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Ethical dilemma for social workers
Importance of confidentiality in social work
Ethical dilemma for social workers
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The client confidentiality at my practicum agency is very similar to the principles of CASW. SCI Alberta organization is achieving a great work in the area of confidentiality practice in all sectors of their services. I have witnessed that their organization is contributing a great effort to keep client confidentiality. According to SCI Alberta policies the identity of clients, or information that would reveal the identity of clients, cannot be revealed without the specific permission of the client. SCI Alberta organization the only exceptions are in cases in which clients may be dangerous to themselves or others and in cases of elder abuse. In such situations, they are legal requirements to break the confidentiality of the client for their …show more content…
For example, the first week of my practicum they have orientated me to the organization of structure, policies, and procedures and I sign a confidentiality agreement. Whenever I meet with each staff to get familiar with their position and/or program the first issues were raised was about client privacy or confidentiality. Everyone was informed me to familiarize myself with, and adhere to, confidentiality procedures of my placement and the police of the SCI Alberta organization. They are achieving great jobs in terms of maintaining client confidentiality. For example, individual files are locked and secured, and information about clients is not told to people who do not need to know. In addition, support workers do not tell other people what is in a client’s file unless they have permission from the client. Whenever I shadow over the client before they take me into the meeting the agency require the consent from the client first. SCI Alberta policies indicate that adult clients have the right to determine what information they consider personal and confidential. SCI Alberta experience thought me that that I need to give my client an assurance that what is said will be in confidence (that it will stay secret between me and them) because, unless I able to do that, the client is unlikely to be open with me. However, I also need to be aware of the limits to the confidentiality that I will
A promise of confidentiality assures clients that information revealed during counseling will not be shared with others without permission. An individual has the right to choose the time, circumstances, and extent, to which he or she wishes to share or withhold information. Marriage and family therapist have different confidentiality aspects from other counseling areas. Marriage and family therapist mostly have more than one client in a therapeutic relationship, there are different limitations for each individual client. AAMFT Standard II (2015 2.2) states When providing couple, family or group treatment, the therapist does not disclose information outside the treatment context without a written authorization from each individual competent to execute a waiver. Conclusively, counselors may be counseling a couple, group, or family for treatment, each client has their own rights to privacy protection and confidentiality. All counselors must follow specific guidelines when in regards to disclosing information that has potential harm to the client or identified others. If court ordered or third party payers have requested information it is the counselors job to obtain written consent from the client to release information about that
Confidentiality is a major topic within care environments. When it comes to deciding what information is shared and who it is shared amongst can be difficult. Confidential information, is information that is ‘not to be told to anyone’ (The Open University, 2015, p. 58). Information that is sensitive or not publicly known is confidential, also if information is given by a person who is in a setting where confidentially is expected then that information should remain private and not shared with others. It can be very difficult for a staff member to find the balance between knowing what information is confidential and appropriate information that needs to be shared between the staff team.
Children, young people and adults need to know confidentiality will be honoured unless their, or other's safety and well-being is threatened, a crime has or is likely to be committed, and a professional's knowledge of and access to the child, young person or adult's information will not be abused, in the same way that it is important for professional's to understand how important shared information is, where and how it's stored, transported and disclosed to other appropriate professionals.
People are afraid to admit to themselves and others that they need to help to
Informed consent. Counselors, whether in a group or individual counseling setting, must obtain informed consent from their clients. Counselors must disclose information about themselves to their clients. They also need to share with potential clients how long counseling will last and the topics that will be discussed in each session. According to the ACA code of ethics (2006), “informed consent is an ongoing process, and counselors appropriately document discussions of informed consent throughout the counseling relationship” (p. 236). Informed consent in group counseling is tricky because you have multiple clients; however, counselors have the option to meet with each group member individually in order to gain consent from their
Setting limits (building a boundary) and explaining the importance of boundaries to your client should be part of the initial assessment with the him/her. The worker should inform the client that boundaries, as well as confidentiality,
Therefore, nurses are expected to comply with legislation, policies, standards, and guidelines that will guide nurses to follow both legal and ethical duties. One of the ethical and legal obligations of a registered nurse and student nurse is to protect the privacy and confidentiality of patients (NMBA, 2013, p.6). Similarly, code of ethics for nurses has also outlined this nursing responsibility in their value statement 7 (NMBA, 2008, p.3). For example, Butts (2013), explained that the nurses can maintain physical privacy by draping the patient's body while providing care. Likewise, nurse and patient should discuss in a private room to maintain auditory privacy. Another duty of nurses is to keep the patient information confidential. This information can be either in written, oral or in electronic form. Other members of health team, like doctors who are directly involved in the patient care, can have access to patient data. Nurses cannot disclose the patient's information to patient's families, friends or third party without patient consent. However, if a patient's right and safety are jeopardized, then to protect patient, the confidential information can be disclosed. But when a nurse acts outside the code of professional conduct a nurse is held accountable by law. Therefore, in order to protect nurses and nursing students from ethical issues,
In the modern era, the use of computer technology is very important. Back in the day people only used handwriting on the pieces of paper to save all documents, either in general documents or medical records. Now this medical field is using a computer to kept all medical records or other personnel info. Patient's records may be maintained on databases, so that quick searches can be made. But, even if the computer is very important, the facility must remain always in control all the information they store in a computer. This is because to avoid individuals who do not have a right to the patient's information.
