Therapy records at public schools and universities don’t have the same privacy protections

Your privacy at risk

Source: 23/365: Eye Spy

I believe people receiving mental health care need to be fully informed about how their privacy might be protected or not protected. And one are which I believe every student needs to be aware of is that therapy records at public schools and universities don’t have the same privacy protections as those handled by private therapists and private clinics.  Under certain conditions, schools can legally release your counseling to parties that may not have your best interests in mind.  In the worst possible situation, they may even use these records against students.. Schools permitted to do this include, at the very minimum, public universities and public school systems.

This loophole came to light two years ago when a state university accessed a student’s personal therapy records to use in defense of a lawsuit the student herself filed against the university. They did so over the objections of the student’s therapist and the senior staff therapist.  The student’s lawsuit alleged that the university mishandled her rape case. The school even filed a counter-claim, seeking to have the student’s lawsuit dismissed as frivolous and recover legal fees from the student or her attorneys. Ultimately, the University withdrew the counter-claim.

The scary part is that current law allows universities to access student medical records under certain conditions, and one of them is when a student sues the university.   This is because HIPAA, which prohibits the unauthorized sharing of medical records, does not apply to student medical records at universities. Instead this area is covered by FERPA, a much older law related to education records, which has not been updated since the 1970s.

Often, mental health services at universities are the only affordable option for students. I can say that the quality of mental health services that I accessed through the two universities I attended was mixed–some of it was very good and some of it was shockingly substandard.  This, of course, is not necessarily different from the range of the quality of services to be found in the private sector.

I would strongly recommend that students do as much research as they can on university mental health programs and their alternatives. Many universities have reacted to the negative publicity generated by the University of Oregon case by clarifying their own internal policies and procedures regarding the privacy of student therapy.  Students should ask tough questions as to how records are protected and when they can be accessed.  Students should also try to find out as much about the counseling department within their university as possible.  Does there tend to be a long waiting list? Has there been high staff turnover in the department? What resources are available to a student in an emergency. Weakness in these areas could be warning signs that a student might not receive the best mental health care possible.

Many college towns will often have independent therapists wanting to work with students. Many are often willing to offer more affordable fees than what would normally be available to the general public.  Bulletin boards on and off campuses often have ads of counselors looking for new clients. Such therapists also should be subject to scrutiny as well–which is a topic I will cover in a subsequent post.

1,012 words describing the mental health profession’s biggest problem

Some blog posts write themselves.  This is one of them.

A picture is worth a thousand words.  This one has twelve more thrown in for good measure. I can’t think of a better visual to describe a nagging problem widespread in the mental health profession.

I found this advert on Facebook for an organization that offers continuing education to psychotherapists and social workers.  I’ve chosen to omit the name of the organization that ran this ad, despite the obvious temptation to mercilessly ridicule them.

But it’s no laughing matter. There are many therapists and clinicians that think the way this ad does.  There are many social service agencies that treat their clients this way.  I have seen such clinicians and agencies. And I refuse to work for them.

Social worker training has gone to the dogs

The Humble Psychotherapist

You will notice that I have chosen the title “Humble Psychotherapist” for my professional title. There’s a reason for this.

Initially, I didn’t like the title “Psychotherapist.”  Maybe we can blame the 1960 movie “Psycho” and the horrible (though unfortunately tame by today’s standards) shower scene that the movie made famous. I was born after 1960, and I don’t know if the word “psycho” was used to describe somebody as “crazy” or “dangerous” prior to that movie, but it was well established in the vernacular by the time I was in grade school.

To me, and other people I spoke with (let’s call them my “informal focus group”) the title “psychotherapist” felt rather cold and clinical.  The title did not sound like it would easily facilitate warm, open communication that I consider critical to helping people through their issues.

At the same time, I didn’t want to use the word “counselor.”  While counseling is a big part of what I do, I was also well aware that not everyone with the word “counselor” in their title had the same extensive training that I had.

As an intern, I used the word “Therapist.”  That seemed to be a common sense decision at the time.  When I was growing up. if someone made the suggestion to “go see a therapist,” we always knew that meant seeing someone who specializes in mental health. But I’ve discovered in the last few years that whenever I’ve told people that I was a therapist, people would ask “what kind of therapist?”  I realized that for many people, the world “therapy” could also imply physical therapy.

So I began to consider the title of “psychotherapist” once again.  The Wisconsin State Statutes that govern my profession uses the word “psychotherapy,” and specifies exactly under what circumstances I can practice psychotherapy, And with the experience I’d accumulated since I began practicing psychotherapy, one of the things I realized was that people often want to know that the clinician they are working with is a competent professional, with years of study and field practice under their belt.

Realizing that the word “psychotherapist” could produce both positive and negative impressions, I decided to use the word “Psychotherapist,” but modify it with the word “Humble.”  Being a Humble Psychotherapist means that I am credentialed and professional, but I’m also very approachable.  Humble means listening before speaking. Humble means that you, as the client, have a say as to how we will work together and that the therapy room is a judgment-free zone.

So yes, “Humble Psychotherapist” is an unusual title, but I consider it to be the best description of the services I offer you.