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There are, however, specific exceptions to complete confidentiality.

Many mental health and other professionals will share clients' records (usually leaving out the client's name) with a colleague for the purpose of consultation and supervision.

These are not insignificant questions, and we won't pretend to answer them here.

Many of history's great minds have struggled with them, and have often come up with contradictory answers.

It makes your program more effective; it cements your standing in the community; it allows you to occupy the moral high ground when arguing the merits of your program, and to exercise moral leadership in the community; and it assures that you remain in good standing legally and professionally.

What if your support or activism endangers or compromises your community intervention?It protects both participants and the organization from invasion of privacy, and establishes a bond of trust between the participant and the program.Depending upon the program, the staff member's position, and the participant's needs, confidentiality may encompass a range of possibilities: Most programs not required by law or professional ethics to keep all information confidential do so anyway, both out of moral scruples and to establish trust with their participants.As John Mc Knight points out in The Careless Society: Community and Its Counterfeits, community interventions may in fact sometimes harm participants by substituting for what they really need -- to be part of a real community, to be regarded in terms of their capacities rather than their deficiencies, to have access to a steady source of income.Mc Knight suggests asking some questions before you embark on an intervention: While this is a valuable guideline, it is also difficult to follow.