The client main concern was that the university would find out of the accident and kick him out of the program, and as a consequence his career would be over. For this same reason, the client had suicidal thoughts. The social worker intern should let the client know about limits of confidentiality and letting him know that she cannot tell that information for the university or anyone else. As a worker of the hospital, he is cover and she cannot say
In today’s society with the blogs, the gossip sites and the other forms of social media, confidentiality is a thing of the past. However, for, physicians and other health professionals, they are held to a higher standard to maintain a level of ethics and confidentiality for their patients. Confidentiality is a major duty for a health professional, but is there ever a time to where it is okay to tell what a patient says in confident? What if the patient is a minor, or a senior citizen or someone who is mentally challenged? What if a patient is being abused or wants to commit suicide? Does it matter if it is a nurse, or a dentist, or a psychologist or is all medical professional held to the same moral standard? What roles does a consent form or Health Insurance Portability and Accountability Act plays in the medical world in being confidentiality? I would like to explore Confidentiality and the moral effects it has on the health profession.
However, there are some cases that professionals have to rely on the Law. The Law is different from moral principles and Code of Ethics and its focus is on the legal perspective to protect the professional. The Law is defined by Remley and Herlihy (2010) as “general or specific regarding both what is required and what is allowed of individuals who from a governmental entity” (p.4). One major example is the Tarasoff and the Duty to Protect which is a law that was created after the case that happened with a university student, Tatiana Tarasoff and her boyfriend. Tarasoff’s parents sue the psychotherapists alleging that the professionals should have warned the student. Because of this case, the law raised a major concern that the confidentiality that professionals should follow according to the ACA and AMHCA Code of Ethics has to be broken when there is an issue that can affect a third party in the situation. Like the AMHCA refers to confidentiality as “a right granted to all clients of mental health counseling services. From the onset of the counseling relationship, mental health counselors inform clients of these rights inclu...
In order for attorneys to effectively represent their clients rules govern how and what information is gathered, used, and stored or destroyed. The unit three seminar discusses the rules that regulate these things during and after the representation of a client. There are several systems in place that protect clients and their confidential information from being misused by those who are involved in their cases and legal matters. The duty of confidentiality, attorney/client privilege, and the work product privilege are the topics discussed during this seminar for the purpose of teaching the differences between them all as well as how each works and for what purpose.
There is a great importance and focus in modelling a contemporary nurse. The framework for improving this focus is accountability with three main areas: professional, ethical, legal. They all cross over and interlink with each other in many of the topics that are raised within the profession. The approach of the framework were inevitable to reduces to blame and defensive nursing attitude. This attitude can lead to nurses believing accountability is the same as blaming a professional however it is conversely nurses making decisions for individuals and engaging to improve better health outcomes. The topic around this contemporary approach is confidentiality and broken into the principles of the approach.
Patient confidentiality is one of the foundations to the medical practice. Patients arrive at hospitals seeking treatment believing that all personal information will remain between themselves and the medical staff. In order to assure patients privacy, confidentiality policies were established. However, a confidentiality policy may be broken only in the case the medical staff believes that the patient is a danger to themselves or to others in society. Thesis Statement: The ethics underlying patient confidentiality is periodically questioned in our society due to circumstances that abruptly occur leaving health professionals to decide between right and wrong.
The practice issue I encountered involved a case where I had a conflict between my personal and professional role. Personally, I want to help my clients, and ensure that their conflicts, situations, and basic needs are met. Professionally, there is only so much that I can do. While working with a seventeen-year-old African-American male, I had the privilege to a lot of secure information. Information that I won’t be able to express in much detail because of anonymity reasons. Nevertheless, being personally involved with the client, and not just reading over his case summery moves me to feel particularly obligated to this client. After being placed at the agency the student showed much progress some academically