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Some years ago, a social worker was working with families and children in an outpatient psychiatric setting, Children's Agency. In the previous year, she had
Some years ago, a social worker was working with families and children in an outpatient psychiatric setting, Children's Agency. In the previous year, she had completed her MSW, having practiced social work several years with an undergraduate degree. The Director of Social Services at the Children's Agency was her supervisor. They used a team model in their work, with any particular team consisting of at least a social worker, a psychologist, and a psychiatrist. Sometimes other professionals, such as educational specialists, early childhood development specialists, and social group workers were also on the teams. She had first-rate colleagues in whom she could confide about clinical and ethical issues. Continuous learning was valued, especially as it related to clinical practice. While the social worker was at Children's Agency, Mary Jones (a fictitious name) applied for a job as a social worker at the agency. Four years earlier, the social worker had seen Mary as a client while working for an emergency service at Adult Hospital, a psychiatric facility for adults.The social worker's earlier contact with Mary had been rather brief at Adult Hospital. Mary came to be admitted to the hospital as her psychiatric condition was deteriorating. Mary told the social worker at that time that she (Mary) was a social worker with an MSW and had been in and out of psychiatric hospitals for many years. The social worker located her chart, noted that Mary was previously diagnosed with schizophrenia, undifferentiated type, did the basic paperwork that social workers did on admission, consulted with the admitting psychiatrist, and took her to the hospital ward. It was a rather simple, routine admission; there were no police or court documents, and she was a voluntary client. So now, three years later, the social worker had her MSW, and Mary came for a job interview at Children's Agency where the social worker was employed. The social worker had no responsibility for employment decisions; her supervisor, who was the Director of Social Services, and the psychiatrist who was also the Executive Director, made these decisions. But the social worker was faced with an uncomfortable dilemmaan ethical dilemma for which she did not see any clear answer. On one hand, she was concerned about whether Mary would function as a competent professional colleague. Questions- Since Mary was a professional, didn't she have the responsibility to make sure her "mental health difficulties" did not interfere with her professional judgment and performance?Since Mary is a professional, shouldn't one assume that she needs to deal with these issues? If that is the case, what is the social worker's role
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