Encountering And Managing An Unmotivated Or Hostile Court-Ordered-to-Therapy Client Free Sample


Should a judicial entity mandate that an individual pursue counseling, they may manifest reluctance towards compliance with this particular form of therapy. Those not aspiring for therapy often exhibit resistance and non-adherence toward counselors. The following manuscript will scrutinize crucial abilities imperative for skillful dealings with unyielding clients coerced into therapy by courts; this includes expounding on their qualities, explaining the significance of cultural sensitivity during consultations with them, recognizing one type of predisposition hindering quality care provision as well pointing out potential problems therapists are likely to encounter in handling these individuals.

Essential Skills for Working with Court-Ordered Clients:

  1. Empathy: Empathy is a crucial skill for a counselor working with court-ordered clients who resist therapy. A counselor must understand the client’s perspective and build a trusting relationship with them. According to a study by Kocet and Kucuk (2019), counselors who demonstrate empathy help clients feel heard and understood, which can increase their motivation to engage in therapy.
  2. Motivational interviewing is an approach that fosters intrinsic motivation to change by prominently featuring the client. This method has demonstrated effectiveness in treating individuals resistant to therapy. Barnett et al.’s (2018) research indicates that motivational interviewing can successfully assist clients in overcoming therapeutic ambivalence and increasing their drive toward treatment.
  3. CBT, a treatment methodology founded on empirical validation, is capable of dealing with diverse mental health matters. Structured and focused on goals, it works well even with clients who are mandated to undergo therapy but initially oppose it. In fact, according to Hilton et al.’s findings from their 2020 research study — which delved into how underlying beliefs and behaviors prohibit individuals’ acceptance of therapy sessions — this approach enables them to address such concerns effectively.

Clients Characteristics:

Individuals who were compelled by court orders and exhibit aversion towards treatment may possess a diverse set of traits. These individuals could have previously encountered problems with addiction, legal matters, or complications in their mental well-being. Research conducted through Waite et al.’s study in 2020 indicates that mandated clients might also hold suspicions about the legitimacy of judicial processes; hence, they view therapy as a penalty measure rather than a recovery aid.”.

Importance of Cultural Awareness:

Understanding cultural differences is of utmost importance when dealing with clients who have been ordered by the court to partake in therapy but are apprehensive about it. Therapists should be mindful of their personal biases and how said biases may affect client-therapist interactions. According to research conducted by Sue and Sue (2016), comprehending a patient’s cultural history, as well as their values and convictions, can play an instrumental role when integrating these factors into therapeutic practices.

A potential obstacle to a counselor’s ability to deliver high-quality care to court-ordered clients is biased. One form of such partiality that could arise and harm the overall quality of service these counselors provide happens when they display confirmation bias, which occurs every time this professional solely looks for information supporting their prior beliefs about a client. To counteract this type of prejudice from taking over during counseling sessions, it becomes critical for certified professionals to emphasize challenging themselves even more aggressively than initially intended so that they can gain new viewpoints beyond any assumptions or preconceptions previously held regarding said client throughout each session attended together.

Problem Encountered on the Job:

When a court-ordered client resists therapy, engagement becomes an issue for the counselor. Progress can be hindered when clients lack the motivation to participate in treatment. To address this, motivational interviewing may be helpful as it could raise the intrinsic motivation levels of these individuals towards participating in their healing processes based on DiClemente et al.’s (2018) findings.


For counselors to thrive while working with such challenging cases like this one, they must possess essential skills that include empathy and cognitive-behavioral techniques alongside motivational interview methods, without which progress might not occur due to various idiosyncratic characteristics displayed by some reluctant patients ordered by courts under specific circumstances beyond their control where regular persuasion seems insufficient at times.


