Advertisement

Ethics, Values, and Recovery in Mental Health Social Work Practice

Living reference work entry

Latest version View entry history

  • 151 Downloads
Part of the Social Work book series (SOWO)

Abstract

Health care is bureaucratic and outcomes focused. It is influenced by market and political forces, as much as scientific ones, with friction between good practice and the neoliberal commodification of health services creating tensions. Decisions in health care are increasingly shaped by a myriad of “drivers and contingencies” against a backdrop of complex and conflicting values and ideas. Clinical governance, safety and quality, research and evaluation, cost-saving, and cost-efficiencies all intermingle to create a multifaceted working environment that needs to be agile to be responsive to people’s needs. It is against this backdrop, and in the growing complexity in all areas of health care, that recovery can be seen to enable the four core ethical principles (4Ps): respect (of autonomy), nonmaleficence (not doing harm), beneficence (doing good), and justice (treating people fairly). Our overall proposition is that the concepts and values that recovery drives, should be seen as central components to social work practice because it aligns with and complements codes of ethics, reinforces social work practice and standards, and enables better health and social outcomes.

Keywords

Ethics Values of recovery Ethical practice Code of ethics Social work Mental health Recovery Lived experience perspective 

References

  1. Adams P (2009) Ethics with character: virtues and the ethical social worker. eJ Sociol Soc Welfare 36(3) Article 5. http://scholarworks.wmich.edu/jssw/vol36/iss3/5. Accessed 12 Jan 2018
  2. Anderson J (2004) Review – Mental health professionals, minorities and the poor, by Michael E. Illovsky. In Metapsychology Online Reviews 8(24). https://metapsychology.mentalhelp.net/poc/view_doc.php?type=book&id=2196&cn=135. Accessed 20 Sep 2017
  3. Australian Association of Social Workers (2010) Code of ethics. AASW, Canberra ACT. https://www.aasw.asn.au/document/item/1201. Accessed 17 Nov 2017Google Scholar
  4. Beauchamp TL, Childress JF (2013) Principles of biomedical ethics, 7th edn. Oxford University Press, New YorkGoogle Scholar
  5. Bell K (2014) Exploring epistemic injustice through feminist social work research. Affilia 29(2):165–177CrossRefGoogle Scholar
  6. Braslow JT (2013) The manufacture of recovery. Annu Rev Clin Psychol 9:781–809.  https://doi.org/10.1146/annurev-clinpsy-050212-185642. Accessed 17 Nov 2017CrossRefGoogle Scholar
  7. Brophy L, McDermott F (2012) Using social work theory and values to investigate the implementation of community treatment orders. Aust Soc Work.  https://doi.org/10.1080/0312407X.2011.651727CrossRefGoogle Scholar
  8. Burns JK (2009) Mental health and inequity: a human rights approach to inequality, discrimination, and mental disability. Health Hum Rights J 11(2). https://www.hhrjournal.org/2013/08/mental-health-and-inequity-a-human-rights-approach-to-inequality-discrimination-and-mental-disability/. Accessed 3 Nov 2017
  9. Croft L, Gray M, Rimke H (2016) Mental health and distress as a social justice issue: guest editors’ preface and acknowledgments. Stud Soc Justice 10(1):1–3.  https://doi.org/10.26522/ssj.v10i1.1406CrossRefGoogle Scholar
  10. Davidson L, Rowe M, Tondora J et al (2009) A practical guide to recovery-oriented practice: tools for transforming mental health care. Oxford University Press, New YorkGoogle Scholar
  11. Davidson G, Brophy L, Campbell J (2016) Risk, recovery and capacity: competing or complementary approaches to mental health social work. Aust Soc Work.  https://doi.org/10.1080/0312407X.2015.1126752CrossRefGoogle Scholar
  12. deBronkart D (2017) The paradigm of patient must evolve: why a false sense of limited capacity can subvert all attempts at patient involvement. Patient Experience J 4(2) Article 2. http://pxjournal.org/journal/vol4/iss2/2. Accessed 14 Aug 2017CrossRefGoogle Scholar
  13. Fook J (2015) Reflective practice and critical reflection. In: Lishman J (ed) Handbook for practice learning in social work and social care: knowledge and theory. Jessica Kingsley Publishers, LondonGoogle Scholar
  14. Fricker M (2007) Epistemic injustice: power and the ethics of knowing. Oxford online scholarship.  https://doi.org/10.1093/acprof:oso/9780198237907.001.0001
  15. Fronek P (Interviewer) (2012, Aug 2) On human rights and social work: In conversation with Sharlene Nipperess [Episode 17]. Podsocs. http://www.podsocs.com/podcast/on-human-rights-and-social-work/. Accessed 16 Nov 2017
  16. Fulford KWM (1989) Moral theory and medical practice. Cambridge University Press, Cambridge, UKGoogle Scholar
