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Results
#1. You are a Board Certified Behavior Analyst (BCBA) working with a client for over a year, regularly interacting with the client’s single mother during sessions. Today, upon arriving for a session, you find the mother’s boyfriend present. He begins to ask detailed questions about the client’s treatment plan and progress. You proceed to explain everything you know to him without first confirming his role or access to information. Have you violated confidentiality?
Confidentiality is a fundamental ethical obligation for behavior analysts strictly governed by the Professional and Ethical Compliance Code HIPAA and other regulations All clientrelated information including treatment details and progress is considered private The presence of a new individual even a boyfriend of the clients parent does not automatically grant them access to confidential information Before disclosing any information a BCBA must ascertain the individuals relationship to the client and most critically obtain explicit informed consent from the clients legal guardian the mother in this case to share information with that specific individual Sharing information without this prior confirmation and consent creates a significant risk of violating the clients confidentiality Option A is incorrect because even if the boyfriend becomes a stakeholder consent is still required Option B is incorrect as implied consent is insufficient for sharing confidential client information explicit consent is necessary Option C is incorrect because information can be shared with nonbiological individuals if proper consent is obtained from the legal guardian
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