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Ethical Dilemmas in
Practice:
A Framework for
Decisions
Sara Clark
Western Michigan University
Objectives
Review AOTA Code of Ethics (2015)
Identify a framework for addressing common
ethical challenges in OT practice.
Identify ways to report ethics concerns to: AOTA,
NBCOT, and state licensing boards.
Identify potential consequences to ethics violations.
AOTA Ethics Documents
AOTA Code of Ethics (2015)
AOTA Enforcement Procedures for the Code of
Ethics (2015)
AOTA Standards of Practice for Occupational
Therapy (2015)
AOTA Standards for Continuing Competence
AOTA Code of Ethics
Core
Values
Principles
and
Standards of
Conduct
Code of Ethics
OT Core Values
Altruism Truth Prudence
Equality Freedom Justice
Dignity
Principles and Standards
of Conduct
Beneficence
Nonmaleficence
Autonomy
Justice
Veracity
Fidelity
Ethical Dilemma
“Recognizing and resolving ethical
issues is a systematic process that
includes analyzing the complex
dynamics of situations, weighing
consequences, making reasoned
decisions, taking action, and reflecting
on outcomes.”
(AOTA Code of Ethics 2015)
Framework:
Addressing Ethical Concerns
CELIBATE =
Clinical Ethics & Legal
Issues Bait All Therapists
Equally
(Kornblau & Burkhardt, 2012)
Morreale, M. & Amini, D. (2016). The occupational therapist’s workbook for ensuring clinical competency. Thorofare, NJ: SLACK Incorporated.
Morris Ethical Decision
Making Model
Am I facing an ethical dilemma? Define Analyze Action plan options Evaluate Ethical principals Code Social roles Self-interests ***Does your proposed course of action lead to consensus? Yes = proceed No = Morris, J. - Chapter 14 : Is it Possible to Be Ethical? Slater, D.Y. (Ed.) (2016). Ethics. (2015 ed.) Bethesda, MD: AOTA Press. Reference guide to the Occupational Therapy Code of
Billing
Practices
Supervision
Practices
Documentation
Practices
Reporting Ethical Concerns
State
Licensure
Board
AOTA
Ethics
Commission
NBCOT
ETHICS QUESTIONS
Whom should I call?
Where did the alleged violation occur, and
who was involved in the alleged incident?
What is the disciplinary action that you
wish as a consequence to filing a
complaint?
Ethics Sanctions
Reprimand Censure Probation Suspension Revocation
Consensus
Statement on
Clinical Judgment
in Health Care
Settings
AOTA, APTA, ASHA
Intentional Learning
Experiences: Ethics
AOTA Code of Ethics (2015)
AOTA Standards of Continued Competence (2015)
State Practice Act
Ethics Committee
Practice Scenarios
HIPAA/FERPA
Workbooks with case studies
Journal assignment
FWPE: Ethics - OT
#1: Adheres to ethics: Adheres
consistently to the American Occupational Therapy Association Code of Ethics and site’s policies and procedures including when relevant, those related to human subject research.
References - I
American Occupational Therapy Association. (2015).
Enforcement procedures for the occupational therapy code of ethics. American Journal of Occupational Therapy , 69 (Suppl. 3) 6913410012.
American Occupational Therapy Association. (2002).
Fieldwork performance evaluation for the occupational therapy student. Bethesda, MD: AOTA Press.
American Occupational Therapy Association. (2002).
Fieldwork performance evaluation for the occupational therapy assistant student. Bethesda, MD: AOTA Press.
American Occupational Therapy Association. (2014a).
Guidelines supervision, roles and responsibilities during the delivery of the occupational therapy services American Journal of Occupational Therapy, 68 (Suppl. 3), S16 – S22.
References - II
American Occupational Therapy Association. (2015).
Occupational therapy code of ethics. American Journal of Occupational Therapy , 69 (Suppl. 3) 6913410030. http://dxdoi.org/10.5014/ajot.2015.696S03.
American Occupational Therapy Association. (2015c).
Standards for continuing competence. American Journal of Occupational Therapy, 69 (Suppl. 3), 6913410055. http://dx.doi.org/10.5014/ajot.2015.696S
American Occupational Therapy Association. (2015).
Standards of practice for occupational therapy. American Journal of Occupational Therapy, 69 (Suppl.
http://dx.doi.org/10.5014/ajot.2015.696S
References - III
American Occupational Therapy Association. (2015). Standards of practice for occupational therapy. American Journal of Occupational Therapy, 69 (Suppl. 3) http://dx.doi.org/10.5014/ajot.2015.696S06 6913410057. Costa, D. (2015). The Essential guide to occupational therapy fieldwork education: Resources for educators and practitioners, 2 nd (^) Edition. Bethesda, MD: AOTA Press. Morreale workbook for ensuring clinical competency , M. & Amini, D. (2016). The occupational therapist’s. Thorofare, NJ: SLACK Incorporated. Scott, J.B. & Reitz, S.M. (Eds.) (2017). Practical applications for the Occupational Therapy Code of Ethics (2015). Bethesda, MD: AOTA Press. Slater, D.Y. (Ed.) (2016). Reference guide to the Occupational Therapy Code of Ethics. (2015 ed.) Bethesda, MD: AOTA Press.
