Failing to maintain adequate client records potentially could lead to a malpractice claim because it breaches the standard of a mental health practitioner.

Failure of record keeping

* General file information
* Documentation of service
* Other information

Three types of record keeping content

Therapists are ethically and legally required to store records in a secure manner and to protect client confidentiality. 

University of Illinois at Urbana-Champaign

* Professional negligence
* Record keeping
* Confidentiality
* Boundary Crossing and violation
* Practical issues

Ethical and legal issues in psychotherapy

Vinay, B., Lakshmi, J., & Math, S. B. (2016). Ethical and legal issues in psychotherapy. In Ethical Issues in Counselling and Psychotherapy Practice (pp. 199-217). Springer, Singapore. https://doi.org/10.1007/978-981-10-1808-4_13

Ethical and Legal Issues in Psychotherapy

Professional negligence occurs when a person improperly performs the duties of that profession, and someone is harmed as a result.

Professional negligence

* Boundary
* Boundary crossings
* Boundary violations

Boundary crossing and violation

Record keeping

Confidentiality is essentially an agreement between a researcher and a participant that the participant's personal information will not be disclosed to others without their explicit consent or an appropriate legal authorization. It is a primary method researchers use to respect participants' privacy, ensuring that any sensitive data collected during a study remains protected and secure.

Confidentiality

* Late to the session
* Cancellation
* Emergency contact
* Interruption of services
* Termination
* Gifts
* Self-disclosure
* Telephone counseling

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