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The Code provides guidance in addressing ethical issues that can emerge in an occupational therapy practice. AOTA recognizes that ethical decisions are influenced by a variety of factors, including the ethical principles that guide the profession, the Standards of Conduct that address the ethical behavior of individual occupational therapists, and other sources of professional expertise (Hesketh & Stark, 2009). Therefore, the Code is not intended to be exhaustive but rather a general guide that encourages continual learning and guidance to address the ever-changing complexities of the occupational therapy profession (AOTA, 2020).
The Institute of Medicine recommends that professional behavior standards are incorporated into laws to guide the practice of medicine (Institute of Medicine, 1999), and the same is true for other professions. The Code of Ethics of the American Occupational Therapy Association (AOTA), the occupational therapy profession's governing body, has worked with The House of Delegates to create the 2020 Code to guide occupational therapy professionals in addressing ethical issues that may arise in practice. The updated Code emphasizes the professional roles of occupational therapy personnel as well as the relationships they have with recipients of services, students, and colleagues. The Code is intended to be a tool that occupational therapy professionals use to guide ethical decision making in practice and study. As a necessary part of this goal, the Code has been translated into several languages, including Mandarin Chinese, Spanish, and Russian (AOTA, 2020).
Ethical decision making in occupational therapy requires a basic understanding of the ethical values and Principles to assist in the application of these values in practice. It also requires a great amount of self-reflection, self-awareness, and self-correction, in order to make ethical decisions, and to reaffirm the values and Principles. The following sections describe some commonly used terminology regarding ethical decision making. They can be used to guide occupational therapy practitioners through the process of ethical decision making in practice.
Conflict is a normal occurrence in occupational therapy practice. It can present as a struggle between competing ethical principles, values and beliefs, and as a struggle of the professional to reconcile the need to help others, balance the needs of the client with the needs of the profession, and find the most appropriate, ethical, and appropriate decision.
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