Prompt: In Milestone Four, you will create two decision-making models to assess

Prompt: In Milestone Four, you will create two decision-making models to assess your case study vignette’s ethical conflict and address multiple role
relationships and culture and social orientation. This milestone will further refine the outline you worked on in Milestones Two and Three.
Specifically, the following critical elements must be addressed within the final project outline template:
1. Eight-Step Ethical Decision-Making Model: List the eight-step ethical decision-making model. Apply the model to the ethical conflict in your chosen case
study.
2. Ethical Strategy: Develop an ethical strategy and explain how it could be applied to your chosen case’s ethical conflict.
3. Alternative Decision-Making Model: Describe an alternative decision-making model, then apply the model to the ethical conflict in your chosen case
study.
4. Statement of Culture and Social Orientations: Explain how culture and social orientations have influenced the development of the proposed ethical
strategy. Assess how the strategy addresses ethical problems associated with multicultural competence issues in your chosen case study.
5. Statement of Multiple Role Relationship Issues: Explain how considerations of multiple role relationship issues have influenced the development of the
proposed ethical strategy and assesses how strategy addresses ethical problems associated with multiple role relationship issues in your chosen case
study.
The case is:
Dahlia Discord, MSW, has been treating Melissa Malfunction for anxiety and mild depression in the aftermath of an automobile accident. Ms. Malfunction has been out of work for 3 months and receives disability insurance payments. The insurer has scheduled her for a disability case review, and Ms. Malfunction has asked Ms. Discord to complete a disability evaluation form and possibly testify as an expert in support of her claim before an administrative law judge. Ms. Discord would like to support her psychotherapy client but is not certain she can objectively support Ms. Malfunction\’s claim that she is totally unable to work at any job for emotional reasons.
Psychotherapists are often asked to write letters of various sorts in support of their clients but must take care not to compromise their professional integrity. Ms. Discord should not allow herself to be manipulated into making a recommendation or evaluative statement that she cannot in good conscience, support. At the same time, she does not want to disrupt the rapport with her client. One possible solution would involve advising Ms. Malfunction that although she cares deeply about her welfare, Ms. Discord cannot take on the role of an independent evaluator to determine disability. Ms. Discord could also agree to write a letter with the client\’s consent, that documents her work with Ms. Malfunction, the symptoms reported by the client, her diagnostic impressions, an estimate of the level of symptom severity, and other treatment information. However, the letter should include only accurate information and should avoid commenting specifically on Ms. Malfunction\’s ability to work for qualifications for disability. Those recommendations should be left to other mental health experts who do not have preexisting or ongoing therapeutic relationships with her.