HIPPA and NCCA privacy compliant. For OUT OF STATE services for counseling, all services out of pocket, and Christian counseling foundations integrated. For SC State, HIPAA Reference states that behavioral health and primary care organizations can share information for the purposes of care coordination, federal and state law regarding pediatric consent and confidentiality and provides ethical considerations for the responsible management of mental health discretion in these clinical situations.
When does a therapist have to break confidentiality with a client?
1. If the client may be an immediate danger to him/her/self or others
2. If the client is endangering a population that cannot protect itself, such as the case of child or elder abuse
3. To share diagnosis information as necessary to obtain payment for services
4. As required by federal or state laws.
American Counselors Association’s Code of Ethics states, “The general requirement that counselors keep information confidential does not apply when disclosure is required to protect clients or identified others from serious and foreseeable harm or when legal requirements demand that confidential information must be revealed. Counselors consult with other professionals when in doubt as to the validity of an exception,” in section B.2.a.
While an association’s ethical code dictates expectations, state laws vary on whether or not it’s mandatory or permissive for counselors to break the rules of confidentiality in therapy.