The author discusses the issues surrounding the maintenance of client records on agency computers, reporting the results of a survey of 48 microcomputer-using private nonprofit agencies with regard to their policies and procedures for maintaining the security, privacy, and confidentiality of client records. Results indicated that three-fourths of agencies were maintaining client information on computers, and the vast majority stored this information with client-identifying data. Most agencies had procedures for checking the accuracy of their records, securing their records against unwarranted inspection, and maintaining backup records. Although all agencies had information-release forms, types of forms varied. With few exceptions, agencies are not yet utilizing computer telecommunications and multiagency information networks to share records. Implications for agency record keeping are discussed.
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References
1.
BearJ. (1985). Computer wimp.Berkeley, CA: Ten Speed Press.
2.
BoydL. H.ClarkM., & HansonS. P. (1980). A worker centered information system: A laboratory study. Evaluation Review, 4(5), 637–644.
3.
DeWittP. E. (1987, July 6). Don't tread on my data. Time, p. 84.
4.
FinnJ. (1988). Microcomputers in private, nonprofit agencies: A survey of trends and training requirements. Social Work Research and Abstracts, 24(1), 10–14.
5.
FreedA. (1978). Client's rights and casework records. Social Casework, 59, 458–464.
6.
Geiss, G. R., & Viswanathan, N. (Eds.). (1986). The human edge.New York: Haworth Press.
7.
HaleM. S., & DeL'AuneW. (1983). Microcomputer use of a consultation-liaison service. Psychosomatics, 24, 1003–1007, 1011,1015.
8.
HedlundJ. L.ViewegB. W., & ChoDoug W. (1985). General information systems and clinical documentation. Computers in Human Services, 1(1), 3–34.
9.
HelmsD. J. (1975). A guide to the new federal rules governing the confidentiality of alcohol and drug abuse patient records. Contemporary Drug Problems, 4(3), 259–283.
10.
HillerM. D., & SeidelL. F. (1982). Patient care management systems, medical records, and privacy: A balancing act. Public Health Reports, 97(4), 332–345.
11.
JohnsonS. (1987, September). Nonprofit and public service telecomputing. Paper presented at the First International Human Service Information Technology Applications Conference, Birmingham, England.
12.
KagleJ. D. (1984). Social work records.Homewood, IL: Dorsey Press.
13.
KelleyV. R., & WestonH. B. (1974). Civil liberties in mental health facilities. Social Work, 19, 48–54.
14.
LaMandolaW. (1985). The future of human service information technology: An essay on the number 42. Computers in Human Services, 1(1), 35–49.
15.
LargeP. (1984). The micro revolution revisited.Totowa, NJ: Rowman & Allanheld.
16.
LodgsonT. (1985). Computers today and tomorrow: The microcomputer explosion.Rockville, MD: Computer Science Press.
17.
NobleJ. H.Jr. (1971). Protecting the public's privacy in computerized health and welfare information systems. Social Work, 16, 35–41.
18.
NyeS. G. (1976, December). Model law on confidentiality of health and social service information, Appendix B, Confidentiality of health and social service records: Where law, ethics, and clinical issues meet. Proceedings of the Second Midwest Regional Conference (pp. 260–282). Chicago: University of Illinois at Chicago Circle.
19.
PardeckJ. T., & MurphyJ. W. (1986). Microcomputer technology in clinical social work practice: Benefits and problems. Arete, 11(1), 35–43.
20.
PhillipsD. (1986). Microcomputers as aids to social work practice. In HoborinG., & MontgomeryS. (Eds.), New Information Technology in Management and Practice (pp. 123–134). London: Logan Page.
21.
Privacy Protection Study Commission. (1977). Personal privacy in an information society.Washington, DC: U.S. Government Printing Office.
22.
QuinnR. E. (1976). The impacts of a computerized information system on the integration and coordination of human services. Public Administration Review, 36, 166–175.
23.
RammD., & GianturcoD. T. (1973). Computers and technology: Aiding tomorrow's aged. Gerontologist, 13, 322–326.
24.
ReamerF. G. (1986). Use of modern technology in social work: Ethical dilemmas. Social Work, 31, 469–472.
25.
SavageJ. E.MagidsonS., & SteinA. M. (1986). The mystical machine: Ideas and issues in computing.Reading, MA: Addison-Wesley.
26.
SchoechD. J. (1979). A microcomputer based human service information system. Administration in Social Work, 3, 423–440.
27.
SchwartzM. D. (1984). Using computers in clinical practice: Psychotherapy and mental health applications.New York: Haworth Press.
28.
SullivanR. J. (1980). Human services in computerized social services. Child Welfare, 59, 401–407.
29.
TaylorJ. B. (1981). Using microcomputers in social agencies.Beverly Hills, CA: Sage Publications.
30.
WareW. H. (1984). Information systems: Security and privacy. Communications of the ACM, 27, 315–321.
31.
WestinA. F. (1968). Privacy and freedom.New York: Atheneum.
32.
WilsonS. (1978). Confidentiality in social work: Issues and principles.New York: Free Press.