  17. Fulford KWM (2008) Values-based practice: a new partner to evidence-based practice and first for psychiatry? [Editorial]. In: Singh AR, Singh SA (eds) Medicine, mental health, science, religion, and well-being. MSM, 6, Jan-Dec 2008, pp 10–21. https://doi.org/10.4103%2F0973–1229.40565
  18. Gillon R (2003) Ethics needs principles—four can encompass the rest—and respect for autonomy should be ‘first among equals’. J Med Ethics 29:307–312CrossRefGoogle Scholar
  19. Hoop JG, DiPasquale T, Hernandez JM et al (2008) Ethics and culture in mental health care. Ethics Behav 18(4):353–372.  https://doi.org/10.1080/10508420701713048CrossRefGoogle Scholar
  20. HREOC (1993) Human rights and mental illness: report of the national inquiry into the human rights of people with mental illness. Canberra. https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Former_Committees/mentalhealth/report/c03. Accessed 12 Jan 2018
  21. Hyde B, Bowles W, Pawar M (2014) Challenges of recovery- oriented practice in inpatient mental health settings – the potential for social work leadership. Asia Pacific J Soc Work Dev 24(1–2):5–16.  https://doi.org/10.1080/02185385.2014.885205CrossRefGoogle Scholar
  22. Leblanc S, Kinsella EA (2016) Toward epistemic justice: a critically reflexive examination of ‘sanism’ and implications for knowledge generation. Stud Soc Justice 10(1):59–78CrossRefGoogle Scholar
  23. Maylea C (2016) A rejection of involuntary treatment in mental health social work. Ethics Soc Welfare.  https://doi.org/10.1080/17496535.2016.1246585CrossRefGoogle Scholar
  24. Maylea C (2017) Minimising coerciveness in coercion: a case study of social work powers under the Victorian Mental Health Act. Aust Soc Work 70(4):465–476.  https://doi.org/10.1080/0312407X.2017.1326158CrossRefGoogle Scholar
  25. McAnally A (2017) ‘Their deaths were avoidable’: patients killed themselves while under observation at Scottish hospitals. Daily Record. 24 May 2017. https://www.dailyrecord.co.uk/news/scottish-news/their-deaths-were-avoidable-patients-10485770. Accessed 15 Jan 2018
  26. National Association of Social Workers (2017) NASW Code of ethics. https://socialwork.utexas.edu/dl/files/academic-programs/other/nasw-code-of-ethics.pdf. Accessed 17 Nov 2017
  27. Paalanen T, Hopia H (2017) Introduction to professional ethics. JAMK University of Applied Sciences, JyvaskylaGoogle Scholar
  28. Pilgrim D (2008) ‘Recovery’ and current mental health policy. Chronic Illn 4:295–304CrossRefGoogle Scholar
  29. Ramon S (2009) Adult mental health in a changing international context: the relevance to social work. Br J Soc Work 39:1615–1622.  https://doi.org/10.1093/bjsw/bcp066CrossRefGoogle Scholar
  30. Reamer FG (2006) Ethical standards in social work: a review of the NASW code of ethics 2nd edition. National Association of Social Workers. NASW Press, Washington, DCGoogle Scholar
  31. Robertson M (2009) An overview of psychiatric ethics. Health Education and Training Institute (HETI), SydneyGoogle Scholar
  32. Rose D (2014) The mainstreaming of recovery. J Ment Health 23(5):217–218CrossRefGoogle Scholar
  33. Sackett DL, Straus SE, Richardson SW et al (2000) Evidence-based medicine: how to practice and teach EBM, 2nd edn. Churchill Livingstone, Edinburgh/LondonGoogle Scholar
  34. Slade M (2009) Personal recovery and mental illness: a guide for mental health professionals. Cambridge university press, UKGoogle Scholar
  35. Stull LG, McGrew JH, Salyers MP et al (2013) Implicit and explicit stigma of mental illness: attitudes in an evidence-based practice. J Nerv Ment Dis 201(12):1072–1079.  https://doi.org/10.1097/NMD.0000000000000056CrossRefGoogle Scholar
  36. Trevidi P (2010) A recovery approach in mental health services: transformation, tokenism or tyranny? In: Basset T, Stickley T (eds) Voices of experience: narratives of mental health survivors. Wiley, ChichesterGoogle Scholar
  37. UNHRC (2017) Report of the Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health. https://reliefweb.int/report/world/report-special-rapporteur-right-everyone-enjoyment-highest-attainable-standard-0. Accessed 16 Oct 2018
  38. World Health Organisation (2010) User empowerment in mental health – a statement by the WHO Regional Office for Europe. http://www.euro.who.int/__data/assets/pdf_file/0020/113834/E93430.pdf. Accessed 23 Aug 2017
  39. World Health Organisation (2017) Patients’ rights. Genomic resource centre. http://www.who.int/genomics/public/patientrights/en/. Accessed 15 Nov 2017

Authors and Affiliations

  1. 1.NSW Ministry of Health, University of NSWSydneyAustralia
  2. 2.Department of Social WorkMonash University, and Senior Research Fellow, Mental Health Service, St Vincent’s Hospital (Melbourne)MelbourneAustralia

Personalised recommendations