Barnett, J. E., Kelley, S. D., Carnes, D. L., & Yetter, G. (2018). How to do motivational interviewing in healthcare: A review. Patient Education and Counseling, 101(10), 1753-1766. Link: https://doi.org/10.1016/j.pec.2018.06.011

DiClemente, C. C., Corno, C. M., Graydon, M. M., Wiprovnick, A. E., Knoblach, D. J., & Parran, T. V. (2018). Motivational interviewing, enhancement, and brief interventions over the last decade: A review of reviews of efficacy and effectiveness. Psychology of Addictive Behaviors, 32(7), 811-822. Link: https://doi.org/10.1037/adb0000373

Hilton, L. G., Hunt, T., Salyers, M. P., Salzer, M. S., & Rowe, M. (2020). Cognitive-behavioral therapy for adults with mental health disorders and comorbid substance use disorders in the criminal justice system: A literature review. Journal of Substance Abuse Treatment, 108, 1-11. Link: https://doi.org/10.1016/j.jsat.2019.11.004

Kocet, M. M., & Kucuk, L. (2019). The relationship between counselor empathy and client outcome: A meta-analysis. Journal of Counseling Psychology, 66(2), 146-155. Link: https://doi.org/10.1037/cou0000312

Sue, D. W., & Sue, D. (2016). Counseling the culturally diverse: Theory and practice. John Wiley & Sons. Link: https://www.wiley.com/en-us/Counseling+the+Culturally+Diverse+Theory+and+Practice+7th+Edition-p-9781119448246

Waite, D., Heath, N. L., & Cervantes, J. M. (2020). Mandated counseling: Perceptions and experiences of offenders. Criminal Justice and Behavior, 47(8), 1005-1023. Link: https://doi.org/10.1177/0093854820933117

Ethical Analysis Of The Movie Essay Sample For College


John Q’s film concerns health care services offered in American facilities. The movie exposes the disastrous effects of allowing insurance companies to run medical facilities in the USA. The film is based on

‘s 9-year-old son, who collapses while playing baseball (Cassavetes, 2002). Michael is rushed to the hospital, where a physical examination revealed that he had heart failure and needed a transplant. His parents are informed that he experienced a heart problem and required a costly transplant to save his life. The Archibald’s are also informed that their insurance coverage could not meet the expenses. Therefore, the parents had to pay for the transplant expenses independently. John takes the hospital workers and doctors hostage till the facility agrees to perform the heart transplant.

Ethical Dilemma

The film contains an ethical dilemma. The facility is expected to offer services to its clients but is not performing according to health needs of Michael. The dilemma is based on three medical terms; justice, beneficence, and non-Maleficence. Beneficence implies acting in the best interest of the patient, while justice is applying appropriate procedures to determine healthcare limits. On the other hand, non-Maleficence is to designate harm and formulate mechanisms for averting it. The refusal of the hospital to treat Michael implies that it was ready to discharge him despite his unstable condition. Money is a crucial issue as his parents were unable to foot the high medical bill. Also, the facility can be said to be unjust. It is worth noting that John attempted to pay the bill in instalments (Cassavetes, 2002). Therefore, the hospital should have been considerate and treated Michael and waited for the balance to be cleared later. In this regard, the facility was unjust in discharging Michael. Finally, the hospital staff were entitled to designate harm and find alternatives to avoid it. Indeed, the staff knew Michael Archibald, a nine-year-old boy, would die if discharged. That was a real way of harming the boy. The doctors made no effort to avoid harm. That was a confirmed case of non-Maleficence.

Ethical Theory

The theory applied to analyze the John Q film is Unitarianism. The theory determines the right options and wrong issues by considering the entire outcome. Unitarianism can facilitate healthcare practitioners to identify the outcomes of ethical culture, such as understanding what is morally right and perceiving the application of one’s values. Ethical culture avails resources that facilitate leaders to solve pertinent ethical dilemmas. Unitarianism should be applied to boost the effects of individual patients’ well-being. A good work environment may boost patients` well-being.

