5.5 Case Study
Case Study: Balancing Client Rights and Counselor Responsibilities in Mandated Reporting
Jordan is a licensed professional counselor working in a private practice specializing in adolescents with co-occurring mental health and substance use issues. One of her clients, 15-year-old Kayla, has been attending sessions for six months to address anxiety, depression, and occasional cannabis use. Kayla has made significant progress in therapy and values the trust and confidentiality she has with Jordan.
During a session, Kayla reveals that her stepfather, who has a history of alcohol use disorder, has been physically abusive toward her on several occasions. She describes an incident that occurred a week ago, saying, “It wasn’t that bad this time, and I handled it.” Kayla begs Jordan not to tell anyone, fearing her stepfather’s reaction and the potential for family separation.
Jordan recognizes her legal obligation as a mandated reporter to report suspected child abuse. However, she is also aware of the potential harm that breaking Kayla’s confidentiality could cause to their therapeutic alliance and Kayla’s emotional well-being.
Discussion Questions
- What are Jordan’s legal and ethical responsibilities as a mandated reporter in this situation?
- How should Jordan communicate her decision to Kayla in a way that preserves trust and minimizes harm to the therapeutic relationship?
- What steps can Jordan take to support Kayla through the mandated reporting process?
- How does the principle of beneficence apply to Jordan’s decision in this case?
- What role does informed consent play in this scenario, and how could it have helped prepare Kayla for this situation?
- How can Jordan balance her responsibilities to protect Kayla with her ethical obligation to respect Kayla’s autonomy?
- What strategies can Jordan use to advocate for Kayla’s safety and well-being after making the report?
- How might cultural or systemic factors influence Jordan’s approach to this situation?
- How could consulting with a supervisor or legal advisor assist Jordan in making an informed decision?
- What lessons can be drawn from this case about the importance of discussing confidentiality and mandated reporting with clients early in the counseling relationship?