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When a client expresses concern for their neighbor's strange behavior after a death, what is the therapist's best course of action?

  1. Maintain client's confidentiality.

  2. Encourage the client to make a report to adult protective services.

  3. Request client signs a release prior to contacting adult protective services.

  4. Explain that the therapist must file a report to adult protective services.

The correct answer is: Explain that the therapist must file a report to adult protective services.

The most appropriate course of action when a client expresses concerns about potentially harmful behavior related to another individual, especially after a significant event like a death, is for the therapist to clarify their legal and ethical obligations. In many jurisdictions, mental health professionals are mandated reporters, meaning they are required by law to report suspected abuse, neglect, or exploitation to the appropriate authorities, such as adult protective services. This mandate helps protect vulnerable individuals who may be at risk and ensures that appropriate interventions can be initiated. The therapist's responsibility is to prioritize safety and take necessary actions when there’s credible information that someone's well-being may be compromised. By explaining the duty to file a report, the therapist maintains transparency about their role and obligations, thus fostering trust while upholding ethical standards. In this context, maintaining confidentiality is essential, but it does not take precedence over the duty to protect individuals at risk. Simply encouraging the client to make a report without fully explaining the legal responsibilities may not ensure the necessary action is taken. Requesting a release to contact adult protective services may delay necessary intervention and is not always required when there is a clear obligation to report. Therefore, articulating the therapist’s responsibility to report the concern aligns with ethical practice and legal mandates.