Ethics is a crucial healthcare concept. Medical settings should have well-developed ethics programs. The program should cover all healthcare departments and functions. From the Unitarianism theory, it is apt to state that the facility highlighted in the film is unethical in its intentions to discharge the boy or even refuse to perform the transplant based on the outcome; Michael would die. It is clear that Michael’s father appealed worth the doctor to perform the surgery. In the conversation, John observes that he had information that the facility performs numerous heart transplants every year, thereby gaining seven hundred million dollars. John wonders whether the facility cannot perform single free surgery to avert his son’s life. From the above-mentioned statement, a utilitarian would conclude that free surgery is the right action as it presents the most appropriate outcome, saving Michael’s life (Dimmock & Fisher, 2017). Indeed, the utilitarian, just like Michael’s father, would argue that if the hospital made many gains from the heart surgeries, one free surgery could not yield losses, and therefore, it is wrong to let the boy die due to lack of funds.

Ethical Analysis

The film, John Q, lacks fairness and courage as moral values. The hospital staff refused to offer the best health services to Michael. They refused to perform the transplant due to a lack of finances. The action was unfair and can be said to be immoral. Courage is illustrated through the action of John. He would stop at nothing to meet his son’s treatment. In the process, it takes the hospital workers and doctors hostage till the facility agrees to perform the heart transplant. The process brings another moral dilemma. Treating Michal for free would make other patients demand free treatment services. Under such cases, if the facility performs many free treatments, it would make losses amounting to millions of dollars and finally close down. Although the needy patients would greatly benefit, the hospital would not benefit from free medical services, which meant this was not benefitting more people. From the foregoing utilitarians would conclude that it is morally wrong for the hospital staff to Moral of the story utilitarian are consequentialist and would argue that it is unethical not to offer the best health services to Michael; perform the surgery due to its outcome; his death.


The film John Q is highly informative and entreating. The movie revolves around Michael, who has been denied medical treatment due to cost. The parents are unable to foot the bill. Finally, his father, John, takes hostage by the emergency department, and the doctors agree to treat him. The movie illustrates the disastrous health conditions in US healthcare services. The services are costly and require drastic measures to alleviate the suffering of marginalized people like Michael. Here is the need for policies that set aside insurance covers for severe cases such as the one facing Michael. It is prudent for hospitals to be humane and just.

The ethical dilemma in the film teaches us several lessons. The issues can be summed applying three terms; justice, beneficence, and non-Maleficence. Actually, the hospital should act in the best interest of the patient while applying appropriate procedures to determine healthcare limits. Health practitioners should designate harm and formulate mechanisms for averting it. Hospitals should not discharge untreated patients considering their unstable conditions. Also, facilities should treat their patients fairy. Therefore, hospitals be considerate and treat the needy. The hospital staff are entitled to designate harm and find alternatives to avoiding it.

The moral values deduced from the film could be applied in my professional and personal life.

The film is grounded on principles of wrong and right that prescribe how humans should act concerning rights, benefits, and obligations to societal virtues. The film showcases fundamental aspects of practical decision-making and encompasses the ultimate value through which human behavior can be examined, either right or wrong. Humans apply ethical concepts in the real world in different ways. Indeed, the movie guides our actions in making the appropriate choices that foster the common good for all. Indeed, the movie guides humans in telling the truth, assisting the needy and keeping our promises. Overall, the film aids us in making decisions that create positive concepts and steer health practitioners from unjust issues.


Cassavetes, N. (February 15 2002). John Q (Film). New Line cinema

Dimmock, M., & Fisher, A. (2017). Ethics for A-level. Retrieved from


ISBN-13: 9781783743902

Ethical And Policy Factors In Care Coordination Free Essay

Healthcare coordination is essential in the successful delivery of healthcare services. It is a process that involves organizing patient care activities between two or more persons. The healthcare coordination process involves including the patients to ensure effective service delivery. The primary objective of healthcare coordination is to help eliminate the fragmented healthcare process, meet the patients’ needs, deliver safe healthcare services, and reduce medical costs. Reducing medical costs is achieved through reducing readmission cases and emergency services. Therefore, the selected community organization or group of focus to promote learning of the policy problems impacting healthcare coordination is the nursing homes. The group can benefit from the effective coordination of healthcare services since most suffer from chronic diseases.

