Abstract
In the United States, much emphasis is placed on the concepts of privacy and confidentiality, particularly in the health care setting. In this computer age, when information is stored in data banks which are readily available to many agencies, including potential employers, credit bureaus, and insurance companies, health professionals must have heightened awareness of the individual’s right to confidentiality and what must be done to protect it. The stigma that still attaches to being labeled “mentally or emotionally ill” or “mentally retarded” has required an increased awareness on the part of mental health professionals to the confidentiality rights of their patient. The professional must be knowledgeable about the specific law related to confidentiality of information disclosed in the therapeutic setting and must understand under what circumstances confidentiality can or must be breached. This chapter will fully discuss these issues as well as the client’s access to his record.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Bibliography
I. Confidentiality and Privilege A. Cases: General
Allred v. State, 554 P.2d 411 (Sup.Ct. Alaska 1976).
In re Lifschutz, 467 P.2d 557 (Sup.Ct. Cal. 1970).
Caesar v. Mountanos, 542 F.2d 1064 (9th Cir. 1976).
In re B, 394 A.2d 419 (Sup.Ct. Pa. 1978).
State v. Martin, 274 N.W.2d 893 (Sup.Ct.S.D. 1979).
State of Florida v. Tsavaris, 382 So.2d 56 (Fla.App. 1980).
People v. Gomez, 185 Cal.Rptr. 155 (Cal.App. 1982).
Myers v. State, 310 S.E.2d 504 (Sup.Ct.Ga. 1984).
Novak v. Rathnam, 478 N.E.2d 1334 (Sup.Ct. 111. 1985).
People v. Wilkins, 490 N.Y.S.2d 759 (Ct.App. 1985).
State v. Miller, 709 P.2d 225 (Sup.Ct. Or. 1985).
Matter of New York News, 494 N.E.2d 1379 (Ct.App. 1986).
State v. Gullekson, 383 N.W.2d 338 (Ct.App. Minn. 1986).
U.S. v. Crews, 781 F.2d 826 (10th Cir. 1986).
Karsten v. McCray, 509 N.E.2d 1376 (Ill.App. 1987).
Commonwealth v. Clancy, 524 N.E.2d 395 (Sup.Jud.Ct. Mass. 1988).
In the matter of rules adoption regarding inmate-therapist confidentiality, 540 A.2d 212 (NJ.Super.A.D. 1988).
People v. Reidout, 530 N.Y.S.2d 938 (Sup.Ct. 1988).
Porter v. Michigan Osteopathic Hospital Association, 428 N.W.2d 719 (Mich.App. 1988).
Tumlinson v. Texas, 757 S.W.2d 440 (Tex.App. 1988).
In re Grand Jury Proceedings, 867 F.2d 562 (9th Cir. 1989).
In re Kevin F., 261 Cal.Rptr.413 (Cal.App. 1989).
Peisach v. Antuna, 539 So.2d 544 (Fla.App. 1989).
State v. Beatty, 770 S.W.2d 387 (Mo.Ct.App. 1989).
Dixon v. City of Lawton, 898 F.2d 1443 (10th Cir. 1990).
In the Matter of Guardianship of Atkins, 790 P.2d 210 (Wash.App. 1990).
Cabrera v. Cabrera, 580 A.2d 1227 (Conn.App. 1990).
Nelson v. Ferguson, 399 S.E.2d 909 (W.Va.Sup.Ct. 1990).
People v. Clark, 789 P.2d 127 (Cal.Sup.Ct. 1990).
People v. Wharton, 280 Cal. Rptr. 631 (Cal.Sup.Ct. 1991).
People v. Superior Court, 282 Cal.Rptr.418 (Cal.App. 1991).
Jorgensen v. State, 574 N.E.2d 915 (Ind.Sup.Ct. 1991).
Kalenevitch. v. Finger, 595 A.2d 1224 (Pa.Super. 1991).
Menendez v. Superior Court, 279 Cal.Rptr. 521 (Cal.App. 1991).
