Social workers keep records to demonstrate accountability to their agencies, clients, communities, and profession. They also record to enhance practice and support a variety of administrative functions. This entry describes the history of recordkeeping in social work, and identifies important contributions to its development. The author discusses current issues related to computerization, wide access to sensitive personal information in records, and privacy legislation. The entry also outlines the characteristics of good records, those that meet the complex demands of contemporary practice.
Jill Doner Kagle
Carolyn I. Polowy, Sherri Morgan, W. Dwight Bailey, and Carol Gorenberg
Confidentiality of client communications is one of the ethical foundations of the social work profession and has become a legal obligation in most states. Many problems arise in the application of the principles of confidentiality and privilege to the professional services provided by social workers. This entry discusses the concepts of client confidentiality and privileged communications and outlines some of the applicable exceptions. While the general concept of confidentiality applies in many interactions between social workers and clients, the application of confidentiality and privilege laws are particularly key to the practice of clinical social workers in various practice settings.
Donald M. Linhorst
Consumers of health and mental health services are afforded numerous legal rights. Broad categories of rights include self-determination, access to health information, protections for mental health consumers who are hospitalized, and a right to community integration. Two areas of consumer rights are emerging: a greater emphasis on human rights, and the right of consumers to participate in developing and implementing programs and services within the organizations from which they receive services. Various means for enforcing rights exist in both the private and the public sectors. Social workers play critical roles in ensuring that consumer rights become a reality.