1.   As a case manager when it comes your confidentiality with information from

1.   As a case manager when it comes your confidentiality with information from a client it is quite important in your course of work with this individual. When you have a client,  it is important to build trust and maintaining confidentiality at all times makes ur client aware that you are someone they can trust with any situation they would like to discuss. After reading the material given it is found that sometime client confidentiality needs to be broken when an individual discussing “harming themselves or others or if the client has been neglected or abused or reports neglect or abuse of others.” Confidentiality and privileged information. (2015). In Reamer, F. G. (2015). Risk Management insocial work: Preventing professional malpractice, liability, and disciplinary action (Vol. [Updated edition], pp. 23-85). Columbia University Press. However, it is found too that in certain cases it is okay for case managers to maintain confidentiality as well. A case manager in settings like doing documentation, staffing/ consultations, and or working under supervision if they wanted to disclose information about their client it is said they have to make their client aware as well. Additionally did you know, “Sometimes the case manager needs information about the client from other agencies or institutions. It is important for the case manager to obtain written consent from the client to receive this information. The client may also have to provide a written consent to release the information to the agency or institution holding the information.” Confidentiality and privileged information. (2015). In Reamer, F. G. (2015). Risk Management insocial work: Preventing professional malpractice, liability, and disciplinary action (Vol. [Updated edition], pp. 23-85). Columbia University Press. An example I would like to include of when is a good time to break confidentiality is a real life scenario, it was when my client had made me aware that she was going to run away and she was a victim of DMST. For those that don’t know what DMST is this is basically a short term for children being involved with sex trafficking. Instantly the minute she told me she was gonna run away. I went to my program manager and made her aware that she was planning to leave the house before dinner and that a grown man was going to pick her up. At this time, my client was mad at me because she ended up finding out that I had told my program manager. But I was thinking more about for her safety because she already Had been involved with being raped and having other sexual traumas happen to her. to me, this invades the confidentiality that we had due to the fact that she only trust me to make me aware that she was planning on leaving, but that didn’t matter to me because I was thinking about her safety and at the end of the day, client safety is more important than keeping a friendship. And this field of work you have to set boundaries and make the client aware that you’re not telling them to get them in trouble but more so to protect them from intimate danger that can happen upon them. my manager, Manager had a immediately applaud me for making her aware that she was planning on leaving and set protocols were monitored the doors outside of the house, as well as the window in her room every 15 minutes to make sure that she was still in the home. Around 8 o’clock, I was made aware that the man that planned on picking her up arrives in the front of the house I immediately called 911. I made them aware of what was going on and let them know that he was planning on taking her somewhere to do. God knows what. I was on the phone with the cops. She began to scream. She hated me and she wished that she never told me because now I’m being extra in her words. I Let her know it wasn’t that I was being extra, I just cared about her too much to see her get hurt or not be able to see her at all. I praised her all the work that she did the program and made her aware that I didn’t want anyone to set her back. You should honor your client’s wishes as much as possible, unless there is a legal or ethical reason to do otherwise. Lastly, I wanted to discuss documentation that helps support keeping a clients confidentiality. When we first took in a patient as an intake in our shelter, we had them fill out numerous amounts of documents, and these documents a HIPAA form was included their information was confidential, as well as a release form in order to obtain information on them from other facilities. This documentation now only helps keep the privacy of the patient as well as we get to learn more about the patient from obtaining their information from previous facilities and knowing how to go forth with treatment. In conclusion, this is why it’s important to keep confidentiality with your client as well as breaking confidentiality when need be. 
2.  Granting clients confidentiality may be appropriate is these type of situations:
Clients have a right to privacy and confidentiality (e.g., HIPPA, atoorney-client priveledge).
Disclosure would cause harm or stigma (e.g., revealing sensitive personal information).
Clients have explicitly consented to confidentiality.
Information is sensitive or personal (e.g., sexual orientation, religious beliefs).
Confidentiality is essential for building trust and effective working relationships (e.g., therapy, counseling).
Some situations where confidentiality may not be appropriate would be:
Legal or ethical obligations require disclosure (e.g., mandatory reporting of child or elder abuse, court orders).
Serious harm or threat to self or others exists ( e.g., suicidal intentions, violent behavior).
Confidentiality would compromise public safety or national security.
Client consent is not informed or voluntary.
Disclosure is necessary for treatment or service ( e.g., sharing information with healthcare providers)