Shhhhhh
Mandated
SI
The Elephant in the room
IRobot
100

"This technique allows clients space to reflect, process emotions, or continue speaking without interruption."

"What is therapeutic silence?"

100

"Counselors are legally required to report when they suspect this regarding a minor or vulnerable adult."

"What is abuse or neglect?"

100

"The first step when a client reports suicidal ideation is to conduct this."

"What is a suicide risk assessment?"

100

"Cultural humility emphasizes this over cultural competence."

"What is lifelong learning and self-reflection?"

100

"This law protects the privacy of client health information and governs its disclosure."

"What is the Health Insurance Portability and Accountability Act (HIPAA)?"

200

"Silence can be particularly helpful during this phase of therapy to encourage deeper self-exploration."

"What is the processing or insight phase?"

200

"Mandatory reporting laws are regulated at this level of government in the United States."

"What is the state level?"

200

"This evidence-based approach is commonly used to evaluate the severity of suicidal ideation."

"What is the Columbia-Suicide Severity Rating Scale (C-SSRS)?"

200

"Counselors practicing cultural humility must prioritize this with clients from diverse backgrounds."

"What is collaboration?"

200

"This standard within HIPAA outlines safeguards for electronically stored client information."

"What is the Security Rule?"

300

"A counselor should break silence when it becomes this for the client."

"What is uncomfortable or counterproductive?"

300

"Counselors should inform clients about mandatory reporting during this part of the therapeutic process."

"What is the informed consent process?"

300

"A counselor may breach confidentiality if a client poses this to themselves or others."

"What is imminent danger?"

300

"Cultural humility involves recognizing and addressing these within the counselor-client relationship."

"What are power dynamics or power imbalances?"

300

"Using this technology in counseling requires ensuring data encryption, secure storage, and client informed consent."

"What is artificial intelligence (AI)?"

400

"Silence may be misinterpreted as this if a counselor doesn’t use non-verbal cues effectively."

"What is judgment or disengagement?"

400

"Failure to report suspected abuse or neglect may result in these professional consequences for counselors."

"What are legal penalties and ethical violations?"

400

"When assessing SI, these three factors are critical: plan, means, and this."

"What is intent?"

400

"This term refers to the recognition of systemic injustices and the effort to advocate for marginalized clients."

"What is social justice advocacy?"

400

"HIPAA requires this type of agreement when a third-party AI tool processes protected health information (PHI)."

"What is a Business Associate Agreement (BAA)?"

500

"This specific theoretical orientation often emphasizes the use of silence as a way to allow unconscious material to surface."

"What is psychodynamic or psychoanalytic therapy?"

500

"Counselors are not required to investigate suspicions of abuse but must instead report to this entity."

"What is Child Protective Services (CPS) or the appropriate local authority?"

500

"This safety strategy involves collaboratively identifying warning signs, coping strategies, and emergency contacts."

"What is a safety plan?"

500

"This practice involves ongoing personal accountability for biases and assumptions in therapy."

"What is self-awareness?"

500

"This ethical principle is key when integrating AI tools, ensuring clients understand risks and benefits."

"What is informed consent?"