Journal of Clinical Psychology in Medical Settings

, Volume 25, Issue 3, pp 240–249 | Cite as

Ethics and Confidentiality for Psychologists in Academic Health Centers

  • Kathleen AshtonEmail author
  • Amy Sullivan


Psychologists in academic health centers (AHC) face important ethical issues including confidentiality when working with a multidisciplinary team, sharing of information through the electronic health record, obtaining informed consent in a fast-paced healthcare environment, cultural competency in the medical setting, and issues related to supervision and training. The goal of this paper is to describe ethical issues for psychologists in AHCs in the context of case examples, and to consider ethical decision-making tools to enhance clinical care. Considerations for best practices in integrated care settings will be discussed, and the APA Ethical Standards will be referenced throughout.


Ethics Integrated care Confidentiality Electronic health records Supervision 


Compliance with Ethical Standards

Conflict of interest

The authors Kathleen Ashton and Amy Sullivan declare that they have no conflict of interest.

Human and Animal Rights

All procedures were in accordance with the ethical standards of the institutional research committees and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Cleveland Clinic Lerner College of Medicine, Cleveland Clinic Breast CenterDigestive Disease InstituteClevelandUSA
  2. 2.Cleveland Clinic Lerner College of MedicineCleveland Clinic Mellen CenterClevelandUSA

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