California Law and Ethics Practice Exam

When a client's HMO requests information, what should the therapist do first?

1. Immediately provide all requested information

2. Inform the client about the request from the HMO

3. Contact the HMO for clarification

4. Ignore the request if it seems intrusive

The correct answer is: Inform the client about the request from the HMO

When a client's Health Maintenance Organization (HMO) requests information, the therapist should first inform the client about the request. This step is crucial because it respects the client's autonomy and confidentiality. The therapist has an ethical obligation to keep the client informed about who is requesting their personal information and for what purpose. Informing the client allows them the opportunity to understand the situation, express any concerns, and potentially consent to the sharing of their information. This transparency fosters trust in the therapeutic relationship and ensures that the client is actively involved in decisions regarding their personal data. Moreover, it aligns with legal and ethical guidelines surrounding client confidentiality, especially in managed care contexts. Engaging the client in this process prepares them for any potential implications of sharing their information, and it might also provide the therapist with insights on how the client wishes to proceed. The appropriate handling of HMO requests is pivotal to maintaining the ethical standards of practice in mental health.