On April 16, 2007, America experienced its deadliest shooting by a single gunman. Seung-Hui Cho, a senior at Virginia Polytechnic Institute and State University, shot and killed 32 people and then turned the gun on himself (CNN). Cho had a history of mental health problems. Mental illnesses are defined as “diseases that causes mild to severe disturbances in thought and/or behavior, resulting in an inability to cope with life’s ordinary demands and routines” (Mental). Common mental health disorders include bipolar disorder, schizophrenia, depression, and dementia. Some signs and warnings that show that one might have a mental illness are: social withdrawal, suicidal thoughts, depression and anxiety, and trouble concentrating. Sadly, Cho …show more content…
As mentioned before, Cho had said he didn’t want to go to his appointment so the counselor didn’t make him. Cho was never diagnosed with a mental illness while in college, but mental health records show that he had been diagnosed and treated for an anxiety disorder as a young adult (Friedman). In a confession video, Cho had said, “You had a billion chances to prevent this [the shooting].” To me that means that the people evaluating Cho could have stopped the shooting by providing him with the right amount of help. Looking at records, the people evaluating Cho weren’t really concerned with what was happening with him. Statistics show that students said that they can avoid school shootings if teachers/professors/faculty would show that they actually cared about each student (Alfred …show more content…
When it comes to health care, confidentiality is one of the most important things. Confidentiality is needed “to develop the trust and confidence important for a therapeutic relationship between consumers and providers.” People have the entitlement to be provided mental health services by people who will treat them and their information with full confidentiality. However, there are some cases were confidential information will be disclosed. HIPAA says that every person has the right to obtain their mental health records. In order to control the release of records you have to be 14 years old or older; that is if you under the nature of your documents. If you are under the age of 14, you parent or guardian has control over what information is released. A consumer also has to give written consent before a provider is able to release their records. When it comes to cases of psychotherapy, they are a different type of authorization. There are only certain cases where mental health information can be released without consent from the patient. Such cases include when it related to “the public interest.” This
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Privacy is of the utmost importance within a medical practice, ethically a patient’s privacy is very important as a medical record contains information regarding a patient’s health. According to
On February 14, 2018, a mass shooting occurred in Parkland Florida. The shooter, Nicholas Cruz, opened fire on Marjory Stoneman Douglas High School. Seventeen innocent students were shot and killed, while 17 others were injured. In my first article, Parkland Gunman Was Still Firing When Police Arrived on a Gruesome Scene by Patricia Mazzei, we learn that Cruz had not ceased fire even after police had arrived.
On December fourteenth of 2012, Adam Lanza walked into Sandy Hook Elementary School in Newtown, Connecticut and shot twenty-six kids and teachers using a .223 Caliber Bushmaster Model XM15 assault rifle. By definition, a mass shooting has to consist of at least four victims, therefore, mass shootings occur every day while only the major incidents make national news. This particular shooting affected many and will forever have in imprint on gun laws, the safety of schools, and the part mental health plays. The multipath model can be applied to Adam explaining what might have led to the massacre. Adam was diagnosed with a mild form of Autism Spectrum Disorder, Bipolar Disorder, Anxiety Disorder, and Obsessive-Compulsive Disorder.
The Health Insurance and Portability and Accountability Act ( HIPAA) of 1996 provides security provisions and data privacy for protecting a patient’s medical information. HIPAA has guidelines to ensure that a patient’s confidentiality is maintained while allowing the communication of a patient’s medical records between certain bodies or people or officials. Officials that a patient’s medical records can be shared with are other health care providers, health plans, business associates, and health care clearinghouses. HIPAA protects all “ individually identifiable health information”. There is a specific protocol to follow when sharing a patient’s medical information.
The shooter was eventually addressed as Seung-Hui Cho. Cho originated from Seoul, South Korea, where his father, mother and sister lived until he was eight years old. Cho’s family then moved from South Korea to Centreville Virginia in hopes that a new environment would help Cho open up, because he always seemed to be shy, even as a child (Worth 20). Cho was also bullied as a child by his classmates and the kids in his youth group (Thomas 25).
