Mixed Agency An Ethical Dilemma - 1591 Words

Mixed Agency: An Ethical Dilemma Military mental health providers hold dual roles as clinicians and commissioned officers. While they are bound by the ethical code and professional guidelines of their profession, they are also held to the standard of Department of Defense (DoD) statutes and regulations. They are expected to provide competent clinical care but also enforce military boundaries and discipline (McCauley, Hacker Hughes, Liebling-Kalifani, 2008). Likewise, there may be duality in the provider’s obligation, both to the patient/service member and to their higher command. These conflicting relationships and obligations are referred to as mixed agency (Kennedy Johnson, 2009; Kennedy Moore, 2008). Ultimately, the provider’s responsibility to the unit’s mission may not always align with the best interests of the patient (McCauley et al., 2008). Ethical issues of mixed agency are often exacerbated by circumstances of serving in deployed settings, where the provider will often live and work in close contact with patients, further blurring the boundaries of the therapeutic relationship (McCauley et al., 2008). At smaller installations with limited resources, patients may even include the provider’s colleagues or supervisors (Dobmeyer, 2013; McCauley et al., 2008). Additionally, providers may be tasked with operational roles (Johnson Kennedy, 2010) or be expected to provide services for which they have little to no experience or training (Kennedy Johnson,Show MoreRelatedModern Law Enforcement Of The London Metropolitan Police District1231 Words   |  5 Pagescan be found in Skolnick’s case study of the San Francisco. 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