Now, an internal letter has accused Facebook of pressuring its moderators’ onsite trauma counselors to divulge confidential information. Facebook has responded to the accusations, as well as the outsourcing company at the centre of the allegations, although their comments have done little to appease those affected.

Confidentiality Breached

Content moderation for Facebook is a grim job for low pay, sifting through violent, offensive and pornographic material, but contractors do have access to on-site counseling from, as they’re internally known, “wellness coaches.” The open letter accuses a manager from Accenture, the outsourcing company that officially employs the contractors, of pressuring “a WeCare licensed counselor to divulge the contents of their session with an Accenture employee.” When the counselor cited confidentiality, the letter says, the manager argued that confidentiality didn’t exist since it was not a clinical setting. However, confidentiality does apply: The letter notes that every patient needs to sign a confidentiality and HIPAA waiver before their sessions begin. In addition, the manger’s superior to was also found to be pressuring counselors for additional confidential medical information, indicating a systemic issue rather than an isolated one. The Intercept added a lawyer’s opinion that the described incident likely didn’t constitute a HIPAA violation. However, it’s tough to argue with the letter’s point that this is “at best a careless breach of trust into the Wellness program.”

The Life of a Facebook Moderator

The news comes from Facebook Austin, one of many locations where outsourced workers comb through as many as 800 pieces of upsetting and disturbing content each shift in an effort to keep Facebook and Instagram content up to code. These types of individual contractors can annually earn as little as $28,800, The Verge has previously reported. Conditions at the various outsourcing locations are a far cry from the perks of life as a Facebook employee, according to the Verge report, which mentions feces-smeared bathrooms and pubic hairs on desks at a Tampa location, a multi-month bedbug infestation at the Phoenix location, and one Tampa content moderator’s terminal heart attack, which senior management “initially discouraged” workers from discussing due to fears of lowered productivity. If I was working there, in other words, I’d definitely have a lot to talk over with my wellness coach.

Facebook Responds

Facebook and Accenture have both responded. Facebook’s statement to The Intercept: Accenture took a stronger stance, claiming the letter was wrong: There you have it, folks. Both Facebook and Accenture have stated their intent to put their employees’ needs above all else. We’ll keep you posted if these intentions result in further action. Read more of the latest tech news from Tech.co