The Ethics of Conditional Confidentiality: A Practice Model for Mental Health Professionals
Therapists once promised patients "Everything you tell me will remain in this room." Today, they can keep that promise only if they are willing to break the laws that now require them to disclose information without patient consent. Most avoid such civil disobedience by placing limits on confidentiality; but ethically speaking, this 'conditional' confidentiality can be difficult to practice. The Ethics of Conditional Confidentiality: A Practice Model for Mental Health Professionals is a guidebook designed to help therapists and other mental health professionals navigate the ethical and legal maze surrounding confidentiality. At its core is a practical Confidentiality Practice Model-a step-by-step guide for clarifying the ethical and legal issues that make the ethics of conditional confidentiality so complicated. Ethics codes represent the 'ethical floor,' which is the minimum standard of behavior about confidentiality. The goal in this book is to encourage reaching for the 'ethical ceiling,' by protecting confidentiality to the extent legally possible and not disclosing patients' confidences just because certain laws would allow them to be disclosed. The Ethics of Conditional Confidentiality demystifies confidentiality for therapists, clinical supervisors, educators, ethics consultants, attorneys who represent mental health professionals, clinicians, and administrators, and is an ideal supplemental ethics text for graduate courses. It is also useful for establishing confidentiality policies in any clinical setting and training program.
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ACA Ethical Standard American Counseling Association American Psychiatric Association American Psychological Association Appendix attorney breach of confidentiality Chapter client clinical confidentiality rights confidentiality rule consultation contract Counseling Counselors court order decisions disclose information discussion document electronic ethical and legal Ethical Duties ethical obligations Ethical Practice Model ethical responsibilities ethically required Ethics Code example Fisher forensic Forensic Psychology give consent Guidelines HIPAA regulations implications important inform patients inform prospective patients informed consent conversation intake involved issues Knapp Koocher laws legal demands legally allowed legally required limits of confidentiality managed care mental health professionals mental health professions one’s parents patient information patient’s consent person policies potential Privacy and Confidentiality privilege laws protect confidentiality psychologists psychotherapy Record Keeping relationship relevant reporting laws require therapists Research Retrieved risk role setting Social workers Staff Training statutes Step 5 Step subpoena therapists to disclose therapy patients third-party payers tion treatment VandeCreek