What is the first ethical responsibility that a social worker has during a first therapy session with a client?

The first ethical responsibility that a social worker has during a first therapy session with a client is to inform the client about the limits of confidentiality. This is a fundamental ethical principle rooted in the need to create a safe and trusting environment for the client. It is essential for clients to understand how their private information will be handled, including any circumstances under which confidentiality might be breached—such as instances of harm to themselves or others, or when required by law.

By clearly communicating the limits of confidentiality, social workers help clients make informed decisions about what to share, thereby empowering them in the therapeutic process. This foundational step sets the tone for the therapeutic relationship, focusing on transparency and trust, which are critical for effective practice.

The other responsibilities listed, while important in their own contexts, do not have the same precedence as establishing the parameters of confidentiality. Assessing a client's mental health status and developing a referral network are critical steps in the therapeutic process but follow the establishment of trust through clear communication about confidentiality. Similarly, establishing a treatment plan is important but should come after ensuring that the client feels secure in the therapeutic framework.