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Section 17   
Appendix A:  
NASW, AAMFT, APA, NBCC, & ACA Codes of Ethics 
  
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National Association of Social Workers Code of Ethics 
  (excerpt summary) 
   
  1.07 Privacy and confidentiality 
   
  (a) Respect your client's right to privacy. Do not solicit private information  unless it is essential to providing services or conducting research. Once  private information is shared, standards of confidentiality apply. 
   
  (b) You may disclose confidential information with a written consent from the  client or other persons legally authorized to consent on behalf of the client.  
   
  (c) Protect confidentiality except for compelling professional reasons such  as... 
  -to prevent serious, foreseeable, and imminent harm to a client or  identifiable others. 
  -when a law or regulations require disclosure without client consent.  Disclose the least amount of information necessary to achieve the desired  purpose. 
   
  (d) When possible and feasible, inform clients about the a disclosure of  confidentiality information and potential consequences before making the  disclosure. 
  American Association of Marriage and Family Therapists Code  of Ethics 
   
  2. Confidentiality 
  Marriage and family therapists have unique confidentiality concerns, because  the client in a therapeutic relationship may be more than one person.  Therapists respect and guard confidences of each individual client. 
   
  2.1 Marriage and family therapists may not disclose client confidences except:  
  (a) as mandated by law;  
  (b) to prevent a clear and immediate danger to a person or persons:  
  (c) where the therapist is a defendant in a civil criminal, or disciplinary  action arising from the therapy (in which case, client confidences may be  disclosed in the course of that action);  
  (d) if there is a waiver previously obtained in writing, and then such  information may be revealed only in accordance with the terms of the waiver. In  circumstances where more than one person in a family receives therapy, each  such family member who is legally competent to execute a waiver must agree to  the waiver required by subparagraph (d). With out such a waiver from each  family member legally competent to execute a waiver, a therapist cannot  disclose information received from any family member. 
  2.2 Marriage and family therapists use  client and/or client materials in teaching, writing, and public presentation  only if a written waiver has been obtained in accordance with Subprinciple 2.1  (d), or when appropriate steps have been taken to protect client identity and  confidentiality. 
  2.3 Marriage and family therapists store  or dispose of client records in ways that maintain confidentiality. 
  American Psychological Association 
  Ethical Principles of Psychologists and Code of Conduct  
   
  5. Privacy and Confidentiality 
  These Standards are potentially applicable to the professional and scientific  activities of all psychologists.  
   
  5.01 Discussing the Limits of Confidentiality.  
  (a) Psychologists discuss with persons and organizations with whom they  establish a scientific or professional relationship (including, to the extent  feasible, minors and their legal representatives)  
  (1) the relevant limitations on confidentiality, including limitations where  applicable in group, marital, and family therapy or in organizational  consulting, and  
  (2) the foreseeable uses of the information generated through their services.  
  (b) Unless it is not feasible or is contraindicated, the discussion of  confidentiality occurs at the outset of the relationship and thereafter as new  circumstances may warrant.  
  (c) Permission for electronic recording of interviews is secured from clients  and patients. 
  5.02 Maintaining Confidentiality.  
  Psychologists have a primary obligation and take reasonable precautions to  respect the confidentiality rights of those with whom they work or consult,  recognizing that confidentiality may be established by law, institutional  rules, or professional or scientific relationships. (See also Standard 6.26,  Professional Reviewers.) 
  5.03 Minimizing Intrusions on Privacy.  
  (a) In order to minimize intrusions on privacy, psychologists include in  written and oral reports, consultations, and the like, only information germane  to the purpose for which the communication is made.  
  (b) Psychologists discuss confidential information obtained in clinical or  consulting relationships, or evaluative data concerning patients, individual or  organizational clients, students, research participants, supervisees, and  employees only for appropriate scientific or professional purposes and only  with persons clearly concerned with such matters. 
  5.04 Maintenance of Records. 
  Psychologists maintain appropriate confidentiality in creating, storing,  accessing, transferring, and disposing of records under their control, whether  these are written, automated, or in any other medium. Psychologists maintain  and dispose of records in accordance with law and in a manner that permits  compliance with the requirements of this Ethics Code. 
  5.05 Disclosures. 
  (a) Psychologists disclose confidential information without the consent of the  individual only as mandated by law, or where permitted by law for a  valid purpose, such as  
  (1) to provide needed professional services to the patient or the individual or  organizational client, 
  (2) to obtain appropriate professional consultations,  
  (3) to protect the patient or client or others from harm, or  
  (4) to obtain payment for services, in which instance disclosure is limited to  the minimum that is necessary to achieve the purpose.  
  (b) Psychologists also may disclose confidential information with the  appropriate consent of the patient or the individual or organizational client  (or of another legally authorized person on behalf of the patient or client),  unless prohibited by law. 
  5.06 Consultations.  
  When consulting with colleagues,  
  (1) psychologists do not share confidential information that reasonably could  lead to the identification of a patient, client, research participant, or other  person or organization with whom they have a confidential relationship unless  they have obtained the prior consent of the person or organization or the  disclosure cannot be avoided, and  
  (2) they share information only to the extent necessary to achieve the purposes  of the consultation. (See also Standard 5.02, Maintaining Confidentiality.) 
  5.07 Confidential Information in  Databases.  
  (a) If confidential information concerning recipients of psychological services  is to be entered into databases or systems of records available to persons  whose access has not been consented to by the recipient, then psychologists use  coding or other techniques to avoid the inclusion of personal identifiers.  
  (b) If a research protocol approved by an institutional review board or similar  body requires the inclusion of personal identifiers, such identifiers are deleted  before the information is made accessible to persons other than those of whom  the subject was advised. 
  (c) If such deletion is not feasible, then before psychologists transfer such  data to others or review such data collected by others, they take reasonable  steps to determine that appropriate consent of personally identifiable  individuals has been obtained. 
  5.08 Use of Confidential Information for  Didactic or Other Purposes.  
  (a) Psychologists do not disclose in their writings, lectures, or other public  media, confidential, personally identifiable information concerning their  patients, individual or organizational clients, students, research  participants, or other recipients of their services that they obtained during  the course of their work, unless the person or organization has consented in  writing or unless there is other ethical or legal authorization for doing so.  
  (b) Ordinarily, in such scientific and professional presentations,  psychologists disguise confidential information concerning such persons or  organizations so that they are not individually identifiable to others and so  that discussions do not cause harm to subjects who might identify themselves. 
  5.09 Preserving Records and Data.  
  A psychologist makes plans in advance so that confidentiality of records and  data is protected in the event of the psychologist's death, incapacity, or  withdrawal from the position or practice. 
  5.10 Ownership of Records and Data.  
  Recognizing that ownership of records and data is governed by legal principles,  psychologists take reasonable and lawful steps so that records and data remain  available to the extent needed to serve the best interests of patients,  individual or organizational clients, research participants, or appropriate  others. 
  5.11 Withholding Records for Nonpayment.  
  Psychologists may not withhold records under their control that are requested  and imminently needed for a patient's or client's treatment solely because  payment has not been received, except as otherwise provided by law. 
  National Board for Certified Counselors Code of Ethics 
   
