Under what condition can a professional break confidentiality of a peer client?

Confidentiality is a fundamental principle in peer support and mental health services, promoting trust and open communication between clients and professionals. However, there are specific circumstances where breaking confidentiality is permitted, primarily to protect the safety of individuals.

When imminent danger exists to self or others, the professional has a legal and ethical obligation to intervene to prevent harm. This may include situations where a client expresses intent to harm themselves or poses a threat to others. In these instances, protecting life takes precedence over maintaining confidentiality. The professional must balance the right to privacy with the responsibility to ensure safety, and it is crucial that they act as soon as they recognize a clear and immediate threat.

Other scenarios, such as a client requesting the release of information or dissatisfaction with services, do not meet the same level of urgency or risk that justifies breaking confidentiality. Consulting with colleagues may also involve sharing information, but it typically does not warrant breaking confidentiality without the client’s consent, unless there is an immediate risk involved. Thus, the correct answer reflects the critical role of safety in the decision-making process regarding confidentiality.