NDLI: Informing patients about limits to confidentiality: A qualitative study in prisons.

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Informing patients about limits to confidentiality: A qualitative study in prisons.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Elger, Bernice S. Handtke, Violet Wangmo, Tenzin
Spatial Coverage	Switzerland
Description	Author Affiliation: Elger BS ( Institute for Biomedical Ethics, Switzerland); Handtke V ( Institute for Biomedical Ethics, Switzerland.); Wangmo T ( Institute for Biomedical Ethics, Switzerland.)
Abstract	AIM: Confidentiality is important in healthcare practice, however, under certain circumstances, confidentiality is breached. In this paper, mental health professionals' (MHPs) practices related to informing imprisoned patients about confidentiality and its limits are presented. METHODS: Twenty-four MHPs working in Swiss prisons were interviewed. Data analysis involved qualitative thematic coding and was validated by discussing results with external experts and study participants. RESULTS: For expert evaluations and court-ordered therapies, participants informed patients that information revealed during these consultations is not bound by confidentiality rules. The practice of routinely informing patients about confidentiality and its limits became more complex in voluntary therapies, for which participants described four approaches and provided justifications in favour of or against their use. CONCLUSIONS: Further training and continued education are needed to improve physicians' ethical and legal knowledge about confidentiality disclosures. In order to promote ethical practices, it is important to understand and address existing motivations, attitudes and behaviours that impede appropriate patient information. Our study adds important new knowledge about the limits to confidentiality, particularly for providers working with vulnerable populations. Results from this study reflect typical ethical and practical dilemmas faced by and of interest to physicians working in forensic medicine and other related settings.
File Format	HTM / HTML
ISSN	01602527
Volume Number	41
e-ISSN	18736386
Journal	International Journal of Law and Psychiatry
Language	English
Publisher	Elsevier
Publisher Date	2015-07-01
Publisher Place	Netherlands
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Jurisprudence Discipline Psychiatry Confidentiality Legislation & Jurisprudence Prisons Adult Female Humans Male Qualitative Research Switzerland Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Law Pathology and Forensic Medicine Psychiatry and Mental Health

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