WEEK 4 DB POSTS

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WEEK 4 DB POSTS Sheila probably wouldn't sign a release of information (ROI) for me to speak with the court because she wants me to refrain from complying. In this situation, I would tell Sheila that while I will do everything I can to keep her safe, I can't just ignore the subpoena and that not complying might not be in her best interests. Before taking any further action, I will reply to the summons to confirm that I have received the order and to let them know that I am consulting with my supervisor and attorney. Of course, I cannot guarantee whether I have worked with the client above. I will discuss the appropriate action with my supervisor and legal counsel. The best result would be to obtain authorization from the client and an ROI before giving the courts a brief explanation of the services and results. Only statistics on treatment duration and success or failure would be included in the summary. Regarding her diagnosis or treatment strategy, it wouldn't contain any essential or private information. The client might benefit in some cases from responding to the subpoena. I would consult with Sheila about our alternatives in this situation and how sharing information about the success of her therapy and the husband's refusal to participate may be helpful. Zur Institute. (2022). Subpoenas & How to Handle Them. Retrieved from https://www.zurinstitute.com/clinical-updates/subpoena/ DB 2 Counselors must protect clients from severe threats to their safety or the safety of others (NAADAC, 2022; Corey et al., 2020). To keep Marcie safe, I must endeavor to refer her for a psychiatric examination in the least intrusive manner possible. The NAADAC code of ethics states that information should only be shared with emergency personnel actively involved in the crisis and when a person is in immediate danger of harming himself or others (NAADAC, 2022). In addition, it states that a counselor is only permitted to share "essential information when circumstances require the disclosure of confidential information" (NAADAC, 2022). Considering those above, this is a justification for only providing the least amount of data (critical data). Since this is an intake session, informed permission was reviewed before beginning the evaluation; in this scenario, Marcie would have already been notified that confidentiality may be breached. I will outline the steps necessary to obtain a psychiatric examination while reminding Marcie of my ethical and legal obligations, always putting safety first (ACA, 2014), and preventing harm to Marcie. And I'd tell Marcie how it worked. Given that emergency responders would need to accompany Marcie to the hospital, keeping her mother in the dark would be next to impossible. When a counselor takes a client to the ER for an examination, the police or ambulance is always with them (save in a minimal number of exceptional cases where the counselor escorts them). This is because I used to work as a psychiatric assessor. As a psychiatric assessor, you must collect supplementary data to objectively expand your understanding of the patient's past. A referral from a mental health

professional or a conversation with an emergency contact are acceptable forms of collateral in the emergency room without the requirement for ROIs. The hospital would therefore inform Marcie that someone needed to be contacted to obtain collateral even if I hadn't told her mother the entire story. Unless otherwise stated by the patient, such a person would typically be listed as the emergency contact. The cops will even enter Marcie's New York State residence to take any weapons (such the gun) as a precaution for her safety. I'll be sure to record our conversations as well as the ones I have with Marcie, my boss, and her mother because I'll be providing information to emergency officials. I'll be honest and upfront with Marcie, explain the process, and let her know I might have to share specific facts. American Counseling Association. (2014). Code of Ethics. ACA 2014 Code of Ethics (counseling.org) Corey, M., Corey, C., & Corey, G. (2020). Issues and Ethics in the Helping Professions (10th ed.). Brooks/Cole. National Association for Alcoholism and Drug Abuse Counselors. [NAADAC]. (2022). Code of Ethics. Retrieved from https://www.naadac.org/code-of-ethics

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WEEK 4 DB POSTS

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