Over the course of treatment at the Psychology Clinic, information is gathered that allows the psychologist to make an informed professional decision as to the most appropriate assessment and treatment methods to be used. This information will include basic demographic data (e.g. name, date of birth, address, etc), as well as other information that is deemed relevant. This will usually include the following:
- The nature of the problem for which you are presenting
- Areas of behaviour related to the presenting problems
- A history of the presenting problem
- A family history of relevant information
- Other information deemed necessary to make an informed clinical judgement about the nature of the presenting complaint and other relevant factors
Confidentiality of Information
Generally, all information gathered over the course of assessment and treatment at the Psychology Clinic remains confidential. There are several notable exceptions, however, to this confidentiality:
- All psychologists at the Clinic discuss their case load with an experienced Clinical Psychologist in a supervisory relationship. Information on the nature of the case (though not necessarily full identifying information) is shared with the psychologist's supervisor
- In the event that the psychologist forms the professional opinion that either the client, or another individual is a risk for significant harm, a moral obligation may exist to act on this information with the aim of preventing such harm
- In the event that a file is subpoenaed to court
- In the event that a written Record Release Authority is provided with the client's signature
Use of Information
Information gathered by the Psychology Clinic is used exclusively for two purposes
- For the formation of a professional psychological opinion which is used to guide assessment and treatment for the presenting complaint
- For the evaluation of the service provided by the Clinic, through collation of detailed statistics about referral sources, nature of presenting problems, attendance durations, etc. In all cases where information is used for statistical purposes, no identifying information is made available
Security of Information
Information provided to the Psychology Clinic is held both in the Client File and the Clinic Database (demographics and basic diagnostic information only). All files are held within the Clinic, in locked offices, in locked filing cabinets. Files do not leave the Clinic at any time.
Requests for information may be made to the Aspire Clinic Founders. Requests should be specific as to the exact information required, and should be acknowledged within 14 days in writing. Once a request for information is received, the Clinic Manager will conduct a thorough chart review and collate the information in an appropriate manner to ensure adequate and full understanding on the part of the requesting person.
Procedure for Complaint/Rectifying Information
Official complaints or requests to change inaccurate or erroneous information should be made to the Aspire Clinic Founders. In such cases the Clinic Founders will conduct a review of the information held by the Clinic and make every effort to ensure that such information is accurate.
This document should be freely available, and accessible on request by all staff and clients of the Psychology Clinic. Its availability should be announced in a prominent location, and discussed with each client during their first session.E-mail: firstname.lastname@example.org