Community Grievance Decision Digest
RECORDS, CONFIDENTIALITY OF TREATMENT
The Laws; Previous
Decisions 1-10
DECISIONS
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A patient’s mother complained that her daughter’s doctor
violated her daughter’s confidentiality. The Level I Client Rights
Specialist did not address this issue in his written response. The failure
to address this issue was a violation of the right to have
the grievance fully investigated. (Level III decision in Case
No. 01-SGE-02 on 12/10/01.)
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A patient’s mother complained that her daughter’s doctor
violated her daughter’s confidentiality by reading things from
her records during a meeting between the doctor, the patient
and her parents. The parents had the same right of access
to her records as the daughter had under §51.30(5)(b), Stats.
Therefore there was no violation of confidentiality. (Level III
decision in Case No. 01-SGE-02 on 12/10/01.)
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The law states that, "A patient
or a person acting
on behalf of a patient" may file a complaint. It
was a violation of the complainant’s rights when a Level I Client
Rights Specialist refused to investigate her allegation that
her ex-husband’s right to confidentiality had been
violated. (Level III decision in Case No. 01-SGE-02 on 12/10/01.)
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A therapist informed a woman that her former
husband was in counseling. She had been unaware of that. The disclosure
violated her ex-husband’s right to confidentiality.
(Level III decision in Case No. 01-SGE-02 on 12/10/01.)
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Patients have the right to involve their spouses in their home-visit
treatment sessions unless their participation is
contraindicated for treatment reasons. The service provider should
either allow such participation or explain to the patient why it is
contraindicated. The patient would have to sign a release of
information to allow the spouse to be present during
treatment sessions. (Level III decision in Case No. 01-SGE-09 on
3/27/02.)
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Sec. 51.30(4)(e), Stats., requires that, when records are
released, "a notation shall be made in the records by
the custodian thereof that includes the following: the name of the
person to whom the information is released; the identification of the
information released; the purpose of the release; and the date of the
release". Handwritten notes in the margin of
records request documents, due to their brief nature, are unlikely
to satisfy all the requirements of this statute. Subsequent to April
14, 2003, entities releasing records must also comply with the even
more stringent federal Health Information Portability and
Accountability Act (HIPAA). (Level IV decision in Case No.
02-SGE-04 on 9/19/03, overturning the Level III.)
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A mother believed a therapist acted unprofessionally in
working with her daughter by not reporting various risky
behaviors in which her daughter was engaged. The therapist was
aware that her daughter tried to commit suicide, purposely cut herself
many times, used illegal drugs, and engaged in underage sex with
multiple partners. The mother thought the therapist should have
reported all these incidents to proper authorities. She requested
disciplining the therapist – including possible license revocation.
The records indicated that the suicidal ideation expressed by the
daughter was taken seriously. Appropriate referral resources were
immediately offered to her parents. The daughter was also placed on a
medication for depression. For the next seven subsequent sessions the
therapist inquired about and documented the daughter’s present
mental status and thoughts of suicide or dying. Each entry includes
some statement indicating that she was asked if she was seriously
contemplating suicide or hurting herself. She responded that she was
not having thoughts about suicide or hurting herself over the
following months. Therefore, her right to prompt and adequate
treatment was met. The therapist was not obligated to initiate
social services intervention into her family life, or to
notify any other authorities. (Level III Decision in Case No.
03-SGE-02 on 12/26/03.)
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A mother complained that her daughter’s therapist reported
sexual abuse to the county social worker. The therapist
learned that a teacher at her daughter’s home school had touched the
young woman inappropriately. The therapist reported the allegations to
the county social worker. The county Social Services department then
got the police involved. The police came to the home school to
arrest the teacher. This situation was stressful for both mother and
daughter. The incident met the legal definition of sexual abuse.
Since she was a minor, law mandates the reporting
of the allegation. The therapist’s actions were professional and
appropriate. (Level III Decision in Case No. 03-SGE-02 on 12/26/03.)
