TY - JOUR
T1 - From colleague to patient
T2 - Ethical challenges in integrated primary care
AU - Kanzler, Kathryn E.
AU - Goodie, Jeffrey L.
AU - Hunter, Christopher L.
AU - Glotfelter, Michael Ann
AU - Bodart, Jennifer J.
PY - 2013/3
Y1 - 2013/3
N2 - Ethical codes and guidelines for mental health professionals focus on traditional avenues of practice, leaving considerable gaps for clinicians in unique settings, such as behavioral health providers in integrated primary care. In this article, an ethical scenario is presented, where a behavioral health provider is faced with a colleague physician seeking assistance for emotional distress. The scenario highlights important ethical questions about multiple relationships/conflict of interest, impaired colleagues, informed consent, and confidentiality. We review gaps in ethical guidance pertinent to the scenario and provide an eight-step rubric for ethical clinical decision making in integrated primary care.
AB - Ethical codes and guidelines for mental health professionals focus on traditional avenues of practice, leaving considerable gaps for clinicians in unique settings, such as behavioral health providers in integrated primary care. In this article, an ethical scenario is presented, where a behavioral health provider is faced with a colleague physician seeking assistance for emotional distress. The scenario highlights important ethical questions about multiple relationships/conflict of interest, impaired colleagues, informed consent, and confidentiality. We review gaps in ethical guidance pertinent to the scenario and provide an eight-step rubric for ethical clinical decision making in integrated primary care.
KW - Decision making
KW - Ethics
KW - Impaired provider
KW - Integrated primary care
KW - Multiple relationships
UR - http://www.scopus.com/inward/record.url?scp=84876157844&partnerID=8YFLogxK
U2 - 10.1037/a0031853
DO - 10.1037/a0031853
M3 - Article
C2 - 23566126
AN - SCOPUS:84876157844
SN - 1091-7527
VL - 31
SP - 41
EP - 48
JO - Families, Systems and Health
JF - Families, Systems and Health
IS - 1
ER -