In the process of implementing the rehabilitation center program for the drug addicts, the criminal justice practitioners are likely to face many complex situations. Solving most of these issues may proof to be challenging and therefore the need to use ethics-centered and evidence-based analysis of the situations in deciding the best solution.
Among the complex situations that criminal justice practitioners are likely to face include, employees taking advantage of the addicts and assaulting them physically, emotionally and sexually, drub abuse among the employees in the center, lack of informed consent, lack of Confidentiality for the information shared and infidelity.
To begin with, criminal justice practitioners are likely to face situations whereby the employees in the rehabilitation centers take advantage of conditions of the drug addiction victims. In some cases, the employees abuse the patients physically, sexually and emotionally. In such conditions, the practitioners are required to ensure that all the stakeholders uphold high level of ethics to ensure the patients benefit to the fullest. In these cases, the criminal justice practitioners should sack the employees and ensure they are prosecuted in a court of law. Based on the Beneficence code of ethics, rehabilitation counselors have the responsibility of improving and enhancing the welfare of the clients (Ethics.iit.edu, 2017). The code of ethics holds that rehabilitation counselors should consider whether whatever therapy they offer the patients have any negative impact on them. In so doing the counselors ensure that, their actions in the process of treatment have the highest utility to the patients. Any kind of discrimination to the clients by the officers in the rehabilitation centers should be treated as a violation to the rights of the patients and the offenders should face the wrath of the law. Criminal justice officers should also ensure impartiality in the execution of their duties. They should work in ensuring that all the stakeholders get justice and fairness regardless of their status in the organization.
Patients in the rehabilitation centers have the right to informed consent. According to Ethics.iit.edu(2017), informed consent is the process whereby individuals consent to the proposed treatment or a procedure after understanding all the underlying conditions, including benefits and consequences. Even though the addicts are in the dire need for mitigation of their condition, they have the right to be informed about the benefits and the underlying conditions of the treatment. Based on this concept, it is important that the addicts have reasonable comprehension of the proposed treatment procedure including the drugs and their side effects. In addition, the beneficiaries need to be assessed for purpose of determining their capability to understand the information provided. The criminal justice officers in this center should not just offer information to the beneficiaries, but rather they should ensure that they understand the information. This is achieved by ensuring the information presented is in the simplest form possible. What is more, the patients should willingly node to the proposed procedure and should not be forced to accept a procedure without been given other possible options.
Confidentiality is important while running the rehabilitation center. During addiction, the brain is affected and there is possibility that patients will expose personal information not meant for public consumption. In such cases, the criminal justice officers have the responsibility of ensuring confidentiality to the shared information. Exposure of such information to the public may lead to victimization and stigmatization of the victims by the public and therefore the need to ensure high level of confidentiality. Officers found guilty of intentional exposure of patients’ information to the public should be sacked. In addition, they should be prosecuted accordingly. To implement the rehabilitation center program, criminal justice practitioners will ensure that all the stakeholders sign a confidentiality adherence form allowing them abide by the confidentially provisions. In this agreement, the officers will agree to keep all the information not meant for public consumption confidential.
Fidelity is another principle in the code of ethics required to be adhered to by all the Rehabilitation Counselors. According to Ethics.iit.edu (2017), the rehabilitation officers should remain true to their word by keeping all their commitments as well as promises. After taking in a client, the officers must understand that they have entered in a lasting contract with the client. By the client having to sign the contract forms, the officers confirms that they have entered in a contract whereby all the information shared will remain confidential to entities not listed in the forms. The counselor or criminal officer has the mandate to support the welfare of the client regardless of the situation. He should remain true to his words and promise to the end. For example, they should protect clients’ information from exposure (Ethics.iit.edu, 2017).
Evidence based practice is the approach of integrating individual clinical knowledge with the best available external clinical evidence resulting from systematic research. In addition, it refers to the integration of proved clinical proficiency, best research evidence, and patient values into making decision for patient care. This approach involves utilizing the practices already proved effective in the past in solving a current medical problem (Jhanjee, 2017). The issue of drug addiction and rehabilitation is not new. Several methods have been used in the past and proved to be successful to the victims. Instead of designing new approaches in the rehabilitation centers, the management will implement these approaches. Some of the Evidence-based practices to be applied in implementing the program include
Brief interventions (BIs)
This approach has proved effective especially in the rehabilitation of alcohol addicts. The objective of the approach is helping the patients comprehend that continued use of the drugs is exposing them significant risks. In addition, the approach encourages victims to either reduce the rate of consumption or completely stop abusing the substance. BIs normally range from 5 minutes for brief advice (Jhanjee, 2017). However, it can range between 15 and 30 mins for brief counseling. In the rehabilitation centers, the counselors will be required to hold brief talks with the patients in order to give them advice concerning the need to stop the drug abuse. Currently, the approach has proved effective in among alcoholics. Most physicians prefer this method because it is cost-effective.
Motivational interviewing (MI)
According to Miller & Rollnick (2012), MI helps in facilitating as well as engaging the intrinsic inspiration within the clients for purpose of changing their behaviors. The approach is both goal-oriented and client-centered style of counseling used for provoking change in behavior through assisting the patients to explore as well as decide ambivalence. The method has proved effective for many years especially among alcohol dependent population. The various principles of the approach entail expressing empathy by reflective listening, avoidance of argument as well as direct confrontation, supporting optimism besides self-efficacy and adjusting to the resistance of the client (Jhanjee, 2017). Considering that most of the clients in the program will be dependent population, this approach is highly effective. The management will set long interviewing periods whereby they will listen to the agony experiences of clients and offer them advice on how to break loose from the problem.
Ethics.iit.edu. (2017). Code of Professional Ethics for Rehabilitation Counselors (2002) | Ethics Codes Collection. [online] Available at: http://ethics.iit.edu/ecodes/node/4252 [Accessed 12 Jan. 2017].
Jensen, C. D., Cushing, C. C., Aylward, B. S., Craig, J. T., Sorell, D. M., & Steele, R. G. (2011). Effectiveness of motivational interviewing interventions for adolescent substance use behavior change: a meta-analytic review. Journal of consulting and clinical psychology, 79(4), 433.
Jhanjee, S. (2017). Evidence based psychosocial interventions in substance use. Retrieved 12 January 2017, from
Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: Helping people change. Guilford press.