Shaniya Robinson arrives at the county Human Services Authority for her monthly appointment with her social worker. Ms. Robinson is a 25-year-old African American woman who is receiving treatment for schizophrenia from the Adult Behavioral Health Services program. During a session the client reports that she is very stressed because she has difficulty adapting to the role of a new mother. Her five-month-old daughter Shanice is teething and cries often. Ms. Robinson also has financial difficulties because she is currently unemployed; his mental illness makes it difficult to sustain long-term employment. And she does not receive constant support from the child's father. The combination of these interactional difficulties places a heavy burden on the client who reports an increase in positive and negative symptoms (i.e., auditory hallucinations and social withdrawal). Because the client does not have insurance, she disclosed to her caseworker that she self-medicates using marijuana in an attempt to manage symptoms. Even more noteworthy, the customer explains that she uses the same method to calm her child by blowing marijuana smoke in his face. It is certain that Ms. Robinson disclosed this information for several reasons, she wants help and believes that all information she shares in the context of her sessions is confidential. Confidentiality The expectation in the professional/client relationship is that any information disclosed will not be shared with others. Confidentiality is emphasized to provide the client with a safe haven in which to share traumatic events or embarrassing personal information about themselves (Krase, 2013). Disclosing this type of sensitive information... half of the paper...). Marijuana and breastfeeding: Is it safe to smoke marijuana and breastfeed? Retrieved from http://addictions.about.com/od/legalissues/a/Marijuana-And-Breastfeeding.htm?p=1Krase, K. (2013). Social workers assigned as reporters: conflicts over confidentiality? Part IV. The new social worker. Retrieved from http://www.socialworker.com/feature-articles/practice/social-workers-as-mandated-reporters%3A/page-2.htmlLouisiana Children's Code. (n.d.). Retrieved March 27, 2014, from http://www.nicholls.edu/frc/louisiana-chidrens-code/National Association of Social Workers (2008). NASW Code of Ethics: Guide to the Daily Professional Conduct of Social Workers. Washington, DC: NASW. Sheafor, B. & Horejsi, C. J. (2012). Techniques and guidelines for social work practice. (9th ed.). Upper Saddle River, NJ: Pearson Education, Inc.
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