Understanding the Dynamics of Confidentiality and Privilege in Counseling
Explore the essential ethical principles and legal responsibilities underlying confidentiality and privilege in counseling, delving into the nuances of client rights, counselor responsibilities, and the delicate balance between maintaining confidentiality and privileged communication. Gain insights into when a warranted breach of privilege communication may be necessary, ensuring a comprehensive understanding of the complexities within the counseling profession.
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Presentation Transcript
Client Rights and Counselor Responsibilities CONFIDENTIALITY AND PRIVILEGE COMMUNICATION KMC 2093 Ethics and Legality in Counseling Dr Azzahrah Anuar
ETHICAL PRINCIPLES UNDERLYING CONFIDENTIALITY Autonomy access to private information Fidelity counselors guarantee confidentiality Beneficence and non maleficence instill client s trust and avoid harm
CONFIDENTIALITY Kod Etika B.1 Menghormati hak-hak klien - Multibudaya dan kepelbagaian - Privasi - Kerahsiaan - Limitasi kerahsiaan
Confidentiality and communication with other professionals Kod Etika B.3.a. Subordinat - Kepentingan menjaga kerahsiaan klien oleh subordinat (pekerja, individu yang diselia, pelajar, pembantu perkeranian dan sukarelawan) Kod Etika B.3.b. Pasukan Rawatan - Makluman kepada klien tentang penglibatan pasukan rawatan
Confidentiality and communication with other professionals Kod Etika B.3.d. Pembayar pihak ketiga - Maklumat diberikan dengan keizinan klien Bagaimana dengan klien yang meninggal dunia?? Adakah kerahsiaan klien tersebut perlu dilindungi?? Bolehkah seorang kaunselor berkongsi maklumat tentang kerja dengan klien dengan ahli keluarga beliau???
CONFIDENTIALITY VS PRIVILEGE COMMUNICATION Confidentiality refers to an ethical duty to keep client identity and disclosures secret and a legal duty to honor the fiduciary relationship with the client (Welfel, 2010) Privilege communication refers to the client s right to prevent a court from demanding that a mental health professional reveal material disclosed in a confidential professional relationship (Younggren & Harris, 2008)
PRIVILEGE COMMUNICATION What is the situation that allows one to do a warranted breach of privilege communication? Apakah situasi yang membolehkan satu pihak untuk menghalang komunikasi privilej seorang klien?
CONFIDENTIALITY VS PRIVILEGE COMMUNICATION Officers of the court can make demands for client information in three ways (Welfel, 2010): (1)Subpoena (2)Subpoena duces team (3)Court order
CONFIDENTIALITY Apa yang berlaku pada limitasi kerahsiaan bagi klien yang memberitahu mempunyai penyakit yang diketahui umum sebagai berjangkit dan mengancam nyawa?? Kod Etika B.2.b. Penyakit berjangkit dan mengancam nyawa
THE LIMITS OF CONFIDENTIALITY 1. Client request for release of information 2. Court orders for confidential information - as expert witness
THE LIMITS OF CONFIDENTIALITY 3. Client complaints and litigation against mental health professionals 4. Other client litigation 5. Dangerous client and the duty to warn and protect
THE LIMITS OF CONFIDENTIALITY Kod Etika B.2. Kekecualian - Kod Etika B.2.a. Bahaya dan keperluan undang-undang - Kod Etika B.2.c. Pendedahan atas perintah mahkamah - Kod Etika B.2.d. Pendedahan minimum
THE LIMITS OF CONFIDENTIALITY What is your duty when your client is suicidal?
THE LIMITS OF CONFIDENTIALITY 6. Client planning future crimes 7. Counseling HIV-positive clients
THE LIMITS OF CONFIDENTIALITY 8. Counseling individuals at the end of their lives Kod Etika A.9. Penjagaan akhir hayat klien (kualiti penjagaan, kompetensi, pilihan dan rujukan kaunselor, dan kerahsiaan) 9. The ethics of internet counseling and therapy Kod Etika A.12 Aplikasi Teknologi
