Julie Girl

Annie, a recently divorced 40-year-old minister, and her 14-year-old daughter, Julie, are self-referred. Anne complains that Julie stays out past curfew and "sneaks" her 17-year-old boyfriend into the house. Annie states, "It's tough enough to raise a daughter alone. I can't even get her to go to school." Julie says, "You and your religion make a big deal out of everything. Just back off!" After the session, Julie calls the therapist and reports that she is two months pregnant and is considering having an abortion. Julie asks that her mother not be told about the pregnancy.

1. How should the therapist clinically manage the crisis of Julie's pregnancy as described in this case?

A. Maintain Julie's confidentiality;
Refer Julie to a physician;
Obtain a release from Julie to speak with her physician.

B. Include mother in treatment;
Refer Julie to a physician;
Obtain a release from Julie to speak with her physician.

C. Maintain Julie's confidentiality;
Refer Julie to a physician for prenatal care; Work toward disclosure of pregnancy to mother.

D. Obtain consent to treat minor;
Include boyfriend in treatment;
Refer Julie to a physician for prenatal care

2. What legal obligations does the therapist have in this case?

A. Obtain consent from Anne to treat minor if seeing mother and daughter together; Obtain releases for medical provider from Julie if seen alone for pregnancy;
Assert privilege for Julie if mother asks for records; File report with a child protective services agency.

B. Obtain a consent from Anne to see Julie individually regarding pregnancy;
Obtain releases from Anne if seeing mother and daughter together;
Negotiate a fee with Julie if seen individually for the pregnancy;
Assert privilege for Julie if mother asks for records.

C. Obtain releases for medical provider from Julie if seen alone for pregnancy; Obtain releases from Anne if seeing mother and daughter together;
Maintain Julie's confidentiality regarding the phone call;
Determine need for consent to treat a minor.

D. Obtain releases for medical provider from Julie if seen alone for pregnancy;
Maintain Julie's confidentiality regarding the phone call;
File report with a child protective services agency; Determine need for consent to treat a minor.

 

 

 

Correct Answers: I-A, 2-C