Latest / Holding It Together (Kinda) / #6 Companion Who Gets To Decide When Minds Are Unsteady
Transcript
- 0:02Michael Mackniak: Hi folks, Michael Maknaak here.
- 0:04Michael Mackniak: Welcome to the midweek unpack for Holding It Together kinda, the podcast.
- 0:11Michael Mackniak: I tackled with my crew here a real toughie when we talk about client choice.
- 0:19Michael Mackniak: This is a real ethical tight rope that legal advocates, providers, uh family members have to walk.
- 0:28Michael Mackniak: And it's really addresses that tension between respecting a person's autonomy and responding when psychosis or impairment or severe symptoms are really the uh at the forefront of what's happening in an acute moment or even overall in a prolonged moment.
- 0:54Michael Mackniak: So I obviously put this together just recently for you all so you can go back to listen to the episode called The Cloak of Client Choice with this uh action companion uh available with you.
- 1:11Michael Mackniak: And you know, you could if something resonated with you as you were listening to the episode, you can go back and and use the companion to to get into action uh and and and to help you sort out in your own mind some of the issues that we discussed.
- 1:26Michael Mackniak: Because this was this is a really big, big topic.
- 1:29Michael Mackniak: So, for instance, we talk about how we preserve one's voice, how we we record our our our own values, our words, our our fears, our goals, instead of assuming that because we disagree with somebody else that they must be incapacitated.
- 1:48Michael Mackniak: Um we want to describe what happens when we use observable facts and timing instead of subjective labels like incompliant or difficult.
- 2:01Michael Mackniak: You know, kind of like discuss a full decision pictures.
- 2:05Michael Mackniak: We put all the duties and viewpoints onto one page from the clinician to the attorney to the individual to family members to peers.
- 2:13Michael Mackniak: So things along this line are what these action companions are really about.
- 2:18Michael Mackniak: You know, guys, disagreement among family lawyers, clinicians, providers, even the courts, it does not mean bad faith.
- 2:29Michael Mackniak: It means that people are doing their job.
- 2:32Michael Mackniak: You know, I mean, very often my role as as a lawyer comes into direct conflict with what a family member may think is in the best interest of their loved one.
- 2:45Michael Mackniak: And that's spot on.
- 2:47Michael Mackniak: That happens when I represent a client.
- 2:50Michael Mackniak: I do what the client wants, not what everybody thinks they need.
- 2:54Michael Mackniak: So those kinds of things, those kinds of uh high pressure questions and ethical dilemmas are discussed in this episode.
- 3:03Michael Mackniak: There's a lot more to it.
- 3:04Michael Mackniak: So please grab the cloak of client choice listener action guide.
- 3:08Michael Mackniak: The the PDF can be found certainly at michaelmachniac.org.
- 3:14Michael Mackniak: And um, until next time, just keep on holding it together, folks, even if it's just kinda.