1. Conflict B Sacha worked as a journalist before she became a social worker. She still writes articles for a human interest magazine. She finds that she gets good story material from the clients she works with. Her colleague says she is breaching client confidentiality, since she does not ask the clients for permission to tell their stories. Sacha thinks that people have a right to kinow what isw going on in their communities.

2. According to the NASW 1. Social Workers' Ethical Responsibilities to Clients 1.01 Commitment to Clients Social workers' primary responsibility is to promote the well- being of clients. In general, clients' interests are primary. However, social workers' responsibility to the larger society or specific legal obligations may on limited occasions supersede the loyalty owed clients, and clients should be so advised. (Examples include when a social worker is required by law to report that a client has abused a child or has threatened to harm self or others.)

3. 1.07 Privacy and Confidentiality (a) Social workers should respect clients' right to privacy. Social workers should not solicit private information from clients unless it is essential to providing services or conducting social work evaluation or research. Once private information is shared, standards of confidentiality apply. (b) Social workers may disclose confidential information when appropriate with valid consent from a client or a person legally authorized to consent on behalf of a client.

4. Privacy and Confidentiality cont. (c) Social workers should protect the confidentiality of all information obtained in the course of professional service, except for compelling professional reasons. The general expectation that social workers will keep information confidential does not apply when disclosure is necessary to prevent serious, foreseeable, and imminent harm to a client or other identifiable person. In all instances, social workers should disclose the least amount of confidential information necessary to achieve the desired purpose; only information that is directly relevant to the purpose for which the disclosure is made should be revealed.

5. Privacy and Confidentiality cont. (d) Social workers should inform clients, to the extent possible, about the disclosure of confidential information and the potential consequences, when feasible before the disclosure is made. This applies whether social workers disclose confidential information on the basis of a legal requirement or client consent. (k) Social workers should protect the confidentiality of clients when responding to requests from members of the media.

6. What Could It hurt? Damage to Sacha’s reputation Loss of trust This situation could hurt Sripada’s reputation. When you keep things confidential that should be confidential, you will gain the reputation as a person who can be trusted, and you will grow strong in character and value.

7. What Could It Hurt? Because the disclosure of personal information could cause professional or personal problems for the client. If personal information is disseminated without the patient's permission, it can erode confidence in the medical, mental health and social work profession and expose health care professionals to legal action. People who need assistance will not seek it if they fear confidences could be disclosed.

8. References Carter P. I. HIPAA Compliance Handbook 2003. Gaithersburg, Maryland: Aspen, 2002. Read more: Patient Confidentiality - time, types, Definition, Purpose, Description, Normal results http://www.surgeryencyclopedia.com/Pa-St/Patient- Confidentiality.html#ixzz1vkIrrcOxPatient Confidentiality - time, types, Definition, Purpose, Description, Normal resultshttp://www.surgeryencyclopedia.com/Pa-St/Patient- Confidentiality.html#ixzz1vkIrrcOx National Association of Social Workers http://www.naswdc.org/