423 Women MEMO OF UNDERSTANDING
I understand that every attempt will be made to guard my anonymity and confidentiality in this group, but that it cannot be absolutely guaranteed in a group setting.
I realize that confidentiality is sometimes broken accidentally and without malice.
I understand that the group leader is morally and ethically obligated to discuss with me if she observes any of the following behaviors, and this may lead to the breaking and/or perhaps intervention:
I communicate anything that may be interpreted as a threat to self-inflicted physical harm.
I communicate an intention to harm another person.
I reveal ongoing sexual or physical abuse.
I exhibit an impaired mental state.
I reveal that I am sexually involved with a minor.
I reveal that I am involved with the abuse of a minor, elderly person, and/or disabled person.
I have been advised that the consequences for communicating the above types of information may include reports that will be made to the proper authorities – the police, suicide units, and services to children and families, as well as to any potential victims. I further accept that if I am on probation and/or parole and I engage in wrongful behavior in violation of my parole/probation, part of my healing/recovery may include the need to notify the appropriate authorities.
I understand that this is a Christ-centred group, which integrates recovery tools with the Bible and prayer, and that all members may not be of my particular church background. I realize that the Bible may be discussed more (or less) than I would like it to be.
I realize that this is a support group, not a therapy group. I understand that the group leader is qualified by "life experience," and not by professional training as a therapist. The leaders' role in this group is to create a climate where healing may occur, to support my personal work toward recovery, and to share her own experience, strength, and hope.
Form adapted from “Memo of Understanding,” Pure Desire Ministries Intl. www.puredesire.org. Last revised 3/23/2017.