Child Psych

Category - Ethics and Legality

16-year-old Leslie tells her therapist that her mother, who sometimes doesn’t get home until after midnight from her job as a nurse’s aide, has a new boyfriend with a drinking problem. Leslie herself stays out late because she is afraid to come home early anymore, as there have been several occasions when the boyfriend showed up drunk and tried to make advances towards her. She also insists nothing actually ever happened and she doesn’t want the psychologist to discuss the matter with anyone, including her mother. What is the psychologist legally and ethically obligated to do?
  1. Maintain confidentiality since Leslie is 16 years old and that is her wish.
  2. Since the mother gave informed consent prior to the start of therapy, be prepared to tell her about Leslie’s latest concerns, but only if she asks.
  3. Discuss Leslie’s concerns with her mother as soon as possible, whether she herself asks or not, but don’t contact Child Protective Services since no abuse has actually occurred.
  4. Inform both the mother and Child Protective Services and also advise the mother about the report to CPS.
Explanation
Answer: D - The psychologist is legally and ethically mandated to contact both the mother and CPS and to advise the mother accordingly. Even though no abuse has yet occurred, Leslie has given enough information to suggest she is at risk.
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