A client reveals in a therapy session that he has thought about ...

[cabate]

A client reveals in a therapy session that he has thought about killing his neighbor and has crafted a preliminary plan for doing so. What is the therapist's obligation regarding this revelation?
 
  A) The therapist must keep the comment confidential, because the disclosure is protected by therapist-client confidentiality.
  B) The therapist must evaluate the threat and notify authorities if it meets credibility criteria.
  C) The therapist must meet with an ethics committee to determine the course of action.
  D) The therapist must notify authorities and the potential victim.

Question 2

In most states, a client who may harm himself or someone else but will adhere to a treatment plan in a less restrictive setting can be obliged to participate in treatment even if he or she does not require hospitalization.
 
  This is referred to as which of the following?
  A) Preventive commitment
  B) Outpatient commitment
  C) Conditional commitment
  D) Preliminary commitment

[ebonylittles]

Answer to Question 1

Ans: D
Feedback:
As a result of the Tarasoff decision, it is mandatory in most (but not all) states to report any clear threats that psychiatric clients make to harm specific people. Psychiatrists, psychotherapists, and other mental health care providers must warn authorities (if specified by law) and potential victims of possible dangerous actions of their clients, even if the clients protest.

Answer to Question 2

Ans: B
Feedback:
In general, involuntary commitment occurs only when a court deems a client diagnosed as mentally ill as imminently dangerous to self or others. Forty-three states are implementing the requirement for the least-restrictive treatment alternative by permitting commitment to outpatient treatment settings rather than to hospitals when possible (NASMPHD, 2006). In general, criteria for involuntary outpatient commitment reflect that clients do not require continuous hospitalization, could be treated more appropriately in an outpatient program (or a combined inpatient and outpatient program), will adhere to a prescribed treatment plan, and are not likely to become dangerous or suffer further deterioration if they follow the prescribed treatment plan.

[cabate]

Excellent

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TYSM