depression could have triggered him to become suicidal, if he was unable to get immediate assistance. As a social worker, it is our obligation to service patients in need and to take necessary steps to protect the client and ourselves when dual relationships are unavoidable (National Association of Social Workers, 2021).
Therefore, when working with this client, I would assure the client that everything during the session is protected due to confidentiality laws to help ease his mind of any thoughts that I would communicate any information to his parents; I would explain that this would be our only visit and the reason for the transfer; and lastly I would make sure that the client knew that he was my priority and helping him cope with his current issues until the transfer completed was the goal of our visit.
How will you address a possible dual-role relationship
When addressing dual relationships, I would be sure to set clear and understandable boundaries to maintain professionalism. Not only does clear boundaries protect the client but they protect the social worker’s professionalism as well (Sawyer & Prescott, 2011). Due to the many risks and complications that could possibly arise with dual relationships, I would really try my best to prevent them from happening unless it was in the client’s best interest to do otherwise, as in the case of the 15 year old boy on the hotline.
References
National Association of Social Workers. (2021). Code of ethics of the National Association of Social Workers. Retrieved from https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of-Ethics-English
Sawyer, S., & Prescott, D. (2011). Boundaries and Dual Relationships. Sexual Abuse, 23(3), 365–380. https://doi.org/10.1177/1079063210381411
Kelly Arrington
RE: Discussion 2 – Week 2
COLLAPSE
Dual relationships, where the social worker is both a professional and a social acquaintance, can lead to confusion in the relationship and increase the likelihood for harm or exploitation of the client (Daley & Hickman, 2011). Dual relationships can often be inevitable in smaller communities (Gonyea & Wright, 2014). In the case scenario, it seems likely that the problem is occurring in a rural community since the next closest mental health agency is 30 miles away. In cases like this, it is important for the worker to use their professional judgement and determine if a working relationship will lead to more harm or if denying services would be more harmful (Daley & Hickman, 2011; Gonyea & Wright, 2014).
In the case of the 15-year-old boy, I would be honest with him from the start that I know his parents and it could create issues down the road. I would finish the conversation with the boy and then start with contacting the closest agency and see if they have availability to see the client. Rural areas often don’t have enough social workers to go around so it’s possible they wouldn’t be able to see him. In that case, I would contact the boy’s parents to discuss the benefits and risks of engaging in a therapeutic relationship with their son. Since suicidal ideation is not a present issue, I would also determine if waiting 10 days is a viable option and have him start with the other social worker when she returns from vacation. If waiting is not an option, or the other worker’s caseload is full, it would be my responsibility to determine what would cause the least amount of harm to the client. If both myself and his parents agree that working together wouldn’t be a harmful situation, I would implement safeguards to ensure the boy’s protection, as encouraged by Daley & Hickman (2011). We would work collaboratively to decide how confidentiality would be handled since I’m friends with his parent and limitations. We would also discuss out of session communication and interaction (Gonyea & Wright, 2014).
Even with safeguards in place, it is possible that a dual relationship like this could lead to the client feeling a lack of trust and autonomy in his decision-making (Gonyea & Wright, 2014). Since a relationship with the parents is already established, there may be limits on issues that can be discussed, especially if problems with the parents arise (Gonyea & Wright, 2014). Conflict of interest and bias could be a problem since I know the parent.
Overall, particularly in rural communities it is necessary to use our judgement to determine if initiating a dual relationship with someone is the right thing to do. If issues arise, it is essential to consult with a supervisor and work to immediately rectify the situation.
References:
Daley, M. R., & Hickman, S. (2011). Dual relations and beyond: Understanding and addressing ethical challenges for rural social work. Journal of Social Work Values & Ethics, 8(1).
Gonyea, J. L. J., Wright, D. W., & Earl-Kulkosky, T. (2014). Navigating dual relationships in rural communities. Journal of Marital and Family Therapy, 40(1), 125–136. https://doi.org/10.1111/j.1752-0606.2012.00335.x