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26 April 2010

How therapists can avoid liability claims

The UK is now a very litigous society. The combination of 'no win, no fee' lawyers and an increased pubic understanding of the rights and responsibilities of organisations they do business with means that claims are on the rise and likely to remain a serious worry for many practitioners.

This means that professional liability insurance is now an absolute must for anyone offering therapy in any guise

"This means that professional liability insurance is now an absolute must for anyone offering therapy in any guise."

This means that professional liability insurance is now an absolute must for anyone offering therapy in any guise. And while therapists are by no means the group most likely to be sued, there are unfortunate instances where claims are made. And the consequences of any claim can be severe.

Towergate Professional Risks, which offers specialist liability insurance for therapists, has come up with research showing where claims are most likely and gives tips on how therapists can mitigate the risks.

Incorrect advice or treatment given: According to Towergate, this is the most common category of allegation made against a therapist. Compensation is sought from the therapist after their client's claim to have suffered, financially and/or emotionally, as a result of receiving inappropriate treatment or treatments that made them feel worse. Clients can sue for a number of reasons, including physical injury or emotional distress, as well as financial loss (due to inability to work).
The simplest thing therapists can do to help avoid this type of claim is to make absolutely sure you communicate well with your client at every stage, to ‘manage their expectations’. This should include:

  • Making it clear at the outset what the treatment will entail. Give them a chance to ask questions and warn them of any unusual risks.
  • Advise them how likely the treatment is to succeed.
  • Make sure that, if you carry out any new or different treatments, you discuss these thoroughly with the client beforehand.
  • Keep notes of every session, explaining what treatment was given on what dates. Record these notes promptly, while the details are fresh in your mind.

Physical injuries: While therapists face unique challenges, they are also vulnerable to some of the same everyday risks faced by any business. For example, if a client were to sustain physical injuries while visiting your premises, they could hold you liable. Claims of this type are easily avoidable, but do still happen. It’s vital that you keep your premises safe, tidy and uncluttered. If you rent your premises, be sure to let your landlord know if any part of the property requires maintenance.
If a claim were to be made against you, it could help you to defend the claim if you have photographs illustrating the scene of any accident. Keeping an accident book with the time, date and circumstances of any incidents, will ensure you are well prepared for any claim against you. Most business stationers will sell a basic accident book.

Breach of copyright: Surprisingly, breach of copyright is frequently the cause of litigation for therapists. If you use any photography on your website or promotional materials, be very careful to ensure that it is not subject to any copyright agreements. It’s easy to copy and paste images that you find online without thinking, but if there is a rightful owner of those images, they will have the law on their side if you use their images without permission.
Similarly, with text and promotional copy, you should only ever display your own intellectual property in the public domain, especially if you wish to use it in a commercial context.

Breach of confidentiality: Although most therapists are fully aware of the need for client confidentiality, liability insurance providers do often have to pay out damages for therapists who have unintentionally breached their client’s confidentiality.
This typically happens when a client recommends one of their friends to you. They might, quite innocently, ask how you are getting on with their friend and what progress you are making with them.
Of course, even though both clients know one another, your sessions should always be treated as confidential. If a client should ask, simply say as little as possible and explain politely that your sessions are confidential.

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