Confidentiality and Privilege questions
with complete solutions
Confidentiality - correct answer ✔✔Refers to the obligation of psychologists to protect clients from
unauthorized disclosure of information revealed in the context of the professional relationship
Lanterman-Petris-Short Act (LPSA) - correct answer ✔✔applies to the confidentiality of mental health
information for patients who receive services in the public mental health system (like Amber House) or
who are hospitalized in a psychiatric facility on a voluntary or involuntary basis (Amber House or John
George)
Confidentiality of Medical Information Act (CMIA) - correct answer ✔✔Applies to all mental health
professionals (private psychologists, anyone who works at Amber House, etc.)
Lanterman-Petris-Short Act (LPSA) and Confidentiality of Medical Information Act (CMIA) - correct
answer ✔✔both of which create an overriding presumption that client information is confidential and
may not be released without client consent, except in specific circumstances (medical emergency, when
client is a danger to self/others, and to report child/elder abuse)
When CMIA and LPSA conflict regarding the records of patients in the public health system or inpatient
psychiatric facilities, LPSA applies.
California law identifies the following situations in which psychologists are required to breach
confidentiality: - correct answer ✔✔Client communicates a serious threat of physical violence against a
reasonably identifiable victim/victims
Within the psychologist's professional role, he/she learns or comes to reasonably suspect that a minor is
being abused
Within the psychologist's professional role, he/she learns or comes to reasonably suspect that an elder
or dependent adult is being abused
, A court orders the psychologist to release records of provide testimony that is needed as evidence in a
legal proceeding
Section 215 of the Patriot Act 2001- Requires psychologists to provide the FBI with certain client
information and states that psychologists are prohibited from telling the client or anyone else that the
FBI has requested information under the Act
Standard 4.05 (Disclosures) - correct answer ✔✔psychologists may disclose confidential information
with the consent of the client, or of another legally authorized person on behalf of the client, unless
prohibited by law and that psychologists may disclose confidential information without the client's
consent "only as mandated by law, or where permitted by law for a valid purpose such as:"
Provide needed professional services
Obtain appropriate professional consultations
To protect the client/patient, psychologist, or others from harm
Obtain payment for services from a client/patient, in which instance disclosure is limited to the minimum
that is necessary to achieve the purpose
Standard 4.06 (Consultations)- - correct answer ✔✔when seeking consultation about a client, a
psychologist should share only information that is relevant to the purpose of the consultation and must
not share confidential information that could lead to the identification of the client, unless he/she has
obtained the prior consent of the client or the disclosure cannot be avoided.
Standard 4.02 (Discussing the Limits of Confidentiality) - correct answer ✔✔Psychologists discuss with
persons (including, to the extent feasible, persons who are legally incapable of giving informed consent
ad their legal representatives) and organizations with whom they establish a scientific or professional
relationship and the foreseeable uses of the information generated through their psychological activities.
Unless it is not feasible or is contraindicated, the discussion of confidentiality occurs at the outset of the
relationship ad thereafter as new circumstances may warrant
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