Power of attorney versus guardianship
Power of attorney – chosen by individual
Guardianship – ordered by the court
Power of attorney – appoint someone to make decisions regarding finances and legal matters
Guardianship – someone is appointed to manage a person’s affairs – with understanding that person can’t manage them themselves
Court order/subpoena
Court order: directive issued by Judge requiring actions be taken
Subpoena: legal document requesting information or requiring someone to present themselves in court
On exam – “next or first“ thing to do following receipt of a court order or subpoena is notify client
If issued a court order, do what the judge says
If issued a subpoena, you must comply. However, if subpoena is a request for records – and comes from a lawyer, you can assert privilege. You then only need to discuss the specific information asked for – not everything in your records.
If the subpoena is a request for you to appear in court – you have to go – no asserting privilege 
If you receive a court order or subpoena
Consult with a lawyer
Verify the subpoena’s legitimacy. Sometimes lawyers will issue subpoenas that aren’t legal.
Assess scope of request. For court orders, only release info requested. Per subpoena, you may have the option to assert privilege – if issued by lawyer – to protect some information in your records.
Minor consent law in Hawaii
At 14 years or older, minor can consent to outpatient mental health services without knowledge or participation of their parents or guardians. This must be done in consultation and agreement with a licensed therapist.