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Access to Records and Documents -ANSWERS--There is no such thing as complete
confidentiality: always assume records will be seen
-Subpoenas: know the difference for one requesting records vs. one requesting a
personal appearance (some organizations send the person responsible for maintaining
the record- i.e., medical records)
-If you receive a subpoena you can try to have it withdrawn or the information requested
narrowed
-Do not release information without a court order or a consent
Regulations -ANSWERS--Be sure you are familiar with all records that pertain to your
practice (HIPAA, FERPA, JCAHO, etc)
-Work in compliance with these expectations
A social worker is meeting with her client for a first therapy session. What is the first
ethical responsibility she is obligated to meet in this session? -ANSWERS-Inform the
client about the limits of confidentiality.
A social worker employed by a community-based organization finds her professional
decision-making to be influenced by elements other than concern about the client. What
ethical issue is this social worker facing? -ANSWERS-Conflict of interest.
What core value of the social work profession is violated when a client is coerced into
consenting to treatment? -ANSWERS-Dignity and worth of a person
,During a counseling session at a mental health center, a social worker is told by their
client that the client intends to shoot a specific relative after leaving the session. What
professional duties are in conflict in this situation? -ANSWERS-Duty to warn per the
Tarasoff decision and confidentiality.
A 16 year old has become a client of an outpatient clinical social worker after surviving a
sexual assault by the sibling of a classmate at her school. The client's parents have
signed a release of information allowing the social worker to communicate directly with
school staff. The social worker is contacted by one of the teachers who is concerned
that the client's school work has declined drastically. The teacher wants to know if
something has happened to the client. What should the social worker do in this
situation? -ANSWERS-Talk to the client about whether they want any information
disclosed and the possible implications of disclosure.
Adele, a social worker employed by a program serving at-risk youth at a local YMCA in
an urban community, lives in an apartment complex within walking distance of her work.
An avid reader, she frequently visits the local library and has joined a monthly reading
group. At her most recent visit, the group welcomed a new member who happens to be
the mother of one of the youths in her program. To determine how to respond to this
situation, what should Adele do first? -ANSWERS-Assess the situation for risk of
potential harm or exploitation of the client.
During a counseling session, a client with a history of relationship problems shares a
text she received from one of your co-workers inviting her to a social event as their date.
Your co-worker is part of the treatment team that regularly reviews client cases
(including your client) and evaluates their progress. The client is seeking your advice
about whether to accept the date and attend the event. What should you do? -
ANSWERS-Report the situation to your supervisor.
According to the Nuremberg Code, which provides the basis for Institutional Review
Boards' requirements for human subjects research, voluntary consent to participate in
research activities is an imperative. Which of the following statements does not meet
the criteria defining voluntary informed consent? -ANSWERS-The participant must be
compensated either financially or by directly benefiting from the study.
A social worker experiences a language barrier with a client during the process of
obtaining informed consent. The social worker has a limited ability to speak the client's
language. To best ensure that the client understands the information the social worker
,is providing, what should the social worker do? -ANSWERS-Pause the consent process
and arrange for a professional interpreter.
Social Work Values -ANSWERS-service, social justice, dignity and worth of the person,
importance of human relationships, integrity, competence
Professional values vs Personal values -ANSWERS-Ethical fading, self deception and
awareness
Practicing ethical standards -ANSWERS--3 categories of responsibilities
-Key responsibilities of the social worker
-Application of standards to scenarios
Social workers' ethical responsibilities to clients -ANSWERS--Commitment to clients
-Self-determination
-Informed consent
-Competence
-Cultural competence and social diversity
-Conflicts of interest
-Privacy and confidentiality
-Limitations of client confidentiality
-Duty to warn (Tarasoff)
Social Workers' Ethical Responsibilities to Colleagues -ANSWERS--Respect
-Confidentiality
-Sexual relationships and harassment
-Impairment, incompetence, or unethical behavior of colleagues
Social Workers' Ethical Responsibilities as Professionals -ANSWERS--Competence
, -Discrimination
The NASW Code of Ethics -ANSWERS--summarized broad ethical standards
-is the moral compass for social work professions
-holds the social work profession accountable
Ethical Responsibility in Research and Program Evaluation -ANSWERS--Protection of
human subjects
-Voluntary participation
-Informed consent
-Confidentiality
-Protection of vulnerable/at-risk populations, etc.
Functions of Documentation -ANSWERS--Supporting thorough and accurate
assessment and treatment planning
-Providing competent service delivery
-Supporting continuity and coordination of services among settings and care providers
-Documenting supervisory activities to show contacts/content in case of challenge,
personnel problems, or litigation
-Providing data for program evaluation activities
-Allowing for accountability- information for 3rd party payors, regulatory bodies, etc.
Code of Ethics & Documentation -ANSWERS--Calls for accurate documentation and
protection of privacy of all involved parties noted in the client record
-Gives clients the right to access own records (if this occurs there is a duty to protect
privacy of others noted in the record)
-Electronic records also have to have safeguards in place to protect confidentiality and
privacy
-Storage of records needs to protect privacy and confidentiality
-Records need to be kept for at least several years after termination in a secure, private
location.