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Research ArticleRegular Articles

The Tarasoff Rule: The Implications of Interstate Variation and Gaps in Professional Training

Rebecca Johnson, Govind Persad and Dominic Sisti
Journal of the American Academy of Psychiatry and the Law Online December 2014, 42 (4) 469-477;
Rebecca Johnson
Ms. Johnson is a Research Associate and Dr. Sisti is Program Director, The Scattergood Program for the Applied Ethics of Behavioral Healthcare, Department of Medical Ethics and Health Policy, and Mr. Persad is a visiting scholar, Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
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Govind Persad
Ms. Johnson is a Research Associate and Dr. Sisti is Program Director, The Scattergood Program for the Applied Ethics of Behavioral Healthcare, Department of Medical Ethics and Health Policy, and Mr. Persad is a visiting scholar, Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
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Dominic Sisti
Ms. Johnson is a Research Associate and Dr. Sisti is Program Director, The Scattergood Program for the Applied Ethics of Behavioral Healthcare, Department of Medical Ethics and Health Policy, and Mr. Persad is a visiting scholar, Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
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    Table 1

    Variations in State Policies Related to the Duty to Warn or Protect

    CategoryStates
    States with mandatory duty to warn or protect
        Codified in statuteArizona, California, Colorado, Idaho, Indiana, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, Ohio, Oklahoma, Tennessee, Utah, Virginia, and Washington
        Indicated in common lawAlabama, Delaware, Georgia, Hawaii, Iowa, North Carolina, Pennsylvania, South Carolina, South Dakota, Vermont, and Wisconsin
    States that permit breach of confidentiality in cases of threat*Alaska, Connecticut, District of Columbia, Florida, Illinois, New York, Oregon, Rhode Island, Texas, West Virginia, and Wyoming
    States with no statute/common law guidanceArkansas, Kansas, Maine, Nevada, New Mexico, and North Dakota
    • Created by the authors with data from Edwards5 and updated with the FindLaw database at www.findlaw.com.

    • ↵* States that permit a breach of confidentiality are distinct from those that mandate confidentiality be broken. Permissive states reject Tarasoff and do not place a legal obligation on therapists to issue a warning.

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    Table 2

    Variations in the Health Professionals Covered

    Professionals CoveredStates
    Mental health provider (does not appear to include psychiatrists or unclear)Alaska, Connecticut, Florida, Nebraska, Oklahoma, and Pennsylvania
    Mental health provider (includes psychiatrist, psychologist, clinical social worker, and sometimes associates of those professions)California, Delaware, Louisiana, Maryland, Michigan, Missouri, and New York
    Mental health provider (includes above and physicians who are not necessarily accredited in psychiatry)Alabama, Arizona, Colorado, District of Columbia, Idaho, Illinois, Indiana, Kentucky, Massachusetts, Mississippi, Montana, New Jersey, Ohio, Oregon, Rhode Island, Tennessee, Utah, Virginia, Washington, and Wyoming
    Not specified or unclearGeorgia, Hawaii, Iowa, New Mexico, North Carolina, South Carolina, South Dakota, Texas, Vermont, West Virginia, Wisconsin
    Physician (does not appear to include other mental health providers)New Hampshire
    Duty not applicableArkansas, Kansas, Maine, Nevada, New Mexico, North Dakota, Virginia,
    • Created by the authors with data from Edwards5 and updated with the FindLaw database, available at www.findlaw.com.

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Journal of the American Academy of Psychiatry and the Law Online: 42 (4)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 42, Issue 4
1 Dec 2014
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The Tarasoff Rule: The Implications of Interstate Variation and Gaps in Professional Training
Rebecca Johnson, Govind Persad, Dominic Sisti
Journal of the American Academy of Psychiatry and the Law Online Dec 2014, 42 (4) 469-477;

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The Tarasoff Rule: The Implications of Interstate Variation and Gaps in Professional Training
Rebecca Johnson, Govind Persad, Dominic Sisti
Journal of the American Academy of Psychiatry and the Law Online Dec 2014, 42 (4) 469-477;
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