Question

Lily began supervising an intern, Jack. A few months after supervision began, Lily discovered that she would need to go on medical leave. Because the leave would only be for about six weeks and she was the only licensed mental health professional in the office, she and Jack decided that he would be fine working without her involvement until she got back. He would simply keep all the reports she needed to sign on her desk, and she would sign them all when she returned.
Jack felt very competent in his ability to carry on while Lily was out until he conducted an intake assessment on a client who seemed to be having some breaks from reality. Jack was unsure how to determine if there really was psychosis occurring and what to do about it. He tried to contact Lily but was unable to get in touch. Anxious, he searched online for ideas on how to work with the new client and tried out a few techniques during sessions. He reassured himself that no matter what he did, ultimately Lily was responsible anyway.
A week before Lily returned to work, the client was arrested as he tried to “fly” off a building, convinced that he could fly without difficulty. Upon being taken into custody, the client’s demeanor concerned the police officer and he was taken to the emergency room where an evaluation was conducted. It was determined that he was indeed experiencing psychosis, and antipsychotic medication was started.
Once the client was stable, he filed a complaint against Jack and Lily with the state licensing board and threatened legal action.
Understandably, Jack was scared and Lily was angry. She accused Jack of practicing without her consent, stating that he was to have continued with the clients he had when she left, not accept new ones. She subsequently informed him that she would no longer be his supervisor.
Jack was furious that he was put in the position to make decisions on his own and did not receive support from his supervisor. Jack, in turn, filed a complaint against Lily due to lack of supervision.
Explain the ethical issues related to the supervisor and the supervisee/student.

Answer 1

The ethical behavior of supervisors is especially important because of the multiple responsibilities supervisors assume. The importance is stressed by the facility differential that exists between supervisors and supervisees, and therefore the potential impact on supervisees and purchasers. The mental health field has long recognized the worth of moral standards for the follow of message and psychotherapy. The oversight relationship needs examination of multiple problems, and therefore the superordinate method should incorporate sensitivity to the role and responsibilities of each the supervisor and therefore the supervisee.

Ethics involved :

Direct and Vicarious Liability: If knowledgeable fails to follow acceptable standards of follow and hurt to a consumer results, the skilled will be command chargeable for the hurt caused.
Confidentiality: Supervision permits for third-party discussion of medical care things. it's vital to recollect that the sort and depth of debate allowed in oversight, is unethical in different things. Supervisees should keep confidential all consumer info except of the needs of oversight.
Supervisory competency essentially includes experience in oversight, within the areas of follow supervised and in skilled ethics.
Complications and considerations: the method of oversight may be a difficult one with multiple components and other people concerned. Supervisors are long-faced with a threefold responsibility of protective the welfare of the consumer, mentoring supervisees in their skilled development, and protective the interests of the profession and public at massive (Storm & Todd, 1997)..

Clinical Oversight:Fulfilling superordinate duties needs substantive oversight of supervisees’ clinical work.
Creating a secure Holding atmosphere: Although there sometimes is associate critical part to the superordinate relationship, for the supervisee to get most like the clinical oversight, and therefore for the purchasers treated to receive the simplest care attainable, the supervisee should understand the superordinate relationship to be sufficiently safe to be ready to overtly share thoughts, ideas, experiences, and feelings with the supervisor.
The underlying concern for a twin relationship between the supervisor and supervisee is that the potential for “abuse of power” because of the standing differential during this relationship. If the boundaries within the superordinate relationship aren't clear, the supervisee will interpret this as permission to cross boundaries within the clinical realm then face ramifications for making twin relationships with purchasers.
Iformed Consent:The thought of consent is being addressed last, because it has the potential for impacting the ethical/legal problems mentioned to the present purpose. consent is that the best defense against the troublesome and confusing problems that arise in oversight.

In the given case above, both...the superviser and the supervisee are wrong. Lily the superviser should not have gone on leave and left the clinic solely on her new intern/supervisee Jack. Lily knew that Jack is not experienced enough to operate the clinic on his own, and plus even if she was on the leave she must have been reachable/contactable. On the other hand, when Jack was not 100% sure about the situation of the new client, he should not have started the practice on him, it only worsened the situation of the client. He should have told the truth to the client or client's family member.