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Provided below are three scenarios that contain ethical dilemmas. Choose one of the three and discuss how the issues could be resolved ethically. Be sure to cite at least three different guidelines that you addressed in your answer. 300-350 word min total.
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• Scenario 1
A person residing in a private, rural, for-profit
community-based home for persons with developmental disabilities approaches the
director and states that he wants to move to an apartment in a nearby town.
Such a move would represent a loss of income to the agency, might generate
additional transition costs (e.g., moving expenses, future on-site supervision),
and has the potential to be dangerous to the resident given the area of town
that the person could afford. How could the director respond ethically to the
resident’s inquiry about moving without being biased by a conflict of interest?
• Scenario 2
Julian, a student with severe disabilities, engages in
frequent and severe self-injurious behavior (SIB) (e.g., head banging, eye
gouging). Many positive and positive-reductive approaches have been attempted
to reduce his SIB, but none have been successful. The support coordinator
recommends the Self-Injurious Behavior Inhibition System (SIBIS) as an option,
but the parents object because they fear that electrical shock will hurt their
son. Given that documented positive attempts have failed, is it an appropriate
ethical course of action to recommend that SIBIS treatment be initiated?
• Scenario 3
During the course of an annual individualized education
program (IEP) meeting, Ms. Dougherty, a first-year teacher, perceives that a
school district administrator is trying to “steer” the parents of a student
with emotional disabilities into accepting a revised IEP without the provision
of school-based applied behavior analysis services recommended by the majority
of other team members. Ms. Dougherty hypothesizes that the administrator’s position
is based on the added costs the financially strapped school district would bear
if it provided these services. As a first-year teacher, Ms. Dougherty is
concerned that if she speaks up, she might lose the favor of her principal and
maybe her job. If she remains silent, the student might not receive needed
services. How might Ms. Dougherty serve as an advocate for the student, but not
lose her position on the faculty?
Another issue that has always been an ethical imperative is confidentiality. With the HIPAA law, confidentiality has become even more important. Not only is it an ethical imperative, it is also a legal one. Breaking confidentiality can lead to career-ending consequences if you are not informed. Discuss confidentiality. What are the limits of it and is it ever appropriate to break it?