  Section B: Counseling Relationship 
   
  1. The primary obligation of certified counselors is to respect the integrity  and promote the welfare of clients, whether they are assisted individually, in  family units, or in group counseling. In a group setting, the certified  counselor is also responsible for taking reasonable precautions to protect  individuals from physical and/or psychological trauma resulting from  interaction within the group. 
  2. Certified counselors know and take into  account the traditions and practices of other professional disciplines with  whom they work and cooperate fully with such. If a person is receiving similar  services from another professional, certified counselors do not offer their own  services directly to such a person. If a certified counselor is contacted by a  person who is already receiving similar services from another professional, the  certified counselor carefully considers that professional relationship as well  as the client's welfare and proceeds with caution and sensitivity to the  therapeutic issues. When certified counselors learn that their clients are in a  professional relationship with another counselor or mental health professional,  they request release from the clients to inform the other counselor or mental  health professional of their relationship with the client and strive to  establish positive and collaborative professional relationships that are in the  best interest of the client. Certified counselors discuss these issues with clients  and the counselor or professional so as to minimize the risk of confusion and  conflict and encourage clients to inform other professionals of the new  professional relationship. 
  3. Certified counselors may choose to  consult with any other professionally competent person about a client and must  notify clients of this right. Certified counselors avoid placing a consultant  in a conflict-of-interest situation that would preclude the consultant serving  as a proper party to the efforts of the certified counselor to help the client. 
  4. When a client's condition indicates  that there is a clear and imminent danger to the client or others, the  certified counselor must take reasonable action to inform potential victims  and/or inform responsible authorities. Consultation with other professionals  must be used when possible. The assumption of responsibility for the client's  behavior must be taken only after careful deliberation, and the client must be  involved in the resumption of responsibility as quickly as possible. 
  5. Records of the counseling relationship,  including interview notes, test data, correspondence, audio or visual tape  recordings, electronic data storage, and other documents are to be considered  professional information for use in counseling. Records should contain accurate  factual data. The physical records are property of the certified counselors or  their employers. The information contained in the records belongs to the client  and, therefore, may not be released to others without the consent of the client  or when the counselor has exhausted challenges to a court order. The  certified counselors are responsible to insure that their employees handle  confidential information appropriately. Confidentiality must be maintained  during the storage and disposition of records. Records should be maintained for  a period of at least five (5) years after the last counselor/client contact,  including cases in which the client is deceased. All records must be released  to the client upon request. 
  6. Certified counselors must ensure that  data maintained in electronic storage are secure. By using the best computer  security methods available, the data must be limited to information that is  appropriate and necessary for the services being provided and accessible only  to appropriate staff members involved in the provision of services. Certified  counselors must also ensure that the electronically stored data are destroyed  when the information is no longer of value in providing services or required as  part of client's records. 
7. Any data derived from a client relationship  and used in training or research shall be so disguised that the informed  client's identity is fully protected. Any data which cannot be so disguised may  be used only as expressly authorized by the client's informed and uncoerced  consent. 
American Counseling Association Code of Ethics Excerpt –  
      Section B: Confidentiality Standard of Practice 
  #9. Confidentiality Requirement. Counselors must keep information related to  counseling services confidential unless disclosure is in the best interest of  clients, is required for the welfare of others, or is required by law. When  disclosure is required, only information that is essential is revealed and the  client is informed of such disclosure. 
  #10. Confidentiality Requirements for Subordinates. Counselors must take  measures to ensure that privacy and confidentiality of clients are maintained  by subordinates.  
  #11. Confidentiality in Group Work. Counselors must clearly communicate to  group members that confidentiality cannot be guaranteed in group work.  
  #12. Confidentiality in Family Counseling. Counselors must not disclose  information about one family member in counseling to another family member  without prior consent.  
  #13. Confidentiality of Records. Counselors must maintain appropriate  confidentiality in creating, storing, accessing, transferring, and disposing of  counseling records. 
  #14. Permission to Record or Observe. Counselors must obtain prior consent from  clients in order to record electronically or observe sessions.  
  #15. Disclosure or Transfer of Records. Counselors must obtain client consent  to disclose or transfer records to third parties, unless exceptions listed in  Standard of Practice Nine exist.  
  #16. Data Disguise Required. Counselors must disguise the identity of the  client when using data for training, research, or publication. 
  
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