Confidentiality is Key

What are the limits of confidentiality and providing direct services to the student?

According to Jacobs and Hawthorne (2006, p. 65) confidentiality is described as an ethical decision or agreement not to expose any personal information about the individual unless:

· The individual requests that information be shared with another party

· There is a situation involving danger to the individual or others

· There are legal obligations to testify in a court of law

As school psychologist, we are encouraged to discuss the limitations of confidentiality at the onset of services. We are asking our clients to share their innermost thoughts and feelings with us and assuring them that the information will remain confidential, contingent upon the content.

Do you think that a conditional promise of confidentiality will help or hinder the psychologist’s effectiveness with the client?

This Blog was created by Danielle Muhammad and Prattima Kaulessar.

Taken from The Black Briefcase – The Blog of The Life of a School Psychologist…

“Today we met with teachers to discuss the accommodations page in each child's IEP. This meeting usually isn't a big deal because the teacher has only known the child for a couple of days at this point. We met with the specials teachers (art, music, gym and media) to discuss all of the children who have IEPs. We had to discuss the new child who has a history of sexual abuse. We had to make certain arrangements so that the child would have an escort for whenever she left the room. We had to inform the teachers about this plan, without explaining why. It was hard to emphasize the need for constant supervision without giving any details. I adhere to confidentiality, almost to the point where I don't even share information with team members. I don't participate in hearsay, if someone wants information I tell him or her to consult the file, if he or she has permission to do so.I am sensitive to this child's needs, but I'm also sensitive to the safety and well-being of the other children. I also don't want to single-out this child, but I'm not sure how to ensure safety without doing so. This will be tough.”

Confidentiality is a huge issue in many practices, especially in that of school psychology. The code of ethics state that it’s important that we keep students’ information safe and that we respect their privacy and that of their families. But to what degree do you think this is actually put into practice in schools? Do you believe that school personnel abide by confidentiality rules such as the School Psychologist in this article or do you think that they do participate in hearsay with their colleagues? What is it like at your school?

http://theblackbriefcase.blogspot.com/2008/09/confidentiality.html

This Blog was created by Denise Torres and Stefanie Tych.

Moving Mountains...

Students in today’s schools, particularly middle and high schools, face an ever growing mountain of tough life situations and decisions to overcome. As future school psychologists we have to prepare ourselves to help these students cope with an array of problems that do not have easy solutions and that are often controversial topics when it comes to minors such as teen pregnancy, sexual activity and STDs, substance abuse, and violence of many different forms. Oftentimes students, parents, staff, and the community expect that we as school psychologists should be able to move this mountain of problems away from or off the student. While best treating the student a school psychologist must also keep in mind confidentiality policies, district policies, and state and federal regulations. There is a lot to consider when counseling students and these issues arise.
As school psychologists one of the most important things to be keep a watchful eye on are signs of child abuse or neglect, as it is our duty to report suspected cases that are made in good faith and the procedures made under state law for reporting are followed. We are fortunate that if the two previous criterion are followed than we are protected from civil or criminal actions for reporting a suspected case to the proper authorities.
Consider the following case:
John is a 6 year old boy in the middle of his second school year as a kindergarten student. At the beginning of last school year his mother left him and sister behind in care of their aunt who obtained legal guardianship. The aunt chose to have John repeat kindergarten due to poor academic progress. John’s teacher this year, Mrs. Smith, recommended John for the art therapy program in October to due his elaborate drawings and dictations of those drawings of various violent scenarios (shootings, bombs, fire etc), his continual thumb-sucking habit, and knowing his home life was not of optimal care. Over the course of the school year the art therapist, teacher, and school nurse communicate and document concerns of the child’s health and mental well-being such as coming to school un-bathed, dirty clothing, infections in his gums from lack of proper dental care, John complaining of “bugs” in his bed, and reports of not eating. Throughout the year the aunt has been notified of these situations as they came up, however, little if anything has been done on her part to help John. While academically he has progressed throughout the year, he is still just below grade level in areas such as reading and writing.

What procedures should be followed if during your first year as a school psychologist in an urban school district the above case was presented to you? What are the primary concerns? Are the teachers and other staff members fulfilling all of the duties they are obligated to and should to ensure proper care of the child?
As a future school psychologist do you feel ready to handle the various ethical and legal issues that may arise in various counseling situations?

http://www.helpguide.org/mental/child_abuse_physical_emotional_sexual_neglect.htm
http://www.youtube.com/watch?v=P9njhcQUlXc

This blog was created by Jamie Cowan.

Having Technical Difficulties?!?!?!

Confidentiality means that any information that is revealed within a professional relationship cannot be disclosed, unless it falls under the limitations of possibly hurting oneself or others. As future school psychologists, we will have an ethical and professional obligation to the confidentiality rights of our future clients and to ensure that their privacy rights are met. However, with the increasing technological advances confidentiality is said to be threatened. With new ideas in regards to computerized record keeping and electronic systems and transmissions to record and monitor varying student behaviors and progress, how can we completely ensure that confidentiality rights are being protected?

Yes – I do believe that as psychologists of new generations we have an obligation to be up to date with the technological advances that occur, including the understanding of technological languages and online slang, the uses of blogs, networking sites, and the online communicating options.

However, with the need for confidentiality and the technological advances, is it safe to say that confidentiality is not being compromised with the rise in technological competencies?

This blog was created by Angelica Cunha.