Limits to Confidentiality Mandatory Reporting

• Confidentiality means that information shared within the context of the helping relationship will not be shared with a third party.

What is Confidentiality? What is Mandatory Reporting?

• North Carolina General Statute § 7B-301.  “Duty to report abuse, neglect, dependency, or death due to maltreatment”

1.03 Informed Consent a. Prior to providing servicesb. Comprehension c. Third Party d. Involuntary/Right to Refusee. Electronic Mediaf. Audio/Video Recording

National Association of Social Workers

Code of Ethics 1.07 Confidentiality c. Harm to self or others. d. Inform client prior to sharing information e. Discuss limits to confidentiality with client.

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.”

National Association of Social Workers

Code of Ethics

- 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

Duties to Clients

• 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!

Things to Keep in Mind

• 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…

A FEW OPTIONS…

• YOU DON’T HAVE TO SOLVE THE PROBLEM

• Learning is a continual process!• Practice and feedback are invaluable

to improvement!

Good News!

http://www.youtube.com/watch?v=ANs9s7_u8SE

http://www.youtube.com/watch?v=rXh_IIZLXJE

Examples