Conflicts can arise within counselling in primary care settings over issues of client confidentiality as perceived from a therapeutic as opposed to medical perspective.'Ideal types'of counselling confidentiality and medical confidentiality are compared, according to a proposed structural model of confidentiality.
In contrast with a therapeutic concept of confidentiality as an interpersonal contract between client and counsellor, a structural model of confidentiality appropriate to medical and primary care settings would include reference to crucial aspects such as risk assessment, and the sharing of client information within a multi-disciplinary team.
The client-centred counselling model of confidentiality is then explored with reference to the Derbyshire Inquiry Report on the mental health care provided for a client with psychiatric problems.
The limitations of adopting an exclusive client-centred counselling approach towards confidentiality in primary care settings are noted, given the requirements of the Care Programme Approach for effective risk assessment and inter-professional liaison in the care of clients and patients with psychiatric problems.
The potential resultant issues of counsellor and general practitioner liability are identified in relation to complaints systems and the key legal concept of vicarious liability.
Mots-clés Pascal : Conseil psychologique, Secret medical, Relation thérapeutique, Soin santé primaire, Traitement, Pratique professionnelle, Qualité service, Service santé, Santé mentale, Royaume Uni, Europe, Homme
Mots-clés Pascal anglais : Psychological counseling, Medical confidentiality, Therapeutic relation, Primary health care, Treatment, Professional practice, Service quality, Health service, Mental health, United Kingdom, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0359725
Code Inist : 002B18H05B. Création : 14/12/1999.