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Confidentiality eassy
Confidentiality eassy
Importance of confidentiality
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Confidentiality is extremely important in providing any type of counseling or mental health treatment, however confidentiality is an ethical concern. Chemical dependency counseling has a set code of ethics, guidelines and regulations that seek to safeguard the interests of everybody involved. The guidelines and regulations are put in place to protect a client’s right to privacy by ensuring that matters disclosed to a professional not be relayed to others without the conformed consent of the client. Laws and ethics ensure that everyone acts in a way that does not cause harm to others. Laws and ethics also help to give the profession its credibility.
There are federal and state guidelines and regulations pertaining to code of ethics. Here in Washington under WAC 246-924-363, “Protecting confidentiality of clients”, you will find the state regulations. All professionals shall safeguard the confidential information obtained in the course of practice, teaching, research, or other professional, (WAC 246-924-363). Many of the same codes fall under federal regulation as well. The National Association of Alcoholism and Drug Abuse Counselors has a section reviewing confidently, “Addiction professionals shall provide information to clients regarding confidentiality and any reasons for releasing information in adherence with confidentiality laws” (NAADAC, 2011).
Since there are laws regarding confidentially it is important that the addiction professional inform the client of the limits of confidentiality and obtain agreement from the client. Clients receiving substance abuse prevention and treatment services are guaranteed strict confidentially under Title 42, part 2, of the Code of Federal Regulations. These regulations help to protect p...
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In conclusion, confidentiality in counseling benefits both the counselor and the client. The counselor gains the public trust through the promise of confidentiality. The potential clients feel at peace at the idea of seeking treatment that will remain confidential. The counselor gets clients and clients feel motivated and at ease with counseling. Confidentiality however has limitations. The counselor needs to make sure that their clients are well aware of the exceptions to confidentiality before the counseling commences. Maintaining confidentiality involves more than just the mentioning the client’s name. It also includes not giving away information that will clearly identify the client. Counselors need to be careful and diligent especially during practice and discussions and ensure they do not give away any information that could easily lead back to the client.
...rt of the medical profession, the therapists are expected to maintain the confidentiality of their clients. A psychologist must be able to acquire a client’s trust in order to keep quality confidentiality amongst the two parties. Only on seriously occasions should the patient’s records be shared, under certain other conditions the psychotherapy records of a minor can be reviewed by others without prior written consent. The Health Insurance Portability and Accountability Act (HIPAA), psychologists can usually give way the patient records to parents or legal guardians. Some of the ethical rules that apply to the practice of child and adolescent psychiatry are clear and generally agreed upon For example, rules against sexual contact or harsh or abusive treatment are encoded as boundary violations. A psychotherapist must be able to respect the boundaries of the client.
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
Mental health professionals have an ethical duty to protect a client’s confidences. In fact, most view confidentiality is paramount to the hel...
Scott, C. G. (2000). Ethical issues in addictions counseling. Rehabilitation Counseling Bulletin, 43(4), 209. Retrieved from http://search.proquest.com/docview/213919931?accountid=12085
These ethical concerns must be addressed with every client. This is where closed ended questions may be considered, the best approach is to intertwine these questions into the normal flow of conversation so that the client does not feel like they are being judged. One of the ethical concerns the clinician needs to address is suicide, since those dealing with the crisis have no ability to cope and are vulnerable and overwhelmed, suicide may feel like their only option to end the crisis (Kanel, 2007). The clinician needs this information to keep the client safe. Another ethical concern the clinician must address is the possibility of abuse towards a child or the elderly or any harm to others. It is always a counselor or mental health workers ' duty to report any suspicion of this kind of activity to the proper authorities (Kanel, 2007). Organic or medical concerns are one of the other ethical considerations which must be addressed in the second stage. This includes making evaluations about any mental health or behavioral disorders as well as making any necessary referrals (Kanel, 2007). Substance abuse is another ethical concern that must be addressed by the clinician. Since substance abuse is commonly used to treat stress for those in crisis the clinician must be assertive in gathering information about drug use (Kanel, 2007). This information will direct the clinician in the
Moreover, ethical issues are ubiquitous within the field of social work. As such, social workers employed in all facets of the profession, whether it is substance abuse, mental health, among many others encounter ethical issues common and specific to each area. According to the article “Ethical Issues in Addiction Counseling” by Cynthia G. Scott (2000), prominent ethical situations specific to the field of substance abuse include, “confidentiality and privileged communication” (p. 213). In her article Scott (2000) discuss the blurred boundaries of confidentiality with regards to group counseling. The author points out the discrepancy in federal confidentiality laws that prevent the practitioner from sharing confidential information disclosed
So your opinions on the topic may or may not help out the situation and also in some unfortunate cases can send the client into a ‘downward spiral’. By expressing your ethical issues on the topic to your client you may trigger unwanted emotions. These unwanted emotions can drive the client to hurt themselves or even make the client take legal actions towards the counselor. Ways to prevent this from happening is learning your own self-control and what your limits are when its comes to dealing the client. “You want to consider the best action that will protect your client’s needs, but you also want to ask yourself: What is the best action to protect the profession and myself? (Berton, J. D. (2014). Make the Rule to Break the Rule: Setting Your Ethical Standards. Counselor: The Magazine For Addiction Professionals, 15(5), 10-12
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
There is much debate about how psychiatric patients should be cared for and treated. Especially in an in patient setting, many healthcare providers will choose to care for mentally ill patients in their own way. Patients who are mentally ill have restrictions on certain aspects of their care such as access to certain things along with the environment they are in. Although confidentiality is important and should be maintained in all aspects of medical care, I do think that psychiatric patients should have the same have the opportunity to keep as much information confidential as they wish. Given the circumstances there are reasons to breach that confidentiality in mentally ill patients in order to keep the patient safe and out of harms way.
