Confidentiality is one of the most important parts of the therapist/client relationship. Successful therapy often means that caregivers trust the Secure Child therapist with their thoughts and feelings, as well as trusting that the intervention will support them with useful information. Many times, parents share sensitive subject matter with their therapist that is not discussed outside of that relationship. Parents need to know that the therapist can be trusted with this information, and that things discussed in session will remain confidential.
At the start of the intervention, parents review consent forms with the Secure Child therapist. These documents include informed consent for the Secure Child intervention; information about records and record storage; and permission regarding what information, if any, can be shared with other service providers. Additionally, confidentiality and the limits of confidentiality are reviewed and discussed.
What are the limits of confidentiality?
State law and ethics mandate therapists to break confidentiality in the following situations:
• Present suspicion of abuse or neglect of a child, adult or elder
• Knowledge or suspicion of past abuse or neglect of a child, adult or elder that was never reported
• Suspicion that the client is in danger of causing harm to self or others
• Knowledge or awareness that the client has threatened to harm another.
The above concerns must be reported to Child Protective or Adult Protective Services, or law enforcement. Failure to report the above may result in sanctions against the therapist.
If a Secure Child therapist believes that confidentiality must be broken, for any reason, he or she will be as transparent with the client as the situation allows.
What kind of written documentation do you provide?
While we hold confidentiality to be paramount to good therapy, we are required to provide referring agents with documentation about the course of treatment. All reports submitted to the referring agent are first reviewed and discussed with parents, who indicate their agreement with what is written by signing the document. One month from the start of services, we provide a Service Plan. Each quarter a Quarterly Report documents progress on established goals. At the close of services we provide a Discharge Summary.