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Therapeutic Confidentiality and the Provision of Psychological ...

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16 (DoH/WO, 1999, para 31.6). 5 It is widely recognised <strong>and</strong> applied in<br />

<strong>the</strong> context <strong>of</strong> providing medical <strong>and</strong> psychological services for children<br />

in <strong>the</strong> healthcare sector 2, 11 .<br />

Children's rights or parental rights?<br />

Some agencies, such as Brook, base <strong>the</strong>ir practice firmly on <strong>the</strong>ir<br />

underst<strong>and</strong>ing <strong>of</strong> <strong>the</strong> Gillick principle. O<strong>the</strong>r agencies, particularly those<br />

working in schools, adopt a much more cautious approach, citing <strong>the</strong><br />

need to work in partnership with parents, as well as with children. One<br />

principle wheeled out to endorse this practice in a school setting is <strong>the</strong><br />

concept <strong>of</strong> being in loco parentis. This is an archaic piece <strong>of</strong> Victorian<br />

case law, dating from <strong>the</strong> last century, which requires school teachers to<br />

care for <strong>the</strong>ir pupils as would a 'careful fa<strong>the</strong>r', a principle adapted by<br />

degrees to 'careful parent' in subsequent case law. The concept carries a<br />

strong subliminal suggestion that, in acting for parents, schools should<br />

be mindful <strong>of</strong> parents' wishes <strong>and</strong> concerns. Offering a child-centred<br />

counselling service for young people without specifying a need for prior<br />

parental consent could be seen to run counter to this approach. In one<br />

version <strong>of</strong> <strong>the</strong> argument, parents have rights as well -including a right to<br />

family privacy <strong>and</strong> a right to be involved in decisions about <strong>the</strong>ir children.<br />

Providing confidential counselling to children without parental agreement<br />

would surely <strong>the</strong>n count as a major infringement <strong>of</strong> <strong>the</strong> rights <strong>of</strong> <strong>the</strong><br />

parents, to say <strong>the</strong> very least, according to this view.<br />

This argument is persuasive, but mistaken. Case law has shown that<br />

parents do not, in fact, have a strong case in claiming an infringement <strong>of</strong><br />

<strong>the</strong>ir parental rights by organisations such as Social Services. Under <strong>the</strong><br />

Children Act 1989, <strong>the</strong> concept <strong>of</strong> 'parental rights' has been decisively<br />

displaced by that <strong>of</strong> 'parental responsibility'. This is a set <strong>of</strong> powers <strong>and</strong><br />

duties which can be determined by <strong>the</strong> courts, <strong>and</strong>, for example, can be<br />

acquired in this way by a key figure in a child's life, such as a<br />

gr<strong>and</strong>parent. The emphasis carried by this concept is much more on <strong>the</strong><br />

41

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