Licensed Clinical Social Worker (LCSW) Therapist Development Center Practice Exam

What should a social worker prioritize when meeting with a court-mandated client who is concerned about confidentiality?

1. A. Show how files are kept secure

2. B. Explain that everything shared will be communicated to the courts

3. C. Review what confidentiality limits exist under court mandates

4. D. Discuss general therapeutic practices without specific details

The correct answer is: C. Review what confidentiality limits exist under court mandates

Prioritizing the review of the limits of confidentiality that exist under court mandates is essential when working with a court-mandated client. This focus helps to establish clear expectations about the therapeutic relationship and the nature of confidentiality. It ensures that the client understands the specific scenarios in which their information may need to be disclosed, such as instances of harm to themselves or others or in compliance with legal requirements. Addressing these limits helps the client feel informed and more at ease, as they are made aware of the exceptions that apply in their case. It can also promote a sense of transparency, which is crucial in building trust, particularly when the client may feel vulnerable or anxious about the implications of their mandated status. While explaining how files are kept secure and discussing general therapeutic practices may alleviate some concerns, they do not directly address the critical issue of confidentiality within the legal context in which the client is operating. Similarly, stating that everything shared will be communicated to the courts could unnecessarily heighten the client's anxiety and discourage open dialogue, which would not contribute productively to the therapeutic process. Thus, accurately reviewing the limits of confidentiality is paramount for establishing a therapeutic alliance while fulfilling legal obligations.