I have mixed feelings about having to break confidentiality with the client once trust
I have mixed feelings about having to break confidentiality with the client once trust
Even if they are unable to get their patient to agree to the disclosure, they have lived up to the obligations of their profession. Kipnis (2006/2008) concludes his argument by stating that “confidentiality… is effective at getting more patients into therapeutic alliances more quickly, it is more effective in bringing about better outcomes for more of them and—counterintuitively—it is most likely to prevent serious harm to the largest number of at-risk third parties” (p. 56). He is adamant that confidentiality and trustworthiness are the professional, moral requirements of doctors, and they are not to be broken even if legal precedent requires…
This details what Ms. Jones can expect from counseling and the confidentiality involved in the process. Ms. Jones was informed that while every effort will be made to keep the information she shares confidential, there are circumstances that would require me to breach…
Discuss potential or actual ethical dilemmas or conflicts that have occurred in your field agency and how you have or can respond to them. This semester Dr. Lowe has a patient she has seen for a long time. He is currently assign to an LPC intern student at the office. He completed his internship, and the patient will continue to see him for therapy at his new internship location.…
A.2.a, Informed Consent, is another code of ethics that Bryan should pay attention to. Bryan will need to ensure that John understands his freedom enter and remain in the counseling relationships. Additionally, Bryan has the on-going responsibility to keep appropriately documented discussions of any rights or responsibilities of client and therapist that are communicated to John; which will be important to note if John wishes his information to be shared with his pastor. Bryan has a commitment to his client’s well-being, first and foremost, which leads us into other standards of the ACA ethical code involved in this case: A.2.c. and A.3 are two additional ACA ethical codes to discuss.…
As the client and psychologist are in the “ getting to know you “ phase there has come time to talk about the psychologist-client agreement. The Health Insurance Portability Act or HIPPA, is a federal law that provides new privacy protections and new patient rights that deals with the right to the use and disclosure of any Protected Health Information or PHI used for the purpose of treatment, payment, and health care operations ( McGarry, 2015). HIPPA make it so that it is mandatory that the psychologist give you a notice of privacy that will be used and provide information of PHI for treatment, payment, and health care systems. Tarasoff v. Regents of the University of California,1976, which was a case where the Supreme Court of California…
When a counselor assumes a second relationship with a client, this can cause actual or potential conflict between the counselor’s professional duties and the help they are trying to provide their client. In fact, it could be argued that a dual relationship between a counselor and patient could potentially do more harm to the patient than good especially if the counselor is not able to be objective as a result.…
Confidentiality can be described as a set of guidelines and procedures that place boundaries and restrictions on certain types of information. In medicine, the ability to keep a patient's health data private is one of the core responsibilities of a physician. In A Defense of Unqualified Medical Confidentiality, Kenneth Kipnis describes his view of patient privacy as absolute and something that must be upheld without waiver. In his essay, he disagrees with the views of the justice system and its stance in which it suggests confidentiality may be breached in order to ensure the welfare of a third party. He believes that legal and personal standards are not acceptable motivation to break the bond between patient/doctor trust.…
However in some cases a practitioner/care worker has to discuss people’s cases with a manager and they must tell them about what the client has said. They may even need to reveal what they know about an individual in a court. In health and social care there is no absolute confidentiality because a practitioner may need to share information about and individual/ client to another practitioner. Health records are confidential so they cannot…
7) I provide accurate information about confidentiality and its limits? I as the counsellor provided knowledge about relative confidentiality and the legal requirement of breaking confidentiality in areas of harm to self or others. I sought confirmation of understanding by asking client if they understood or had any questions regarding the matter to clarify any misunderstandings or confusion. To correct/improve I also would have took a few more minutes to explain further about confidentiality and provided more knowledge that information could also be shared if consent was given, or is court mandated to release records, or if child abuse or neglect was a concern. To further ensure client was fully informed I would of shared with them that the Winnipeg resource center does keep records in regards to drop in sessions.…
A comparative analysis between Ontario’s Ethical Guidelines for Ontario School Counsellors and the United States Ethical Standards for School Counselors and the need for an Ethical Guideline specific to Northern schools in remote First Nations communities The Ontario School Councilors’ Association (OSCA) and the American School Counselors Association (ASCA) are both professional organizations geared towards supporting teacher-counsellors and students in terms of Guidance and Career Education. Published in 2014 the Ethical Guidelines for Ontario School Counsellors was created in hopes to clarify Ontario school counsellors’ understanding of their position in terms of the profession’s ethical principles and the law. It is in fact stated that…
Human services is a job that requires caring, respect, understanding, teamwork, and compassion. In order to perform the job correctly, one must have more than just knowledge and skill, they need deep-rooted kindness. I feel that I have these qualities and will use them to the best of my ability to help the people I serve. After my classes are completed, I hope that I will have the knowledge and resources to build a career that will be fulfilling and satisfying.…
Patients going through stressful life changes, traumatic experiences or the emotional roller coaster ride of symptoms of mental illnesses may be especially unwilling to share their most private feelings with a stranger unless they know that their secrets are safe. That’s why confidentiality is so important to making counseling effective. A patient who doesn’t trust the counselor is unlikely to be honest about their feelings and problems, so he or she may never receive the necessary help to cope with these issues. Such a patient may be worried try any coping strategies or treatments that are recommended. Ultimately, without trust, there is little point to attempting…
The informed consent is like a contract that protects both the client and the therapist, it concerns the issues of confidentiality that is of special importance during our therapeutic work. Although psychologist Sean had knowledge that Will was a genius and had a wide range of knowledge, he should not assume that Will had knowledge about therapy and/or confidentiality issues. His failure of providing informed consent to the client and discuss it to make sure that the client understands his own rights violated the ACA code of ethics, as it stated in the code that “counselors have an obligation to review in writing and verbally with clients the rights and responsibilities of both counselors and clients” (American Counseling Association, 2014). In this case, Will is a client who had been mandated for counseling services, Sean as his therapist, should “explain what type of information and with whom that information is shared prior to the beginning of counseling” (American Counseling Association, 2014). Here, I recommend that in the future practice, therapists in this organization always provide clients with informed consent and thoroughly discuss it to make sure that clients fully understands their responsibilities and…
Every person has a right to have the capacity to make their own decisions and have a control over who has access to the private details because this permits individuals to participate as fully as possible in society and protects them from unwanted interferences with their choices (Allen 2009). While confidentiality is vital at the same time it is not unconditional. In some situations, where there is reasonable suspicion of child or elder abuse orwhere there is reasonable suspicion that patient may present danger to others or danger to oneself unless protective measures are taken, the law permits breaches of confidentiality. International Council of Nurses (2006) in Code of Ethics for Nurses states that “the nurse holds in confidence personal information and uses judgement in sharing this information”…
It is unclear in this case if the counselor obtained consent to share information with the father or the extent to which information was allowed to be shared. The client has the right to place limits of the amount of confidential information she wants shared with her father (Koocher & Keith-Spiegel, 2008). If consent was obtained, the counselor did not breach confidentiality by sharing information with the father, however, she acted unethically by not considering how this accusation could harm the father, who was also her client. As her client, the father has the same rights as his daughter.…