Under what circumstances can substance use information be disclosed?

The correct choice is when a release of information is signed. In behavioral health and substance use treatment, confidentiality is paramount, particularly due to the sensitive nature of substance use information. The sharing of this information is legally regulated by laws such as 42 CFR Part 2, which protects the confidentiality of individuals seeking treatment for substance use disorders.

When a release of information is signed by the client, they are providing explicit consent for their information to be shared with specified individuals or entities. This ensures that the client has control over who has access to their sensitive information and under what circumstances it can be disclosed. This signature must typically indicate the scope and duration of the release to ensure compliance with confidentiality laws.

The other options are limited because they do not adequately protect the client's rights or address the legal requirements regarding the disclosure of substance use information. A mere request from a client isn't sufficient for disclosure without a formal release, and there are specific regulations that must be followed for minors regarding consent and information sharing. Supervisor approval alone does not meet the legal requirements unless it is accompanied by the client's consent.