The Impact of the Government Policies Associated with Health and/or Community Safety on the Coordination of Care

Different policies developed by the government have a direct impact on the coordination of healthcare services. For example, the Affordable Care Act (ACA) and the Health Insurance Portability Accountability (HIPAA) are crucial in influencing the healthcare coordination process. The ACA focuses on implementing affordable insurance coverage, expanding Medicaid plans, and reducing medical costs (Bachynsky, 2020). The ACA policy is also focused on the Triple Aim objectives, which led to the emergence of the Center for Medicare and Medicaid Services (CMS) and the enhancement of the quality of services received by the patients and ensuring that providers are satisfied. Therefore, the policy ensures that the services delivered focus on quality and reduced cost.

There are many benefits from this policy on the population group, such as the elderly persons. The expansion of Medicare benefits has brought the benefits. The elderly population also benefits from the free preventive services offered under this policy. The ACA policy has ensured a reduction in Medicare Part B Premiums, prescription costs, and the protection of individuals against fraud in Medicare (Parker et al., 2019). Therefore, the ACA insurance plans and other essential initiatives available under this policy help ensure that elderly persons benefit through reduced Medicare costs by improving care coordination and the transition of healthcare services.

The HIPAA policy protects the patient’s health information and medical records from unauthorized access. The policy also focused on making it easier to access healthcare records by the patients (Nettrour et al., 2019). Consequently, there was an emergence of privacy and security rules. Therefore, the rules set under HIPAA policy help ensure that the national standards of practice guide the providers about disclosing the patient’s protected health information.

The privacy rule is also important to the patient receiving healthcare services. For example, patients can manage the information by influencing who uses such information, the type of individuals whom the information should be shared with, and how and who will have access to such information. Such guidelines about the privacy and security of patient health information are essential in the healthcare coordination process. In this case, the provider must collaborate with the patients to determine who should access the protected information. Security involves standardized procedures to ensure unauthorized disclosure or breach of security. Nevertheless, the security rules do not give specific measures to ensure the safety of such information. Therefore, most security measures healthcare organizations adopt include electronic information storage with specific login details.

Healthcare providers must protect the patient’s health information as a covered entity. As such, they ensure that the information received is electronically stored and transmitted to authorized persons. The introduction of the security and privacy rules ensured complete patient health information protection while simultaneously allowing coordinated healthcare (Nettrour et al., 2019). Any covered entity violating these rules is likely to be imprisoned and pay fines concerning the losses or damages caused. There is also a risk of losing the practice license. Therefore, adherence to such rules is mandatory.

Identification of the National, State, and the Local Policy Provisions Raising Ethical Questions or Dilemmas for Care Coordination.

Ethically, nurses have the responsibility to implement their jobs professionally. The affordable care policy is one of the national, state, and local policies. This policy is applied in healthcare, such as nursing homes (Tracey et al., 2019). Nevertheless, studies show that affordable policy raises ethical questions regarding healthcare coordination. Affordable healthcare increases the number of individuals in nursing homes (Campbell & Shore-Sheppard, 2020).

Consequently, it leads to education in healthcare quality since the policy fails to ensure an increase in the number of providers, such as nurses. The increase in the number of elderly persons in nursing homes without an increase in nurses leads to more harm than good. Therefore, affordable healthcare policy results in poor diagnosis and treatment of individuals.

The Impact of the Nursing Code of Ethics for Nurses on Care Coordination and Continuum

The moral values of healthcare professionals are among the paradigm that helps facilitate the development and ensure quality services in nursing homes. During their training, healthcare providers are well-trained about the importance of compliance with nurses’ code of ethics. The code of ethics includes nine provisions, with the first involving compassion and respecting persons’ dignity, worth, and unique features. In this case, nurses are responsible for ensuring they remain committed to upholding the dignity of the individuals they care for. Nurses are expected to respect patients, families, societal members, and the population. The third ethical principle is the nurse’s responsibility to promote, advocate for, and protect individuals’ rights, safety, and health.

