Wednesday, March 12, 2014

SSW104: Ethics and Working with Aboriginal clients

Video: Chief Bev Sellars Truth and Reconciliation Commission Expression


Aboriginal Cultural Safety: An overview

Walk for Reconciliation - Vancouver, BC

Native leader says the situation today is worse than during the "Sixties scoop"

by Aaron Lakoff, (2011). Huffington Post.

OTTAWA - First Nations are now facing another tragedy of lost children.
Provincial and federal data suggest there are double the number of children living apart from their parents compared with the residential school system of the late 1940s and 50s.
That was a brutal period of Canada's history that still haunts First Nations families.
John Beaucage was recently hired by the Ontario government to look into aboriginal child welfare.
He has given the heartbreak he sees around him a name: the Millennium Scoop, referring to the seizure of kids since the year 2000.
But Beaucage says it's not the same as the Sixties Scoop, when children were removed from their homes and adopted by families far from the reserve.

First Nations children still taken from parents

Analysis finds more First Nations children in care than at height of residential school system

CBC (2011). 

John Beaucage has given the heartbreak he sees around him a name: the Millennium Scoop.
The First Nations leader was recently hired by the Ontario government to look into aboriginal child welfare and what he found – not just in Ontario, but across the country – was despair.
There are more First Nations children in care right now than at the height of the residential school system. That system was a national disgrace that prompted Prime Minister Stephen Harper to apologize for its catastrophic impact on natives.
"It's a culmination of decades worth of social ills," Beaucage says.
A disheartening mix of poverty, addiction, history and politics has conspired to separate First Nations children from their parents.
Researchers aren't certain how many native kids are no longer living with their parents. A major study in 2005 pegged the number at 27,500. Since then, provincial and federal data as well as empirical reports suggest the numbers have risen.
That's easily double the size of the cohort forced away from their homes and into residential schools during the late 1940s and 50s – a brutal period of Canada's history that still haunts First Nations families.
Former auditor general Sheila Fraser estimated First Nations children were eight times more likely to be in care than other Canadian kids. She pointed out that in British Columbia, of all the children in care, about half are aboriginal – even though aboriginals are only about eight per cent of the population.
Beaucage's report says aboriginal people make up about two per cent of the population, but between 10 to 20 per cent of the children in care.
"Given the data I've had a chance to see, if anything, it's an underestimation," said Nico Trocme, director of McGill University's Centre for Research on Children and Families.

Audio: Interview with John Beaucage on Aboriginal Foster Care and the "Millenium Scoop"

Mama's Wall Street Studio in Vancouver BC Canada 

Aboriginal Mother Centre Society

Tuesday, March 11, 2014

SSW104: Ethics and Multiculturalism

Video: Multiculturalism In Canada

Multiculturalism in Canada


Multiculturalism in Canada



THE CURRENT STATE OF MULTICULTURALISM IN CANADA AND RESEARCH THEMES ON CANADIAN MULTICULTURALISM 2008–2010.
Citizenship and Immigration Canada. 

Monday, March 10, 2014

SSW104: Ethics and Addiction Work

Video: Drugs of Abuse: Treatment and Recovery

Video: What employers look for in addiction counselors

Substance Abuse Counselor Careers Overview

Video: Bruce Alexander on alternative views of addiction

Fraser Health: Mental Health and Addiction Services 

Fraser Health: Substance Use Services 

For information on services in your community, contact the Alcohol and Drug Information and Referral Line at 604-660-9382 or 1-800-663-1441.

Vancouver Coastal Health: Addiction Services

Baldisseri MR, (2007). Impaired healthcare professional. Critical Care Medicine, 35(2):S106-16.

Abstract


OBJECTIVE:

The objective of the article is to present the available data from the literature on substance use disorders in healthcare professionals. Prevalence, risk factors, treatment options, and reentry into clinical practice are discussed.

INTRODUCTION:

Impairment of a healthcare professional is the inability or impending inability to practice according to accepted standards as a result of substance use, abuse, or dependency (addiction). The term substance use disorder can be divided into substance abuse and dependence (addiction). Substance abuse results in adverse social and professional consequences. Addiction manifests as physiologic and behavioral symptoms related to a maladaptive pattern of substance use.

