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Original Articles

An Ethical Assessment of Structured Intervention with Chemically Dependent Clients

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Pages 19-31 | Published online: 14 Oct 2008
 

ABSTRACT

Structured intervention is a widely accepted approach to helping the chemically dependent client get treatment. Because this method departs from the tradition of the client directly seeking help, it raises unique ethical diletnmas-for both client and practitioner-including issues of self-determination, secrecy, coercion, environmental manipulation, and “fair exchange.” Analysis of these issues using a model for ethical decision-making is followed by discussion of four ethical options for the practitioner. The authors identify a preferred emical position based on theoretical and practice knowledge plus professional and personal values.

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