do counselors have to report crimes against patient

by Dr. Abraham Keeling 9 min read

Do Therapists Have to Report Crimes: Therapist …

20 hours ago Therapists' obligations to report their patients' criminal acts. The law governing the obligation of therapists to report their patients' previous criminal acts was reviewed. Most often, discussions of this subject fall under the general category of "misprison of a felony," that is, the presumed general obligation of all citizens to report felonies that come to t …. >> Go To The Portal


If a counselor believes an adult client has abused or neglected a child, dependent adult or elder person, the therapist must report the crime. He also must report anyone he reasonably suspected to have viewed or downloaded child pornography. If the patient is a minor under 16 and the therapist has reason to believe that she has been the victim of a crime and the therapist believes it is in her best interest to report the crime, the therapist can choose to break patient confidentiality. For ...

Many states have statutes requiring healthcare providers, including mental health professionals, to report any suspected abuse of children, elders, and dependent adults. So, in most cases, therapists who hear admissions of such abuse from patients not only can report their patients' statements—they must.

Full Answer

Do counselors report crimes to police?

Do counselors report crimes? Morning Question #10 The general answer is NO! The more you can talk to a therapist about the more likely you will be helped to change your behavior. Therapists have a legal and ethical duty to NOT repeat what you say. Any exceptions to that rule are determined by law.

Do therapists have to report crimes?

Do therapists have to report a crime? By David Joel Miller. Do therapists have to report a crime? Do counselors report crimes? Morning Question #10 The general answer is NO!

What should a counselor do if an adult client commits a crime?

If a counselor believes an adult client has abused or neglected a child, dependent adult or elder person, the therapist must report the crime. He also must report anyone he reasonably suspected to have viewed or downloaded child pornography.

Should there be a mandatory reporting law for violent patients?

Mandatory reporting laws, say some professionals, may discourage people from seeking professional help or fully disclosing their intentions; or providers may be reluctant to treat potentially violent patients because they fear liability for failure to properly fulfill the duty to warn.

Can you tell your therapist about crimes?

Although therapists are bound to secrecy about past crimes, there is a fine line as to whether or not therapists must keep present or future crime secret. If you are actively engaged in crime or plan to commit a crime that you disclose to your therapist or counselor, they may need to report that to the police.

What can your therapist report?

Therapists are required by law to disclose information to protect a client or a specific individual identified by the client from “serious and foreseeable harm.” That can include specific threats, disclosure of child abuse where a child is still in danger, or concerns about elder abuse.

What are the three exceptions to confidentiality in counseling?

Most of the mandatory exceptions to confidentiality are well known and understood. They include reporting child, elder and dependent adult abuse, and the so-called "duty to protect." However, there are other, lesserknown exceptions also required by law. Each will be presented in turn.

What can you not tell a therapist?

With that said, we're outlining some common phrases that therapists tend to hear from their clients and why they might hinder your progress.“I feel like I'm talking too much.” ... “I'm the worst. ... “I'm sorry for my emotions.” ... “I always just talk about myself.” ... “I can't believe I told you that!” ... “Therapy won't work for me.”

Does patient confidentiality apply to crimes?

In short, disclosure must be considered essential to protect the patient, protect third parties from the risk of death or serious harm or prevent a crime/civil wrong.

What are the limits of confidentiality in counseling?

Confidentiality of information is applicable without any time limit unless otherwise specified by the originating party. The therapeutic relationship between a therapist and their client contains an abundance of confidential information. This means that it cannot be shared without the consent of the client.

Under what circumstances can a therapist break confidentiality?

There are a few situations that may require a therapist to break confidentiality: If the client may be an immediate danger to themself or another. If the client is endangering another who cannot protect themself, as in the case of a child, a person with a disability, or elder abuse.

Do counselors have privilege?

The psychotherapist-patient privilege, a California evidentiary privilege set forth in Evidence Code 1014, provides that: You have the right not to disclose any confidential communications between you and your psychotherapist in a California criminal jury trial; and.

What are the limits of patient confidentiality?

He or she cannot divulge any medical information about the patient to third persons without the patient's consent, though there are some exceptions (e.g. issues relating to health insurance, if confidential information is at issue in a lawsuit, or if a patient or client plans to cause immediate harm to others).

Why would a therapist drop a client?

Therapists typically terminate when the patient can no longer pay for services, when the therapist determines that the patient's problem is beyond the therapist's scope of competence or scope of license, when the therapist determines that the patient is not benefiting from the treatment, when the course of treatment ...

Can you tell your therapist too much?

The short answer is that you can tell your therapist anything – and they hope that you do. It's a good idea to share as much as possible, because that's the only way they can help you.

Can you text your therapist?

“Texting isn't treatment; it's an accessory to it. When therapists start to engage in anything resembling therapy or treatment via text, they're violating a client's boundaries.”

Should A Counselor Report A Crime?

There are some people who wonder if therapists are required to report crimes. In order to report a patient’s suspected abuse, they must inform the police or the potential victim. Most psychologists are not required to report past crimes.

