TPC Journal V8, Issue 3- FULL ISSUE

The Professional Counselor | Volume 8, Issue 3 259 concerns their clients may have without interference of their personal beliefs and values. PAD is a topic that will continue to expand. Introducing PAD during training may allow counselors to feel more prepared should a value conflict arise. As counselor educators facilitate conversations with CITs about their personal and professional beliefs toward PAD, CITs can implement their value bracketing skills under the supervision of their faculty. Being in a safe environment can encourage CITs to explore their authentic feelings concerning PAD and evaluate their value bracketing skillset. Addressing concerns and potential red flags during training can prevent harm to future clients and unethical clinical judgment and behaviors. There is a potential challenge in maintaining consistency in training about end-of-life issues, including PAD, because of the nature of accreditation standards for counseling programs. There is no specific standard of learning in the 2016 Council for Accreditation of Counseling and Related Educational Programs (CACREP) standards regarding end-of-life counseling issues (CACREP, 2016). Counselor educators are tasked to meet learning standards related to human growth and development “across the lifespan,” but they have discretion over what they include and highlight throughout their curriculum (CACREP, 2016, p. 10). Counselor educators should consider the importance and advantages of including specific instruction on end-of-life issues in their curriculum (Servaty-Seib & Tedrick Parikh, 2014). In addition to educating CITs, more research is needed to further understand counselors’ developing roles with clients pursuing PAD. With more states legalizing this procedure, it is only a matter of time before counselors are face-to-face with a client that needs a counselor’s experience and competency to assist with this life-changing decision. Although data is available concerning grief and loss counseling, literature directly related to counselors’ roles in working with PAD is sparse. Future research should incorporate counselors’ emerging roles with PAD clients and needs for training to prepare CITs. With stronger research in this area, counselor educators may feel more equipped to teach and support CITs to become aware of and potentially bracket their values about death, dying, and PAD. Conclusion Counselors must be knowledgeable about the legal and ethical standards surrounding PAD in order to work effectively and ethically with PAD clients. Counselors also need to be aware of their personal beliefs and values about death and dying and be able to manage values-based conflicts. This article highlighted personal and professional values relevant to counselors working with PAD clients through an ecological systems lens. Considering the values at play, counselors can use the CVCM with ethical bracketing as an integrated method to resolve value conflicts with PAD (Kocet & Herlihy, 2014). Increased knowledge regarding ethical decision making surrounding PAD can encourage counselors to provide care for PAD clients with competence and confidence. Further research on counselors’ roles with PAD clients and needs for training may enhance counselors’ knowledge and competency with this client population. Conflict of Interest and Funding Disclosure The authors reported no conflict of interest or funding contributions for the development of this manuscript.