Adolescent confidentiality

Question 1

Federal law allows minors to receive what services without parental consent?

Answer 1

Family planning

Question 2

Where can teens receive family planning services without parental consent?

Answer 2

Title X funded clinics and Medicaid providers

Question 3

How is minor consent for specific services mandated?

Answer 3

By each state

Question 4

Most states allow minors to consent to what services?

Answer 4

Contraceptive, STI tx, pregnancy testing, substance abuse, mental health issues

Question 5

Some states also allow teens to consent to?

Answer 5

Abortion, vaccines and other mental health services

Question 6

There are separate laws for “mature minors”- what does mature minor mean?

Answer 6

HS grads
Those in the military
Married
Minors not living with parents
Emancipated minors
Pregnant/ parent minors

Question 7

What consent is allowed in all states?

Answer 7

STI testing age can vary from 14-16

Question 8

If you can’t get parental consent what are your options?

Answer 8

Send to no consent state

Court order

Question 9

Where is the most risk for confidentiality breaches with minors?

Answer 9

Billing, when EOB is mailed to the home with diagnosis code and tests ordered (worse with private insurers)

Question 10

What should providers educate teens AND PARENTS about?

Answer 10

The meaning, importance, and limits of confidential care

Question 11

When can you not maintian confidentiality?

Answer 11

If minor is going to hurt themselves or others
Physical or sexual abuse
STI reporting
Suicide/ homicide risk

Question 12

When dealig with teens confidentiality some considerations may include?

Answer 12

Emotional vs physical age
cognitive and psychosocial developement
previos family interaction
Policies
Laws
HIPPA