Can You Tell Your Therapist You Committed A Crime?

A past crime is usually protected from disclosure under confidentiality rules in most cases. In other words, your therapist should be able to tell you about the crime you committed, and he or she should be sworn to secrecy about it.

Can Your Therapist Report You For Doing Something Illegal?

I don’t always know what you tell me is strictly confidential. There is no absolute requirement to keep confidential therapist information. A therapist may be obligated by law (in the U.S.) to help you if you discuss illegal activities, child abuse, domestic abuse, neglect, or wanting to harm yourself or others.

Can A Counselor Report A Murder?

In order to violate confidentiality, we must be able to identify a person who is imminently at risk, regardless of whether they have committed a crime in the past. Therapy works best when it is confidential in the therapy setting.

What Must Counselors Report?

In California, the Penal Code, Sections 11164-11166, requires mandated reporters, such as psychotherapists, to report child abuse when there is a reasonable suspicion that it occurred. Therapists are required to report child abuse when they learn about it from their professional responsibilities.

What Happens If You Tell Your Therapist You Committed A Crime?

In order to violate confidentiality, we must be able to identify a person who is imminently at risk, regardless of whether they have committed a crime in the past.

What Information Can A Therapist Disclose?

A therapist is required by law to disclose information to protect a client or a specific individual identified by the client from “serious and foreseeable harm.”. A child may still be at risk of abuse, or an elder may be at risk of abuse.

What is the relationship between a patient and a psychotherapist?

The relationship between a patient and a psychotherapist is held to be special, like that between a person and a religious priest.

Do past crimes get reported?

Short answer: past crimes usually do not get reported, future and ongoing crimes like abuse or a plan to kill probably will be reported.

Can a therapist change your behavior?

The general answer is NO! The more you can talk to a therapist about the more likely you will be helped to change your behavior. Therapists have a legal and ethical duty to NOT repeat what you say. Any exceptions to that rule are determined by law.

What happens if a therapist fails to take reasonable steps to protect the intended victim from harm?

“If a therapist fails to take reasonable steps to protect the intended victim from harm, he or she may be liable to the intended victim or his family if the patient acts on the threat ,” Reischer said.

Should clients withhold anything from their therapist?

“Clients should not withhold anything from their therapist, because the therapist is only obligated to report situations in which they feel that another individual, whether it be the client or someone else, is at risk,” said Sophia Reed, a nationally certified counselor and transformation coach.

Can a therapist report a patient's intent to harm someone else?

A therapist may be forced to report information disclosed by the patient if a patient reveals their intent to harm someone else. However, this is not as simple as a patient saying simply they “would like to kill someone,” according to Jessica Nicolosi, a clinical psychologist in Rockland County, New York. There has to be intent plus a specific identifiable party who may be threatened.

Do therapists have to disclose information in court?

For instance, Reed noted that even if a wife is cheating on her husband and they are going through a divorce, the therapist has no legal obligation whatsoever to disclose that information in court. The last thing a therapist wants to do is defy their patient’s trust.

Do you have to report child abuse to a therapist?

“If a client experienced child abuse but is now 18 years of age then the therapist is not required to make a child abuse report, unless the abuser is currently abusing other minors,” Mayo said.

What to do if a therapist is unsure of whether a client discussion should be reported to law enforcement

According to the APA, if a therapist is unsure of whether a discussion with a client should be reported to law enforcement or not, she should consult with other professionals in the mental health field or appeal to state or national mental health professional associations for advice on the matter. The code of conduct states that therapists are expected to reach out to others in the field whenever they are not clear about whether a client discussion goes beyond the protection of patient-therapist confidentiality.

What is the code of conduct for therapists?

The code of conduct states that therapists are expected to reach out to others in the field whenever they are not clear about whether a client discussion goes beyond the protection of patient-therapist confidentiality. References.

Why is information shared between a patient and a therapist confidential?

The information shared between a patient and therapist, in almost all cases, is meant to be kept confidential in order to build a trusting relationship. However, there are exceptions to this rule, as outlined by the American Psychological Association's Code of Ethics.

Do therapists have to report abuse?

According to the American Psychological Association's Code of Ethics, therapists should let their clients know that in the event the client discusses inflicting or being the victim of child abuse, inflicting or being the victim of elderly abuse, or posing a serious danger to themselves or to others, and the therapist believes these threats or allegations of violence to be valid, the therapist will have to report such discussions to law enforcement officials. Also, therapists may be asked to release confidential information shared by their clients during therapy to the judicial system if served with a court order, though they are bound to only reveal information that is absolutely mandated by the judge in the case and nothing more.

Can a therapist discuss a violent crime?

Though some people may think that anything goes in a therapy session, confessing or discussing plans for violent crimes cannot necessarily be kept confidential by therapists. As stated in their code of ethics, they have a duty to protect their clients from hurting themselves or others. However, it is also important to note that any misconceptions someone being treated might have about this should be cleared up at the beginning of therapy when the therapist discusses with the client the exceptions to their confidentiality privilege.

