The Ethics of Conditional Confidentiality: A Practice Model for Mental Health Professionals by Mary Alice Fisher

The Ethics of Conditional Confidentiality: A Practice Model for Mental Health Professionals

byMary Alice Fisher

Paperback | February 14, 2013

not yet rated|write a review

Pricing and Purchase Info

$62.21 online 
Earn 311 plum® points

Ships within 1-3 weeks

Ships free on orders over $25

Not available in stores


Therapists once promised patients "Everything you tell me will remain in this room." Today, they can keep that promise only if they are willing to break the laws that now require them to disclose information without patient consent. Most avoid such civil disobedience by placing limits onconfidentiality; but ethically speaking, this 'conditional' confidentiality can be difficult to practice. The Ethics of Conditional Confidentiality: A Practice Model for Mental Health Professionals is a guidebook designed to help therapists and other mental health professionals navigate the ethical and legal maze surrounding confidentiality. At its core is a practical Confidentiality Practice Model-astep-by-step guide for clarifying the ethical and legal issues that make the ethics of conditional confidentiality so complicated. Ethics codes represent the 'ethical floor,' which is the minimum standard of behavior about confidentiality. The goal in this book is to encourage reaching for the 'ethical ceiling,' by protecting confidentiality to the extent legally possible and not disclosing patients' confidences just because certain laws would allow them to be disclosed. The Ethics of Conditional Confidentiality demystifiesconfidentiality for therapists, clinical supervisors, educators, ethics consultants, attorneys who represent mental health professionals, clinicians, and administrators, and is an ideal supplemental ethics text for graduate courses. It is also useful for establishing confidentiality policies in anyclinical setting and training program.

About The Author

Mary Alice Fisher, Ph. D., is Founding Director of The Center for Ethical Practice, Inc., Adjunct Assistant Professor in the University of Virginia Curry Programs in Clinical and School Psychology, and a clinical psychologist in private practice in Charlottesville, VA. For over 25 years Dr. Fisher has provided workshops, seminars, and...
Seeing Judaism Anew: Christianity's Sacred Obligation
Seeing Judaism Anew: Christianity's Sacred Obligation

by Mary C. Boys


Available for download

Not available in stores

Details & Specs

Title:The Ethics of Conditional Confidentiality: A Practice Model for Mental Health ProfessionalsFormat:PaperbackDimensions:352 pages, 9.21 × 6.14 × 0.68 inPublished:February 14, 2013Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199752206

ISBN - 13:9780199752201

Look for similar items by category:

Customer Reviews of The Ethics of Conditional Confidentiality: A Practice Model for Mental Health Professionals


Extra Content

Table of Contents

AcknowledgmentsIntroductionAbbreviationsPART I. The ABC's of "Conditional Confidentiality": An Ethical, Legal, and Ethical/Legal Review1. Ethical Responsibilities about Confidentiality2. Law Affecting Confidentiality3. Placing Laws into Ethical ContextPART II. Protecting Patients' Confidentiality Rights with an Ethics-Based Practice ModelIntroduction to Part II: "The Ethics of Conditional Confidentiality"4. Step 1 - Preparing5. Step 2 - Telling Prospective Patients the Truth about Confidentiality's Limits6. Step 3 - Obtaining Truly Informed Consent before Disclosing Confidential Information Voluntarily7. Step 4 - Responding Ethically to Legal Demands for "Involuntary" Disclosure of Patient Information8. Step 5 - Avoiding Preventable Breaches of Confidentiality9. Step 6 - Talking about ConfidentialityPart III. Practical Considerations10. Clinical Record Keeping11. Confidentiality with Specific Patient Populations12. Confidentiality in Specific Roles and Settings13. Ethics-Based Staff Training about ConfidentialityAppendixI. Selected Ethical Standards Relevant to Confidentiality Listed NumericallyII - Ethical Standards (using categories from Knapp and VandeCreek (2006))III - Laws Affecting Confidentiality - Summary and ExamplesIV - HIPAA Regulations - SummaryV - Ethical Practice Model (with legal annotationsVI - Ethical Responsibilities in Forensic Contexts: Which Hat Are You Wearing?VII - Ethical and Professional ResourcesVIII - Ethics-Based Staff Training About Confidentiality - Sample OutlineNotesReferencesIndex