Ethical Dilemmas in Mandated Treatment Settings
What is your primary professional role?
Counselor
Social Worker
Case Manager
Peer Specialist
Other:
In what type of setting do you primarily work with justice-involved clients?
Community mental health
Correctional facility
Reentry program
Diversion court
Private practice (mandated referrals)
Other:
How often do you feel pressured to choose between legal obligations and clinical judgment?
1- Never
2- Rarely
3- Sometimes
4- Often
5- Always
Which of the following ethical dilemmas have you encountered? (Check all that apply)
Reporting noncompliance that felt more like lack of support than defiance
Pressure to discharge clients after relapse
Conflicts around client autonomy vs. court requirements
Deciding how much information to include in legal updates
Client trauma being misread as aggression or resistance
Other:
When faced with these dilemmas, how do you typically respond?
Follow policy as written
Seek supervision or ethics consult
Use clinical judgment and document
Try to find a middle ground
Other:
What supports do you currently use when facing ethical dilemmas?
Supervision
Ethics committees
Peer consultation
Agency policies/manuals
None
Other:
What would help you feel more supported in navigating ethical dilemmas in justice-involved work? (Open-ended)