Integrated care, shared electronic records, and the psychology profession: a cautionary tale for counseling centers

Ensuring Privacy and Confidentiality in Social Work Through Intentional Omissions of Information in Client Information Systems: a Qualitative Study of Available and Non-available Data

“…However, few studies are also devoted to the phenomenon of deliberate omissions in digital case records (Cairns et al, 2018 ; Huuskonen & Vakkari, 2015 ; Polychronis, 2020 ; Zanchetta et al, 2015 ). Another reason for omissions in case records is that service users expect that the information they impart to social workers is bound by confidentiality (Cairns et al, 2018 ; Polychronis, 2020 ; Stablein et al, 2018 ).…”

“…However, few studies are also devoted to the phenomenon of deliberate omissions in digital case records (Cairns et al, 2018 ; Huuskonen & Vakkari, 2015 ; Polychronis, 2020 ; Zanchetta et al, 2015 ). Another reason for omissions in case records is that service users expect that the information they impart to social workers is bound by confidentiality (Cairns et al, 2018 ; Polychronis, 2020 ; Stablein et al, 2018 ). Indeed, research has found that “[e]thical tensions can arise for health social workers [that means, social worker who are part of an multidisciplinary health care team, DS] between comprehensive recording and protecting client privacy by limiting access to privileged information obtained in the context of a social work encounter” (Cairns et al, 2018 , p. 348).…”

Sitting in discomfort: supporting the experiences of non-Clinical, student affairs staff managing student well-being concerns

“…Case management complements stepped care by tracking attendance at sessions and following up to see how current levels are working for students then helping make decisions around stepping up or stepping down levels of care (Cornish et al, 2017). In a centralized effort within a stepped care model, tracking follow-up helps ascertain and keep a record of how students are faring while allowing for decentralized information to flow more circularly across providers (Educational Advisory Board, 2019;Polychronis, 2018b;Shelesky et al, 2016). A stepped care model allows for clinical resources and non-clinical resources to be offered across campus such that decentralized options exist to leverage the strengths of campus partners (Cornish et al, 2017).…”

“…Especially because these individuals may be the first people someone in distress turns to, it becomes paramount that all those in the campus community have enough baseline knowledge about mental health such that they can observe concerning or shifting changes in behavior (Sokolow et al, 2019;Carmack et al, 2018;Randazzo & Plummer, 2009). Some scholars have pushed back on the safety net concept as compromising due to sharing information, confidentiality, and taking away privacy from what is normally a confidential clinical assessment (Polychronis, 2018b). Others have noted that relying on threat assessment teams without clinical training to assess concerns is problematic and that even those with clinicians are still using assessment tools that have not been substantially vetted in the clinical psychology field (Goodwin, 2014).…”