The relationship between the counsellor and client is fundamental to the success of the counselling experience and the results that will follow. The counsellor and client need to build rapport and trust. The client needs to feel comfortable enough to open up and discuss their inner most thoughts and fears in the knowledge that the discussion is confidential and non-judgemental. The resulting relationship should be one of mutual respect.
...confidential information is shared without their permission, this situation can be detrimental to the client. The client may stop treatment or be passive-aggressive towards the therapist by being late of cancelling appointments with the clinician.
...e who have misused drugs and alcohol significantly require support and more care even though they comprise of a small portion of the veterans with mental problems. What we actually did when placed in vet centers was to promote the veterans to assess their own needs as well as development of a plan to meet the needs. As Brancu, Straits-Tröster & Kudler (2011) points out; Individual veterans are informed about different choices for available care and support. As a professional, a nurse is regulated by wide-range of ethical consideration to ensure that the veteran’s patients are treated with respect and dignity. In turn, we were to ensure veteran autonomy in determining what to confide about and what to conceal. Confidentiality and privacy is another most important ethical aspect I found to be a consideration to avoid private information spilling to unintended persons.
In respect to counseling mandated individuals, the ACA code delinates the ethical guidelines to follow, but the AMHCA code does not mention this obligation (ACA Code of Ethics, 2014, p. 4; AMHCA Code of Ethics, 2010). It is important for counselors as a profession as well as specifically mental health counselors to understand how to ethically address mandated clients. Furthermore, as the ACA code states, it is important to counselors to discuss with clients the reprocutions for refusing services due to being mandated for treatment (ACA Code of Ethics, 2014, p. 4). Interestingtly, the AMHCA code does not include ethical standards for terminating a supervisory relationship whereas the ACA code does (ACA Code of Ethics, 2014, p. 13; AMHCA Code of Ethics, 2010). Such that the ACA ethical code indicates that both parties have the right to terminate the relationship and the supervisor should make a refferal (ACA Code of Ethics, 2014, p. 13; AMHCA Code of Ethics, 2010). It appears as though this is a highlighted difference between the expectations in a supervisor/supervisee relationship between mental health counselors and counselors as a professional entity. When addressing clients who are also receiving services from other professionals, the ACA and AMHCA codes present different guidelines for how to
Ethical issues in a counseling practice lay the foundation of a therapist in practice. Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. In order for the counseling profession to be ethical and hold professional recognition, there are many facets that need to be examined and outlined to make sure all counselors and practitioners are functioning at the highest level and withholding their duties required by the counseling profession. The first introduction so to speak of the area of ethics also happens to be one of the first steps in counseling, which is the informed consent. The informed consent provides the basis of what happens or will be happening in a counseling setting and serves to inform the client to their rights, responsibilities, and what to expect. Most importantly, the informed consent is in place for the client’s benefit. It also is important to understand that culture and environment play a role in the treatment of a client and how theories can positively or negatively impact this treatment. Therapists need to understand how to work within the context of a theory while being able to understand the individual in their own environment. Although theories are put into place to serve as a framework, there are also alternative ways to approach counseling, one example being evidence-based practice. Such an approach is very specific, which presents a series of solutions for counseling as a whole, but also brings forth many problems. Every approach or theory introduces ethical concerns that need to be taken into consideration by the entire counseling community and how each can positively and negatively affect clients and the pr...
The counseling session began with the introductions where I introduced myself as the counselor and later introduced my client. This stage is important in any counseling session since it is the time of exploration and focusing according to Gerard Egan as quoted by Wright (1998) in his essay on couselling skills. It is in this session that I was able to establish rapport and trust with my client in order to come up with a working and fruitful relationship with him. During this stage I made use of skills like questioning, where I would pose a question directly to my client, sometimes I would choose to just listen to what the client wanted to speak out while in some instances I would be forced to paraphrase the question if I felt the client did not understand the question I had asked previously. There were also other times when I would reflect through silence. During such a period, I got time to study the client and the information he had given. This being a difficult area, since some clients may not be able to volunteer information to you as the counselor, I decided to assure the client of confidentiality of any information he was willing to share with me with a few exceptions which I also told him about. Being open to him about the only times the information may not be confidential was part of my building rapport and establishing trust with him. I therefore, decided to ask the client what information he wanted to share with me and lucky enough he was ready to speak to me about different issues that he was going through.