People v. Doe, 570 N.E.2d 733 (Ill.App. 1991).
State ex.rel. Juvenile Department v. Ashley, 818 P.2d 1270 (Or.Sup.Ct. 1991).
Annotation: Physician-patient privilege as extending to patient’s medical or hospital records, 10 A.L.R.4th 552.
Annotation: Privilege, in judicial or quasi-judicial proceedings, arising from relationship between psychiatrist or psychologist and patient, 44 A.L.R.3d 24.
I. Confidentiality and Privilege B. Cases: Liability for Breach of Confidentiality
Clark v. Geraci, 208 N.Y.S.2d 564 (A.D. 1960).
Doe v. Roe and Poe, 400 N.Y.S.2d 668 (A.D. 1977).
Hopewell v. Adibempe, No. GD78–28756, Civil Division, Court of Common Pleas of Allegheny County, Pennsylvania, June 1, 1981.
Martino v. Family Service Agency of Adams County, 445 N.E.2d 6 (Ill.App. 1983).
Alberts v. Devine, 479 N.E.2d 113 (Sup.Jud.Ct. Mass. 1985).
Levias v. United Airlines, 500 N.E.2d 370 (Ohio App. 1985).
Watts v. Cumberland County Hospital System et al., 330 S.E.2d 242 (N.C.App. 1985).
Prince v. St. Francis-St. George Hospital, 484 N.E.2d 265 (Ohio App. 1985).
Bratt v. International Business Machines, 785 F.2d 352 (1st Cir. 1986).
Johnson v. Lincoln Christian College, 501 N.E.2d 1380 (Ill.App. 1986).
Rea v. Pardo, 507 N.Y.S. 361 (Sup.Ct. 1986).
Leigh v. Parker, 740 S.W.2d 101 (Tex.App. 1987).
State Board of Psychologists v. Hosford, 508 So.2d 1049 (Sup.Ct. Miss. 1987).
Allen v. Smith, 368 S.E.2d 924 (W.Va. 1988).
Bryson v. Tillinghast, 749 P.2d 110 (Sup.Ct. Okla. 1988).
Inabnit v. Berkson, 245 Cal.Rptr. 525 (Cal.App. 1988).
Zim v. Benezra, 545 N.Y.S.2d 893 (Sup. 1989).
Doe v. Portland Health Centers, 782 P.2d 446 (Or.App. 1989).
O’Donnell v. U.S., 891 F.2d 1079 (3rd.Cir. 1989).
Neal v. Corning Glass Works Corp., 745 F.Supp. 1294 (Ohio 1989).
Oringer v. Rotkin, 556 N.Y.S.2d 67 (A.D. 1990).
Susan A. v. County of Sonoma, 3 Cal.Rptr.2d 27 (Cal.App. 1991).
Saur v. Probes, 476 N.W2d 496 (Mich.App. 1991).
Ms. B. v. Montgomery County Emergency Service, Inc., 799 F.Supp. 534 (E.D. Pa. 1992).
Annotation: Physician’s tort liability, apart from defamation, for unauthorized disclosure of confidential information about patient, 20 A.L.R.3d 1109.
Annotation: Physician’s tort liability for unauthorized disclosure of confidential information about patient, 48 A.L.R.4th 668.
I. Confidentiality and Privilege C Articles and Books
American Psychiatric Association. (1987). Guidelines on confidentiality. American Journal of Psychiatry, 244, 1522–1526.
Baird, K. A., & Rupert, P. A. (1987). Clinical management of confidentiality: A survey of psychologists in seven states. Professional Psychology: Research and Practice, 18, 347–352.
Bernard, J. L., & O’Laughlin, D. L. (1990). Confidentiality: Do training clinics take it seriously? Law and Psychology Review, 14, 59–69.
Bruce, J. A. C. (1988). Privacy and confidentiality of health care information (2nd ed.). Chicago: American Hospital Publishing.
Chorba, T. L., Berkelman, R. L., Safford, S. K., Gibbs, N. P., & Hull, H. F. (1989). Mandatory reporting of infectious diseases by clinicians. Journal of the American Medical Association, 262, 3018–3026.
