Day 2 - Managing Ethical Dilemmas and the Counseling Implications for Behavioral Health Providers


Managing Ethical Dilemmas and the Counseling Implications for Behavioral Health Providers

Dr. Lee A. Underwood

The management and treatment of clients with diverse social, emotional and legal issues is complex and often controversial from an ethical standpoint. Is the client old enough to comprehend the seriousness of treatment? How is confidentiality maintained when dealing with complicated dynamics? Is the victim telling the truth about abuse and neglect and if not, how should it be managed? Should certain clients who are low risk be placed in restrictive living programs? How do you motivate a person in denial? What happens when personal and professional boundaries are compromised? How are complicated clinical supervision sessions managed? These issues and others will be explored during this training. This presentation will review the ethical code of conduct for providers, paying special attention to those areas that related to the indicated controversial issues. This presentation will present case law and case studies that have precedence in managing ethical dilemmas. Participants will be presented with a model that fosters collaboration with others in managing difficult situations. Participants will work through several cases where ethical dilemmas are presented and through the case conceptualization process, work through the scenarios to arrive at an ethical stance.


  1. Participants will improve understanding of controversial issues in the management and treatment of culturally diverse clients.
  2. Participates will review critical components of the code of ethics in the supervisory process.
  3. Participants will be introduced to a case conceptualization model that fosters the appropriate management of ethical dilemmas.
  4. Participants will work in groups to discuss ethical dilemmas through the use of case studies.


  1. Participants will be able to describe the assumptions behind the controversial issues presented with managing and treating culturally diverse clients.
  2. Participants will be able to learn the pitfalls to avoid in the clinical supervision process.
  3. Participants will be able to identify the core program components of the conceptualization model and ways to problem solve.
  4. Participants will work through case studies and prepare written case responses that align the issues with the ethical code of conduct.

This session, Day 2 of the Cultural Competency and Ethics Virtual Symposium, offers 3 NBCC hours.


Arizona Counseling Association has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 2003. Programs that do not qualify for NBCC credit are clearly identified. Arizona Counseling Association is solely responsible for all aspects of the programs.

Lee A. Underwood, Psy. D.

Licensed Clinical Psychologist, Certified Sex Offender Treatment Provider

SequelCare of Arizona

Lee A Underwood, Psy.D. is a licensed clinical psychologist in several states and certified sex offender treatment provider and is affiliated with SequelCare of Arizona. He is recognized for his training programs, books, and articles on treating culturally diverse adolescents and adults who have sexually abused others, treating victims of sexual abuse and treating the needs of clients with severe mental illness. He has 30 years of experience treating adolescents and adults and has published over 70 professional articles in refereed journals, 20 scholarly activities including monographs, technical reports and training manuals, and has authored two books on adolescents. His written work has focused on the needs of mentally ill clients, juvenile sex offending, substance use, trauma needs of females, forensic and cultural needs of persons involved in the criminal justice and mental health systems, as means of distributing the findings of his research. He has served as an executive clinical officer for several large residential treatment, juvenile justice and criminal justice programs for adolescents and adults. Dr. Underwood has been recognized by the Office of Juvenile Justice and Delinquency Prevention (OJJDP), American Institutes for Research (AIR) and the Substance Abuse & Mental Health Services Administration (SAMSHA) as one of the leading program innovators for juvenile justice and community treatment programs. Dr. Underwood has held a number of policy oriented research, academic, clinical and consulting positions over his career with federal, state and private agencies for research, program design, development, implementation and evaluation of services. 

Dr. Underwood performs training activities, develops treatment curricula, designs programs and performs program evaluations for private and public organizations throughout the country. He consults with the Federal Department of Justice’s civil rights division regarding fair and equitable treatment for clients in systems of care. He served as a Senior Consultant with the National Center for Mental Health and Juvenile Justice, an affiliate of Policy Research Associates. Dr. Underwood has provided support to the forensic psychology program at Argosy University, served as an affiliate faculty for Louisiana State University Health Science Center and visiting lecturer with Rutgers University Criminal Justice program. Dr. Underwood serves on the editorial board of The Juvenile Mental Health Report and The International Journal of Behavioral Consultation and Therapy.

On-Demand Training Details

This on-demand training contains one, 3-hour long video. You must complete viewing of the whole video. Once you have completed your viewing, you will then be promoted to complete a knowledge assessment quiz based on information presented in the video recordings and handouts. The knowledge assessment quiz contains a variety of true/false and/or multiple choice questions. You must receive at least 75% correct on the knowledge assessment quiz in order to pass the quiz. Once you have completed the quiz, you will then need to complete a training evaluation before having access to your certificate of attendance. All of the components listed above can be found under the contents tab.

If you have any questions on this process, please contact us at 


Day 2 - Managing Ethical Dilemmas and the Counseling Implications for Behavioral Health Providers Webinar
11/06/2021 at 9:00 AM (MST)  |  Recorded On: 11/06/2021
11/06/2021 at 9:00 AM (MST)  |  Recorded On: 11/06/2021
Managing Ethical Dilemmas and the Counseling Implications for Behavioral Health Providers Quiz
4 Questions  |  2 attempts  |  3/4 points to pass
4 Questions  |  2 attempts  |  3/4 points to pass Read each statement carefully and indicate whether the statement is True or False.
Day 2 - Managing Ethical Dilemmas and the Counseling Implications for Behavioral Health Providers Evaluation
7 Questions
7 Questions Please indicate the degree to which you agree or disagree with the statements below.
Day 2 - Managing Ethical Dilemmas and the Counseling Implications for Behavioral Health Providers Certificate
3.00 CE Hours credits  |  Certificate available
3.00 CE Hours credits  |  Certificate available