What should I do as a future clinician/counselor to make sure I maintain the appropriate code of ethics and boundaries where I do not violate these codes?

What are the ethical implications or issues noted with this client case? So, there an ethical issue in the case?
If so, did the professional behave in a manner which is consistent with current
standards and principles based on the readings?
If not, what other courses of action would be deemed more ethical practices? Thus, what is the basis for that conclusion?
If the professional fails to act responsibly and his or her misconduct is reported to a disciplinary body, what kind of action do you believe that body should that in this type of case?
If the professional behaved unethically but the conduct is never reported to any disciplinary body, what action(s) if any, do you believe should be taken to help undo the damage?
What should I do as a future clinician/counselor to make sure I maintain the appropriate code of ethics and boundaries where I do not violate these codes?
As a future clinician/counselor, what do I believe is the best solution for caring for, serving and advocating for the client?
It is understood that students are not professional clinicians/counselors – however, students in this course typically have strong critical thinking skills. Therefore, your post should exemplify your analytical thought process. Your post should be comprehensive with at least 2 paragraphs or (200 words at least). Please know there are no right or wrong responses in your discussion post. You are simply encouraged to share your thoughts openly and honestly while also again using a critical thought process. As part of this process, students will be required to add one peer reviewed reference to support their post.
CASE:
Petra is a 27 year-old who is a recent immigrant from Bosnia. She lost three brothers during the war there. She lives in the U.S. with her parents and she works as a meter-reader. Over the last 6 months Petra has become increasingly depressed. Her work performance has suffered and the employee assistance program at work has referred her to Jonathan for therapy. Jonathan is an experienced mental health professional who also conducts research on the effectiveness of psychotherapy for depression. He has never worked with a recent immigrant, and he has little knowledge of the war in Bosnia. Jonathan decides to refer Petra to another clinician who is from Eastern Europe, but whose knowledge and experience in treating depression is not as extensive as his.
There should be evidence from your posting that you also read the material in the text book.
Welfel, E. R. (2016). Ethics in Counseling and Psychotherapy: Standards, Research, and Emerging Issues (6th ed). Cengage:
Boston, MA.
As part of this process, students will be required to add one peer reviewed reference to support their post.
Here are my peers to respond one paragraph
I believe Jonathan made the right decision in referring Petra to another clinician, especially since his colleague is from Eastern Europe. Bosnia is located in Eastern Europe and this clinician may speak the Bosnian language or be familiar enough with it to communicate effectively with Petra. It is stated that the clinician’s knowledge and experience in treating depression is not as extensive as Jonathan’s but I think because he is a clinician, he should be able to treat Petra successfully. He is a professional and should have the required training to treat her in a productive way.
Concerning Jonathan…….it is my opinion that he should have at least tried to work with Petra. Yes, I believe he made the right decision in referring her to someone else. His lack of confidence in himself lead me to agree with the referral. Petra, or any culturally diverse client, should have reassurance that any counselor will work professionally and, at the same time, be confident of his/her abilities in the profession. Welfel writes that competence to practice means a professional has the knowledge, skill, and diligence required for the tasks he or she undertakes. Multicultural competence is a subset of clinical competence (Welfel, 2016). I do not believe Jonathan exhibited clinical competence. Welfel summarizes that because of population demographic changes, mental health professionals will need skills, beliefs, and attitudes that equip them for providing effective service to diverse clients. It is my opinion that Jonathan had never worked with a recent immigrant and was afraid to try.
I also do not think Jonathan’s knowledge of the war in Bosnia should be a reason for him not to treat Petra. I assume that there are many counselor’s who weren’t born during the times of either of the World Wars, but they treat clients who were. These clients may suffer from some type of mental illness. My point being, having first hand knowledge of a situation shouldn’t be a prerequisite for treating a client. Jonathan could have done as I did and researched the Bosnian War. The Bosnian War was fought in Bosnia and Herzegovina between 1992 and 1995 (Lampe, 2021). Much information is available concerning this war. Jonathan could have gained enough knowledge about it to understand if Petra spoke of it and the loss of her three brothers.
It is my guess that Petra’s depression may stem from having moved from her home in Bosnia to the US, in addition to the loss of her brothers. She could be feeling disconnect or even guilt for leaving her home, the tangible memories and even her siblings physical bodies in Bosnia. Hopefully, Jonathan’s colleague has the professionalism and confidence to assist Petra with her dilemma.
Lampe, J. R. (2021, November 30). Bosnian War. Encyclopedia Britannica.
https://www.britannica.com/event/Bosnian-War (Links to an external site.)
Welfel, E. R. (2016). Ethics in Counseling and Psychotherapy: Standards, Research, and Emerging Issues (6th ed). Cengage: MA
Ashley Watson
I think that Jonathan made the right choice. My reasoning for this links back to the importance of multicultural practice. While Jonathan may be more experienced in treating Depression, he is not familiar with the issues that Petra is feeling as her symptoms are linked to issues that he is not familiar with. He has very little knowledge on how to work with someone who has recently immigrated to the United States, thus he would not really know how to identify the issues that she is having outside of the typical depression symptoms she was displaying. Additionally, he has very little knowledge about the political and war climate of Bosnia, thus leaving him ignorant of the issues she is facing. If anything he should have ensured that the person he referred her to not only could understand and connect with the client from a cultural perspective but also be well versed in trauma-informed care. A trauma-informed approach acknowledges that youth and families can be re-traumatized if they are forced to prematurely share information about traumatic events (Miller, 2019). Cultural identity plays a large role, and thus the client needs to be treated by someone who not only can help her with her actual depressive symptoms but can validate and include her cultural identity and any other cultural factors that may be at play.
References:
Miller, K. K., Brown, C. R., Shramko, M., & Svetaz, M. V. (2019). Applying Trauma-Informed Practices to the Care of Refugee and Immigrant Youth: 10 Clinical Pearls. Children (Basel, Switzerland), 6(8), 94. https://doi.org/10.3390/children6080094
Welfel, E. R. (2016). Ethics in Counseling and Psychotherapy: Standards, Research, and Emerging Issues (6th ed). Cengage: Boston, MA.

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