The New Social Worker Vol. 20, No. 4, Fall 2013 | Page 20

Making the Tough Call: Social Workers as Mandated Reporters Part IV: Conflicted Over Confidentiality? by Kathryn S. Krase, Ph.D., J.D., MSW Editor’s Note: See Spring and Summer 2013 issues for parts I, II, and III. S ince your very first practice class in a social work program, you’ve probably been told a thousand and one times that you must keep client information confidential. “Don’t talk about clients with friends or family.” “Don’t discuss clients in the hallway or elevator,” and so forth. And yet you are a mandated reporter, required by law to report suspicions of child abuse and neglect. Isn’t there a conflict here? The short answer is “yes,” but this article will spell out the long answer for you that finds that your legal obligation to report trumps your ethical responsibility to your client. Responsibility to Keep Client Information Confidential Confidentiality means that information shared within a relationship will not be shared outside that relationship. The expectation is that what a client tells a social worker, the social worker will not reveal to others. The purpose of client confidentiality is to encourage clients to share information that may be embarrassing, or even self-incriminating. Through the sharing of such information, the social worker can help the client address an issue, concern, or problem the client may be experiencing. The social worker’s obligation to keep client infor- 18 Th ??9??M??????]????()?????????????????????????????????)?????????????????????????????????)????????????????????????9M\? ???)???????($)%?????9M\? ????????????9M\?(?????M????????????????????????)??????q?????????????????e??????)??????t?????m?t??????????????q????????????????????????????????????????)??????????????????????????????????)??????????????????????????????t(????m?t???M??????????????????????)????????????????????????????????)???q???????????????????????????t??)????????????????????????????????)??????????????q????t($)??????????????????e???????)??????????????????????????????) ????????????????????????????)????????????????????????????????)?????%??M????????????? ????????????????????????????????)??????????e??????????????????????)???????????????????????????????????????)????????????????????????????????)???????????Q??????????????????????)??????????????????????????????????)??????????($)M??????????????????????????)????????????????????????????????)??????????????????????????????)?????????????????????????????Q??)9M\? ??????????????????????????????)???????()Q???%????????????%??????) ?????($) ?????????????????????????????????)????????????????????????????????????)????????????????????????????????)???????????????????????????????)?????????????????????M????????????)????????????????????????????????????()????????()?????????????????????????????????)?????????????????????????????????)?????????????????????????????????????)?????????????????????????????($)%????????????????????????)???????????????????????????)??????????????????????????????)?????????????????????Q????)???????????????????????????????)???????????????????????????????????)???????????????????????????????)?????????????????????????????)?????????????e?????????????($)%?????????????????????????)?????????????????????????????????)?????????????????????????????????)???????????????????????????????)Q?????????????????????????????????????????????????????????????)??????????????????????????????)??????????????????????%??????????)????????????????????????????????)????????????????????????($)U????????????????????????????????????????????????????????)???????????????????????????????)??????????????????????????????????)?????????????????????????????????????????????????????????????????)??????????????????????????)?????????????????????????%????????)?????????????????????????)????????????????????????????????????)??????????????????????????????????????????????????????????????)????????????????????????????????????)????????????????????????????????????????????($)%???????????????????????????????????????????????????????????)????????????????????????????????)????????????????????????????????)???????????????????????????????????)?????????????%?????????????????????????????????????????????((0