Ethical guidelines are present in the practice of all areas of human service and counseling. These are meant to standardize the quality of care delivered as well as to protect all individuals being served.  An important aspect of receiving services is the right to consent to treatment and make important decisions. This may seem straightforward when working with an individual who is intellectually, mentally, and emotionally capable of making sound decisions, but what about those individuals with a psychiatric or developmental disability?  What is the best course of action?

In a 4-5 page paper, please discuss the role of ethics in the field of human services, with a specific focus on working with individuals with a psychiatric and/or developmental disabilities.     

Should a substitute decision maker go along with the expressed wish of a person who is incapable of giving informed consent to a treatment or try to judge what would be in the overall best interest of that person?

Is it ethical for a substitute decision-maker to refuse treatment on behalf of a person who is incapable of giving informed consent to a treatment for the reason that prolonging life with an intellectual and developmental disability is too burdensome?  

Describe and discuss a real or fictitious ethical dilemma case study relating to the medical or psychiatric treatment of a person with disabilities. Provide at least three recommendations for this case. The recommendations can be for the courts, medical or psychiatric staff, and family members.

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