Issues concerning professional boundaries may arise when different health care center practitioners may refer different members of a family to the same social worker the various family members may not know that the social worker is counseling other family members. Rather, social workers and their colleagues should establish protocols that enhance clients’ control over their health-related information. For example, he says that Social workers should not assume that all providers within their organization should have access to clients’ protected health information without clients’ explicit consent. Reamer groups the challenges into three topic areas: But what ethical challenges do these settings bring to the social work professional in particular.ĭr. For many years health and behavioral health professionals have appreciated the ways in which patients’ and clients’ mental health challenges can affect their physical health and how, in turn, physical ailments can have a profound impact on individuals’ sense of well-being and functioning. ![]() This is reflective of professionals’ increasingly rich understanding of the complex and essential connections between individuals’ physical health and mental health. Integrated health care settings include deliberate and sustained coordination of care among health care practitioners (physicians, nurses, nurse practitioners, and physician assistants, among others) and behavioral health professionals (social workers, psychiatrists, psychologists, mental health counselors, and addiction specialists, among others). Reamer, PhD, identifies and discusses the ethical issues facing social workers in integrated health care settings, especially related to informed consent, privacy, confidentiality, boundaries, dual relationships, and conflicts of interest. In a recent issue of the journal Health & Social Work, published by NASW Press, an article by Frederic G. In these contexts, social workers are encountering complex, sometimes unprecedented, ethical challenges. ![]() Social workers are now employed in a wide range of comprehensive integrated health care organizations. ![]() What began modestly in the 1930s has evolved into a mature model of health care that is quickly becoming the standard of care.
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