Are there exceptions to patient confidentiality in Massachusetts?

In Massachusetts, there are specific exceptions to patient confidentiality that are crucial for psychologists to understand. One of the primary exceptions includes instances involving suspected child abuse, where negligence or harm to a minor is indicated and must be reported to the appropriate authorities. Similarly, if there are indications of elder abuse, professionals are mandated to report to ensure the safety of vulnerable adults.

Additionally, if a patient poses an imminent risk of harm to themselves or others, confidentiality may be breached in order to prevent potential violence or self-harm. These exceptions are structured to prioritize safety and welfare above confidentiality when necessary. Thus, the correct answer reflects the legal obligations that psychologists must follow to protect individuals who may be at risk.

Understanding these exceptions emphasizes the balance that mental health professionals must maintain between maintaining patient confidentiality and fulfilling their legal and ethical obligations to protect individuals and the community from harm.