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Additional info for Clinical Handbook of Psychiatry and the Law (CLINICAL HANDBOOK OF PSYCHIATRY & THE LAW
The patient and therapist might, for example, review together certain nursing observations made during the time the patient was psychotic. When properly handled and with proper preparation within the therapy, this review may aid integration of the patient’s psychotic experiences into her nonpsychotic self-image. All the difficulties cited previously (see Sec. III-B-3), with regard to the patient’s potential misinterpretation of technical terms in disclosed information, are equally applicable to the patient’s review of the record.
A third approach embodies the diplomatic choice of expressions. ” This manner of describing the episode clearly communicates to clinicians who might read the record the important clinical data that it intended to communicate. C. RELEASE OF INFORMATION TO THIRD PARTIES WITHOUT CONSENT 1. Emergencies Emergencies in general constitute exceptions to the usual rules governing confidentiality, including under HIPAA. , risk of suicide or impending assault), confidentiality may—and in certain circumstances, must—be breached without consent (as noted in Sec.
Straightening in his chair, he begins to speak in a formal manner, “At your request, I performed an informal information security survey of your office by seating myself in your waiting room for the previously agreed-on two hours. ” He glances at his pad. “In that interval, I was able to obtain nine patients’ full names; five diagnoses from that pool of persons; three insurance claim numbers and 11 unidentified phone numbers. I have also determined that a Ms. Lovelace is becoming progressively and dangerously sicker; that a Mr.