- Center for Ethical Practice - https://centerforethicalpractice.org -

Ethical Obligations about Confidentiality

A. Ethical Distinctions Between “Absolute” and “Conditional” Confidentiality

Confidentiality Ethics – Yesterday and Today [1]

B. Ethical Obligations About Confidentiality & Disclosure

Selected Ethical Standards: Counselors (from ACA Code of Ethics) [2]
Selected Ethical Standards: Psychologists (from APA Code of Ethics) [3]
Selected Ethical Standards:: Social Workers (from NASW Code of Ethics) [4]

C. PROTECTING CONFIDENTIALITY – USING AN ETHICAL PRACTICE MODEL

Ethical Practice Model (html) [5]
Ethical Practice Model + State Law +HIPAA (pdf) [6]
Ethical Practice Model Adapted to Various Populations & Settings [7]

D. Confidentiality in Virginia Legal Protections and Legal Limits

Virginia Statutes Protecting or Limiting Patient Confidentiality (with links to Code of Virginia for text of each statute or court case) [8]

E. CONFIDENTIALITY: “NON-SUBPOENA CONTRACTS” WITH CLIENTS

Clients in Multi-Client Therapy – “Non-Subpoena Promise” ( Fisher ) [9]
Couple or Marital Therapy – “Non-Subpoena Promise” ( Hembree ) [10]
Client in Individual Therapy (+ Non-Participating Spouse) – “Non-Subpoena Promise” ( DeMaio ) [11]

F. CONFIDENTIALITY CONTRACTS — EMPLOYEES, STUDENTS, VOLUNTEERS

Sample Ethics Contract for Staff, Trainees, & Volunteers [12]

Sample Confidentiality Contract – Clinical Staff,  Employees, Trainees & Volunteers With Authorized Access to Patient Information [13]

Sample Confidentiality Contract – On-Site Agents Who are NOT Authorized to Obtain Access to Patient Information (e.g., janitor; computer guru; “plant lady,”  etc.)  [14]

G. COURT-RELATED FORMS & [14]CHARTS

A. Filing A Motion to Quash a Subpoena for Testimony or Patient Records [15]
B. Chart: Court-Related Roles “Which Hat are you Wearing?” [16]

H. BOOKS and BOOK CHAPTERS by Mary Alice Fisher, Ph.D.

Fisher, M.A. (2012). Confidentiality and Record Keeping. Chapter 13 in S. Knapp, M. Gottlieb, M. Handelsman, & L. VandeCreek (Eds.) APA Ethics Handbook for Psychologists (pp. 333-375).  Washington DC: American Psychological Association. DOI: 10.1037/13271-013.

Fisher, M.A. (2013).  The Ethics of Conditional Confidentiality: A Practice Model for Mental Health Professionals.   New York, Oxford University Press.  ( [17]Order from the Book Order Page [18] on our website, from Oxford University Press [19], or from Amazon.com [20] ) See REVIEWS. [21]

Fisher, M.A. (2016). Confidentiality Limits in Psychotherapy:  Ethics Checklists for Mental Health Professionals.  Washington DC, American Psychological Association. (See summary [22] on our website; order from American Psychological Association [23] or from Amazon.com [24].) See REVIEWS. [21]

 

 

(Updated January 5, 2015)