What Happens to Confidentiality if the Visitor Refuses to Report Unacceptable Behavior?

Abstract

This article examines a common question frequently posed to organizational ombuds about what they would do if a visitor refuses to report or otherwise act responsibly about a situation that might present a risk of serious harm. It briefly reviews the Code of Ethics on confidentiality, and the concepts of “imminent risk” and serious harm. The article affirms the importance of seeking advice if there is time, without mentioning identities of those involved if that is possible, but being prepared to breach confidentiality if necessary to prevent serious harm. It discusses some options for getting information where it needs to go, on a timely basis, without the ombuds practitioner having to breach confidentiality, and points out that such options usually exist.