Churgin, M. J. (1986). Psychotherapist-patient privilege: A search for identity. In D. N. Weisstub (Ed.), Law and mental health, Vol. 2, pp. 215–264. New York: Pergamon Press.
Developments in the law: Privileged communications. (1985). Harvard Law Review, 98, 1450–1666.
Everstine, L., Everstine, D. S., Heymann, G. M., True, R. H., Frey, D. H., Johnson, H. G., & Seiden, R. H. (1980). Privacy and confidentiality in psychotherapy. American Psychologist, 35, 828–840.
Färber, N. J., Weiner, J. L., Boyer, E. G., & Robinson, E. J. (1989). Residents’ decisions to breach confidentiality. Journal of General Internal Medicine, 4, 31–33.
Faustman, W. O., & Miller, D. J. (1987). Considerations in prewarning clients of the limitations of confidentiality. Psychological Reports, 60, 195–198.
Freund, E., Seligman, P. J., Chorba, T. L., Safford, S. K., Drachman, J. G., & Hull, H. F. (1989). Mandatory reporting of occupational diseases by clinicians. Journal of the American Medical Association, 262, 3041–3044.
Gellman, R. M. (1986). Divided loyalties: A physician’s responsibilities in an information age. Social Science and Medicine, 23, 817–826.
Griffith, E. Z., Zonana, H., Pinsince, A. J., & Adams, A. K. (1988). Institutional response to inpatients’ threats against the President. Hospital and Community Psychiatry, 39, 1166–1171.
Gumper, L. L., & Sprenkle, D. H. (1981). Privileged communication in therapy: Special problems for the family and couples therapist. Family Process, 20, 11–23.
Gustafson, K. E., & McNama, J. R. (1987). Confidentiality with minor clients: Issues and guidelines for therapists. Professional Psychology: Research and Practice, 18, 503–508.
Huber, G. A., & Roth, L. H. (1988). Preserving the confidentiality of medical record information regarding nonpatients. Virginia Law Review, 66, 583–596.
Kelly, R. J. (1987). Limited confidentiality and the pedophile. Hospital and Community Psychiatry, 38, 1046–1048.
Knapp, S., & VandeCreek, L. (1987). Privileged communication in the mental health professions. New York: Van Nostrand Reinhold.
Knapp, S., VandeCreek, L., & Zirkel, P. A. (1987). Privileged communications for psychotherapists in Pennsylvania: A time for statutory reform. Temple Law Quarterly, 60, 267–292.
Kraft, P. (1985). The parent-child testimonial privilege: Who’s minding the kids? Family Law Quarterly, 18, 505–543.
Lindenthal, J. J., & Thomas, C. S. (1982). Psychiatrists, the public, and confidentiality. Journal of Nervous and Mental Disease, 170, 319–323.
Lindenthal, J. J., Jordan, T. J., Lentz, J. D., & Thomas, C. S. (1988). Social workers’ management of confidentiality. Social Work, 33, 157–158.
Mayo, D. J. (1984). Confidentiality in crisis counseling: A philosophical perspective. Suicide and Life-Threatening Behavior, 14, 96–112.
Meyer, R. G., & Smith, S. R. (1977). A crisis in group therapy. American Psychologist, 32, 638–643.
Miller, D. J., & Thelen, M. H. (1986). Knowledge and beliefs about confidentiality in psychotherapy. Professional Psychology: Research and Practice, 17, 15–19.
Petrila, J. P., & Sadoff, R. L. (1992). Confidentiality and the family as caregiver. Hospital and Community Psychiatry, 43, 136–139.
Roach, W. H., Chernoff, S. N., & Esley, C. L. (1985). Medical records and the law. Rockville, MD: Aspen.
Rubanowitz, D. E. (1987). Public attitudes toward psychotherapist-client confidentiality. Professional Psychology: Research and Practice, 18, 613–618.
