week 11 - effectiveness of treatment

Question 1

does treatment need to be voluntary to be effective?

Answer 1

• No, it does not need to be voluntary to be effective
• if someone is mandated into treatment - example when they are in jail and needs to go to treatment or is given a choice on a fine or treatment/jail or treatment - this can also lead to effective results
• BUT more ethical and encouraged to be voluntary

Question 2

is what happens in therapy the biggest determinant of the success in therapy?

Answer 2

No - has nothing to do with what happens inside therapy and what you are doing - it has to do with external factors

• random things outside therapy - friends/family/jobs
• how much you like your therapist “theraputic relationship”

Question 3

what is ethics?

Answer 3

• choosing/not choosing decisions based on whether or not they will have good consequences to the people involved

Question 4

what are some ethical issues between you and the clinent/surroundings ?

Answer 4

1. theraputic relationship - relationship between you and clinent can be ruined if you decide to tell mum/dad -> results in clinent not trusting anyone -> no longer seeking help
2. who should have access to public free treatment?
3. consent - corrections officer - if he calls you and asks you if the client has been to see you lately and when the client hasn’t actually come in in 3 weeks
4. confidentiality - levels of legalness - at what point do you call/act upon the things the client is telling you
5. guidlines among the organisation you owrk in - and might conflict ethics
6. minors
7. harm minmisation/no absience - what if your from US and livein AUS and believe that you SHOULD NOT take harm min approach -> and you are asked to take this approach - what do you do?

Question 5

what are some barriers in mental health professionals

Answer 5

1. lack of knowledge in the AOD issues
   - if clinent walks in MH service that has a AOD issue -> if you were to reject person and tell him to go to MH -> clinent will feel like no one is willing to support him
2. sterotyped belief of clients - what image pops in to your head when you hear crack addict?
3. views on how to manage relapse - if judgemental -> might lower confidence of clinent to do better
4. concerns of lack of skills that the therapist has

Question 6

Say you are working for a particular service and they have specific guidelines, policy and procedures - are these nesscarily good?

Answer 6

• they are not ALWAYS ethical

- sometimes best interest might do something less ethical

Question 7

when do breaches in the professional field most likely to occur when treating clinents with alcohol/MH issues?

Answer 7

1. workloads is high
2. worker is under ALOT of stress
3. when clinent and therpist values come to conflict
4. lack of guidlines, procedures and policies
5. lack supervision/support

Question 8

look at the case example - answer for each dot point

Answer 8

2. ask questions - do you know the posssible consequences to this? do you know the risks of overdose? do you know how to protect yourself?
3. if your rundown and realy tired, you might not have noticed that ryan was only 15 - regret giving him the needles and not asking him additional questions that you would have asked

Question 9

what are some possible consequences in not telling mum/dad about the clinents problems?

Answer 9

1. if he overdoses -> mum and dad may want to sue you and use the statistic of 80% psychologists in AUS would have called me but YOU DIDNT
   2.

Question 10

what are the APS guidlines of confidientiality?

Answer 10

1. know your context - know what your organisation saids to do and follow it
   - if organisations procedures are NOT ethical - raise them ASAP from very early on
2. infromed content - talk about limitations of cofidentiality - if i think you are in any harm , i will be contacting you parents, are you ok with that?
3. only breach confidentiality when
   - content to do so - can u plz tell mum/dad cause if i tell them they will get mad at me
   - there is a legal obligation to do so (suicidal, child protection - worried about ryans safety)
   - another person can be hurt/killed from the client
4. when disclosing info - only disclose info that is needed to be disclosed and to the appropreite indivisuals(mum/dad)
   - it has to be very direct
   -
5. where saftey permits, inform clients
   - about what info is about to be discloud
   - reasons for disclosing info
   - to who the discloure is made to

Question 11

what are the main priciples of effective treatment?

Answer 11

1. treatment should be long term - 3 months approx
2. no single treatment is appropriate for all individuals
3. effective treatment attends to his/her multiple needs - not just his/her drug use
4. treatment does not need to be voluntary to be effective