Confidentiality, Ethics, and Legal Issues Reflection Paper
Confidentiality, ethical, and legal issues are intertwined in today's world of mental health. I will discuss how I may adapt my therapeutic practices in light of court cases that touch the soul of the profession. I will look at the following court cases: Tarasoff, Bradley, Jablonski, and Hedlund. Additionally, I will investigate how I would hope to act while determining the potentiality of dangerous clients and then react to them.
The Tarasoff case deals with notification requirements. I do not feel that I will need to adapt my practices as duty to warn is common practice and in the ACA Code of Ethics. I will make sure that I do all that is necessary to warn an intended victim if I find a client to be a danger to others. If I have any question in my mind when assessing the client I will consult colleagues to determine the correct course of action to take in the instance.
The Bradley case deals with the duty not to negligently release a dangerous client. I was shocked to read about this case. I would not have even considered taking this step in any instance. To me, it is common sense that an unrestricted visit should not be allowed when a threatened person is present and the client has admitted to having the weapon to carry out their threat.
The Jablonski case deals with the duty to commit a dangerous individual. I will use this case to make sure that I exercise my due diligence to check into a client’s prior medical history if I am ever confronted with this type of situation. As I plan to enter private practice, I think I would come in at the beginning of the process as the person calling to have them committed, but I would do everything possible within the law and code of ethics to assist the hospital personnel to ensure a correct outcome.
The Hedlund case extends the duty to warn to a foreseeable, identifiable person who might be the near the intended victim when the threat is...