When discussing confidentiality with potential group members, the group leader should

• A. Explain that he/she can guarantee confidentiality
• B. Explain that he/she cannot guarantee confidentiality
• C. Address issues of broken confidentiality within the group
• D. B and C

Answer: (D)

In group work, confidentiality has practical limits, so the leader should set clear expectations from the start. It’s important to explain that absolute confidentiality cannot be guaranteed because information shared in a group can be heard by others in the room, the dynamics of a group can lead to information spreading unintentionally, and there are legal and ethical exceptions that require disclosure (such as imminent danger, abuse, or harm to self or others). Because of these realities, the most responsible approach is to be upfront about both the limits of confidentiality and how any breaches will be handled.

Discussing how breaches are addressed helps create safety and accountability within the group. It might involve private conversations with the member who disclosed, a discussion with the group about boundaries and consequences, or steps to involve appropriate authorities if required. Establishing a group contract that covers confidentiality, its limits, and the process for handling violations provides participants with a realistic understanding of what to expect and how safety will be maintained. This combination—stating that confidentiality cannot be guaranteed and outlining procedures for breaches—best supports trust and ethical practice.