PSY699 week 3 discussion 1 The Ethics of Mandated Treatment

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This is a graded discussion: 5 points possible due Jan 3, 2019 Week 3 - Discussion 1 No unread replies. 1 1 reply. Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Refer to the Discussion Forum Grading Rubric under the Settings icon above for guidance on how your discussion will be evaluated. The Ethics of Mandated Treatment Prior to beginning work on this discussion forum, be certain to have read all the required resources for this week. The use of mandated, or legally coerced, treatment is widespread. Yet research demonstrating the efficacy of this type of treatment is limited, and mandating mental health treatment is one of the most contested issues in the field of psychology. To justify the continued use of mandated treatment, policymakers, practitioners, and researchers are obligated to demonstrate the effectiveness and limitations of such treatment programs. You have been called in to consult on cases that may require mandated treatment. After reviewing the PSY699 The ethics of mandated treatment scenarios (Links to an external site.)Links to an external site., choose two to discuss in your initial post. Begin your research with the required resources for this week. Using the specific situations presented in each of the scenarios you have chosen, conduct further research to help inform your recommendations for each individual. A minimum of one resource per scenario, beyond those already required for the assignment, must be included in your initial post. In your post, construct clear and concise arguments using evidence-based psychological concepts and theories to present your recommendations as to whether or not treatment should be mandated for the individuals in each of the scenarios. As you write your recommendations, be certain to provide insights into the following questions. • • • • • What are the ethical principles and implications raised by legally mandating clients into treatment? What evidence exists regarding the effectiveness of treatment with and without coercion for this type of situation? What would be the challenges in evaluating the effectiveness of mandated treatment? How might mandated treatment impact your clinical decision making as the mental health professional assigned to these cases? What client factors might limit or augment the potential benefits of treatment if it were mandated? Integrating concepts from your research and the required readings, offer insights across different content domains as to why you have reached these conclusions. Explain how you used the APA Ethical Code of Conduct to guide your decisions. Evaluate the generalizability of your specific research findings to the situations presented and provide a rationale as to why this research supports your recommendations. Guided Response: Review several of your colleagues’ posts and respond to at least two of your peers by 11:59 p.m. on Day 7 of the week. You are encouraged to post your required replies earlier in the week to promote more meaningful interactive discourse in this discussion. Provide specific, research-based arguments to support your reasoning as you create your responses. Did your colleague give full consideration to the ethical implications presented in the scenario? Was the recommendation mindful of specific client factors which could potentially cause an adverse response to mandated treatment? What further challenges might your colleague have considered in his or her recommendation(s)? Did your colleague utilize appropriate research to support his or her recommendations? Do you agree with the recommendations made by your colleague for both of the

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School: UC Berkeley



Ethics of Mandated Treatment
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Ethics of Mandated Treatment
Scenario 1
The court should hear out the psychiatrists’ case and rule to allow the client to
continue treatment for the avoidance of relapsing back to his previous dangerous behaviour.
Despite being stable, the client is bound to experience stressors which could cause a relapse.
Re-entering the community pose threats like unsupportive family members, complying with
criminal justice supervision requirements, securing a job, housing as well as life decisions
which could stress out the client. More so, reuniting with friends from his previous life
enticing him to return into the undesirable behaviour (National Institute of Drug Abuse
(NIH), n.d). Therefore, the client ought to continue his medication even after release to
stabilize himself amidst these pressures.
On the other hand, the legal proceedings may disrupt the therapeutic relationship
between the client and Psychiatrist evoking contrary therapeutic interests like impacting
symptoms like stress. Again, the ability to protect patient's privacy may be lost when
presenting the case, for example, presenting material with embarrassing information of the
client which he did not want to be disclosed (Rosenbaum, Warnken, & Grudzinskas Jr, n.d).
Nonetheless, the move by the psychiatrist is in the best interest of the client which outshines
the possible breach of privacy and disrupted relationship hence the need to proceed with the
A disrupted therapeutically relationship could be the greatest challenge in evaluating
the effectiveness of treatment. The client may hate the psychiatrist for taking him to court
resulting in non-corporation during assessments. The negative attitudes from the patients may
trigger adverse health effects like stress if they feel forced into the treatment. Lastly, if the
court approved mandated treatment, I would allow utilizing the caring coercion technique



when deciding on treatment administration. The move will allow autonomy when convincing
the client to appreciate the treatment which is totally denied in the court order.
Scenario 2
In the scenario, I would recommend that the therapist to convince the patient to
continue treatment failure to which a court order would be necessary to impose mandated
treatment. It is evident that the client is depicting the effects of her bipolar condition through
the extreme feelings of happiness despite thinking her current mood is an indication of
healing. Moreover, the discovery that the patient has discontinued medication by herself is a
“red flag” that demands immediate attention to avoid any possible detrimental effects.
The ethical principles raised the legally mandated treatment, in this case, is the breach
of patient autonomy. Mandated treated is involuntary, bioethics demand that patients should
not be coerced or manipulated into accepting or undergoing treatment for their conditions. On
the other hand, failure to administer treatment when there are dire consequences for not doing
so is an error by omission which contradicts the principles of beneficence and nonmaleficence. In conditions where the patient is not in a stable condition to make...

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