Safety over privacy: Family violence, information sharing and mental health care.

Kathy Sougias, Sabin Fernbacher, Izaak Lim
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Abstract

Objective: This article aims to provide an update on information sharing practices in mental health services, in light of recent inter-sectoral family violence reforms in Victoria. We hope that this article will help increase familiarity with this contemporary best practice and improve clinician confidence in its application.

Method: We use three case scenarios to illustrate the application of these relatively new family violence frameworks in mental health services, with a focus on approaches to information sharing.

Results: The duty to respect the privacy of patients and their families sometimes comes into conflict with the duty to protect patients and their families from the risk of harm. Our case scenarios highlight situations where these conflicting duties need to be weighed and balanced, among other ethical considerations.

Conclusions: Mental health services have an ethical and legal responsibility to share information where it will enhance the safety of victim survivors of family violence, whether they are the primary client of the service or not.

安全高于隐私:家庭暴力、信息共享和精神卫生保健。
目的:本文旨在根据维多利亚州最近的跨部门家庭暴力改革,提供有关精神卫生服务中信息共享做法的最新情况。我们希望这篇文章将有助于增加熟悉这一当代最佳实践和提高临床医生的信心,在其应用。方法:我们使用三个案例场景来说明这些相对较新的家庭暴力框架在精神卫生服务中的应用,重点是信息共享的方法。结果:尊重患者及其家属隐私的责任有时会与保护患者及其家属免受伤害风险的责任发生冲突。我们的案例场景突出了需要权衡和平衡这些相互冲突的职责以及其他道德考虑的情况。结论:精神卫生服务机构在分享信息方面负有道德和法律责任,这将加强家庭暴力幸存者受害者的安全,无论他们是否是该服务的主要客户。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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