SOME CASE EXAMPLES FOR REVIEW AND REFLECTION

Support Brokers will join the ranks of professionals in the disability field. In the readings and case examples that follow, reflect on how you would approach each situation. Remember, there are no right or wrong answers other than to abid by and enforce ethical and professional standards.

Click for article In the Matter of Jeff Kerwin: What Would You Have Done?

This link will take you to the website of New York’s Commission on Quality of Care where you will read about Jeff Kerwin (a pseudonym). You can choose only to read the abstract; however, we recommend that you review the complete case by clicking on the link at the bottom of that page. The complete case describes Jeff’s family, provides a description of his medical condition and placement history, and asks questions that do not have clear answers.

Near the end of the case, there are seven questions that are based on specific events or decisions that were made that may or may not have contributed to the outcome. The last question, “What would you have done?” is perhaps the most difficult to answer. Would your answer be respectful of Jeff’s desires as an individual? As with many situations, there is not a right answer. However, the KEY, is to remain RESPECTFUL of all parties involved.

CASE EXAMPLE
Example of an Ethical Dilemma: Jeffery is fifty-two years old and comes from a strong religious background and has gone to church every Sunday of his life. His Circle of Support finds this to be a source of strength for him and it provides access to many activities throughout the year. As his Broker, you have especially identified with him because of your shared faith and values. Recently, he has told you he no longer wishes to go to church and harbors intense resentment towards his life-long church involvement because of an abuse situation he suffered when he was a child. He has barred you from discussing this with others, but asks that you support his decision even though he knows it may upset his support system. How do you proceed?


Click for article In the Matter of Noah Paul: A Study in the Need for Improved Communication Concerning Individuals with Special Needs

This link will take you to the website of New York’s Commission on Quality of Care. The story of Noah Paul (a pseudonym) provides a forum to discuss an important aspect of professional conduct—the interaction between professionals. Mr. Paul was by all accounts a thriving older gentleman who had specific and identified needs that were not communicated well upon transfer from one care giver to another. By reviewing the complete case, you will identify a few key factors that could have changed the outcome for Mr. Paul.

The frequency of transfers such as Mr. Paul experienced is quite common, which gives pause to ask, "Would you have done something different?" Additionally, because your role is to coordinate with a number of providers, how can you ensure that you convey information appropriately?


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