Birches Health Group Therapy Guidelines & Confidentiality

Group therapy works best when everyone feels safe, respected, and able to speak openly. These guidelines explain what to expect and how everyone can help protect the privacy and safety of the group.

Privacy & Confidentiality

What you share in group therapy is private. Birches Health and your group therapist follow federal and state privacy laws, including HIPAA.

There are some situations when your therapist may need to share information, such as:

  • If there is a serious concern that you may hurt yourself or someone else

  • If there is suspected abuse or neglect of a child, older adult, or dependent adult

  • If disclosure is required by law

  • When information is needed for your care, clinical supervision, or quality review

Because other clients are part of the group, Birches Health cannot guarantee that everything shared by group members will stay private. Everyone has a responsibility to protect each other’s privacy.

When taking part in group, please:

  • Keep the names, personal information, and stories of other group members private

  • Do not record, photograph, or take screenshots of any part of the group

  • Join from a private place where others cannot see or hear the session

During Group

To help make the group a safe and supportive space:

  • Treat others with respect

  • Allow others time to speak

  • Avoid judgmental, shaming, or discriminatory comments

  • Respect that people may have different experiences and views

  • Keep your camera on unless you have made other arrangements with the group therapist

Your group therapist may redirect or pause a discussion when needed to help keep the group safe and focused.

Attendance

Some groups have the same members for a set number of sessions. These are called closed groups. Regular attendance is expected. If you need to miss a session, please let your group therapist know ahead of time when possible.

Other groups are open groups, which means clients can join individual sessions. Regular attendance is not required.

Your group therapist will let you know which type of group you are joining.

Safety & Emergencies

Group therapy is not an emergency or crisis service. If you are in immediate danger or think you may hurt yourself or someone else, seek emergency or crisis support instead of waiting for a group session.

If a safety concern comes up during group, your therapist may take steps to help keep you or others safe.

Following Group Guidelines

These guidelines are part of taking part in Birches Health group therapy. If a group member does not follow them or behaves in a way that is unsafe or disruptive, the therapist may address the concern with the client. In some cases, the client may be asked to stop attending the group.