106. A social worker providing psychotherapy in a mental health agency is concerned about protecting the confidentiality of client records. In order to provide the greatest protection for clients while adhering to best clinical practices, the social worker should: A. Keep all psychotherapy notes in the client file in a secure and locked location B. Take the psychotherapy notes home to ensure that they are only seen by the social worker C. Store the psychotherapy notes in a secure and locked location separate from the client file D. Not keep any documentation, including psychotherapy notes {Ans: C Psychotherapy notes are specifically discussed in the Health Insurance Portability and Accountability Act (HIPAA). The general rule is that a social worker may not disclose psychotherapy notes for any purpose unless a client's authorization is obtained. In order to take advantage of this extra protection afforded to psychotherapy notes, notes must be kept "physically separate" from the rest of a client's record. The term "physically separate" is not defined in the HIPAA rules, so it is not clear if this means in a separate file, a separate file cabinet, or simply in a separate part of the same file as the rest