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How to Ethically Set Client Confidentiality Boundaries Part I (Abbreviated)
Ethical Confidentiality Boundaries continuing education social worker CEUs

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Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs

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Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question. Do not add any spaces.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
1. What are three aspects regarding ethical boundaries related to ethics versus the law?
2. What are three confidentiality boundaries to consider when treating self-harming clients?
3. What are concepts of consulting colleagues in relation to a client’s confidentiality?
4. What are three controversies resulting from concerns about confidentiality boundaries?


Answers:
A. intent; parental disclosure; and hospitalization. 
B. fear of disclosure; loss of trust; and HIPAA hypocrisies.
C. client’s best interests; conflicts of interest; and proper consultation procedure
D. ethically improper; legally binding; and walking the tightrope.

Course Content Manual Questions The Answer to Question 5 is found in Section 5 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.
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Questions:
5. According to the Codes of Ethics, what is a mental health professional’s responsibility in regards to confidentiality in group work?  
6. Clients need to be educated about confidentiality, privileged communication, and privacy to ensure trust in the therapeutic relationship. What is one of the best ways to accomplish this?
7. According to APA’s first working group, what is the psychologist’s role in end-of-life decisions?
8. What are the nine arguments for continuous observation? 
9. According to Glass, what are the costs of rigidification of technique?
10. What are the eight points that HIPPA permits health care providers to do that are expressed in this article? 

Answers
A.  Rigidification of technique can stifle creativity, impede the individualization of treatment, and obscure subtleties in context, timing, and cultural expectations that could be critical for optimal treatment.
B.  Mental health professionals must clearly communicate to group members that confidentiality cannot be guaranteed in group work.
C. The psychologist's role in such situations is to protect the client's rights, support significant others, not allow the affixation of a mental illness diagnosis if it is inappropriate, and help evaluate whether or not the client has decision-making capacity.
D. through the process of informed consent
E. (1) Values life (2) Provides a 'holding space' (3) Can foster mutual respect (4) Can be therapeutic (5) Person feels 'special' (6) Emotional intimacy (7) Safety and protection (8) Supportive and (9) Intensive worker involvement
F. communicate with patient’s family or others involved in patient’s care; communicate with family when patient is an adult; communicate with parent of patient who is a minor; consider patient’s capacity to agree or object to sharing of their information; involve patient’s family in dealing with patient failures to adhere to medication or other therapy; listen to family about loved ones receiving mental health treatment; communicate with family members, law enforcement, or others when patient presents serious and imminent threat of harm to self or others; and communicate to law enforcement about release of patient brought in for emergency psychiatric hold.


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