Schuchman, H., Foster, L., & Nye, S. (1982). Confidentiality of health records. New York: Gardner Press.
Sherlock, R., & Murphy, W. (1984). Confidentiality and therapy: An agency privilege. Comprehensive Psychiatry, 25, 88–95.
Shuman, D. W., & Weiner, M. F. (1987). Psychotherapist-patient privilege. Springfield, IL: Thomas.
Siegler, M. (1982). Confidentiality in medicine—A decrepit concept. New England Journal of Medicine, 307, 1518–1521.
Sloan, J. B., & Hall, B. (1984). Confidentiality of psychotherapeutic records. Journal of Legal Medicine, 5, 435–467.
Slovenko, R. (1966). Psychotherapy, confidentiality, and privileged communication. Springfield, IL: Thomas.
Smith, S. R. (1980). Constitutional privacy in psychotherapy. George Washington Law Review, 49, 1–60.
Smith, S. R. (1986–1987). Medical and psychotherapy privileges and confidentiality: On giving with one hand and removing with the other. Kentucky Law Journal, 75, 473–557.
Spiegel, P. B. (1990). Confidentiality endangered under some circumstances without special management. Psychotherapy, 27, 636–643.
Stanton, A. M. (1982). Child-parent privilege for confidential communications: An examination and proposal. Family Law Quarterly, 16, 1–67.
Taube, D. O., & Elwork, A. (1990). Researching the effects of confidentiality law on patients’ self-disclosures. Professional Psychology: Research and Practice, 21, 72–75.
Taylor, L., & Adelman, H. S. (1989). Reframing the confidentiality dilemma to work in children’s best interests. Professional Psychology: Research and Practice, 20, 79–83.
Turkington, R. C. (1987). Legal protection for the confidentiality of health care information in Pennsylvania: Patient and client access; testimonial privileges; damage recovery for unauthorized extra-legal disclosure. Villanova Law Review, 32, 259–400.
VandeCreek, L., Knapp, S., & Herzog, C. (1988). Privileged communications for social workers. Social Casework, 69, 28–34.
Vickery, A. B. (1982). Note: Breach of confidence: An emerging tort. Columbia Law Review, 82, 1426–1468.
Watkins, S. A. (1989). Confidentiality and privileged communications: Legal dilemmas for family therapists. Social Work, 34, 133–136.
Watts, W. M. (1987) The parent-child privileges: Hardly a new or revolutionary concept. William and Mary Law Review, 28, 583–631.
Weihofen, H. (1972). Confidentiality. In A. Beigel & A. I. Levenson (Eds.), The community mental health center, pp. 124–135. New York: Basic Books.
Weiner, B. A. (1985). Provider-patient relations: Confidentiality and liability. In J. S. Brakel, J. Parry, & B. A. Weiner (Eds.), The mentally disabled and the law (3rd ed.), pp. 559–605. Chicago: American Bar Foundation.
Weiner, M. F., & Shuman, D. W. (1983). The privilege study. Archives of General Psychiatry, 40, 1027–1030.
Weiss, B. D. (1982). Confidentiality expectations of patients, physicians, and medical students. Journal of the American Medical Association, 247, 2695–2697.
Weiss, B. D., Senf, J. H., Carter, J. Z., & Rothe, T. C. (1986). Confidentiality expectations of patients in teaching hospital clinics versus private practice offices. Social Science and Medicine, 23, 387–391.
Wilson, S. J. (1978). Confidentiality in social work: Issues and principles. New York: Free Press.
Winslade, W. J., & Ross, J. W. (1985). Privacy, confidentiality, and autonomy in psychotherapy. Nebraska Law Review, 64, 578–636.
II. Rape Victim Counseling A. Cases
Matter of Pittsburgh Action Against Rape, 428 A.2d 126 (Sup.Ct. Pa. 1981).
Advisory Opinion to the House of Representatives, 469 A.2d 1161 (Sup.Ct. R.I. 1983).
People v. Denver, 719 P.2d 722 (Sup.Ct. Colo. 1986).
