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Ethical Decision-Making in Mental Health

Ethical DecisionEthical decision -- making in making in Mental HealthMental HealthMarna S. Barrett, S. Barrett, of PsychiatryDepartment of PsychiatryUniversity of Pennsylvania School of MedicineUniversity of Pennsylvania School of MedicineEthical decisionEthical decision --makingmaking What is decisionWhat is decision -- making ? making ? How is moral decisionHow is moral decision -- making different? making different? Why do we need a model specific to ethics Why do we need a model specific to ethics and Mental Health ?and Mental Health ? Ethical decisionEthical decision --makingmakingWhat is decisionWhat is decision -- making ? making ? Identifying and choosing alternatives based on values and preferences. Process of sufficiently reducing uncertainty and doubt about alternatives to allow a reasonable choice to be decisionEthical decision --makingmakingHow is moral decisionHow is moral decision -- making different?

Moral decision-making 1. Most dilemmas are not 1. Most dilemmas are not right vs. wrongbut but right vs. right vs. rightdilemmas.dilemmas.--It is right to protect forests, it is right to provide jobs for loggers - It is right to uphold confidentiality, It is right to uphold confidentiality, it is right to protect the welfare of others

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(1) moral sensitivity (recognition), (2) moral judgment, (3) moral focus (motivation), and (4) moral character.2 Component 1: Moral Sensitivity (Recognition) Moral sensitivity (recognizing the presence of an ethical issue) is the first step in ethical decision making because we can’t solve a moral problem unless we first know that one exists.

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COMPONENT 2: MORAL JUDGMENT After determining there is an ethical problem, decision makers then choose among the courses of action identified in Component 1. They make judgments about what is the right or wrong thing to do in this specific context. Moral judgment has been studied more than any other element of the Rest model.

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