Question 1

Describe how privileged communications and confidentiality are similar.
Discussion Topics:

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Question 2

Review with the class HIPAA regulations.Discuss what has improved since the initiation of HIPAA and what has not improved.Discuss the difficulties social workers experience in navigating a system under HIPAA.
Class Exercises:

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Question 3

According to the 1969 landmark legal decision - Tarasoff v.the Regents of the University of California - when it is determined that a patient is potentially violent and presents a serious danger, the social worker has a duty to warn the intended victim.Despite the possibility of destroying the confidential nature of the therapy, what are four steps the social worker should take to ensure protection?

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Question 4

Explain how the ethical principle of confidentiality is related to the client's right to privacy.

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Question 5

Using the following case study on duty to warn, allow students five to ten minutes to review the case and to formulate an answer of yes or no with a brief explanation of how they arrived at their answers and to share their answers with the class.Then open it up for discussion.
Melanie is 19-year-old female who works as a hooker in New York City.She comes to your office for help when she learns she is HIV positive.She has been a hooker since the age of fifteen when she ran away from home.She informs you that she continues to have unprotected sex and on average has intercourse with four men per day.As her therapist do you have a duty to locate all the men she has had intercourse with to warn them they may be infected with HIV? Do you have an obligation to call the police?

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Question 6

Review with the class the Tarasoff vs.Regents landmark court case concerning duty to warn.

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Question 7

Discuss some of the consequences for the client/therapist relationship if confidentiality is breached.

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Question 8

What are three options that a social worker has when a report of suspected child abuse needs to be made to the Department of Protective Services? EPAS: 2.1.2.b.d

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Question 9

Referring to pages 154-155, have the class divide into two groups and debate why or why not sharing confidential information with a client is beneficial to treatment.

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Question 10

What are some of the arguments in favor of giving clients access to their own records?

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Question 11

Discuss the importance of the Health Insurance Portability and Accountability Act (1996, HIPAA).

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Question 12

Disclosure of information, voluntariness, and competency are the three issues of informed consent.Discuss some of the problems involving any of these that make for difficult ethical dilemmas in social work practice.

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Question 13

Discuss the issues of duty to warn.How did it come about? What was the landmark court decision surrounding this issue? What is a therapist's legal obligation to warn? EPAS: 2.1.2.b.d; 2.1.3.a

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Quiz 8: Confidentiality and Informed Consent

Describe how privileged communications and confidentiality are similar. Discussion Topics:

Review with the class HIPAA regulations.Discuss what has improved since the initiation of HIPAA and what has not improved.Discuss the difficulties social workers experience in navigating a system under HIPAA. Class Exercises: