She is so misunderstood- - - (Ms Duley resurfaces)

[FormerOstrich]

Well, if this was her attempt to clarify and tie up the loose ends for us, there are as many holes in this as there was her other statements (just less shrill).

emphasis and comments are mine

On the morning of July 10, Jean C. Duley decided she had a phone call to make. She had agonized all night. Her counseling client, Bruce E. Ivins, had announced in a group therapy session the evening before that he was a suspect in the 2001 anthrax investigation and had a plan to kill his co-workers.

From her desk at Comprehensive Counseling Associates in Frederick, Duley called the Frederick Police Department to report Ivins's threats.
....

"Everyone thinks I was complicit with the FBI," Duley said in an interview Friday. "The FBI didn't tell me anything." No? They didn't tell you anything? Nothing about five capital murders? What about the Grand Jury? Nothing?
.....

Duley, 45, appeared exhausted and tearful Friday as she sat in the Towson, Md., office of her attorney, Kathleen Cahill, drinking 7-Eleven coffee, clutching tissue and telling her story for the first time. She would not discuss any aspect of her professional relationship with Ivins, citing patient confidentiality. ....

Duley would discuss only the wrenching decision to override patient confidentiality and report Ivins to law enforcement, a move that brought her into a sprawling FBI investigation cloaked in secrecy and surveillance.

"I care about every single one of my clients," Duley said. "They are humans, no matter what they do. All I was trying to do was the right thing. I was just trying to do my job."

Duley is not a psychiatrist, a psychologist or even a social worker; in the highly stratified world of mental health, she is an addictions counselor who earns $20 an hour. Why was it her that reported him? Why did she not report everything to her employer and they take appropriate action? Are additions counselor's bound by client/patient privilege?
....

Duley said she was trembling as she sat on a bench outside the clerk's office completing the form. In hastily scribbled handwriting, Duley wrote, "Client has a history dating to his graduate days of homicidal threats, actions, plans, threats & actions towards therapist." Hey! The woman must read the internets and know what we were saying. Plus, I still have my little chuckle that all the homicidal threats and action aren't against the population at large but THERIPISTS (they spell checked for her)

She said she asked her attorney if the hearing could be held in closed chambers. "Believe it or not, even with all this, I was still trying to protect Bruce's anonymity," Duley said. I think she is explaining how ethical and right she is
....

In January, Duley was hired by Comprehensive Counseling Associates in Frederick to launch a program that used the drug suboxone to treat people addicted to painkillers. She would not describe her interaction with Ivins, but during the restraining-order hearing she said she saw him once a week for group therapy and every other week on an individual basis. Why was he in her group? Was he addicted to pain killers? If so, what were they initially prescribed for?
....

The psychiatrist who owns Comprehensive Counseling Associates, Allan Levy, refused to comment on the case, according to his attorney, J. Eric Rhoades.

Duley said she no longer works at the clinic; she would not discuss her reasons for leaving.
Could it be her employer interpreted things less pro-FBI
......

Duley said she thought about attending Ivins's memorial service last week at Fort Detrick. "It's complicated," Yes, it is! she said, her eyes filling with tears. But she stayed away.

I edited out the part of where she was so fearful of Ivins she had been sleeping on the couch so she could be aware. Later they report about her going into hiding from the media. So she apparently was more frightened of the media than the mass murderer.

http://www.washingtonpost.com/wp-dyn/content/article/2008/08/09/AR2008080902108_3.html?hpid=moreheadlines

[Jackpine Radical]

1. Addictions counselors are bound by confidentiality rules.

Those rules state (as a result of court decisions such as Tarasoff) that the professional has an absolute duty to warn and/or protect any person or persons who are subjects of a credible threat made by a patient.

To restate it: Therapists are mandated to break confidentiality under certain circumstances. One of those circumstances is where the patient makes a credible threat to harm him/herself or others. Believe me, I know. I have made those reports, and I have directed therapists under my supervision to make such reports.

[FormerOstrich]

2. Thanks for the info....

Would therapists under your supervision submit such reports without your involvement? Would the decision to report the conversation be yours or the therapists?

[Jackpine Radical]

3. They have the responsibility to report.

They would typically consult with me to make sure of where they stand.

Reporting laws vary slightly from one state to another, but I know of no jurisdictions without some form of the law.

[Supersedeas]

8. aren't confidentiality rules waived when uttered in the presence of 3rd parties

[Jackpine Radical]

14. I don't have an immediate answer to that.

Certainly the third person, unless he/she is a professional, is not covered by confidentiality. But could a court, for example, force a therapist to testify about something that was said in the presence of a thrid person? I don't know--never thought about it, never had an example like that surface in any training or real situation. If I were subpoenaed under such circumstances, I would seek advice from an ethicist. And a lawyer.

[TahitiNut]

16. Like group sessions.

:shrug:

[LiberalHeart]

4. So why wasn't the protective order ever served???? n/t

[FormerOstrich]

5. For reasons that are unclear.....

Yes, isn't that a juicy tidbit!

[FormerOstrich]

6. If no one else....

will, I guess I'll do it one more time...

:kick:

[EFerrari]

7. Self justification. I hope Ms. Duley is spending a lot of time

at meetings.

[UTUSN]

9. I'll do the Big #5 kickaroo!1 n/t

[bleever]

10. Keeeeep talking.

The hole just keeps getting deeper.

K&R.

[BrklynLiberal]

11. This person sounds like she needs some psychological treatment...

Why does this conflict so basically with the reports from Ivin's family and co-workers?
Very weird stuff.

[AllentownJake]

12. I saw a therapist after my dad died and some other life situations

The first thing she said to me is everything is confidential unless

1) I tell her I'm about to hurt myself or another person
2) There is any abuse of minors

If these situations were reported by me she had a duty to contact authorities and have me either committed or arrested.

That wasn't an issue nor the reason I was seeing her however, it was told to me at the beginning of my therapy session.

[autorank]

13. Kick - Interesting part of that article...

It says that another counselor, speaking not for attribution, confirmed her mental health judgments of Ivins.

"Ivins's psychiatric problems and homicidal threats predated Duley, according to a counselor who saw Ivins for four or five sessions in 2000 at the same Frederick clinic. In an interview with The Post last week, the counselor, who spoke on the condition of anonymity, said that the scientist was obsessed with a young woman and had "mixed poison" that he brought when he went to watch her play a soccer game. The counselor contacted the Frederick police but was told that unless Ivins had provided the full name of his intended victim, there was little that could be done." (from the W. Post link above)

OK so here we've got another person who was supposed to have a confidential relationship with Ivins. This one just spoke to the Post. Since Ivins' right to privacy survives his death and since this anonymous source is not in danger to justify breaking confidentiality, WE CAN ASSUME that he/she is a highly unreliable source. Why wouldn't the Post point this out? If this is a real source, how much should we believe, given the violation of the confidentiality requirements?

[suffragette]

17. And their supervisor still won't comment on any of it

"The psychiatrist who owns Comprehensive Counseling Associates, Allan Levy, refused to comment on the case, according to his attorney, J. Eric Rhoades."

You'd think that Duley or the other counselor would have gone to him at some point and that he'd verify that or at least verify their competency, but he ain't talkin'.

[Supersedeas]

15. So calmly rationally and with considerable thought, she reported Ivins--so then why

was she such a basket case that this 'professional' could barely fill-out the Complaint.

[Robb]

18. Very interesting.

I'd like to know why she isn't with the counseling group any more.