The right for clients to be informed about their therapy and to make autonomous decisions pertaining to it.
Increases the chance that clients will become actively involved, educated, and willing participants in the assessment process and in therapy.
Eliminates any confusion and provides the client with a clear understanding of what they can expect from therapy.
Clients feel like they can choose how their therapy will be approached and have a say in what kind of treatment they want to engage in.
The theraputic process (including assessment)
Background of therapist
Consultation with colleagues
The length of therapy and termination
Clients right to access their files
Rights pertaining to diagnosis classifying
Tape recording or video recording sessions
alternatives to tradtional therapy
benefits and risks of treatment
cost involved in therapy
interruptions in therapy
Using telecommunication technology
assessment of clients background
the nature and purpose of confidentality
Progress Notes- are a means of documenting aspects of a client’s treatment and are kept in the client’s clinical records. Process Notes- deal with the client’s reactions such as transference and the therapist’s subjective impressions of a client.
Improving client access in rural areas
Greater number of people can recieve services
Reaching clients who are reluctant to participate in face to face therapy
giving access to those who live with disabilities or chronic illnesses that render them immobile
being able to recieve therapy in an enviorment that the client feels comfortable in
Failed to obtain or document informed consent
failure to assess or manage a dangerous client
unhealthy transference relationship
repressed or false memory
practive beyond scope of competency
marked departures from marked therapeutic practices
sexual conduct with a client
client abandonment or premature termination
refusal to counsel a client due to value differences
Prepartation
Tell clients the truth
obtain true informed consent before disclosing voluntarily
respong ethically to legal demands for information
avoid preventable breaches of confidentiality
talk about confidentailty
When a client requests a release of information
when a counselor consults with experts or peers
when a counselor is working under supervision
when other mental health proffessionals requests information and the client has given concent to share
when other professionals are part of the treatment team and coordinate the care of a client
Suicide in the family
Have a history of severe alcohol or drug use
Giving away prized possessions finalizing business affairs, or revisting wills
Assess clients support system
hass access to lethal means
they have a suicide plan
History of psychiatric treatment or hospitalization
have feelings of hoplessness or helplessness
Previous suicide attempts
suffering from depression or sleep distruption
consider clients level of impulsivity
consider the clients ability to problem solve
interpersonal stressors of loss
recent diadnosis of termal illness or health condition
Physical abuse
sexual abuse
abandonment
neglect
physologocial or emotional abuse
finanical or materical explotation
are defined as one in which a practitioner is in a professional role with a person in addition to another role with that same individual or another person who is close to that individual.
Boundary violation-Exploitation of a client at some level Boundary crossing- changes in role
Danger of making inaccurate diagnosis
compromising privacy and confidentiality
difficulity protecting client in a crisis
challenges of working through transference or countertransference
lack of competence and danger of misrepensentation of counselor's qualifcations
Clients pose a danger to others and themselves
disclousure of confidential information is ordered by a court
client wavier of privledge
clients file complaints or lidigations against their counselor
clients clain pychological damage in a lawsuit
civil commitment proccedings are indicated
statues involving child or elder abuse mandate disclosure