Clinical Supervision Report Week 2
Clinical Supervision Report on duty to warn: Counselor addresses Gad’s credible threat to ex-partner Teresa, balancing client confidentiality with ethical and legal obligations to protect third parties.
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Clinical Supervision Report: Ethical Decision-Making Process in a Duty to Warn Case
Veronika Giles
Walden University
1
Clinical Supervision Report: Ethical Decision-Making Process in a Duty to Warn Case
Veronika Giles
Walden University
Clinical Supervision Report: Ethical Decision-Making Process in a Duty to Warn Case
Veronika Giles
Walden University
1
Clinical Supervision Report: Ethical Decision-Making Process in a Duty to Warn Case
Veronika Giles
Walden University
2
Clinical Supervision Report: Ethical Decision-Making Process in a Duty to Warn Case
Case Study Details
□ Use the following case information: Teresa and Gad were romantically involved. They have
both received ongoing outpatient psychiatric care. Gad had a long history of violent behavior,
which included physical abuse directed towards Teresa. Recently, Teresa ended the
relationship and moved out of the apartment she shared with Gad. Gad contacted you as his
counselor and stated he intended to kill Teresa. Teresa then called you the counselor at
12:15pm to ascertain where Gad was because she planned to go to their apartment to remove
her possessions.
□ Assume you are currently Gad's counselor and are practicing in your own state.
Identify the Problem
□ Main Problem: Gad, a client with a documented history of violence and abuse toward
Teresa, made a direct and credible threat to kill her following the recent end of their
relationship.
□ Related Concerns: This situation raises immediate ethical and legal obligations
regarding duty to wam/protect, breach of confidentiality, client safety, and potential
third-party harm, especially given Teresa's plan to return to the shared apartment.
Apply Ethical Codes, State Laws, and Select one Ethical Principle of Primary Relevance
□ Mental health professionals are required to maintain the confidentiality of client information.
However, this obligation may be limited when there is a clear and immediate threat of serious
harm to the client or others, in which case the professional may disclose necessary
information to protect potential victims (American Counseling Association, 2014).
U In Indiana, counselors and other mental health professionals are required to take action if a
patient makes a serious threat of violence. This means they have a duty to warn or take
reasonable steps to protect anyone who might be in danger. This can include contacting the
police or a designated healthcare professional so the situation can be handled quickly. There
are also other steps a provider can take, like arranging for the person to be evaluated for
hospitalization or doing whatever is reasonable to help prevent harm.
□ In this case, the most important ethical principle is non-maleficence, which means doing no
harm. While respecting a client's autonomy is usually very important in mental health care, the
Based on actual Pennsylvania Supreme Court case, Emerich v. Philadelphia Center for Human Development Inc.
See Watson, C. (2005). The duty to wam/protcct doctrine and its application in Pennsylvania. Jefferson Journal of
Psychiatry, 19(1), 13-18.
2
Clinical Supervision Report: Ethical Decision-Making Process in a Duty to Warn Case
Case Study Details
□ Use the following case information: Teresa and Gad were romantically involved. They have
both received ongoing outpatient psychiatric care. Gad had a long history of violent behavior,
which included physical abuse directed towards Teresa. Recently, Teresa ended the
relationship and moved out of the apartment she shared with Gad. Gad contacted you as his
counselor and stated he intended to kill Teresa. Teresa then called you the counselor at
12:15pm to ascertain where Gad was because she planned to go to their apartment to remove
her possessions.
□ Assume you are currently Gad's counselor and are practicing in your own state.
Identify the Problem
□ Main Problem: Gad, a client with a documented history of violence and abuse toward
Teresa, made a direct and credible threat to kill her following the recent end of their
relationship.
□ Related Concerns: This situation raises immediate ethical and legal obligations
regarding duty to wam/protect, breach of confidentiality, client safety, and potential
third-party harm, especially given Teresa's plan to return to the shared apartment.
Apply Ethical Codes, State Laws, and Select one Ethical Principle of Primary Relevance
□ Mental health professionals are required to maintain the confidentiality of client information.
However, this obligation may be limited when there is a clear and immediate threat of serious
harm to the client or others, in which case the professional may disclose necessary
information to protect potential victims (American Counseling Association, 2014).
U In Indiana, counselors and other mental health professionals are required to take action if a
patient makes a serious threat of violence. This means they have a duty to warn or take
reasonable steps to protect anyone who might be in danger. This can include contacting the
police or a designated healthcare professional so the situation can be handled quickly. There
are also other steps a provider can take, like arranging for the person to be evaluated for
hospitalization or doing whatever is reasonable to help prevent harm.
