Benchmark Ethical Vignette Paper

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Feb 20, 2024

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Ethical Vignette A Helpful Receptionist Marisela Valencia Salas School of Behavioral Sciences, Liberty University COUC500: Orientation to Counselor Professional Identity and Function Kelsey Wilson February 3, 2024

Ethical Vignette Abstract There have been significant topics in discussion regarding the confidentiality of therapists when it comes to clients. Confidentiality is broken when the therapist shares confidential information with someone else. Confidentiality may be broken if the client is an immediate danger to themselves or others. Confidentiality is important. With it, the client might want to share everything with the counselor. A therapist must break confidentiality information when the client poses an imminent danger to themselves or others; the therapist must break confidentiality to resolve the danger.

Ethical Vignette Confidentiality assures that what a client shares with the therapist during a session will remain private. Confidentiality is broken when the therapist shares confidential information with someone else. On the other hand, In the video of a helpful receptionist, the receptionist made a few mistakes because of providing confidential information to the client's husband. The client mentioned worrying about her husband finding out she has been seeing a counselor. This problem is legal because the receptionist shared confidential information. As the code of ethics B.3.a. Subordinates mentioned, "Counselors make every effort to ensure that privacy and confidentiality of clients are maintained by subordinates, including employees, supervisees, students, clerical assistants, and volunteers " (ACA 2014). Another standard that applies from the Code of Ethics A.2.e. Mandated clients “Counselors discuss the required limitations to confidentiality when working with clients who have been mandated for counseling services” (ACA 2014). Confidentiality may be broken if the client is an immediate danger to themselves or others. In this situation of the video, the husband and the receptionist were not in immediate danger, so there was no reason to break confidentiality. The confidentiality of a client and a therapist makes the relationship strong. When confidentiality is broken, it creates consequences. The woman whose confidentiality was broken might want to sue the company, and the receptionist and company can get into trouble with state licensing boards. Confidentiality is important. With it, the client might want to share everything with the counselor. The ethical code from the state that applies to this scenario is

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Ethical Vignette WAC 246-924-363 "The psychologist shall safeguard the confidential information obtained in the course of practice, teaching, research, or other professional duties. With the exceptions set forth below, the psychologist shall disclose confidential information to others only with the informed written consent of the client." In this scenario, the receptionist disclosed confidential information by telling the man she would tell his wife. The Aca moral principle that applies to this scenario is veracity because the receptionist dealt truthfully with individuals with whom counselors come into professional contact. A therapist must break confidentiality information when the client poses an imminent danger to themselves or others; the therapist must break confidentiality to resolve the threat. Another situation when a therapist can share information is when there is a suspect of child abuse or neglect. The client tells the therapist to share information about their case. A counselor might reveal confidential information if the counselor believes the client will likely harm someone else. The therapist must have a reason to think that there is a plan of action that the client is going to take to commit the murder. A therapist can break confidentiality over a client's threat of self-harm. In a court order, the therapist must share confidential client information. Minors are not old enough to consent to treatment, so parents need to consent on their behalf. “ A child may be reluctant to disclose information to a therapist if they know their parents will eventually learn about it ”(Good Therapy 2020). Minor confidentiality is crucial, but counselors sometimes break confidentiality to protect their minor clients from harming themselves. Also, “counselors are expected to provide some feedback when parents/guardians request information about their children ( Lloyd-Hazlett, Moyer., & Sullivan 2017).” Counselors have a conversation with the

Ethical Vignette parents of the youth when it is a risk-taking behavior such as self-harm, drug use, antisocial behaviors, sexual behaviors, and alcohol use categories. The reading mentions that “antisocial behaviors were one of the most highly endorsed reasons a counselor may break confidentiality”(Lloyd-Hazlett, Moyer., & Sullivan 2017). The highest level of breaking confidentiality was when a youth wanted to commit self-harming. You can get an attorney if a therapist has committed to breaking confidentiality. Confidentiality is necessary. Counselors need to understand when to break confidentiality that is in the best interest of the client, especially those who are underage. To maintain therapist confidentiality, the best thing to do is not to acknowledge the client if you see them somewhere. A therapist is not permitted to share any information about their client, only when the therapist is required by law to report child abuse and neglect or if the therapist thinks the client is in danger to self or others. If a therapist is guilty of malpractice, there are consequences, such as the suspension or revocation of their license. There is also legal action that the client might want to take, such as suing the therapist for damages. Loss of clients might not trust the therapist and might want to seek treatment elsewhere. Loss of income: The therapist might not make money because of losing clients and might have difficulty supporting themselves. A therapist's position is important, but confidentiality should be kept regardless of the situation so that it does not lead to problems.

Ethical Vignette Reference ACA 2014 code of ethics. (n.d.). https://www.counseling.org/resources/aca-code-of-ethics.pdf Lloyd-Hazlett, J., Moyer, M. S., & Sullivan, J. R. (2017). Adolescent risk-taking behaviors: When do student counselors break confidentiality? Journal of Child and Adolescent Counseling , 4 (2), 178–193. https://doi.org/10.1080/23727810.2017.1381934 Client confidentiality . GoodTherapy.org Therapy Blog. (2020, December 15). https://www.goodtherapy.org/blog/psychpedia/client-confidentiality#:~:text=For%20licen sed%20mental%20health%20professionals,their%20clients%20in%20some%20cases. Person. (2023, February 13). Therapist’s duty of confidentiality . LegalMatch Law Library. https://www.legalmatch.com/law-library/article/therapists-duty-of-confidentiality.html

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