Confidentiality and mental health by Christopher Cordess

By Christopher Cordess

Explores the theoretical and functional implications of confidentiality and disclosure for execs operating with those that have psychological illnesses. The paintings outlines the theoretical, moral, criminal matters which underpin judgements approximately confidentiality. The participants draw from their useful adventure of various expert contexts together with adolescent forensic psychiatry, felony legislations, safe forensic psychiatry, baby safety, neighborhood psychiatry and social paintings. This topical quantity should still allow pros, teachers and coverage makers to fulfill either the desires of consumers and the calls for of society via a liable knowing of the importance of confidentiality and disclosure.

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Confidentiality and mental health

Explores the theoretical and functional implications of confidentiality and disclosure for pros operating with those that have psychological illnesses. The paintings outlines the theoretical, moral, criminal concerns which underpin judgements approximately confidentiality. The members draw from their useful event of a number specialist contexts together with adolescent forensic psychiatry, legal legislation, safe forensic psychiatry, baby safety, neighborhood psychiatry and social paintings.

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The Bullock Report, by contrast, considered that the recommendations of the Allitt Report were ‘now less precise than we feel are necessary given the general developments in employment practice and (these specific) incidents’. In its turn, it made a total of 29 recommendations concerning recruitment practices and health information sharing which would greatly reduce healthcare employees’ rights to confidentiality in relation to their employer. The details are less important here than the fact that the recommendations are argued from positions of (albeit understandable) alarm at a very rare occurrence, and aim to reduce an extremely small risk to a smaller one.

Inter-agency protection panels, for example, now include mental health professionals alongside the police. Szmukler and Holloway (in Chapter 3, this volume) have referred to these difficulties, giving the apparently innocuous example of the local housing department having access to certain clinical information. My experience is of a general but uncritical assumption of beneficence by the different agencies which come together in inter-agency work. It behoves psychiatrists and other clinicians constantly to be alert to too easy compliance in such seemingly innocuous, even ‘cosy’, sharing of information.

First, that of the lack of confidentiality of the content of an inquiry and, second, expectations of information sharing which some inquiries have come to assume. In no area of the administration and management of mental healthcare has the obliteration of the concept of confidentiality been so apparent as in that of the ‘inquiry’ – aimed ostensibly to further public perceptions of ‘accountability’. The sheer numbers of such inquiries and their relative failure to generate new findings have been reported by a number of authors, and are presently the subject of their own analyses.

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