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tilia

breach confidentiality- what to do?

4 posts in this topic

Hi,

if eg a teacher is expressing thoughts of harming a colleague leading you to consider a breach of confidentiality who do you inform?

a) discuss with trust's legal advisor + senior colleague+ MDU

B) the teacher's colleague who is at risk?

c) police?

d) social services?

e)head teacher?

f) all of the above?

what if threats are made to a pupil?

thanks

t

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I will leave it to the police/social worker to inform the potential victim.

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if eg a teacher is expressing thoughts of harming a colleague leading you to consider a breach of confidentiality who do you inform?

a) discuss with trust's legal advisor + senior colleague+ MDU

B) the teacher's colleague who is at risk?

c) police?

d) social services?

e)head teacher?

f) all of the above?

what if threats are made to a pupil?

Key issue 1:

Cccupation relating to well-being of vulnerables (children, in all circumstances despite in senario A, patient did not state the target to children). And the teacher clearly stated the targeted person (though it may just out of as minor as OC ruminations)

Bleaching of confidentiality is a must in view of safety of others

that should include A, B and D.  Police at times when actual violence made (at emergency / MDT meeting - MO, GP, SW, CMHT/CPN/AST if known mental illness)

Whom to inform B is decided after MDT meeting

Key issue 2:

Head teacher issue is related to fitness of work vs. confidentiality (same as alcoholic doctor)

Advise sick leave and inform senior about his illness

Or we have oligation to inform education authority, with legal advise and documentation

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Who you inform would depend on the actual risk. Is teacher targetting this colleague for a particular reason (anger, delusion, obsession...)? Is anybody else at risk (particularly children)?

The risk is different if the teacher says he/she has had intrussive thoughts about harming a colleague or if he/she says they have a weapon and they'll go and murder their colleague as soon as the session is over (then you'd certainly inform the police).

Somebody you should inform is the patient. Let him/her know it is your duty to inform others and who they are.

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