Confidentiality for Mental Health Professionals: A Guide to Ethical and Legal Principles

Annegret Kämpf, Bernadette McSherry, James Ogloff, and Alan Rothschild

Monash University



Those who work in the mental health sector are constantly exposed to personal information about the experiences, behaviour and relationships of their clients. It is therefore unsurprising that mental health professionals will sometimes need to consider whether they are ethically or legally obliged to disclose certain information to third parties. Yet how is this done? In what circumstances is a therapist, counsellor, or nurse obliged to disclose confidential information and to whom? A profession's codes of ethics or a legal text is rarely able to provide meaningful practical guidance. The authors, experienced professionals in law and mental health, have focused on the actual decision-making process of disclosing confidential information to allow mental health professionals to find a solution that is ethically and legally sound and able to be recognised as such by external authorities. The book is relevant to a wide range of professionals working in the mental health sector such as psychologists, social workers, counsellors, mental health nurses, occupational therapists, psychiatrists, and students.

About the Author

Annegret Kåmpf is a PhD candidate at the Faculty of Law, Monash University and a researcher involved with two projects funded by the Australian Research Council. She is a qualified lawyer and graduated from Mannheim University, Germany. She also has a Master of Bioethics and Health Law from Otago University, New Zealand where she worked as a Research Fellow investigating international approaches to incapacity principles in mental health care.
Bernadette McSherry is an Australian Research Council Federation Fellow and professor of Law at Monash University. She has honours degrees in Arts and Law and Masters of Law from the University of Melbourne, a PhD from York University, Canada, and a graduate Diploma in Psychology from Monash University. Professor McSherry has written extensively in the areas of mental health law and criminal law.
James Ogloff is Professor of Clinical Forensic Psychology at Monash University and the Director of Psychological Services as the Victorian Institute of Forensic mental health. Professor Ogloff is a Fellow of the Canadian, American, and Australian psychological societies and has worked in the field of clinical and forensic psychology in a variety of settings, including jails, prisons, forensic psychiatric clinics and hospitals since 1984. He has published 12 books and more than 160 scholarly articles and book chapters.
Alan Rothschild is a barrister and solicitor of the Supreme Court of Victoria who holds a Master of Laws degree from the University of Melbourne and a PhD from Monash University. He has written extensively in the area of medico/legal issues and is currently a sessional researcher at Monash University.

Table of Contents

  • Introduction
  • The Concept of Confidentiality
  • The Ethical Framework for Confidentiality
  • Codes of Ethics
  • The Legal Framework for Protecting Confidentiality
  • Common Law Exceptions and Limitations to Maintaining Confidentiality
  • Statutory Schemes
  • Ethical Decision-Making in Confidentiality Dilemmas
  • Quick Guides
  • Table of Cases
  • Table of Statutes
  • References
  • Index