NURS6650 Walden Legal & Ethical Considerations for Group & Family Therapy Discussion
QUESTION: Post an explanation of how legal and ethical considerations for group and family therapy differ from those for individual therapy. Then, explain how these differences might impact your therapeutic approaches for clients in group and family therapy. Support your rationale with evidence-based literature.
Week 1:
Discussion: Legal and Ethical Considerations for Group and Family Therapy
Considering the Health Insurance Portability and Accountability Act (HIPPA), the idea of discussing confidential information with a patient in front of an audience is probably quite foreign to you. However, in group and family therapy, this is precisely what the psychiatric mental health nurse practitioner does. In your role, learning how to provide this type of therapy within the limits of confidentiality is essential. For this Discussion, consider how limited confidentiality and other legal and ethical considerations might impact therapeutic approaches for clients in group and family therapy.
Learning Objectives
STUDENTS WILL:
- Compare legal and ethical considerations for group and family therapy to legal and ethical considerations for individual therapy
- Analyze the impact of legal and ethical considerations on therapeutic approaches for clients in group and family therapy
- Recommend strategies to address legal and ethical considerations for group and family therapy
To prepare:
- Review this week’s Learning Resources and consider the insights they provide on group and family therapy.
- View the media, Legal and Ethical Issues for Mental Health Professions, Volume I, and reflect on legal and ethical considerations for group and family therapy and individual therapy.
Note:
For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the
Post to Discussion Question
link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking
Submit!
BY DAY 3
Post an explanation of how legal and ethical considerations for group and family therapy differ from those for individual therapy. Then, explain how these differences might impact your therapeutic approaches for clients in group and family therapy. Support your rationale with evidence-based literature.
Legal and Ethical Considerations for Group and Family Therapy
Members of a cohesive group feel warmth and comfort in the group and a sense of belongingness; they value the group and feel in turn that they are valued, accepted, and supported by other members.
—Irvin D. Yalom,
The Theory and Practice of Group Psychotherapy
Laureate Education (Producer). (2017). Introduction to psychotherapy with groups and families [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 2 minutes. Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript
Group and family therapy offers a unique sense of community and support that may not be achieved through other therapeutic approaches. As you help clients effect change within themselves, they are able to in turn help others within the group change. Although many clients thrive in this environment, it is important to recognize that group and family therapy is not appropriate for everyone. Like any other therapeutic approach, group and family therapy has limitations that must be considered.
This week, as you begin exploring group and family therapy, you examine legal and ethical considerations of this therapeutic approach. You also prepare for your practicum experience by examining counseling theories and developing goals to guide your practice.
Learning Resources
Note:
To access this week’s required library resources, please click on the link to the Course Readings List, found in the
Course Materials
section of your Syllabus.
Required Readings
American Nurses Association. (2014).
Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author. Standard 5A “Coordination of Care” (page 54)
Note: Throughout the program you will be reading excerpts from the ANA’s Scope & Standards of Practice for Psychiatric-Mental Health Nursing. It is essential to your success on the ANCC board certification exam for Psychiatric/Mental Health Nurse Practitioners that you know the scope of practice of the advanced practice psychiatric/mental health nurse. You should also be able to differentiate between the generalist RN role in psychiatric/mental health nursing and the advanced practice nurse role.
Wheeler, K. (Ed.). (2014).
Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer. Chapter 11, “Group Therapy” (pp. 407–428)
Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson. Chapter 1, “The Foundations of Family Therapy” (pp. 1–6)
Chapter 2, “The Evolution of Family Therapy” (pp. 7–28)
Breeskin, J. (2011). Procedures and guidelines for group therapy. The Group Psychologist, 21(1). Retrieved from
http://www.apadivisions.org/division-49/publicatio…
Khawaja, I. S., Pollock, K., & Westermeyer, J. J. (2011). The diminishing role of psychiatry in group psychotherapy: A commentary and recommendations for change.
Innovations in Clinical Neuroscience, 8(11), 20–23. Retrieved from
http://innovationscns.com/
Note: You will access this article from the Walden Library databases.
Koukourikos, K., & Pasmatzi, E. (2014). Group therapy in psychotic inpatients.
Health Science Journal, 8(3), 400–408. Retrieved from
http://www.hsj.gr/medicine/group-therapy-in-psycho…
Note: You will access this article from the Walden Library databases.
Lego, S. (1998). The application of Peplau’s theory to group psychotherapy.
Journal of Psychiatric & Mental Health Nursing, 5(3), 193–196. doi:10.1046/j.1365-2850.1998.00129.x
Note: You will access this article from the Walden Library databases.
McClanahan, K. K. (2014). Can confidentiality be maintained in group therapy? Retrieved from
http://nationalpsychologist.com/2014/07/can-confid…
U.S. Department of Health & Human Services. (2014). HIPAA privacy rule and sharing information related to mental health. Retrieved from
http://www.hhs.gov/sites/default/files/ocr/privacy…
Document: NP Student Clinical Orientation (PowerPoint file)
Required Media
Laureate Education (Producer). (2015). Microskills: Family counseling techniques 1 [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 32 minutes. Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript
Laureate Education (Producer). (2015). Microskills: Family counseling techniques 2 [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 32 minutes. Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript
Laureate Education (Producer). (2015). Microskills: Family counseling techniques 3 [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 24 minutes. Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript
Sommers, G., Feldman, S., & Knowlton, K. (Producers). (2008a).
Legal and ethical issues for mental health professionals, volume 1: Confidentiality, privilege, reporting, and duty to warn [Video file]. Mill Valley, CA: Psychotherapy.net.
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 140 minutes.
Optional Resources
Sommers, G., Feldman, S., & Knowlton, K. (Producers). (2008b).
Legal and ethical issues for mental health professionals, volume 2: Dual relationships, boundaries, standards of care and termination [Video file]. Mill Valley, CA: Psychotherapy.net.
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 191 minutes.
