1. Illinois Department of Aging 2012 Elder Rights Conference Reaching Within Session T13

2. Reaching Within, Part Two:

3. What is a dilemma?

4. Dilemma From the Greek: Di—two Limos—horns Literally, Two horned

5. Our dilemma’s become ethical when the good or bad choices have a moral component

6. Important Distinction If something is governed by legal precedent, it is not an ethical dilemma. The dilemma might become whether you choose to follow that law or not.

7. Common APS Dilemmas Self determination vs. worker’s perception of client’s best interests Freedom vs. safety Protecting confidentiality vs. prevention of harm Respect for a colleague vs. loyalty to your agency

8. Dilemma Paradigms Truth versus loyalty Individual versus community Short term versus long term Justice versus mercy Precisely because right versus right is harder than right versus wrong

9. Having a framework for ethical decision making is important.

10. Review Applicable Code of Ethics Ethical codes are not a legal document, but professionals are bound to the tenets of their code and can be sued for breach Codes can be revised or updated as needed Know your Code!

11. What Makes a Good Code of Ethics? Mission statement Value base of the organization Ethical principles to guide practices Ethical standards

12. The NAPSA Ethical Principles and Best Practice Guidelines

14. Framework for Ethical Decision Making 1)Describe the problem within its correct context (exactly who is this really a problem for?) 2)Define the problem in its ethical terms 3)Identify and rank the key values and principles involved (CRITICAL)

15. Framework, continued 4. Gather your information (laws, policies, applicable ethical codes, the affected individual’s views and values, your own biases) 5. Determine possible options (identify cost and benefit of each option)

16. Framework, continued 6.Consider possible courses of action * discard any you can’t put into action * discard those which violate the value symptoms of those being affected

17. Framework, continued Put your plan into action! Evaluate the outcomes for each person involved Submit your difficult cases to an ethical review board

18. Questions?

19. Ethical Case Studies Activity Form Triads Review assigned case Apply framework, discussing the steps Prepare action plan Debrief with large group