Confidentiality, Privilege and Privacy Standards on Privacy and Confidentiality

Please read the vignette below and respond to it via the assignment submission link by Day Six. You MUST apply an appropriate ethical decision making model from Bersoff or apply another ethical decision making model which you may prefer (e.g., Canadian Psychological Association; NASP, etc.). Use the steps of the decision making model to discuss your decision making process.

Tell Tale Vignette

Maria is a 32 year old, Latina. Her child, Rosalinda, age 6, was referred to counseling after having been exposed to domestic violence (Maria reports having been the victim) in the home.

Maria is separated from Rosalinda's father who is the alleged perpetrator in the domestic violence.

When Maria brought Rosalinda to her first evaluation session (symptoms included: nightmares, regression, easily moved to tears, clingy with Maria), Maria read and signed an informed consent form while in the waiting room. The form was fairly standard issue, citing all the usual exceptions to confidentiality. The psychology intern properly introduced herself to Maria and briefly went over the informed consent. Maria expressed understanding of and agreement with the evaluation and treatment for her daughter.

Maria was the principal informant during the assessment, and the psychology intern documented in her notes that Maria reported she had started to date again. She noted that Rosalinda's symptoms had gotten worse (for example, she is upset when left with the family babysitter).

Please address the following questions:

Can Rosalinda's Dad have access to the child's record?

What about the reference to Maria starting to date - should this be documented in the record? Should Rosalinda's father have access to this information?

Explain your reasoning, referring to the appropriate rules and citing ethical guidelines (these may include the practice act, rules of board, etc.).

Discussion Board Questions

What is the difference between confidentiality, privileged communications and privacy?

What exceptions to privilege or confidentiality do you have in the jurisdiction where you live?

Please post the first thread response by Day Three and the second thread response by Day Five. Respond to at least one colleague by Day Five. Offer response to any significant feedback by Day Seven.

Field of study: 
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