The issue is about privacy in therapy records. How to maintain a client’s privacy? What is the minimum that can be written in a record? Is the record really for the benefit of the patient when the record potentially exposes the patient or is the record only for the therapist protection? If it is only for the therapist, can a record do a patient harm and what are the alternative methods of treating the patient? I suppose it is easier to run around the issue or avoid the request for other therapist to share their experiences with the issue by stating text book models of practice (already imbedded knowledge) or changing the subject to question my motives and ability to protect a patient. Perhaps I come across as totally naïve or incompetent in my request for others to share their experience; however, I am diligent in respecting the rights and privacy of others. I will not divulge what information is accurate or concealed; please take my word that my prior message was written with the privacy, rights and skill set of my patient in mind. I’ve just returned from a national privacy convention. The convention articles did not speak of privacy in therapy; it did discuss HIPPA but also concerned all forms of interaction and documentation. Not just medical documents. I have and will protect the rights of all people, not just clients. With that said, I still welcome therapist of all levels of experience and patients who read this board to share their experiences so that we may all be enlightened in treating patients who are highly concerned about privacy in medical records. I’d like to hear suggestions that go beyond stating that the patient just has to deal with what ever the therapist (taking a strong stance) says or does in keeping detailed records. That can only be annihilating and unsupportive. I’d appreciate insight in conducting therapy with patients who understand therapy and its practice from the point of a therapist. I wonder if a therapist with issues concerning privacy can be a patient. I look forward to reading all kind messages; there’s no need to attack anyone here.
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