Generally, the program may not say to a person outside the program that a client attends the program, or disclose any information identifying a client as an alcohol or drug abuser unless:
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The client consents in writing; OR
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The disclosure is allowed by a court order; OR
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The disclosure is made to medical personnel in a medical emergency or to qualified personnel for research, audit, or program evaluations; OR
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The client commits or threatens to commit a crime either at the program or against any person who works for the program.
Violation of the Federal law and regulations by a program is a crime. Suspected violations may be reported to the United States Attorney in the district where the violation occurs.
Federal law and regulations do not protect any information about suspected child abuse or neglect from being reported under state law to appropriate state or local authorities.
For additional information on confidentiality see:
42 U.S.C. §§ 290dd-22 for Federal laws and 42 C.F.R. Part 2 for Federal regulations,
http://www.access.gpo.gov/nara/cfr/waisidx_02/42cfr2_02.html,
and http://ecfr.gpoaccess.gov/cgi/t/t who ext/text-idx?c=ecfr&tpl=/ecfrbrowse/Title42/42cfr2_main_02.tpl.
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