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Privacy and confidentiality in healthcare
Ethical dilemmas in health and social care regarding confidentiality
Privacy and confidentiality in social work
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Recommended: Privacy and confidentiality in healthcare
Introduction
Workers in the human services field have the obligation to protect their client's right to privacy and confidentiality, as a matter of course. The exception comes when such confidentiality would cause serious harm to the client or others. Another exception, related to the first, is when agency guidelines, local, state, or federal laws state otherwise. Human service professionals are obligated to inform clients of these caveats to confidentiality before rendering services to clients.
Privacy vs Confidentiality: Is There a Difference?
Privacy is the control over the manner and circumstances of sharing oneself with others. For example, a client may not want to be seen entering a place that might stigmatize them, a problem that well may be common in the Human Services field, as there’s a perceived stigma to needing services, whether they be residential, related to child care, or other types of service. The Human Services professional may, in these instances, find themselves agreeing (within the confines of acceptable workplace behavior) to meet with a client in a setting that doesn’t involve their office.
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During the informed consent process, clients should be reassured of the fact that what they disclose can and will be kept confidential, except under such circumstances, mentioned in the Introduction, i.e. when laws decree such information be related to authorities for the purposes of protection of the client or others.
The related concepts of Confidentiality and Privacy are integral to the trust needed in a Helper/Client relationship found in the Human Services
Corbin, J.R. (2007). Confidentiality and the duty to warn: Ethical and legal implications for the therapeutic relationship. The New Social Worker, 4-7.
Breaking confidentiality would threaten the goodwill and relationships within our group and could detriment group function. Protecting human relationships is a critical value in social work, and this worker strives “to promote, restore, maintain, and enhance the well-being of individuals, families, social groups, organizations, and communities” (Code of Ethics - NASW, n.d.). Sharing confidential information would go against social work’s ethical principles and tarnish the integrity of this worker who is intentionally “moving toward adherence to one’s professed values” (Miller & Rollnick, 2012, pg.
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.
There is a pressing need for a high level of worker/client boundary identification when working within a client population, however realizing a conflict of interest scenario is vitally important when facing a dual relationship with a client. There are so many issues that are faced by a human service professional, explaining all of them may be difficult. In this field there are issues such as burnout, secondary trauma, compassion satisfaction, dual relationships, and boundary issues. (Reamer, F. (2012). As human services professional or social workers there is a code of ethics. In statement 6 of the code of ethics, it states human services experts must be mindful that in their associations with customers/clients power and status are unequal. Accordingly they distinguish that double or various relationships might build the danger of damage to, or abuse of, customers, and may debilitate their expert judgment. In any case, in a few neighborhoods and circumstances it may not be achievable to escape social or other nonprofessional contact with customers. Human service professional experts...
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
Confidentiality and trust between the client and social worker is an important part of the therapeutic process. Confidentiality is discussed frequently with the client, in trainings, and in supervisions. When a client first begins services there are multiple forms to fill out, many of which explain the agency’s confidentiality policies and provide client’s the opportunity to agree to share information with certain parties (i.e. their PCP, psychiatrist, specialty providers) or not share any information at all. Despite this focus on confidentiality there are some areas where “the rights of others take precedence over a client’s right to confidentiality” (Hepworth, Rooney, Rooney, & Gottfried, 2017, p. 76). In situations where child abuse or neglect is suspected by the social worker, the social worker will breach confidentiality in order to protect the child. In fact, “all 50 states have statutes making it mandatory for professional to report suspected or known child abuse. Moreover,
Human Service professionals are responsible for many tasks over a course of one’s position as a professional. One part of what is required of a Human Service worker would be the understanding of the individual, family and community that they are serving, respecting the diversity that would be amount us, and being able to make professional judgments whenever one is needed to.
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...
The concept of privacy is often used interchangeably when discussing confidentiality. Privacy is a right to not be bothered. The difference between the two is that privacy is being respectful of an individual and confidentiality is being respectful of that individual’s personal information. There are times when there
Her scientific casework methods are still used in assessing clients in today’s practice. The Social Work profession also built off her values of individuality, dignity, and importance of human relationships in the core values of the profession, these can be seen in the National Association of Social Workers’ Code of Ethics. While Social Workers still follow most of Richmond’s values today, other values have been re-evaluated as time has progressed. Instead of Richmond’s suggestions of gathering personal information without the client’s knowledge (Pumphrey, 1961), the Social Work profession now values confidentiality and privacy when dealing with clients.
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.
Introduction One of the policies of human services is information sharing. This essentially intimates that it is important for human services agencies to share information with each other in the best interests of the family, or any client that comes seeking assistance from them. This paper will explain how, and in what circumstances, they can share information about clients and the agencies’ services. The community naturally demands seamless services from Government agencies.
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...
This profile adheres to the School of Health and Social Care’s guidelines set by Teesside University’s code of conduct in relation to confidentiality and consent. The profile also adheres to the NMC guidelines referring to consent and confidentiality as a real person has not been used; therefore consent did not need to be gained.
However, the social worker can reveal details of themselves as long as it is beneficial to the client. This process is known as self-disclosure (Kirst-Ashman & Hull, 2012). Self-disclosure is not beneficial if it causes strife in the relationship between client and social worker. It is beneficial to be honest with the client. If a limitation is not disclosed and the client later finds that the worker is not competent, it can negatively affect the process that may have been made during counseling sessions.