How many instances are there where confidentiality may be broken?

How many instances are there where confidentiality may be broken?

• A. Three
• B. Two
• C. Four
• D. Five

Answer: (A)

Confidentiality is a cornerstone of counseling, but there are three common situations where information may be disclosed to protect safety or meet legal requirements. First, if there is imminent risk of harm to the client or to others, the clinician may disclose information to prevent harm. Second, there are mandatory reporting laws that require disclosure when abuse or neglect of a child or a dependent adult is suspected. Third, disclosures may be made when required by law or a court order, such as a subpoena, within the scope of what is ordered. In each case, the disclosure is limited to what is necessary and is documented. Also, disclosures with the client’s informed consent are permitted, but that is an authorized release rather than a breach.

Confidentiality is a cornerstone of counseling, but there are three common situations where information may be disclosed to protect safety or meet legal requirements. First, if there is imminent risk of harm to the client or to others, the clinician may disclose information to prevent harm. Second, there are mandatory reporting laws that require disclosure when abuse or neglect of a child or a dependent adult is suspected. Third, disclosures may be made when required by law or a court order, such as a subpoena, within the scope of what is ordered. In each case, the disclosure is limited to what is necessary and is documented. Also, disclosures with the client’s informed consent are permitted, but that is an authorized release rather than a breach.