In 1976, the California Supreme Court ruled in the case of Tarasoff v. Regents of the University of California that a patient’s right to confidentiality “ends where the public peril begins.” It was decided that doctor-patient confidentiality could—and should—be broken if the doctor believes a patient will cause serious harm to another person. In his article entitled “A Defense of Unqualified Medical Confidentiality,” Kenneth Kipnis argues that doctor-patient confidentiality should always be kept, contrary to the findings of the Tarasoff case. He presents the fictionalized case of the infected spouse to clarify his argument. In this case, a husband learns from his doctor that he is HIV positive.…
1) Describe some of the circumstances in which confidential health information can be disclosed without the patient's explicit consent Confidential health information can be disclosed under the following circumstances without the patient’s consent. Court orders and Subpoenas - when there is a court order made to have the health records available. The legal process to obtain health record information is through a subpoena. Statutory reports - Hospitals and medical personnel are required to report certain health information to public authorities.…
Balancing Ethical Issues in Group Counseling While ethical guidelines are established within most counseling associations, these codes do not provide rigid procedures in the event that an ethical dilemma should occur. In their research on competing values within the area of ethics in counseling, Samuel Knapp and Leon Vandencreek (2007) observe that situations occur in which neither laws nor ethical guidelines provide a clear-cut solution to these dilemmas. For example, a recent stroke victim exhibits severe anxiety and agitation at an initial meeting, which causes providing the client with detailed information about treatment and gaining consent difficult due to lack of rationality.…
Releasing patient information is not only unethical, but also against the law. I could mention meeting Jack Ryan, but there is no need to elaborate. I would state that I am not allowed to discuss patients or any patient information. The significant other should understand and respect the decision to not discuss. Violating HIPAA results in steep consequences.…
1. Phillips discusses in, “Clinical Social Workers as Diagnosticians: Legal and Ethical Issues” the changes made to the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association which have impacted clinicians. Initially, the DSM was based on the psycho-social model, however, it was later changed to focus on the medical model. The result of this change caused clinicians to have to diagnose individuals and include a diagnosis in most cases. Insurance companies pushed for a diagnosis as a means reimburse for treatment and therefore pay for the services.…
The foundation format, provided for the professional to become state licensed or certified fosters, with the understanding of practices and the scope as a substance abuse counselor with guidelines. First, we must review, define, and analyze “the Scopes of Practice developed by the Federation of State Medical Boards (FSMB)”, which defines a Scope of Practice as follows: “ Defined as rules, regulations, and the boundaries within which a fully qualified practitioner; with substantial and appropriate training, knowledge, and experience practicing in a field of medicine, surgery, or other specifically defined field; and practices governed by and required with continued education and professional accountability mandated by governing regulations”…
Ronald H. Stein writes a very interesting entry titled “Lying and Deception for Counselors and Clients”. Within this entry, Stein describes a very interesting a difficult ethical situation between a counselor and a client. The example details how a family is having a conversation with a family that has a child with a clear physical and mental disability. The family is aware and accepting of the physical disability but is unaware and not accepting of the mental disability that the child has. The dilemma is, does the counselor disclose to the family that the child has a mental disability, or do they not disclose this information to avoid the family being overwhelmed with the apparent needs of this child.…
The diagnostic interview is vital for collecting data about the individuals drinking habits. It helps to provide information to assist in forming a treatment plan, which would be important for future progress. Great care is taken to enable the client to feel that they can commit to a course of treatment, that will bring about major life changes, necessary for complete abstinence.…
According to Fisher (2008), “Informed consent requires psychologists to inform clients about limits of confidentiality before obtaining consent for court-ordered services.” Informed consent is getting permission from the client to take some form of action. Fisher, (2017), stated that “Psychologists are permitted to reveal confidential information if the person or organization has consented in writing or there is legal authorization for doing so, such as if the material is authorized for release at a public hearing”. b. What are the APA and your states positions on these three terms?…
Introduction The one of important principle in medical ethics that the information about patient is private and secrecy that relating to that information. Patient confidentiality is a primary part of health care that should be caravel about it . It requires for all health care providers to keep the personal health information about the patient’s private unless the consent release to the information is provided by the patient. The ethics issues surround in patient confidentiality is the one of the important topic that can affected the patient social life if one know the patient and the condition my he inform the rest of the society about patient condition that my make them Socially pariah .I chose this topic because it's the most sensitive…
Ethics codes comparison paper Deanna Baker Class Instructor Date Ethics codes comparison paper Abstract Confidentiality, teaching and training, and community standards Ethics codes comparison paper Introduction A code of ethics is the heart and soul of any business or organization. The standard in which all business and certified activities are measured in the code of ethics of its memberships.…
Robin was admitted to a residential facility for drug addiction. She is given numerous assessments, such as The Minnesota Multiphasic Personality Inventory, Beck Depression Inventory and finally the Substance Abuse Subtle Screening Inventory. Robin was unaware of the activity and their purpose. Approximately 6 weeks later when Robin wanted to know her results she was denied and informed that clients are not allowed to see their results. There are three questions to ask yourself when determining Robin’s situation.…
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…
In working with this client it is important to understand her resistance. Her underlying cause that are driving her maladaptive behaviors. The client is pushing her husband away by her need to watch his every move and wondering if he is constantly cheating on her. In the client’s case, resistance is serving a purpose of impeding the uncovering of the problem and “once a conflict is reactivated in psychotherapy, they interfere with the renunciation of unconscious wishes and fantasies associated with the conflict” (Manetta, Gentille, & Gillig, 2011). The client is scared to move forward in her relationship because he could cheat again and any kind of good that was done during the time he was cheating would be a lie.…
Key Assessment: Legal and Ethical Application / Reflection Paper As a counselor several key components guide our decisions for ethical and legal practice. Following the designated ethical codes of your specialty is of utmost importance. Professional codes guide our judgement, practice, and sound decisions. Ethical decisions, duty to warn and protect, countertransference, and supervision are all criteria to evaluate how counselors determine an ethical practice.…