guiding and exchanging information Flashcards
highest ethical dilemma
when its your hope for the client, but it isn’t a goal of the client
four broad ethical values
nonmaleficence (do no harm)
* obligation not to inflict harm intentionally
beneficence (do good)
* provide benefit to persons and contribute to their welfare; refers to an action done for the benefit of others
respect for persons/autonomy
* acknowledge their right to make choices
justice
* treat others equally
Ethical self check
does this counsellor aspiration violate the ethical principle of autonomy
investment: do you have something to gain
power: do you have a conflict of interest? Are you being transparent?
- MI is not about persuading people to do something that is against their values, goals, or best interests
When to not use MI
when available scientific evidence indicates that doing so would be ineffective or harmful for the client
when you sense ethical discomfort
when your opinion is different from what the client wants
when coercive power is combined with a personal investment
feedback & info exchange - What
providing information about client’s current situation
sharing concerns with client
sharing one’s expertise with clients
offering options/giving advise for improving clients current situation
when to provide feedback and info
when client asks for it
when you think it could be helpful
need to ask permission before providing information
how to provide feedback and info
find out what the client already knows
ask for permission to share info
provide only factual information
autonomy - give permission option to disagree with you, find out if they want the info before you give it
EPE
Elicit - ask what they want to know or what they already know about a topic
then ask permission
provide info: could say what works for other clients, avoid “talk”
Elicit: what do you make of this?
FOCUS in a nutshell
F - first ask permission
O - offer ideas
C - concise, don’t ramble, avoid overwhelm
U - use menu of options
S - solicit what the client thinks
