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One of Your Clients Is a 19-Year-Old, Homeless, Recovering Heroin

Question 23

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One of your clients is a 19-year-old, homeless, recovering heroin addict who is seeing you for her substance abuse problems. She has also been assessed to have mild mental retardation, making her vulnerable to exploitation. In the past, she has prostituted herself for drugs or money. On several occasions, she has come to sessions unkempt; with black eyes, bruises, and cuts on her face; and high in a drug-induced psychosis). You have learned of a bed available in a secure locked) substance rehabilitation center. Due to her inability to maintain her own safety, you have the option to involuntarily admit your client to the center, but your client does not want to be "locked up" and would rather remain where she is while continuing to work with you. Use the ETHIC Model to resolve this ethical dilemma, and discuss and decide what you would do in this situation.

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