MAIN RESULTS:

It is estimated that approximately 10% to 15% of all healthcare professionals will misuse drugs or alcohol at some time during their career. Although the rates of substance abuse and dependence are similar to those of the general population, the prevalence is disturbing because healthcare professionals are the caregivers responsible for the general health and well-being of the general population. Healthcare professionals have higher rates of abuse with benzodiazepines and opiates. Specialties such as anesthesia, emergency medicine, and psychiatry have higher rates of drug abuse, probably related to the high-risk environment associated with these specialties, the baseline personalities of these healthcare providers, and easy access to drugs in these areas. Drugs and alcohol are mostly used for "recreational" purposes by medical students. Residents and attending physicians use drugs of abuse for performance enhancement and as self-treatment for various reasons, such as, pain, anxiety, or depression.

CONCLUSIONS:

Institutional, local, and statewide impaired-physician programs are now available for the active treatment and rehabilitation of impaired healthcare professionals. Many of these programs are also designed to assist the clinician with reentry into clinical practice. Rarely is punitive action taken when the healthcare provider undergoes successful treatment and ongoing follow-up management. Overall recovery rates for impaired healthcare professionals seem to be higher compared with other groups, particularly with intensive inpatient management and subsequent follow-up care.
PMID: 17242598 [PubMed - indexed for MEDLINE]

Sunday, March 9, 2014

SSW104: Workplace Ethics and Whistleblowing

The Office, Ethics


Video: Ethics in the workplace


Ethical Dilemmas in The Workplace: The Ethics Guy on ABC News

Whistleblowers Protection Act (Bill M 233). First reading.

2  The purpose of this Act is
(a) to facilitate the disclosure and investigation of significant and serious matters in or relating to the public service, that are potentially unlawful, dangerous to the public or injurious to the public; and
(b) to protect persons who make those disclosures.

Wrongdoing

3  This Act applies to the following wrongdoings in or relating to the public service:
(a) an act or omission constituting an offence under an Act of the Legislature or the Parliament of Canada, or a regulation made under an Act;
(b) an act or omission that creates a substantial and specific danger to the life, health or safety of persons, or to the environment, other than a danger that is inherent in the performance of the duties or functions of an employee;
(c) gross mismanagement, including of public funds or a public asset;
(d) knowingly directing or counselling a person to commit a wrongdoing described in clauses (a) to (c).

B.C. auditor general calls for whistleblower protection

Meissner, D.  (2012). Federal Accountability Initiative for Reform (FAIR).
Auditor-General John Doyle says whistle-blowers in British Columbia shouldn’t have to put their jobs on the line to protect the public.Mr. Doyle said in a report released Thursday that he’s concerned about B.C.’s lack of protection for whistle-blowers, especially since two major investigations conducted by his office this year relied heavily on information provided by whistle-blowers.
“It seems to me, based on my recent experience with this, that whistle-blowers do need protection and legislation seems to be the best way to provide that protection,” he said in an interview.

About Whistleblowers


FAIR (Federal Accountability Initiative for Reform) promotes integrity and accountability within government by empowering employees to speak out without fear of reprisal when they encounter wrongdoing. Our aim is to support legislation and management practices that will provide effective protection for whistleblowers and hence occupational free speech in the workplace.

Wednesday, March 5, 2014

SSW104: Boundaries and Relationships

Introduction to Boundaries: Part A of Boundaries Series


Dual & Multiple Relationships in Therapy: Part E of Boundaries Series

This Emotional Life | Social Media -- The Therapeutic Relationship

Tuesday, March 4, 2014

SSW104: Ethics and Law

Candice Lassiter, Charged In Aubrey Kina-Marie Littlejohn's Death, Pleads Guilty To Forgery 

Weiss, M. (2013). Huffington Post.


RCMP investigators are looking into the possibility more victims may be identified after announcing that dozens of sexual assault charges have been laid against Ronald Anthony Sawa, a former employee of the Saskatchewan Boys Centre -- now known as the Paul Dojack Youth Centre.

.
THE LEADER-POST (REGINA) AUGUST 9, 2008.