Do psychologists have to keep their patients' information confidential?

It is crucial for psychologists to do whatever they can to keep any information shared between themselves and their patients during therapy sessions confidential. However, psychologists must also protect the health and well-being of their patients, which means protecting them from hurting themselves, inflicting injury upon others, or being hurt by someone else.

Can a soldier's therapy be confidential?

The waiver states that under certain circumstances, such as the discussion of military law violations, discussions between a soldier/veteran and his therapist may not remain confidential.

What is the responsibility of mental health professionals to communicate the threat to the victim?

Mental health professionals must make a reasonable effort to communicate, in timely manner, the threat to the victim and notify the law enforcement agency closest to the patient's or victim's residence and supply a requesting law enforcement agency with any information concerning the threat.

What is the duty of a mental health professional to protect against violent behavior?

A mental health professional has the duty to warn of or take reasonable precautions to provide protection from violent behavior only if the patient communicates an actual threat of physical violence by specific means and against a clearly identified or reasonably identifiable victim.

When can a holder of a patient's medical records disclose information?

The holder of the records may disclose information when the patient has communicated a serious threat of serious physical injury against a reasonably identifiable victim, the person with knowledge of the threat may disclose the threat to the potential victim or to any law enforcement officer, or both.

When does the duty to predict, warn, or take reasonable precautions to provide protection from, violent behavior arise?

The duty to predict, warn of, or take reasonable precautions to provide protection from, violent behavior arises only when a client or other person has communicated to the licensee a specific, serious threat of physical violence against a specific, clearly identified or identifiable potential victim.

What is client privilege in behavioral health?

Behavioral health professional - client privilege does not extend when the professional has a duty to (1) inform victims and appropriate authorities that a client's condition indicates a clear and imminent danger to the client or others; or (2) to report information required by law.

What is the Immunity for Mental Health Professionals?

Immunity for mental health professionals for release of information via 36-504 or 36-509. A release of information via 36-504 or 36-509 shall, at the request of the patient, be reviewed by a member of his family or a guardian. Section provides for appeal procedures.

When did California impose a legal duty on psychotherapists?

California courts imposed a legal duty on psychotherapists to warn third parties of patients’ threats to their safety in 1976 in Tarasoff v. The Regents of the University of California.

Why do therapists need specific information?

Therapists need specific information in order to contact authorities. Most of the time professionals need specific information about a particular child who is at risk or who has been already harmed along with information about who is being abusive in order to take the step of filing a report.

What form do you need to read before you start therapy?

Before beginning therapy clients or guardians (if the client is a minor) should be asked to read and sign a consent form that explains the circumstances under which your therapist must break confidentiality. If the client is a minor then the information should be clearly explained to the parent or guardian.

Do therapists have to inform clients of a report?

In addition, the therapist may not be required to inform a client or their family that a report is being made. You can ask ahead of time about how this would be handled should the therapist consider filing.

Is everything you share with a therapist confidential?

Not everything you share with a therapist can be kept confidential. What an individual tells his or her therapist is confidential; however, there are limitations to the confidentiality between a therapist and a client. Laws in all 50 states require a therapist to contact authorities if a patient is a danger to him/herself, to others, ...

What are some crimes that clients will often admit to?

Clients will often admit to actions that are crimes, such as possession of marijuana, cocaine, or some other illegal drug, or an offense such as an assault or battery, petty or grand theft, or other actions that may constitute a crime.

What happens if a mental health practitioner breaches confidentiality?

With respect to state laws, a wrongful breach of confidentiality by the licensed mental health practitioner could in some cases mean revocation or suspension of one’s license and civil/monetary liability for damages caused by the breach.

Why is confidentiality important in mental health?

The duty of confidentiality is critical to the effectiveness and acceptance of the various mental health professions in particular, and to society in general. Those in need of mental health treatment will be more likely to seek and obtain mental health care, where they may have to reveal the very personal and sometimes compromising, embarrassing, ...

What age do you have to be to report child abuse?

Since a child is usually defined (in child abuse reporting laws) as a person under the age of 18 , one must determine whether the actions described would require a report under the applicable child abuse reporting statutes.

Does California have a duty of confidentiality?

In California, if this information was shared with a therapist, the duty of confidentiality would obtain, and the therapist would not be required to make a report to a law enforcement agency or to anyone else. There is no statute that requires a report to authorities and therefore the general duty of confidentiality is in effect.

Is child abuse a confidential matter?

The general rule is that the already committed crimes of your patient, with some exceptions (e.g., child abuse, elder abuse, dependent adult abuse reporting laws), are confidential.

Is child pornography a crime in California?

In California, the statute criminalizing the simple or “mere” ( no producing, selling, distributing, recruiting, etc.) possession or control of child pornography is not among the statutes specified in the reporting law (relating to sexual exploitation) that would trigger a report.