People v. Reber, 223 Cal.Rptr. 139 (Cal.App. 1986).
State v. Pierson, 514 A.2d 724 (Sup.Ct. Conn. 1986).
Commonwealth v. Lloyd, 567 A.2d 1357 (Sup.Ct. Pa. 1989).
State v. Donnelly, 798 P.2d 89 (Mont.Sup.Ct. 1990).
Commonwealth v. Stockhammer, 570 N.E.2d 992 (Mass.SupJud.Ct. 1991).
II. Rape Victim Counseling B. Articles
Appelbaum, P. S., & Roth, L. H. (1981). In the Matter of Paar: Rape counseling and problems of confidentiality. Hospital and Community Psychiatry, 32, 461–462.
Laurence, M. (1984). Rape victim-crisis counselor communications: An argument for an absolute privilege. University of California Davis Law Review, 17, 1213–1245.
McCafferty, B. M. (1990–1991). The existing confidentiality privileges as applied to rape victims. Journal of Law and Health, 5, 101–142.
Scarmeas, C. J. (1982). Rape victim-rape crisis counselor communications: A new testimonial privilege. Dickinson Law Review, 86, 539–564.
III. Governmental Investigations of Practitioners A. Cases
Hawaii Psychiatric Society v. Ariyoshi, 481 F.Supp. 1028 (D. Hawaii 1979); No. CV79–0113 (D. Hawaii December 27, 1982).
Reynaud v. Superior Court, Santa Clara County, 187 Cal.Rptr. 660 (Cal.App. 1982).
In re Subpoena Served upon Zuniga, 714 F.2d 632 (6th Cir. 1983).
Commonwealth v. Kobrin, 479 N.E.2d 674 (Sup.Jud.Ct. Mass. 1985).
Wood v. Superior Court, 212 Cal.Rptr. 811 (Cal.App. 1985).
Grand Jury v. Kuriansky, 505 N.E.2d 925 (Ct.App. N.Y. 1987).
In the Matter of A-85–04–38, 525 N.Y.S.2d 479 (Sup.Ct. 1988).
Lieb v. Department of Health Services, 542 A.2d 741 (Conn. App. 1988).
Scull v. Superior Court, Santa Barbara County, 254 Cal.Rptr. 24 (Cal.App. 1988).
U.S. v. Wettstein, 733 F.Supp. 1212 (111. 1990).
III. Governmental Investigations of Practitioners B. Articles
Khajezadeh, D. (1987). Patient confidentiality statutes in Medicare and Medicaid fraud investigations. American Journal of Law and Medicine, 12, 105–137.
Note: Behind closed doors: The confidentiality of psychotherapeutic records in Medicaid fraud investigations. (1986). Pace Law Review, 6, 441–494.
Shwed, H. J., Kuvin, S. F., & Baliga, R. K. (1979). Medicaid audit: Crisis in confidentiality and the patient-psychiatrist relationship. American Journal of Psychiatry, 136, 447–450.
Taranto, R. G. (1986). The psychiatrist-patient privilege and third-party payers. Law, Medicine and Health Care, 14, 25–29.
IV. AIDS and Confidentiality A. Cases
Doe v. Borough of Barrington, 729 F.Supp. 376 (N.J. 1990).
Behringer Estate v. Princeton Medical Center, 592 A.2d 1251 (N.J.Super. 1991).
In re Application of Milton S. Hershey Medical Center, 595 A.2d 1290 (Pa.Super. 1991).
Hillman v. Columbia County, 474 N.W.2d 913 (Wis.App. 1991).
McBarnette v. Feldman, 582 N.Y.S.2d 900 (Sup. 1992).
IV. AIDS and Confidentiality B. Articles and Books
American Bar Association. (1989). AIDS and persons with developmental disabilities: The legal perspective. Washington, DC: American Bar Association.
American Psychiatric Association. (1988). AIDS policy: Confidentiality and disclosure. American Journal of Psychiatry, 145, 541.
