Problem: Miguel is a licensed professional clinical counselor (LPCC) working at a community mental health center in a low-income neighborhood. His schedule typically includes clients with substance abuse histories. As a result, he works with several clients with HIV/AIDS. One such client, Roberta, has been in recovery from heroin dependence for roughly one year. She also has a history of prostitution and risky sexual behavior. One particular session, Roberta discloses to Miguel that she has AIDS, and, as a result, is very depressed. She says that she no longer wants to live, and doesn't care whether or not she infects others with the disease. She discloses that she has been going to bars almost every night over the last few weeks, and has had several one-night stands. When asked if she used protection, she says she cannot remember. Overall, she notes that she feels hopeless, is vague about guaranteeing her own safety, and wants to "pay back" one of her former "pimps" by having sex with him.
Resolve the situation with an ethical solution, specifically citing applicable ethical standards (from CAMFT, ACA, or AAMFT).
Reflect on your personal values and sense of self: Discuss how these might impact your professional decision-making process in this scenario. Identify specific values that are relevant to the ethical issue at hand.