Molitor Stephen J, Dvorsky Melissa R
Department of Psychology, Virginia Commonwealth University.
Ethics Behav. 2019;29(2):87-100. doi: 10.1080/10508422.2018.1482746. Epub 2018 Jun 5.
Parents play an integral role in the mental health service provision of children and adolescents, and they can have significant effects on the outcomes of youth. A growing body of research has linked parents' own mental health status to numerous outcomes for their children, and recent guidelines have emerged recommending the assessment of parent psychopathology when treating child patients. However, these recommendations present a range of ethical considerations. Mental health professionals must determine if the assessment of a parent is empirically supported and that an assessment procedure appropriate for parents can be feasibly implemented. They must also respect the autonomy and confidentiality of parents while ensuring that assessment findings can be translated to meaningful benefits for child patients. This article details and discusses each of these concerns within the context of the relevant principles and standards of the 2016 American Psychological Association's Code of Ethics. Further, it provides guidelines, relevant clinical examples, and an applied model for mental health professionals to consider the ethical implications of assessing parent mental health when serving child patients.
父母在儿童和青少年心理健康服务中发挥着不可或缺的作用,并且他们会对青少年的治疗结果产生重大影响。越来越多的研究将父母自身的心理健康状况与子女的众多结果联系起来,最近出现的指南建议在治疗儿童患者时评估父母的精神病理学状况。然而,这些建议提出了一系列伦理考量。心理健康专业人员必须确定对父母的评估是否有实证支持,以及适合父母的评估程序是否能够切实可行地实施。他们还必须尊重父母的自主权和保密性,同时确保评估结果能够转化为对儿童患者有意义的益处。本文在2016年美国心理学会《伦理守则》的相关原则和标准背景下详细阐述并讨论了上述每一个问题。此外,它还为心理健康专业人员提供了指导方针、相关临床实例以及一个应用模型,以便他们在为儿童患者服务时考虑评估父母心理健康的伦理含义。