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Limits to Confidentiality Mandatory Reporting. What is Confidentiality? What is Mandatory Reporting?. Confidentiality means that information shared within the context of the helping relationship will not be shared with a third party.
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What is Confidentiality? What is Mandatory Reporting? • Confidentiality means that information shared within the context of the helping relationship will not be shared with a third party. • North Carolina General Statute § 7B-301. “Duty to report abuse, neglect, dependency, or death due to maltreatment”
National Association of Social WorkersCode of Ethics 1.03 Informed Consent a. Prior to providing services b. Comprehension c. Third Party d. Involuntary/Right to Refuse e. Electronic Media f. Audio/Video Recording 1.07 Confidentiality c. Harm to self or others. d. Inform client prior to sharing information e. Discuss limits to confidentiality with client.
National Association of Social WorkersCode of Ethics 1.07: “This discussion should occur as soon as possible in the social worker client relationship and as needed throughout the course of the relationship.”
Duties to Clients • Duty to Inform: limits of confidentiality • Duty to Report:abuse and/or neglect of a child, elder, someone who is physically disabled, someone who is cognitively Impaired • Duty to Warn:harm to themselves or someone else Reference Pages 65-66 in Textbook
Things to Keep in Mind • Plain language • Language appropriate to clients age • Language appropriate to clients cognitive ability • Client’s language of choice/primary language • Informed consent! • Client’s right to self determination!
A FEW OPTIONS… • Information will stay between the two of us, but that there may be times when the information will be shared with others…. • If I think that you are going to hurt yourself, or hurt someone else, or if I think someone may be hurting you or someone else • If you tell me that you are going to hurt yourself or someone else • By North Carolina law I am require to report…
Good News! • YOU DON’T HAVE TO SOLVE THE PROBLEM • Learning is a continual process! • Practice and feedback are invaluable to improvement!
Examples http://www.youtube.com/watch?v=ANs9s7_u8SE http://www.youtube.com/watch?v=rXh_IIZLXJE