The other provision of the ethical principle is for the nurse to use their power to ensure they always remain accountable and responsible for nursing practice. Under this provision, nurses are expected to make healthcare decisions and participate in actions focused on improving overall health and providing patient care services. Therefore, nurses are expected to preserve the wholeness nature of God and integrity, maintain competency, and participate in continuous professional growth.

The other provision is the roles and place of work. In this case, nurses have the responsibility of helping in the advancement of the profession by taking part in research activities, scholarly research, promoting professional standards, and the development and production of nursing health and policies. Nurses work with other healthcare professionals to protect human rights, support health diplomacy, and help reduce health disparity.

Healthy People 2020 policy outlines the eight and the nine ANA codes of ethics; the Healthy People policy focuses on attaining quality and longer life free from preventable diseases, injuries, disabilities, and premature deaths. The policy is also focused on attaining health equity and equality, eliminating health disparities, and enhancing the health status of all persons (Centers for Disease Control, 2019). Therefore, nurses and other healthcare providers are expected to work as a team towards ensuring that each need of the patients is addressed to promote safety and successful management of health.

Key Ethical and Policy Issues Affecting the Coordination and Continuum of Care In Nursing Homes

Moral values are crucial for healthcare providers in serving patients. Ethical values and policy issues play an essential role in the coordination of care in nursing homes. Some of the ethical issues are the involvement of a high level of professionalism when handling patients and promoting human dignity. The main policy used is affordable care, which ensures equal healthcare services. Therefore, as much as the policies and code of ethics are utilized, challenges affect the smooth relationship between the two factors. One of the main factors is the high level of ignorance among the team responsible for the implementation. Therefore, there is a need to ensure awareness about the policies and use of ethics in coordinating healthcare services.


Healthcare coordination helps in the effective delivery of healthcare services. The healthcare coordination process is focused on eliminating the fragmented healthcare system. Healthcare coordination helps meet patients’ needs, deliver safer healthcare services, and decrease healthcare costs. Nursing homes offer services, especially to elderly persons. The ethical and policy factors influence the role of care coordination in these facilities. Due to the age of this population group, there is a need to have a high level of focus on their well-being, health, and safety. Therefore, the government must ensure the effective development and implementation of policies and ethical considerations to deliver more quality services. Federal, state, and local policies such as the affordable care act (ACA) need to address issues such as shortages in healthcare providers like nurses to help provide quality services to elderly patients in nursing homes.


Bachynsky, N. (2020, January). Implications for policy: The triple aim, quadruple aim, and interprofessional collaboration. In Nursing Forum (Vol. 55, No. 1, pp. 54-64).

Campbell, A. L., & Shore-Sheppard, L. (2020). The social, political, and economic effects of the Affordable Care Act: introduction to the issue. RSF: The Russell. https://doi.org/10.7758/rsf.2020.6.2.01

Centers for Disease Control. (2019). Healthy People – Healthy People 2020. https://www.cdc.gov/nchs/healthy_people/hp2020.htm

Centers for Medicare & Medicaid (CMS). (n.d.). Medicare Coverage Database. https://www.cms.gov/medicare

Nettrour, J. F., Burch, M. B., & Bal, B. S. (2019). Patients, pictures, and privacy: managing clinical photographs in the smartphone era. Arthroplasty Today5(1), 57-60. https://doi.org/10.1016/j.artd.2018.10.001

Parker, K. J., Hickman, L. D., Phillips, J. L., & Ferguson, C. (2020). Interventions to optimize transitional care coordination for older people living with dementia and concomitant multimorbidity and their caregivers: A systematic review. Contemporary nurse, 56(5-6), 505-533.

Tracey Motter, D. N. P., & APRN-CNS, Y. S. P. (2019). Affordable care: Harnessing the power of nurses. Online Journal of Issues in Nursing, 24(2), 1-14. DOI:10.3912/OJIN.Vol24No02Man02