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Confidentiality, School Counseling & Collaboration �A Complex Balancing Act

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Agenda

Introductions

Confidentiality & its limitations

Collaboration & information sharing

Parents & information sharing

Records & information sharing

Case studies

Final tips & takeaways

Resources

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Introductions��Introduce yourself in the chat, include your name, school and role.

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Confidentiality

What is confidentiality in counseling?

Why is confidentiality important?

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Confidentiality: The what & the why

What is confidentiality in counseling?

ASCA defines confidentiality as: the ethical duty of school counselors to responsibly protect a student’s private communications shared in counseling.”

Why is confidentiality important?

“Counselors make explicit and implicit promises to clients (students) that they will actively work against disclosing clients’ secrets, except under agreed upon conditions. Without this assurance, most students would be hesitant to seek the help they need to improve their mental health.” (Glosoff & Pate, 2002)

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What are the limits to confidentiality?

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What are the limits to confidentiality?

Reflection questions as a decision-making tool:

  1. Is the student experiencing harm or abuse?
  2. Is the student posing a danger to themself?
  3. Does the student pose a danger to others?
  4. Has a student disclosed knowledge of a serious crime?
  5. Has a student disclosed that they are aware of significant harm of another person?
  6. Is there is a court-ordered disclosure?
  7. Have you become aware of the improper conduct of a staff member or other adult?
  8. Is it in the best interest of the child to consult with other professionals, such as colleagues, supervisors, treatment teams and other support personnel, in support of the student?
  9. Where students are participating in group counseling, have you explained confidentiality, and its limits, to all group members.
  10. Would you be in breach of state (local) laws and guidelines were you to maintain confidentiality?

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When a counselor limits confidentiality, what principle’s we should consider?�

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Best Interests of the Student

Minimum Necessary Disclosure

Transparency with the Student

Need-to-Know Basis

Respect for Privacy & Dignity

Documentation

Consultation & Supervision

Legal & Ethical Standards

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Collaboration & Whole-school Culture

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What challenges do school’s face when balancing student confidentiality & student support?

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Student Perceptions of Confidentiality & its Impact on Counselor Collaboration

  • The actual and perceived confidentiality of a counseling service is a crucial component of student help-seeking behavior with studies showing that students highly value a confidential school counseling service. Thus, a school counselors decision to collaborate or not collaborate may be influenced by their perception of how their collaboration is perceived by students. For instance, where student perception is that confidentiality is not highly regarded, school counselors may be less willing to collaborate with school colleagues which is why student confidentiality needs to be a whole-school value.

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Collaboration & Whole-school Culture

Principles for staff collaboration:

  1. Shared value of safe collaboration that honors confidentiality
  2. Student-centred collaboration that centres the best interest of the child
  3. Student-informed collaboration
  4. Open communication & participatory engagement
  5. Mutual respect for roles

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What challenges do school’s face when balancing student confidentiality and student support?

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Parents, Students & Confidentiality

Information sharing principles:

Students: Should be informed of how their information will be recorded, who can see it, and when it may be shared. Older adolescents should increasingly be given agency to consent to or refuse disclosure, unless overridden by safety concerns.

Parents/Guardians: Generally, have the right to access educational records, but not the counselor’s confidential notes. Counselor’s should balance parental rights with the student’s right to confidentiality, guided by developmental stage and school policy.

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Records & Information Sharing

2-part Record:

  1. Confidential Counseling Notes:
  2. Private reflections or sensitive information maintained by the counselor for therapeutic purposes.
  3. Do not form part of the official educational record
  4. Only to the school counselor

2. Student Service Records (Educational Records)

  • This less sensitive part of the student file contains administrative material such as demographics, attendance records, behavior management plans, Individual Learning Plans, and documentation of services provided.
  • It may also include correspondence with external health providers when relevant and with parental consent.
  • This record should be accessible on a need-to-know basis. Develop an access log.

Privacy policy:

  • The role of a school Privacy Policy is to clearly outline how the school collects, uses, protects, and shares personal information about students, families, and staff. It sets expectations for confidentiality and data handling, while also ensuring compliance with legal requirements.

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Case Study’s

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Self-harm concerns

Physical abuse (parent)

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Final tips & takeaways

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  1. Promote a whole-school commitment to confidentiality
  2. Clarify counselor role & responsibilities
  3. Communicate limitations to confidentiality (safety & duty of care) & include students when confidentiality needs to be breached
  4. Adhere to local & international ethical & legal obligations
  5. Develop Counseling Policy/Handbook
  6. Develop a Privacy Policy
  7. Promote student-centered and student-informed collaboration
  8. Develop 2-part student record
  9. Develop record keeping checklist and data access log
  10. Ensure counselor support & supervision

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Resources