Question

Using the scenario posted below:

• Summarize the key legal and ethical issues presented in the case, utilizing the ethical decision-making model from the course text, one of the readings included in the course, or another current peer-reviewed article from a professional counseling journal.
• Discuss how you would apply each step of the ethical decision-making model you have selected in order to respond effectively to these legal and ethical issues.
  • Include specific examples to illustrate the actions you would take at each step.
  • Include the specific ethical standards and state laws that you would consult when determining your response to the situation. How would these laws and standards influence the choices you might make in responding to the situation?
  • Describe how you would demonstrate developmental and cultural sensitivity when addressing the legal and ethical issues presented. Use specific examples to illustrate your ideas.
• Explain how your personal values and beliefs impact your understanding of the situation and the choices you might make when deciding how to respond to the legal and ethical issues that may arise in working with this client.
  • Include at least two examples of specific values and beliefs you hold that may influence your reactions to this case and the actions you may take.
  • Present at least two specific strategies that you will develop to address the influence that your personal values and beliefs may have on ethical decision making with clients.

Bobby is a 41-year-old man who has been seeing you for counseling to address issues with alcohol and marijuana abuse. Bobby's mother is Native American and he spent his childhood living on a reservation in Arizona. Both he and his mother were physically abused by his father; at the age of 12 they left the reservation and relocated to live with relatives in a large city in another state. His mother passed away last year.

Bobby is HIV-positive due to use of intravenous (IV) drugs in his early 20s. He has not used IV drugs for over 15 years and has been working closely with a physician to maintain his health and monitor any symptoms that emerge. He has not disclosed his HIV status to anyone except you. Bobby works as an overnight residential counselor for adolescent boys five evenings a week; he is also in school to complete his degree in counseling and hopes to become a licensed therapist some day. He tells you that he attends Alcoholics Anonymous and Narcotics Anonymous meetings several times a week.

Two weeks ago Bobby comes to one of his counseling sessions with alcohol on his breath. He admits to having a relapse and reveals he's been drinking and smoking marijuana for the past month. He was afraid to tell you because he did not want you to be disappointed in him. Bobby further discloses that he's been drinking "just a little" in the evenings at work after the boys are asleep. He says that some of his own abuse issues from childhood have been emerging and he is having a hard time dealing with the horrible memories.

Bobby also admits that some of his anxiety is being triggered by meeting a woman in his NA group to whom he is very attracted. He finally got up the nerve to ask her out and they have been on three dates. He believes they will be sexually intimate soon but he is not ready to tell her about his HIV-positive status. He assures you that he is extremely careful to practice safe sex, and that he' will tell her "when the time is right."

Answer 1

The problem is bobby health conditions like HIV+ , drinking and drug characters. This is an ethical and legal issue, legal advice is neccesary because he worked in institutions without disclosing his medical condition . This issue related to a client neccesary want a decision. According to the code of ethics it neccesary to respect the dignity and welfare of the client. Here bobby is HIV positive patient so recommendation to a medical precautions is needed. His mother died and father not better relationship with him and only one relation is girl friend . she is not aware of the issue. But the issue is related to her also because bobby want sex relationship with her in this condition with care. But on this case as councilor i cant support the bobby' s intimacy with her. So The issue wants to discuss with the girl friend is helpful for further decision making. A long and short strategies wants in this case ,This case very tropical because of his emotions and wish family life same time his drinking habit is not stopped that is challenging one. His past is horrific because of his father nature. The action and decision for this case is give awareness about HIV positive conditions ,future complexity, intimate life. Bobby welfare is neccesary , motivate him to complete his course and wish him to become a licensed therapist.