One of my recent courses was "Ethics and Social Policy in Human Services." The second half of the course focused on ethical decision making in human services, using case studies to identify the ethical principles and implications revealed in each. In a specific case study presented for discussion, Ann is a licensed social worker at a nonprofit human services agency whose primary duties include counseling individuals and small groups. Ann has a client, Jasmine, who attends twice-weekly therapeutic group sessions with Ann because her two-year-old daughter has been placed in foster care due to abuse and "failure to thrive." These sessions are court ordered by the local child protective services agency in order to regain custody of the children. Jasmine confided in her caseworker (not Ann) that she was human immunodeficiency virus positive (HIV positive), and someone notified Mary, the agency's executive director. Mary becomes angry and asks Ann to speak to Jasmine privately to get her to tell the other clients in her therapy group that she is HIV positive. Jasmine is also a type II diabetic and uses a glucometer in the agency bathroom during breaks. Mary feels that Jasmine is putting staff and customers at risk by pricking her finger to test her glucose level. Mary, who is not a trained counselor or social worker, also thinks it would be therapeutic for Jasmine and other clients if Jasmine shared her HIV status (Herlihy & Corey, 2006). There are several ethical issues involved in this case study. A primary issue concerns the confidentiality of Jasmine's private health information, and whether Ann is obligated to protect Jasmine's right to privacy and confidentiality, or whether her obligation... halfway through this document... has to Jasmine can be prevented if Ann reveals her HIV status to the group. You must also recognize that the right to privacy and confidentiality is a fundamental human right, which you must balance with your moral obligation to other customers and colleagues. Considering all ethical principles, guidelines, laws and regulations, it appears It is reasonable for Ann to determine that there is no active threat to the group's clients or staff due to Jasmine's HIV status and that no imminent danger exists . Ann determines that the best course of action is to ask Jasmine to stop testing her glucose level at the agency, explaining that this would help ensure that concerns regarding Jasmine's HIV status are not raised. In this way, he can protect Jasmine's human right to privacy and confidentiality, while considering the safety of others.
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