Old+Q8

__Document Decision-Making and Follow-up__: Provide written evidence of clinical/ethical decision-making and results of implementation.(Gerdine)

- If I may chime-in, I think Mark would document each of his steps as well as the thought-processes behind his actions in his "Progress Notes." (see Corey, p.173).

- If possible, Mark would make his notes using a permanent medium. That way, there would be no dispute about when Mark made his notes, or suggestions that he changed them after the fact. - Mike Thanks Mike.

(Gerdine)
 * The best way to provide written evidence is to keep client records acurate and up to date. Wheeler and Bertrum(2008) give us two important terms which are Client Records and Clinical Documentation.

The following are some risk management strategies that will help in documenting the the clinical/ethical decision making process: -At risk situation: Mark may pose a risk of harming his client because of his religious beliefs. -Assessment: Mark considers either refering the client(Mr. Hall) or staying in the theraputic relationship with peer consult. -Options: If Mark refers it may seem like he is abandoning his client; if he continues, he may have to deal with transference and counter transference. -Rule Out: Mark should rule out refusing to work with the client because of this religious beliefs. -Consultation: Mark should document the time and whom he consulted about this situation -Action taken: ? Follow-up: ?

"Nothing about this process assures that you will make the right choices and that every at-risk client situation will have a positive outcome"(Wheeler & Bertrum, 2008).