How to Ethically Set Confidentiality Boundaries Part I (Abbreviated) - 3 CE's
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Healthcare Training Institute - Quality Education since 1979
Psychologist, Social Worker, Counselor, & MFT!

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Questions:

1. What are three aspects regarding ethical boundaries related to ethics versus the law?
2. What are three confidentiality boundaries to consider when treating self-harming clients?
3. What are concepts of consulting colleagues in relation to a client’s confidentiality?
4. What are three controversies resulting from concerns about confidentiality boundaries?


Answers:

A. intent; parental disclosure; and hospitalization. 
B. fear of disclosure; loss of trust; and HIPAA hypocrisies.
C. client’s best interests; conflicts of interest; and proper consultation procedure
D. ethically improper; legally binding; and walking the tightrope.

 

Course Content Manual Questions The answer to Question 5 is found in Section 5 of the Course Content. The Answer to Question 6 is found in Section 6 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Underlined numbers below are links to that Section. If you leave this page, use your "Back" button to return to your answers, rather than clicking on a new "Answer Booklet" link. Or use Ctrl-N to open a new window and use a separate window to review content. (Because many computers will not accept "Cookie-Type Programs," when you close this page, your answers will not be retained. So if working in more than one session, write your answers down.)

Questions

5. According to the Codes of Ethics, what is a mental health professional’s responsibility in regards to confidentiality in group work?  
6. Clients need to be educated about confidentiality, privileged communication, and privacy to ensure trust in the therapeutic relationship. What is one of the best ways to accomplish this?
7. According to APA’s first working group, what is the psychologist’s role in end-of-life decisions?
8. What are the nine arguments for continuous observation? 
9. According to Glass, what are the costs of rigidification of technique? 

Answers

A.  Rigidification of technique can stifle creativity, impede the individualization of treatment, and obscure subtleties in context, timing, and cultural expectations that could be critical for optimal treatment.
B.  Mental health professionals must clearly communicate to group members that confidentiality cannot be guaranteed in group work.
C. The psychologist's role in such situations is to protect the client's rights, support significant others, not allow the affixation of a mental illness diagnosis if it is inappropriate, and help evaluate whether or not the client has decision-making capacity.
D. through the process of informed consent
E. (1) Values life (2) Provides a 'holding space' (3) Can foster mutual respect (4) Can be therapeutic (5) Person feels 'special' (6) Emotional intimacy (7) Safety and protection (8) Supportive and (9) Intensive worker involvement