What ethical issues may arise in the event of a client’s death

This week, you learned about confidentiality and lethal crisis. Considering this knowledge, review the below case to Tom and then discuss the follow up questions:
Tom lives in a small town with his wife and seven-year-old daughter. He was an excellent high school athlete but instead of going to college, he works as a heavy equipment operator for his father and uncle. He owns a home with a large mortgage next to his parents. Tom begins to drink heavily, drive fast cars, take frequent risks on the highways, get into fights at taverns, come home late at night, and neglect his physical health. He feels remorseful, guilty, depressed, and suicidal following each fight at a tavern. His wife has tried to get him to call a counselor. One night, she walks in to find him preparing to shoot himself in the head. She convinces him to call a volunteer crisis worker. Tom explains that he feels like a nobody with mounting pressure to produce big things for everyone.
Suppose a meeting is called with the crisis center staff and volunteer workers a week after Tom’s call. The purpose of the meeting is to deal with the death of Tom, who shot himself several days after the call, despite the best efforts of the center, support people, and other intervention and referral resources.
What points need to be addressed and what issues need to be brought up at the meeting?
What actions might the center want to take as a result of the experience with Tom?
Consider your ethical obligations regarding client confidentiality,
What ethical issues may arise in the event of a client’s death? How would you address these dilemmas?
If his family contacted your agency requesting information on his clinical record, what is our ethical obligation in this situation?

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