□ In this case, the most important ethical principle is non-maleficence, which means doing no
harm. While respecting a client's autonomy is usually very important in mental health care, the
Based on actual Pennsylvania Supreme Court case, Emerich v. Philadelphia Center for Human Development Inc.
See Watson, C. (2005). The duty to wam/protcct doctrine and its application in Pennsylvania. Jefferson Journal of
Psychiatry, 19(1), 13-18.
Clinical Supervision Report: Ethical Decision-Making Process in a Duty to Warn Case
Case Study Details
□ Use the following case information: Teresa and Gad were romantically involved. They have
both received ongoing outpatient psychiatric care. Gad had a long history of violent behavior,
which included physical abuse directed towards Teresa. Recently, Teresa ended the
relationship and moved out of the apartment she shared with Gad. Gad contacted you as his
counselor and stated he intended to kill Teresa. Teresa then called you the counselor at
12:15pm to ascertain where Gad was because she planned to go to their apartment to remove
her possessions.
□ Assume you are currently Gad's counselor and are practicing in your own state.
Identify the Problem
□ Main Problem: Gad, a client with a documented history of violence and abuse toward
Teresa, made a direct and credible threat to kill her following the recent end of their
relationship.
□ Related Concerns: This situation raises immediate ethical and legal obligations
regarding duty to wam/protect, breach of confidentiality, client safety, and potential
third-party harm, especially given Teresa's plan to return to the shared apartment.
Apply Ethical Codes, State Laws, and Select one Ethical Principle of Primary Relevance
□ Mental health professionals are required to maintain the confidentiality of client information.
However, this obligation may be limited when there is a clear and immediate threat of serious
harm to the client or others, in which case the professional may disclose necessary
information to protect potential victims (American Counseling Association, 2014).
U In Indiana, counselors and other mental health professionals are required to take action if a
patient makes a serious threat of violence. This means they have a duty to warn or take
reasonable steps to protect anyone who might be in danger. This can include contacting the
police or a designated healthcare professional so the situation can be handled quickly. There
are also other steps a provider can take, like arranging for the person to be evaluated for
hospitalization or doing whatever is reasonable to help prevent harm.
□ In this case, the most important ethical principle is non-maleficence, which means doing no
harm. While respecting a client's autonomy is usually very important in mental health care, the
Based on actual Pennsylvania Supreme Court case, Emerich v. Philadelphia Center for Human Development Inc.
See Watson, C. (2005). The duty to wam/protcct doctrine and its application in Pennsylvania. Jefferson Journal of
Psychiatry, 19(1), 13-18.
2
Clinical Supervision Report: Ethical Decision-Making Process in a Duty to Warn Case
Case Study Details
□ Use the following case information: Teresa and Gad were romantically involved. They have
both received ongoing outpatient psychiatric care. Gad had a long history of violent behavior,
which included physical abuse directed towards Teresa. Recently, Teresa ended the
relationship and moved out of the apartment she shared with Gad. Gad contacted you as his
counselor and stated he intended to kill Teresa. Teresa then called you the counselor at
12:15pm to ascertain where Gad was because she planned to go to their apartment to remove
her possessions.
□ Assume you are currently Gad's counselor and are practicing in your own state.
Identify the Problem
□ Main Problem: Gad, a client with a documented history of violence and abuse toward
Teresa, made a direct and credible threat to kill her following the recent end of their
relationship.
□ Related Concerns: This situation raises immediate ethical and legal obligations
regarding duty to wam/protect, breach of confidentiality, client safety, and potential
third-party harm, especially given Teresa's plan to return to the shared apartment.
Apply Ethical Codes, State Laws, and Select one Ethical Principle of Primary Relevance
□ Mental health professionals are required to maintain the confidentiality of client information.
However, this obligation may be limited when there is a clear and immediate threat of serious
harm to the client or others, in which case the professional may disclose necessary
information to protect potential victims (American Counseling Association, 2014).
U In Indiana, counselors and other mental health professionals are required to take action if a
patient makes a serious threat of violence. This means they have a duty to warn or take
reasonable steps to protect anyone who might be in danger. This can include contacting the
police or a designated healthcare professional so the situation can be handled quickly. There
are also other steps a provider can take, like arranging for the person to be evaluated for
hospitalization or doing whatever is reasonable to help prevent harm.
□ In this case, the most important ethical principle is non-maleficence, which means doing no
harm. While respecting a client's autonomy is usually very important in mental health care, the
Based on actual Pennsylvania Supreme Court case, Emerich v. Philadelphia Center for Human Development Inc.
See Watson, C. (2005). The duty to wam/protcct doctrine and its application in Pennsylvania. Jefferson Journal of
Psychiatry, 19(1), 13-18.
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