1. How to Navigate ethical dilemmas without a gps
Lynda Frost, J.D., Ph.D.

2. Disclosure to Participants
Successful Completion of This Continuing Education Event Requires You to:
• Complete registration and sign in sheet
• Attend entire event
• Participate in education activities
• Complete participant evaluation
Commercial Support:
This educational activity received no commercial support.
Disclosure of Conflict of Interest:
The speakers and planning committee for this event have disclosed no financial interests.
Non-Endorsement Statement:
Accredited status does not imply endorsement of any commercial products or services by the Department of State Health Services, CE Service; Texas Medical Association; or American Nurse Credentialing Center.
Off-Label Use:
The speakers did not disclose the use of products for a purpose other than what it had been approved for by the Food and Drug Administration.
Expiration Date for Awarding Contact Hours:
Complete the attendance sheet and evaluation by the end of the session.
Other Credits Offered:
Professional Development (PD) for Licensed Psychologists
Continuing Education for Licensed Chemical Dependency Counselors (LCDC)
Social Work/LPC/LMFT
Continuing Legal Education (CLE)
Continuing Professional Education for Accounting (CPE)
CEUs for Certified Peer Specialists (CPS) and Certified Family Partners (CFP)

3. Disclosure to Participants
Continuing Medical Education:
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Texas Medical Association (TMA) through the joint providership of The Texas Department of State Health Services, Continuing Education Service and Texas Council of Community Centers. The Texas Department of State Health Services, Continuing Education Service is accredited by the Texas Medical Association to provide continuing medical education for physicians.
The Texas Department of State Health Services, Continuing Education Service designates this live activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This course has been designated by The Texas Department of State Health Services, Continuing Education Service for 4.5 credit(s) of education in medical ethics and/or professional responsibility.
Continuing Nursing Education:
The Texas Department of State Health Services, Continuing Education Service is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
The Texas Department of State Health Services, Continuing Education Service has awarded 7.5 contact hour(s) of Continuing Nursing Education.

4. Continuing Legal Education
This session qualifies for 1.5 hours of CLE credit, including 1.5 hours of ethics.
Course Title: 34th Annual Texas Council Conference
Course Number:
Date: June 21-23, 2019

5. With Ethics, there usually is no GPS

6. Sources of ethical guidance
State & Federal Law
Professional Codes of Ethics
Employer Codes of Conduct
Morals

7. Sources of ethical guidance
State and Federal Law
Texas Occupations Code (e.g. Nurses, Psychologists, Marriage & Family Therapists, LPCs, CDCs, Social Workers)
Texas Administrative Code (e.g. Nurses, Marriage & Family Therapists, LPCs, CDCs, Social Workers)
Professional Codes of Conduct
Mandatory (part of licensure)
Texas HHS/DSHS Professional Licensing and Certification:
Aspirational
Employer Codes of Conduct
e.g. Texas HHS Code of Conduct (

8. Lawyers
Model Rules of Professional Conduct: blications/model_rules_of_professional_conduct/model_rules_of_pro fessional_conduct_table_of_contents.html
Texas Disciplinary Rules of Professional Conduct: te=/CM/ContentDisplay.cfm&ContentID=27271

9. Psychiatrists
APA’s Principles of Medical Ethics with Annotations Especially Applicable to Psychiatry:
Texas Society of Psychiatric Physicians Four Principles [competency, advocacy, leadership, collaboration]:

10. Nurses
ANA’s Code of Ethics for Nurses: policy/nursing-excellence/ethics/code-of-ethics-for-nurses/
Texas Standards of Nursing Practice and Unprofessional Conduct (22 TAC Ch Rules & ):
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&p_tloc=&p_ploc=1&pg=5&p_tac=&ti=22&pt=11&ch=217&rl=12

11. Psychologists
APA’s Ethical Principles of Psychologists and Code of Conduct:

12. Licensed Professional Counselors
ACA’s Code of Ethics:
AMHCA Code of Ethics: entFileKey=d4e10fcb-2f3c-c701-aa1d-5d0f53b8bc14
Texas Code of Ethics (22 TAC Ch. 681 Subch. C): &sch=C&rl=Y

13. Licensed Marriage and Family Therapists
ACA’s Code of Ethics:
AMHCA Code of Ethics: entFileKey=d4e10fcb-2f3c-c701-aa1d-5d0f53b8bc14
Texas Guidelines for Professional Therapeutic Services and Code of Ethics (22 TAC Ch Subch. C): &sch=C&rl=Y

14. Social Workers
NASW Code of Ethics: Ethics/Code-of-Ethics-English
Texas Code of Conduct and Professional Standards of Practice (22 TAC Ch Subch. B): &ch=781&sch=B&rl=Y

15. Certified Peer Support Specialists
iNAPS National Practice Guidelines for Peer Supporters:
NAADAC’s National Certified Peer Recovery Support Specialist Code of Ethics:
Via Hope Texas Mental Health Peer Specialist Code of Ethics: certification/cps-code-ethics/
Texas Certification Board of Addiction Professionals Ethical Standards for Peer Recovery Support Specialists:
Via Hope Texas Certified Family Partner Code of Ethics: certification/cfp-code-ethics/

16. how to navigate ethical challenges:
Identify
Identify issues that raise ethical challenges
Analyze
Analyze the rules and other guidance for your specific role
Consult
Consult peers and supervisors

17. Boundaries: Reflect on this…
Providing treatment to the family member of a fellow employee
What ethical issues or tensions do you identify?
Are there principles, rules or guidance to help you think through this situation?

18. Boundaries: Reflect on this…
Peer providers working where they receive services
What ethical issues or tensions do you identify?
Are there principles, rules or guidance to help you think through this situation?

19. Workplace issues: Reflect on this…
Treating all staff the same regarding pay increases when some have not performed adequately
What ethical issues or tensions do you identify?
Are there principles, rules or guidance to help you think through this situation?

20. Workplace issues: Reflect on this…
Co-worker falsely documenting time
What ethical issues or tensions do you identify?
Are there principles, rules or guidance to help you think through this situation?

21. how to navigate ethical challenges:
Identify
Identify issues that raise ethical challenges
Analyze
Analyze the rules and other guidance for your specific role
Consult
Consult peers and supervisors

22. What is a challenging situation you experience in your work that raises complex ethical questions?

23. Troika Consulting
Form groups of three, preferably with people you don’t know
Individual reflection on question
Nine minutes per person
Spend 2 minutes sharing your ethical challenge
Spend 2 minutes responding to clarifying questions
Spend 4 minutes receiving feedback and advice from your consultants
For 1 minute, thank your consultants and share what was most valuable
Switch to next person

24. What questions should be asked? What resources might be helpful?
Consultant:
What questions should be asked?
What resources might be helpful?

25. Key resources National and state-based ethical codes by profession
Federal and state law
Employer code of conduct
Professional board ethics hotlines, advisory opinions
Consultation with professional peers and your supervisor

26. Navigating ethical challenges:
Identify
Identify issues that raise ethical challenges
Analyze
Analyze the rules and other guidance for your specific role
Consult
Consult peers and supervisors

27. Thank you for your engagement!
Lynda Frost, J.D., Ph.D.