Prevention Ethics:
Principles and Cases
| Course Number |
LWE201 |
| Objectives |
At the end of this course, you will
1) describe the ethical basics of prevention, 2) form questions helpful
in prevention ethics. 3) interpret codes of prevention ethics and 4)
deal with cases in prevention ethics. |
| Credit Hours and Fee |
3.0 CE Credit Hours with a fee of $24.00 |
| Instructor |
Rudolf Klimes, PhD (Indiana University), MPH
(Johns Hopkins University);
Adjunct Professor at Folsom Lake College, Folsom CA. |
Welcome to this
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TEST
LW-202: Prevention Ethics II: Applied Case Studies. See
at the end of this page.
| Preventing
What? |
What
Questions? |
What
Principles? |
Doing Cases? |
The goal of prevention is to eliminate or reduce
harmful behavior. That includes unethical and illegal acts. Prevention Ethics
examines if these preventive measures are ethical or not.
Go to LearnWell ethics courses
to explore ethical reasoning etc.
1.
Ethical Basics of Prevention
1.1 Prevention deals
with all social and educational issues. Prevention disciplines include
Alcohol and other
drug problems, Violence and gun use, Underage drinking, Diversity, HIV/AIDS, Child
and domestic abuse, Impaired driving, Suicide, Tobacco use, Mentoring, Safety and
injury prevention, Conflict reduction and resolution, Clinical prevention services.
1.2 Human service professionals attempt to provide the highest level
or care and prevention. Some specialize in one or the other, many in both.
1.3 "The determination of good and bad depends entirely upon the integrity
of the rational process." Socrates.
"Though ethics requires training and rational capacity, it can largely be
learned and applied by just about anyone." Plato.
See LearnWell ethics courses
1.4 Schools, churches, law enforcement and many nonprofit and religious
organizations are in the business of prevention: Schools, churches,
synagogues and many religious organizations foster positive living without
destructive behavior, crime and sin. Many social, religious and educational
services include relapse prevention.
1.5 Prevention in many cases concerns especially children and youth:
Society tries to prevents children and youth from specific sexual activities,
consumption of alcohol etc. Some of these activities are illegal for children
and youth.
1.6 The goal of prevention is to eliminate or reduce
harmful behavior. That includes unethical and illegal acts. Many acts
condemned as unethical are permitted by law and vice versa. Good people also do
bad things. Prevention ethics also includes the services which would make
relapse or return for further services unnecessary.

2.
Asking Questions for Prevention
2.1
The basic case question: "What if...?" Answering this question lets
a person look ahead to see possible outcomes. Then he or she can examine them on
an ethical basis. Decisions about prevention need to be made on logic and
principles, not on emotions. Someone said that an unexamined decision is one
that should not be made at all.
2.2
Sample questions: What is acceptable and what is unacceptable behavior? When
are substances used and when are they abused? Are other's issues your issues?
When is it right to interfere in another's behavior? When is something
permissible for adults but not for children? See
LearnWell ethics courses
2.3
How does prevention fit into health care? "Prevention is the highest form of healing. Drugs and surgery have
their place in the holy art of healing, but the need to resort to invasive
treatment must also be regarded as a failure in prevention."
"We know that prevention is the highest form of healing from Exodus
15:26: "If you will listen carefully to the voice of the Lord your God,
and do what is right in His eyes, and keep all of His commandments, I will put
none of the diseases upon you that I have put upon the Egyptians, for I am the
Lord your physician." God is saying here that He is preventing disease. Since,
in preventing disease, we are emulating God, prevention is the highest form of
healing. ...God in this context is like a physician who
says to his patient, "Do not eat this food or it will make you sick."
"Physicians do not usually discuss lifestyle changes with their patients.
Prevention is on the back burner, and someone has to get burnt to get treated.
Our secular society deems it reasonable to pay tens of thousands of dollars for
coronary bypass surgery but unreasonable to pay a few dollars for prevention."
Source: Jewish
2.4 Questions stretch the mind. "Once someone's mind is stretched by a
new idea it can never return to its original form." Oliver Wendell Holmes.