Columbine was a very tragic event. The Colombine shooting was when two teens, Eric Harris and Dylan Klebold, went on a shooting spree in their high school. They killed and wounded lots of students, and one teacher. The attack on Columbine happened April 20, 1999, twenty three people were wounded during the attack (“We are Columbine” Fox News). Columbine is located at Littleton Colorado (“Columbine Shooting” History Channel).
Allie Therapist cannot legally have disclosed information discussed during Allies session to her parents. Unless Allie stated that she was going to harm someone or herself. and the counselor had ‘reasonable suspicion’ (Youth, 5th Edition) . The counselor had no legal duty to disclosed what was discussed during the sessions (Youth, 5th Edition). Now in the Tarasco case the client told the therapist that he wanted to kill someone and he even provided her name (Video, 1976).
Many people believe that the main cause of mass shootings are the people who are doing it have a mental health problem, and sometimes they might even be right, but not everyone who has been involved in a mass shooting has had mental health problems. “...data shows that, at most, only around 5 percent of crimes in the U.S. are performed by people with mental illness and that the percentage is the same for violent crimes (link is external)—which means that 95 percent of violent crimes are committed by non-mentally ill individuals” (Psychology Today). There are cases that support that some people have had severe mental health issues, such as schizophrenia. Yet, there are also cases that prove there is very little evidence linking mental health and mass shootings together. There are very few mental illnesses that would make a person want to go and commit such a murder.
In fact, the California Legislature created a specific exception to the psychotherapist-patient privilege where there is reasonable cause to believe that the patient is dangerous to another, and disclosure is necessary to prevent the threatened
He was also encouraged to get counselling by Lucinda Roy, the co-director of the schools writing program. In 2005 he was accused of stalking female students but charges were never filed. Sometime between seven and eight A.M. Cho shot and killed two students in a dormitory. Between the two separate shootings Cho mailed a package to NBC News. Around 9:45 A.M. Cho entered the engineering building and began shooting.
By having these laws in place, everyone is protected. They are preventing the therapist from getting malpractice suits filed against them if their patient does harm someone. They are protecting third parties, because by being informed, they can take precautions in protecting themselves instead of being blindsided like Tatiana Tarasoff was. The laws also protect the patient because they know ahead of time what they should and shouldn 't say in therapy in order to not have their confidentiality breached.
Although many of these shootings occur every year, there many steps that can be placed in order to prevent them from occurring in the future. Creating gun laws that provide better background checks on the buyer and family can help lessen the chances of a mentally ill person from obtaining a gun. Spreading awareness of a person with a mental illness-or generally spreading information of the many different mental illness- can also help prevent mass murders such as Sandy Hook from occurring. Finally, researching ways to prevent mental illnesses from forming can help prevent these violent crimes. If the blame is on the illness, why not find ways to cease them from affecting more people?
Due to this it is important that when children and young people communicate with individuals such as practitioners it is important that they are make children and young people aware that confidentiality will take place. " Therefore, it is of great importance to have guidelines in place that clearly outline the service’s confidentiality commitment. " My Peer accessed on 01/02/18 however if needed to it will be shared with individuals that need to know. For example if a child or young person is at risk. If this does not happen it may lead to individuals not trusting practitioners and then issues will not be resolved.
It is possible if not likely that the nature and function of therapeutic relationships has changed significantly to better account for the contemporary understanding of mental illnesses as less categorical and more broadly conceptualized as spectrum disorders with variable constellations of symptoms (American Psychiatric Association, 2013). Broader considerations of cultural factors, comorbidity, and resource deprivation may account for occurrences within the therapeutic relationship as much as genuine psychopathology. Thus, it may be less important to base self-disclosure decisions and content on pre-determined rules or client diagnosis and more important for disclosure/non-disclosure decisions to first consider prominent clinical and vulnerability
General medical records include the patients demographic information, medication record, medical history, physical examination notes, immunization records, consent and authorization forms, and laboratory, operative, and pathology reports. Psychiatric notes are notes recorded by a mental health professional documenting or analyzing the contents of conversation during a counseling session. According to HHS.gov, Psychiatric notes are the personal notes of the therapist that are not usually required for treatment or payment and are to be kept separate from the patients general medical record. In regards to releasing psyciatric notes to the patient, the patient has to ask the Psychologist for psychology notes and even then the Psychologist can