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Apply ethical decision making to a true-to-life scenario in social work practice

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Sample Answer

 

 

 

Scenario:

A social worker is working with a 16-year-old client, “Sarah,” who discloses that she is being sexually abused by her stepfather. Sarah expresses a strong desire to remain living at home and believes that leaving would be worse for her younger siblings who also live in the household. The social worker is mandated to report suspected child abuse, which would likely lead to an investigation and potential removal of Sarah from the home.

Ethical Dilemma:

This situation presents a classic ethical dilemma:

  • Duty to Protect: Social workers have a legal and ethical obligation to protect children from harm. 1 Reporting suspected abuse is crucial to ensure Sarah’s safety.  

  • Client Self-Determination: Social work values client autonomy and self-determination. Respecting Sarah’s wishes and avoiding unnecessary family disruption are also important ethical considerations.

Ethical Decision-Making Process:

  1. Identify the Ethical Issues:

    • Duty to protect vs. client self-determination.
    • Potential for family disruption and its impact on Sarah and her siblings.
    • Confidentiality and the limits of confidentiality in cases of child abuse.
  2. Gather Relevant Information:

    • Thoroughly assess the situation, gathering information about the nature and extent of the abuse, Sarah’s emotional and psychological well-being, and the family dynamics.
    • Explore Sarah’s understanding of the risks and potential consequences of both reporting and not reporting the abuse.
    • Consult with colleagues, supervisors, and legal counsel for guidance.
  3. Explore Alternatives:

    • Develop a safety plan: Work with Sarah and her family to develop a safety plan to minimize the risk of further abuse. This might involve creating safe spaces within the home, establishing clear boundaries with the stepfather, and developing a support network for Sarah.
    • Consider alternative living arrangements: Explore options such as temporary placement with a trusted family member or friend, while continuing to address the abuse within the family system.
    • Involve other professionals: Collaborate with law enforcement, child protective services, and other relevant agencies to ensure a coordinated and comprehensive response.

 

Full Answer Section

 

 

 

 

 

  1. Select and Implement a Course of Action:

    • Based on the assessment and consideration of alternatives, the social worker must make a decision regarding whether to report the abuse to authorities.
    • This decision should prioritize the safety and well-being of the child while respecting her autonomy and wishes to the greatest extent possible.
  2. Evaluate and Document:

    • Document all decisions and actions taken, including the rationale for the decisions made.
    • Regularly review the situation and adjust interventions as needed based on ongoing assessments and the evolving needs of the child and family.

Key Ethical Considerations:

  • Child’s Best Interests: The primary ethical consideration is always the child’s best interests.
  • Least Restrictive Intervention: Explore the least restrictive interventions possible to ensure the child’s safety while minimizing disruption to the family system.
  • Cultural Sensitivity: Consider the cultural context of the family and the potential impact of cultural norms on the child’s experience and the family’s response to the situation.
  • Self-Reflection: Regularly reflect on one’s own values, biases, and potential impact on the decision-making process.

This scenario highlights the complexities of ethical decision-making in social work practice. It requires careful consideration of multiple factors, a commitment to client well-being, and a strong ethical framework to guide professional judgment.

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