Case+7,+All+Steps


 * 1) __Define the Problem/Dilemma__: What are the core problems (legal, ethical, clinical, professional, moral or a combination)?
 * 2) __Identify Relevant Variables__: Who are the people? What are the treatment goals, client background/history/dynamics, and multicultural considerations?
 * 3) __Ascertain Law, Ethics Codes and Policy__: What federal/state laws, codes of ethics (ACA and AAPC) and institutional policy (if applicable) apply to the situation?
 * 4) __Consider Personal Influences__: What personal values, bias/prejudice, or counter-transference may be affecting the counselor’s perception?
 * 5) __Obtain Outside Perspective__: Whenever possible, engage in colleague consultation and/or supervision.
 * 6) __Weigh Options and Consequences__: What are the possible courses of action and intended consequences? Also consider the unintended consequences.
 * 7) __Decide and Take Action__: Implement the decision that you believe is most appropriate, based on the circumstances, and be prepared to reconsider options.
 * 8) __Document Decision-Making and Follow-up__: Provide written evidence of clinical/ethical decision-making and results of implementation.