3.
Ethical Principles of Prevention
3.1
"Code of Ethical
Conduct for Prevention Professionals*
Summary
- perform professional duties in accordance with the law and
the highest moral principle.
- observe three precepts of truthfulness, honesty and
integrity.
- be faithful and diligent in discharging professional
responsibilities.
- be competent in discharging professional
responsibilities.
- safeguard confidential information and exercise due care
to prevent its improper disclosure.
- do not maliciously injure the professional reputation or
practice of colleagues, clients, or employees
Preamble:
The Principles of Ethics are models of standards of exemplary professional
conduct. These principles of the code of Ethical Conduct for Prevention
professionals express the professional's recognition of responsibilities to the
public, to service recipients, and to colleagues. They guide members in the
performance of their professional responsibilities and express the basic tenets
of ethical and professional conduct. The Principles call for commitment to
honorable behavior, even at the sacrifice of personal advantage.
These principles should not be regarded as limitations or restrictions, but
as goals toward which Prevention Professionals should constantly strive. They
are guided by core values and competencies that have emerged with the
development of the field.
Principles
I. Non-Discrimination
Prevention Professional shall not discriminate against service recipients or
colleagues based on race, religion, national origin, sex, age, sexual
orientation, economic condition, or physical, medical or mental disability.
Prevention professionals should broaden their understanding and acceptance of
cultural and individual differences, and in so doing, render services and
provide information sensitive to those differences.
II. Competence
A Prevention Professional shall observe the profession’s technical and
ethical standards, strive continually to improve personal competence and quality
of service delivery, and discharge professional responsibility to the best of
his ability. Competence is derived from a synthesis of education and experience.
It begins with the mastery of a body of knowledge and skill competencies. The
maintenance of competence requires a commitment to learning and professional
improvement that must continue throughout the professional’s life.
a. Professionals should be diligent in discharging responsibilities.
Diligence imposes the responsibility to render services carefully and
promptly, to be thorough, and to observe applicable technical and ethical
standards.
b. Due care requires professionals to plan and supervise adequately and
evaluate, to the extent possible, any professional activity for which they are
responsible.
c. Prevention Professionals should recognize limitations and boundaries of
competencies and not use techniques or offer services outside of their
competencies. Professionals are responsible for assessing the adequacy of
their own competence for the responsibility to be assumed.
d. Ideally, Prevention Professionals should be supervised by Certified
Prevention Professionals. When this is not available, Prevention professionals
should seek peer supervision or mentoring from other competent Prevention
Professionals.
e. When Prevention Professionals have knowledge of unethical conduct or
practice on the part of an agency or prevention professional, they have an
ethical responsibility to report the conduct or practices to appropriate
funding or regulatory bodies or to the public.
f. Prevention Professionals should recognize the effect of impairment on
professional performance and should be willing to seek appropriate treatment
for themselves.
III. Integrity
To maintain and broaden public confidence, Prevention Professionals should
perform all responsibilities with the highest sense of integrity. Personal gain
and advantage should not subordinate service and the public trust. Integrity can
accommodate the inadvertent error and the honest difference of opinion. It
cannot accommodate deceit or subordination of principle.
a. All information should be presented fairly and accurately. Each
professional should document and assign credit to all contributing sources
used in published material or public statements.
b. Prevention Professionals should not misrepresent either directly or by
implication professional qualifications or affiliations.
c. Where there is evidence of impairment in a colleague or a service
recipient, a Prevention professional should be supportive of assistance or
treatment.
d. A Prevention Professional should not be associated directly or
indirectly with any service, products, individuals, and organization in a way
that is misleading.
IV. Nature of Services
Practices shall do no harm to service recipients. Services provided by
Prevention professionals shall be respectful and nonexploitive.
a. Services should be provided in a way that preserves the protective
factors inherent in each culture and individual.
b. Prevention Professionals should use formal and informal structures to
receive and incorporate input from service recipients in the development,
implementation and evaluation of prevention services.
c. Where there is suspicion of abuse of children or vulnerable adults, the
Prevention Professional shall report the evidence to the appropriate agency
and follow up to ensure that appropriate action has been taken.
V. Confidentiality
Confidential information acquired during service delivery shall be
safeguarded from disclosure, including - but not limited to - verbal disclosure,
unsecured maintenance of records, or recording of an activity or presentation
without appropriate releases. Prevention Professionals are responsible for
knowing the confidentiality regulations relevant to their prevention specialty.
VI. Ethical Obligations for Community and Society
According to their consciences, Prevention Professionals should be proactive
on public policy and legislative issues. The public welfare and the individual’s
right to services and personal wellness should guide the efforts of Prevention
Professionals to educate the general public and policy makers. Prevention
Professionals should adopt a personal and professional stance that promotes
health.
*Adapted from the National Association of Prevention Professionals and
Advocates (NAPPA) Code of Ethics, 1995
Source:
http://www.preventionthinktank.org/index.htm
3.2 Prevention is embedded in the
particular culture of the client: Different cultures have different
ethical standards and thus prevention issues. Cultures may be differentiated
geographically, socially, nationally etc.
3.3 Ethical Principles or Codes of
Ethics need to be enforced: In most cases, committees are assigned to
enforce the ethical standards of an organization.

4. Living Cases in Prevention Ethics
Respond in writing to four cases:
4.1 Mark is a
youth prevention worker doing drug education in his community. Mark smokes.
What ethical issues are raised by his behavior? What standards of personal
behavior should the staff be held to? How do you articulate these standards?
4.2 Mary is
a prevention coordinator. She just inherited 10,000 shares each in a brewing
company and a tobacco company. Does that ownership conflict with her
professional role? What should she do? What does she have to do? What would you
do if you were her supervisor?
4.3 Joes works
a street worker for a prevention center. Through his informal network, he heard
confessions about criminal activity, impending gang fights, large cocaine
purchases, and a possible attempt at suicide. What ethical standards should
guide his actions? What should he do in each of the four situations? To whom can
Joe talk about this?
4.4 Select and
respond to one of the prevention cases presented here:
Rape
Ethics Case Studies
Health Care Ethics Cases
Prevention via
Alternate Care Case

5.
Library
Explore some of these sites to gain a rounded view on the topic.
http://www.preventionthinktank.org/index.htm
Book; Critical Incidents: Ethical Issues in
Substance Abuse Prevention and Treatment by William White, which can be
purchased by sending $17.95 plus $4.00 shipping and handling to:
Lighthouse Training Institute
720 West Chestnut St. Bloomington, IL 61701
http://www.amazon.com
Ethics
Glossary
Classic Texts in
Ethics
Ethics Updates Home Page
The
Ethics Center (tm)
Applied
Ethics Resources on WWW Ethics
Note: Some of the ideas and sources for this
course come from the works of Steve Sarian, MA, CCS, CPS.
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