DB1 Reply: 200 without reference page included: 2-references APA format peer review articles within
5 years of publication only in USA.
Thinking about your role as the moral agent - how will you need to guide your practice when treating
mental health clients versus those in primary care?
When considering caring for patients with a mental illness versus caring for patients in primary care one
main point that stands out to me is the patient's ability to communicate/make their needs known. In
mental health it is important to be able to obtain collateral information from a reappointed
representative in a time of crisis. Early on in a diagnosis it is vital that a mentally ill individual discusses
information that can be shared and with whom (Koocher & Keith-Spiegel, 2016). In order to create
advanced directives for mental health treatment in the state of Ohio the individual must be a minimum
of 18 years of age and mentally stable at the time of creation (Ohio Disability Rights Law and Policy
Center, Inc. [ODR], 2020). While precepting this weekend there was a patient admitted to the Intensive
Treatment Unit that was highly psychotic. She was unable to provide information needed to fully
complete a psychiatric evaluation. Fortunately, this patient had a power of attorney in place. My
preceptor was able to call her appointed representative (her daughter) to obtain valuable information.
This patient was diagnosed with schizophrenia many years ago. She had been stable on Risperdal Consta
for many years. Her daughter reported she had missed her last two appointments due to transportation
issues and began to exhibit symptoms of psychosis. Thus, she took her to the crisis center who referred
her for inpatient hospitalization. As a mental health provider our moral compass leads is to take
additional steps to ensure we are providing the best care possible for our patients. There are times
when our patients are unable to provide information regarding the events that led up to their
hospitalization. As moral agents we must encourage our patients to appoint a POA early on in a
diagnosis. Additionally, when a crisis happens we must do our best to contact the appointed
Koocher, G. P., & Keith-Spiegel, P. (2016). Ethics in psychology and the mental health profession (4th
ed.). New York, NY: Oxford University Press.
Ohio Disability Rights Law and Policy Center, Inc. (2020). Advanced direction for mental health
treatment in Ohio: Power of attorney. Retrieved March 23, 2020 from
DB2: reply: 200 without reference page included: 2 references APA format peer
review articles within 5 years of publication only in USA.
Thinking about your role as the moral agent - how will you need to guide your
practice when treating mental health clients versus those in primary care?
As the moral agent, I plan to promote honesty, integrity and agreeableness towards my
future patients. It is important to recognize and respect one’s personal and cultural
values as well, especially when it comes to treatment of a mental illness (Robertson &
Walter, 2014). As future providers, we will come across many ethical “dilemmas”. In
psychiatry, there is a process that providers take to approach and respond to an ethical
dilemma: a reflective phase and a deliberative phase (Robertson & Walter, 2014). It is
imperative to acquire the perspective from the patient and family when approaching any
type of clinical situation. Understanding the basis behind a mental illness and possible
treatments will help the patient form a better picture of what he/she is dealing with and
will hopefully help them process the situation better (Robertson & Walter, 2014).
Treatment of mental health clients versus primary care is much different. For example, if
a client refuses to take medications to treat his/her congestive heart failure or diabetes,
then that person suffers. If a client refuses to take medications for the treatment of
schizophrenia or bipolar disorders, or refuses to seek treatment of an alcohol or
substance abuse disorder, not only does the client suffer, but the community does as
well due to the safety of the client and others. We cannot force any patient to take their
medications that are prescribed or seek treatment for an illness, however, if a client
poses a threat/danger to himself or to others, this is where morality and ethical
principles become involved and can create an issue.
Robertson, M., & Walter, G. (2014). Ethics and mental health: The patient, profession
and community. CRC Press.
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