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There is legal precedence for the "duty to warn or
protect," though in Wisconsin it is not defined by statute. The
precedent is from the courts, and is outlined in the 1988 Wisconsin
Supreme Court case Schuster v. Altenberg, and in
subsequent literature. This case, similar to many that preceded it,
establishes a duty on the part of psychotherapists to
take "some reasonable" action to prevent foreseeable
harm to third parties who are injured by those being treated by
the psychotherapists. This state precedent parallels federal
precedent, Tarasoff v. Regents of the University of
California, which was a 1976 California case decided by the U.S.
Supreme Court. (Level III Decision in Case No. 03-SGE-02 on 12/26/03.)
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A mother was concerned about the way her daughter’s underage
sexual activity was handled in treatment. The therapist learned
she had engaged in sexual activity with multiple partners. While it is
true that a minor cannot legally consent to sexual activity, the
relationships the minor was engaged in were not against her will, the
relationships were with other minors who she was dating, and thus were
not considered to be abuse. There was thus no cause to violate
the daughter’s confidentiality by reporting this matter to
outside authorities. (Level III Decision in Case No. 03-SGE-02 on
12/26/03.)
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A form called "Consent for Release of Information –
Patient Assistance Program" is used by a service provider and is
presented to all patients who receive medications through the
Patient Assistance Program. This form is to aid patients in filling
out the paperwork necessary to receive medications through the Patient
Assistance Programs offered by pharmaceutical companies. The release
allows service provider staff to help patients fill out all the
information required on the application, and it allows staff to send
the applications to the pharmaceutical companies (or their contracted
agencies) for the patients. Without this consent, patients would need
to fill out and mail the application form themselves. This is not
possible in its entirety, as their physicians prescribing number is
not available to be known by patients and must come from the service
provider. If a patient refuses to sign this consent form, the
individual may not be denied services by the provider, and
patients may elect to fill out and send the application to the Patient
Assistance Program on their own. In this case, the service recipient
chose not to sign the release, and this did not negatively effect his
treatment because he was able to handle the paperwork himself. This
resolved the concern as it applied to him. However, he expressed
concern about the form for other patients’ confidentiality. Over 700
patients receive medications from this provider and approximately 75%
of those patients receive their medications through a Patient
Assistance Program, which resulted in over $300,000 worth of
medications being disbursed to patients at no cost to them in the last
year through that agency. Many of these clients do need assistance in
filling out the paperwork to maintain these free medication services.
It was determined that the consent form in question is a useful
and important tool for those individuals to maintain their
psychiatric treatment services. While this person’s concern for
their confidentiality is admirable, the allegation that this form
violates their confidentiality is unfounded, and the limitations on
the types of information that can be released does protect patients’
confidentiality and allows the provider to facilitate their clients’
participation in the PAP. (Level III Decision in Case No. 03-SGE-08 on
7/14/04.)
The confidentiality rights of a
client at a methadone clinic were violated
when she was called by her
first and last name in the waiting room. The appropriate and professional way to address her would be to
only use her first name when other clients are present. The clinic remedied this confidentiality breach by conducting a staff In-service
on confidentiality. (Level III decision in Case No. 04-SGE-02 on 12/20/04)
In
order to protect a
client’s confidentiality,
it is not appropriate to discuss confidential or personal matters on a speakerphone in a cubicle
workplace environment. Speakerphone
use during conference calls should be restricted to constructed office
space or conference rooms that offer reasonable degrees of privacy.
Here, the speakerphone use in question was appropriately conducted in
a constructed office with a closed door. (Level III Grievance Decision
in Case No. 04-SGE-07, affirmed at Level IV on 8/15/05)
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If a county is contracting with a mental health center to provide inpatient
treatment for a client, they
can share confidential client information they have with the
center without the client’s
consent. It did not violate the client’s confidentiality here
where the information shared was something the client had objected to
as being inaccurate. The
client had other means of trying to correct the information at issue.
(Level III Grievance Decision in Case No. 04-SGE-07, affirmed
at Level IV on 8/15/05)
Last Updated: October 24, 2008 |