Annas, G. J. (1988). Not saints but healers: The legal duties of health care professionals in the AIDS epidemic. American Journal of Public Health, 78, 844–849.
Carlson, G. A., Greeman, M., & McClellan, T. A. (1989). Management of HIV-positive psychiatric patients who fail to reduce high-risk behaviors. Hospital and Community Psychiatry, 40, 511–514.
Dickens, B. M. (1988). Legal limits of AIDS confidentiality. Journal of the American Medical Association, 259, 3449–3451.
Gostin, L., & Curran, W. J. (1987). AIDS screening, confidentiality, and the duty to warn. American Journal of Public Health, 77, 361–365.
Knapp, S., & VandeCreek, L. (1990). Application of the duty to protect to HIV-positive patients. Professional Psychology: Research and Practice, 21, 161–166.
Lamb, D. H., Clark, C, Drumheller, P., Frizzell, K., & Surrey, L. (1989). Applying Tarasoff to AIDS-related psychotherapy issues. Professional Psychology: Research and Practice, 20, 37–43.
Landis, S. E., Schoenbach, V. J., Weber, D. J., Mittal, M., Krishan, B., Lewis, K., & Koch, G. G. (1992). Results of a randomized trial of partner notification in cases of HIV infection in North Carolina. New England Journal of Medicine, 326, 101–106.
McDonald, B. A. (1989). Ethical problems for physicians raised by AIDS and HIV infection: Conflicting legal obligations of confidentiality and disclosure. University of California, Davis Law Review, 22, 557–592.
Melton, G. B. (1988). Ethical and legal issues in AIDS-related practice. American Psychologist, 43, 941–947.
Perry, S. (1989). Warning third parties at risk of AIDS: APA’s policy is a barrier to treatment. Hospital and Community Psychiatry, 40, 158–161.
Perry, S., Ryan, J., Fogel, F., Fishman, B., & Jacobsberg, L. (1990). Voluntarily informing others of positive HIV test results: Patterns of notification by infected gay men. Hospital and Community Psychiatry, 41, 549–551.
Potterat, J. J., Spencer, N. E., Woodhouse, D. E., & Muth, J. B. (1989). Partner notification in the control of human immunodeficiency virus infection. American Journal of Public Health, 79, 874–876.
Price, D. P. T. (1990). Between Scylla and Charybdis: Charting a course to reconcile the duty of confidentiality and the duty to warn in the AIDS context. Dickinson Law Review, 94, 435–487.
Rennert, S. (1991). AIDS I HIV and confidentiality: Model policy and procedures. Washington, DC: American Bar Association.
Ryan, C. C, & Rowe, M. J. (1988). AIDS: Legal and ethical issues. Social Casework, 69, 324–333.
Schwartzbaum, J. A., Wheat, J. R., & Norton, R. W (1990). Physician breach of patient confidentiality among individuals with human immunodeficiency virus (HIV) infection: Patterns of decision. American Journal of Public Health, 80, 829–834.
Totten, G., Lamb, D. H., & Reeder, G.D. (1990). Tarasoff and confidentiality in AIDS-related psychotherapy. Professional Psychology: Research and Practice, 21, 155–160.
Turkington, R. C. (1989). Confidentiality policy for HIV-related information: An analytical framework for sorting out hard and easy cases. Villanova Law Review, 34, 871–908.
Zonana, H. (1989). Warning third parties at risk of AIDS: APA’s policy is a reasonable approach. Hospital and Community Psychiatry, 40, 162–164.
III. Child Abuse Reporting
See “Child Abuse and Sexual Abuse” in Bibliography of Chapter 10, pp. 343–345.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer Science+Business Media New York
About this chapter
Cite this chapter
Weiner, B.A., Wettstein, R.M. (1993). Confidentiality. In: Legal Issues in Mental Health Care. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1654-9_7
Download citation
DOI: https://doi.org/10.1007/978-1-4899-1654-9_7
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4899-1656-3
Online ISBN: 978-1-4899-1654-9
eBook Packages: Springer Book Archive