Sawa, 58, was arrested by the RCMP Friday morning at his Regina home and taken into custody after a four-year investigation resulting in 39 counts of sexual assault involving 18 complainants.

"We have more than 18 victims in this investigation. These individuals have all spread out through Canada from coast to coast," said RCMP spokeswoman Sgt. Carole Raymond.

"(The investigation) involved numerous other jurisdictions and other police forces and other detachments in getting to the possible victims and getting information."

Sawa was employed at the Saskatchewan Boys Centre and the Paul Dojack Youth Centre from 1974 to 1989. The charges relate to alleged incidents spanning his employment at the centre.

The charges laid on Thursday stem from alleged incidents involving boys between the ages of 10 and 17.

The provincial government centre served as a child welfare facility during its time as the Saskatchewan Boys Centre, but changed to a corrections facility when it became the Paul Dojack Youth Centre in 1985. Hundreds would have resided at the facility during Sawa's time there.

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Video:Ethical and Risk-management issues in Social Work: What Every Practitioner Needs to Know

Child Protection & Adult Guardianship Legislation & Resources

Social Service Foundation blog

Sheppard, G. Notebook on Ethics, Legal Issues, and Standards for Counsellors. 

The court set out the following three factors that must be considered when deciding when the concern for public safety could warrant the breaching of lawyer-client privilege. They are:
  1. Is there a clear risk to an identifiable person or group of persons? 
  2. Is there a risk of serious bodily harm or death?
  3. Is the danger imminent?
(Smith v. Jones, 1999, SCC.) 

A Malpractice Insurance Primer
Reardon, C. (2010). Social Work Today, Vol. 10 No. 5 P. 22.

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Ruling says hospital can’t force anti-psychotic drug on patient after questionable schizophrenia diagnosis
Brean, J. (2013). National Post. 

Nearly four years after staff at Toronto’s Saint Michael’s Hospital started slipping an anti-psychotic drug into a woman’s orange juice while treating her for lupus, Ontario’s highest court has tossed aside the ruling that allowed her to be drugged against her will, in part because the psychiatrist who diagnosed her with schizophrenia admitted he was “making parts of [her symptoms] up.”

In a sharply worded ruling, the Court of Appeal said there was “no evidence” the woman ever agreed to medication, and overturned the Consent and Capacity Board’s “unreasonable” finding that the woman was mentally incapable of doing so.

The judgment clarifies what kind of evidence to prove a person’s incapacity will withstand legal scrutiny, and it reinforces a patient’s right to refuse medication, which the Supreme Court of Canada upheld in 2003.

Sunday, March 2, 2014

SSW104: Professional Ethics

Social Work Ethics



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Achen, G. (2013). In Situ. 

Article: What Is an Ethical Dilemma? 

Allen, K. (2012). The New Social Worker, 19 (2).  


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BC College of Social Workers. Code of Ethics and Standards of Practice.

Code of Ethics


1 A social worker shall maintain the best interest of the client as the primary 
professional obligation.
2 A social worker shall respect the intrinsic worth of the persons served in 
professional relationships with them.
3 A social worker shall carry out professional duties and obligations with 
integrity and objectivity.
4 A social worker shall have and maintain competence in the provision of 
social work services to a client.
5 A social worker shall not exploit the relationship with a client for personal 
benefit, gain or gratification.
6 A social worker shall protect the confidentiality of all professionally acquired 
information by disclosing such information only when required or allowed 
by law to do so or when clients have consented to disclosure.
7 A social worker who engages in another profession, occupation, affiliation 
or calling shall not allow these outside interests to affect the social work 
relationship with the client, professional judgment, independence and/or 
competence.
8 A social worker shall not provide social work services or otherwise behave 
in a manner that discredits the profession of social work or diminishes the 
public's trust in the profession.
9 A social worker shall promote service, program, and/or agency practices 
and policies that are consistent with this Code of Ethics and the Standards 
of Practice of the British Columbia College of Social Workers.
10 A social worker shall promote excellence in the profession.
11 A social worker shall advocate change in the best interest of the client and 
for the overall benefit of society.

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Social Service Worker blog.