What would be the most appropriate course of action regarding Jayden's self-harm and confidentiality during the assessment?
Understand the Problem
The question presents a scenario involving a 16-year-old named Jayden who has self-harmed and is having an assessment regarding his mental health. The task is to determine the most appropriate course of action given the circumstances and Jayden's confidentiality. This involves ethical considerations in mental health care.
Answer
Complete a risk assessment to determine Jayden's current risk of harm.
Complete a risk assessment to determine current risk of further harm. If current risk is low, you would not need to share historic self-harm with Jayden’s mother although you may discuss how best to include her in further assessment/treatment.
Answer for screen readers
Complete a risk assessment to determine current risk of further harm. If current risk is low, you would not need to share historic self-harm with Jayden’s mother although you may discuss how best to include her in further assessment/treatment.
More Information
In mental health assessments, confidentiality is crucial but can be breached if there's a threat of harm. Assessing the risk helps determine if this is necessary.
Tips
A common mistake is breaching confidentiality without assessing the risk, which can erode trust and is often unnecessary.
Sources
- Confidentiality in child and adolescent mental health - cambridge.org
- Strategies to Support Patients at Risk - collegept.org
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