But now even this grim perk has been undermined by corporate prying, according to a letter drafted by a group of about a dozen Austin moderators who work across Facebook and Instagram. The letter alleges that, starting in early July, Accenture managers attempted to pressure multiple on-site counselors to share information relating to topics discussed in employee trauma sessions. This information was understood by both counselors and Accenture employees to be confidential, said several Accenture sources interviewed by The Intercept. It is not clear what specific information related to the sessions was sought by the managers.

Facebook moderators, who spoke to The Intercept on the condition of anonymity fearing workplace reprisal, said a therapist — or “wellness coach,” as they’re known internally — refused to discuss a moderator’s session with Accenture management and later resigned over the incident.

Accenture’s Austin operation has a history of dissent: Its contractors have previously expressed workplace grievances on an internal company-wide Facebook message board known as Workplace. A May report from the Washington Post described how Austin moderators organized and published complaints over a starting wage of $16.50 an hour, which left some moderators working side jobs like driving for Uber “to make ends meet.” The article noted that thousands of employees had viewed or commented on posts on Workplace complaining over issues like “micromanagement, pay cuts and inadequate counseling support.”

Facebook’s Austin moderators spoke out again earlier this month, posting to Workplace a letter detailing the confidentiality concerns related to the Accenture counseling program, known as WeCare, which provides licensed “wellness coaches” to the company’s content screeners. The Workplace letter calls the alleged pressuring of workplace therapists “at best a careless breach of trust into the Wellness program and, at worst, an ethics and possible legal violation,” and “no longer an isolated incident but a systemic top-down problem plaguing Accenture management.”

The full letter, obtained by The Intercept, is below. We have removed specific references to Accenture managers who have not been contacted for comment.

[email protected] Complaint

I’m sharing the following on behalf of coworkers who wish to remain anonymous.

Please consider the following an official complaint to [email protected]

It has come to our attention that an Accenture [manager] pressured a WeCare licensed counselor to divulge the contents of their session with an Accenture employee. The counselor refused, stating confidentiality concerns, but the [manager] pressed on by stating that because this was not a clinical setting, confidentiality did not exist. The counselor again refused. This pressuring of a licensed counselor to divulge confidential information is at best a careless breach of trust into the Wellness program and, at worst, an ethics and possible legal violation.

Before we continue, we must unequivocally state that confidentiality does exist for these sessions. Because these counselors are licensed and required to keep confidentiality in their personal practices, there is an expectation of privacy prior to engagement. In order for that confidentiality to not exist, the patient must sign a confidentiality and HIPAA waiver prior to any sessions having taken place. The receiver of the care must be made fully aware that there is no confidentiality. Neither Facebook, Accenture, nor WeCare can remove confidentiality post facto from any previous session. If these entities wish for confidentiality to cease to exist in these sessions, they must have every single person utilizing these resources to sign a waiver. However, forcing us to sign away our confidentiality could open all counselors to losing their license due to ethics diligence set out by their governing boards. It could be very difficult for WeCare to run a multi-million dollar business contracting to Facebook if their counselors begin to fear losing their licenses AND workers stop utilizing this resource due to lack of confidentiality. Facebook, Accenture, and WeCare may try to feign ignorance or implement common liability limiting language in their response. We hope all parties do not succumb to these common and repeated trends, and instead do what is right instead of what you are legally allowed to get away with.

In order for workers to feel safe when divulging information to these counselors, we are requesting the following:

[Accenture] Manger: The manager who pressed the counselor for confidential medical information must be removed from the project immediately. To do any less would be Facebook, Accenture, and WeCare condoning breaches in medical confidentiality. Allowing the pressuring of a licensed counselor into committing an act [that] could strip the counselor of their credentials must be addressed swiftly.

Affirm Confidentiality: Facebook must affirm that wellness interactions with WeCare counselors and Wellness Champs have been and always will be confidential within the necessary safety reporting standards. To do any less would throw the validity of all wellness interactions into question, make it impossible for WeCare to deliver care, and most importantly would open all licensed counselors to losing their licenses and possible litigation for delivering counseling under false pretenses of confidentiality. Anything less than clinical confidentiality will lead to HIPAA violations by all parties.

Restructure Wellness Program: Any and all changes to the wellness program will be negotiated by and announced by WeCare and their [Facebook account manager] signing off on it. Any changes made to wellness procedures outside this chain of command will be unenforceable and seen as vendors overreaching their authority.

Before Facebook, Accenture, and WeCare launch their independent investigations into these claims against the [manager], we would like to thank everyone involved for their due diligence in this matter.

Since the beginning of writing this letter we became aware that [a different manager] that the above [manager] reports to is now pressuring these counselors to divulge more confidential information. This is no longer an isolated incident but a systemic top-down problem plaguing Accenture management. This must be addressed as soon as possible. Unless all entities involved address this issue properly and swiftly, they will open themselves up to a plethora of HIPAA violations that are incredibly financially punitive. Until FB affirms confidentiality has always and will always exist in those sessions we implore everyone to stop utilizing the licensed wellness counselors. If Accenture management is trying to use WeCare to gather information on workers, we as workers cannot in good faith trust that anything we say to a licensed counselor could not then be used to have us terminated.

If you would like to work with us in our efforts to ensure wellness confidentiality, the integrity of the wellness program, and the general wellbeing of [contingent workers], please send an email to [REDACTED].