27 September, 2024

Confidentiality in a Counseling Setting

Features

by | 9 March, 2008 | 0 comments

By Doug McCulley

As a licensed professional counselor, I know that the promise of confidentiality is important to those I am counseling””but it”s also important for legal reasons. Every new client signs a form acknowledging confidentiality will be kept except in instances where permission is received to share details, or when a client poses a danger to himself or others, or when there is a court order

Counselors are required to keep records private and are vigilant to maintain confidentiality. This enables clients to be open and honest and deal with the real issues that are hindering them. At our center we seek to provide a safe environment with skilled therapists to supplement the church ministry of discipleship and healing.

With clients under the age of 18, I inform them I will keep our conversations confidential unless there is something I think I need to share with a parent or other adult that is in their best interest””and only after discussing it with them first.

Confidentiality is especially critical for those dealing with private pain. But in a church setting, it is often easy for gossip to be disguised as “prayer concerns.” One of the best definitions of gossip is this: “Sharing private or embarrassing information about someone (even if it is true) with someone who is neither part of the problem nor part of the solution.” This is why many people don”t share their pain or confess their sins or doubts within the church community, and why there is a need for well-trained Christian counselors.

Working with Accountability

Our counseling center often receives referrals from churches. Depending on the issue, we may require that a client sign a release so that we can keep a minister, discipling mentor, family member, addiction sponsor, etc. informed about progress, or even provide them with detailed information.

This is especially important for someone who has a habitual problem””financial irresponsibility, abuse, sexual sins, substance abuse, etc.””and needs to be held accountable. In fact, there are situations when we would refuse to see a client if they are not willing to comply with allowing us to speak to other people involved.

Key Distinction

When a case involves personal pain or emotional struggle, there is a great need for confidentiality. When the issue is a pattern of harmful, improper, sinful, or addictive behavior, then accountability is needed and more people will be involved. For example, when I report to a minister (with the client”s permission), I will share what is relevant to accountability and give an overview to the client”s issues, but not share details unless requested by the client to do so.

What Leaders Should Know

Our counseling center serves as a resource for training ministers and church leaders by teaching seminars on understanding and helping people. We often use the terms community or family to describe the relationships in the local church body.

One of the things we warn leaders about is that there are some people who behave like perpetual immature teenagers. Some adults expect others to meet their needs, blame others for their own mistakes or failures, and attempt to get their way by pitting parents against each other (we call this splitting).

Others are like the people of Lystra (Acts 14:8-20). At first they were overly zealous in praising Paul and Barnabas and then later they were willing to stone them. And, of course, there are those who like to grumble, complain, and gossip as well.

Like parents working together, church leaders can work together for the sake of the body when they share an understanding of the limits of confidentiality. This prevents misunderstandings, factions, and overburdening ministers.

Policies We Recommend

Because we serve in a metropolitan area that is highly transient and people are quick to take issues to court, we recommend some policies to protect ministers/leaders””especially when someone is relatively new to the church.

Of course people may want to talk informally at church, but as soon as it is clear that an issue is personal:

“¢ Make an appointment for a meeting. Don”t just have an informal conversation.

“¢ Require the person to give permission (signing a statement of understanding) that the minister/leader may discuss issues with at least one other person. If the issue is very sensitive or personal, there may be a need to mutually agree on exactly with whom the minister may confer. For example, several ministers use our counseling center staff as consultants for their pastoral care issues.

“¢ Take sufficient notes, but make sure they are secure. Most states require that notes be locked in a drawer.

“¢ Be quick to refer a client/church member to a professional if you have any sense that it is more than you can handle.

Tim Woodroof, Leland Vickers, and Doug Spears address an important issue. When the church reaches the unchurched, many new members will have baggage. Some of them will be needy and display immature behaviors that can cause splits within the body. Others will be overcoming addictions and may need accountability.

For leaders, it will become more important to clearly understand and balance two factors: (1) the limits of confidentiality when addressing behaviors and attitudes, and (2) at the same time, the need for sensitivity to the importance of confidentiality to those who seek healing of personal pain. Hopefully this discussion will lead churches to implement healthy practices that encourage and build the body.




Doug McCulley ministers with the Scotch Plains (New Jersey) Christian Church and is a graduate of both Ozark Christian College and Missouri State University. A licensed professional counselor, he has been on staff with Beacon Light Christian Counseling Center for 18 years and coauthored the book Maturity Is a Choice. His e-mail address is doug@commonjourney.




SEE RELATED ARTICLES:

“Confidentiality: Always Helpful or Not?” by Tim Woodroof and Leland Vickers

“Policy on Confidentiality (a Proposal)”

“Your Church’s Confidentiality Policy,” by Douglas A. Spears

0 Comments

Submit a Comment

Your email address will not be published. Required fields are marked *

Latest Features

Honoring Christ in an Age of Outrage

Honoring Christ in an Age of Outrage

In a time when so many are drunk with rage, Christians—and leaders in particular—must be sober-minded. Don’t forget that we’ve got essential and eternal kingdom work to do.

Leading Like Jesus in a Cultural Quagmire

Leading Like Jesus in a Cultural Quagmire

Only Jesus’ model of leadership can keep our flocks intact. Until we lift Jesus higher than our differences and above our preferences, we will not reach further than our own reflections.

Character or Results … What Makes a Good Leader?

Character or Results … What Makes a Good Leader?

When we lead our local churches to see our local communities as our primary mission field, it gives Christians who are breathing the toxic fumes of expressive individualism a breath of fresh air. We are summoned outside of self to love something bigger than self . . . our God and neighbor.

Follow Us