What is the difference between reporting requirements and record keeping?

• A. Reporting is for internal notes; record keeping is for public disclosure.
• B. Reporting requirements address legally mandated disclosures (e.g., abuse, danger), while record keeping documents services, progress, and communications within privacy limits.
• C. They are the same concept.
• D. Record keeping involves legal disclosures.

Answer: (B)

The difference being tested is between mandated disclosures and routine documentation. Reporting requirements are legal obligations to share information with authorities or other entities when specific situations occur, such as suspected abuse, neglect, or imminent danger. These disclosures override confidentiality to protect safety and comply with the law. Record keeping, on the other hand, involves creating and maintaining records of the services provided, the client’s progress, assessments, treatment plans, and communications. These records are kept confidential and are only shared within privacy protections unless the client or law permits disclosure. In practice, you report when required by law, while you document the course of treatment and communications to support ongoing care and accountability within privacy limits.