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Questions: 1. What are three controversies resulting from concerns about confidentiality boundaries? 2. What are five steps to consider in order to avoid risking breaking confidentiality boundaries? 3. What are three concepts regarding confidentiality boundaries related to very young children? 4. What are three strategies that you might be able to use in order to protect a client’s right to confidentiality if subpoenaed by the court?

Answers: A. Consult Colleagues; Obtain Proper Supervision; Review; Obtain Legal Consultation; and Document Decision-Making Steps. B. fear of disclosure; loss of trust; and HIPAA hypocrisies. C. maximizing communication; wary parents; and treatment in the classroom. D. gaining client consent; negotiation; and seeking guidance from the court.

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.
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Questions 5. What are ‘pseudoboundary violations’?  6. Some conflicts of interest involve what lawyers call undue influence. What is undue influence?  7. According to Reamer, what are the six elements of a sound risk management protocol to deal with boundary issues?  8. What is the underlying motive behind gifts given to address a perceived imbalance in the professional relationship?  9. What is important to consider before a constructive therapeutic response to client gift-giving can be identified?

Answers A.  Some interventions which may be subjectively experienced by the patient as boundary violations are, in reality, solidly within the realm of ethical practice. B.  Undue influence occurs when a mental health professional inappropriately pressures or exercises authority over a susceptible client in a manner that benefits the mental health professional and may not be in the client's best interest. C. Such a gift may help the client regain status that was temporarily lost during her increased sense of dependency during a major portion of her counseling. D. the therapeutic implications of the gift alongside the ethical concerns E.  (1) Be alert to potential or actual conflicts of interest. (2) Inform clients and colleagues about potential or actual conflicts of interest; explore reasonable remedies. (3) Consult colleagues and supervisors, and relevant professional literature, regulations, policies, and ethical standards (codes of ethics) to identify pertinent boundary issues and constructive options. (4) Design a plan of action that addresses the boundary issues and protects the parties involved to the greatest extent possible. (5) Document all discussions, consultation, supervision, and other steps taken to address boundary issues. (6) Develop a strategy to monitor implementation of action plan.