Table of Contents

 

What this is:

This document addresses common questions regarding confidentiality and releases of information. It takes into account the confidentiality and privacy provisions in the Violence Against Women Act (VAWA) and the Family Violence Prevention Services Act (FVPSA), as well as the VAWA regulations at 28 CFR 90.4 and the Victims of Crime Act (VOCA) regulations at 28 CFR §94.115. In analyzing the meaning and application of the confidentiality and privacy provisions of these statutes, their purpose (to protect adult, youth, and child victims of domestic violence, dating violence, sexual assault, or stalking and their families) must be kept at the forefront.

What this is not:

Confidentiality and privilege laws vary from state to state, as do other laws that may be impacted by this legislation. The National Network to End Domestic Violence (NNEDV) is not an expert on individual state laws and does not provide legal advice to VAWA and FVPSA grantees. The analysis below is not intended to be a substitute for local, legal advice from an attorney who is familiar with a particular jurisdiction’s laws related to confidentiality and privilege of victim/victim advocate relationships. If you have specific questions or situations that you wish to discuss further, please feel free to contact us.

In general, this information is intended for advocates employed by nonprofit agencies. Nevertheless, it is also important for other partner agencies and professionals to understand as well. As a partner of a nonprofit agency, when requesting information from another agency, you want to be sure that the information you’re getting has been obtained properly. Furthermore, it is important for partners to understand that nonprofit advocates must abide by certain legal limitations when releasing information.

 

General Principles

  1. U.S. state, territorial and federal laws and regulations apply. Laws may apply differently to different partners who work with survivors. 

  2. An agency cannot require a survivor to provide a release of information in order to receive services. 

  3. Survivors should be notified of what information a program has about them and how their information will be used. 

  4. Releases of information should be client-centered to enhance services provided to the survivor and not for the sole purpose of easing the program’s administration. 

  5. Always consider the most protective privacy option. Before obtaining a release of information, determine whether there is another way to accomplish the purpose without the advocate or agency releasing the survivor’s personally identifying information. 

  6. Releases of information must be written, informed, and reasonably time-limited.

  7. A release of information is required if an agency or advocate is asked by the survivor to release specific pieces of their individual personally identifying information outside of the advocate’s own agency or program. 

  8. A release of information may not be required if there is a court mandate or statutory obligation to report, such as mandatory reporting of suspected child abuse or neglect.

  9. Survivors should be notified (safely) when a release is made under a court mandate or statutory obligation. 

  10. Whenever releasing information about a survivor, programs and advocates should keep in mind the “minimum necessary concept,” meaning that even with a release or mandatory report, share only the information necessary to accomplish the survivor’s purpose or to meet the requirements of the reporting obligation, and only have that release open for the amount of time necessary to meet the survivor’s needs.

 

Basic Release Template

 

Confidentiality & Partnerships

 

Age, Consent, & Guardians

 

Emergencies, Hotlines, and Written Consent

Because VAWA, FVPSA, and VOCA require a written release, oral releases are not recommended and oral releases are not best practice. It is understood that agencies may sometimes advocate for or assist survivors over the phone, and it is encouraged that agencies develop polices and protocols for assessing each situation individually to determine how best to serve a survivor requesting services.

An agency should first determine if a release is needed or if there is another way to meet the survivor’s immediate advocacy needs without the agency releasing personally identifying information. Oftentimes advocates can make calls on behalf of a survivor without releasing any identifying information (for example, inquiring about bed space or available services). Since a survivor can choose to share any of their own information with any agency, using three-way calling to connect the survivor to the other program could be another option.

If a survivor would like a non-profit advocacy program to share identifying information about them with another agency, then VAWA, FVPSA, and VOCA require a written release. It’s important that a release is signed, either over electronic communication or in person. If neither of these options is possible, or if the situation requires timely assistance, an advocate should read through the release on the phone with the survivor, ensure that the survivor fully understands each aspect, and write on the release that the release was read and oral consent was given. It is best practice to have the survivor sign it in person at a later date if possible.

 

Databases & Confidentiality

Waivers are signed for a very specific purpose. They are not to make our lives as advocates easier or to allow us to collect more personally identifying data to analyze or share with others. Each time a victim signs a release of information, they are entrusting you with their personal information, and it is extremely important to avoid using this data in other forms or in other ways. Some organizations use an internal database to keep track of services provided and a release is not needed when limited information is collected, protected, and not shared with parties outside of the agency.

 

Mandated Reporters & Confidentiality

NOTE: If you are a mandated reporter, you should tell the victim up front the scope and limits of your ability to provide confidentiality.

 

Additional Questions

 

This project was supported by Grant No. 2013-TA-AX-K006 awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women.