Scenario

          Imagine that you are on a team of counselors who have been calledin to provide consultation. You begin your work by interviewingtrainees at the site. Your first interview is with Kara, a master'slevel student at her local university who is doing an internship atthe agency. Kara states that her most puzzling client is an EasternEuropean male named Dominik; he has been in the United States forabout a year on a work visa and is working hard to \"blend in.\"Dominik sought counseling because his employer suggested that itmight help him be less distracted at work improve his ability tocomplete tasks. Kara states that she diagnosed Dominik with ADHDbecause he was having difficulty sitting still and focusing, butshe did not refer him for a medical evaluation. Kara expressesconfidence that things are going well because when Dominik arrivesfor his appointment, he says, \"Hey Doc!\" and gives her a kiss onthe cheek. Dominik schedules appointments over his lunch hour so hewill not miss work, and he brings Kara lunch so she can eat too.Kara wants Dominik to feel welcome and comfortable, so she acceptswhat he brings. Sometimes they sit outside if the weather is nice.Kara says she believes that fresh air is good for the wellbeing ofher client. Kara confides to you that yesterday, Dominik asked ifthey could meet at a restaurant instead of eating at the office.Kara says she felt a little funny about this but she said, \"Yes.\"Kara also discloses that recently Dominik \"friend-requested\" her onFacebook and LinkedIn, both of which she accepted. Kara enjoystalking to Dominik and finds him to be good company. He has onlyfour more sessions of counseling left at the agency and she hopesthey can still be friends after he completes treatment. When youask to review Kara's case notes, you do not see a supervisor'ssignature. Kara says she told her internship supervisor that thingsare going well so she does not feel the need to staff this case;she states that they agreed that Kara could exercise her ownprofessional judgment. On the treatment plan, you see that Karastates that she is using a directive approach and supplementing itwith humor therapy, which she read about on the Internet. Shedescribes this approach as \"common sense counseling,\" but she isnot able to articulate why it will be helpful for Dominik ordiscuss the evidence that this approach helps clients get better.When you ask Kara how she knows her counseling sessions arebenefitting Dominik, she says, \"Well, he keeps coming back, so itmust be worth his while, right?\"

          Using theWeb sites for the ACA and AMHCA ethics codes, the ACA EthicalDecision-Making Model, and the Calmes, Piazza, and Laux (2013) DOI:10.1002/j.2161-007X.2013.00025.x article assigned in this unit'sstudies, prepare a draft of your conclusions regarding this casethat you will review with your consulting team.

1) Prepare a multi-step plan for the agency to follow inre-aligning its interns' and superiors' clinical work withprofessional standards.