Consent and Confidentiality

CONFIDENTIALITY LAWS

Learning Objectives:

1. ​Recognize the health rights and implications of HIPAA on the care of adolescents- reproductive health and psychiatric care per state
2. Describe what evaluation and treatment can be offered confidentially in your state
3. Discuss how EMR and patient access to records affects confidentiality and adolescents accessing health care

1. Guttmacher Institute, State Policies in Brief. 
   • An Overview of Minors Consent Laws
   • State Policies on Teens
2. Society for Adolescent Health and Medicine, YP20 section on Confidentiality in Health care. 

1. Society for Adolescent Health and Medicine Position Papers and Statements: Confidentiality and Ethical Issues Working with Adolescents
   • Confidentiality Protections for Adolescents and Young Adults in the Health Care Billing and Insurance Claims Process – February 2016
   • Recommendations for Electronic Health Record Use for Delivery of Adolescent Health Care – April 2014 
   • Confidential Health Care for Adolescents – August 2004
2. English A, Ford C. Adolescent health, confidentiality in healthcare, and communication with parents. Journal of Pediatrics 2018; 199:11-13. 
3. Levine SB. Adolescent consent and confidentiality. Pediatr Rev 2009;30(11):457-9.
4. Association of Women’s Health, Obstetric and Neonatal Nurses.  Confidentiality in Adolescent Health Care: AWHONN Position Statement.  Journal of Obstetric, Gynecologic and Neonatal Nursing. 2017; 46:899-890. 

Online Resources:

1. ​The Center for Adolescent Health & the Law

PediCases: http://pedicases.org/archives/index.html 

1. Middle Adolescent Health Screening: But All My Friends Do It

• Emergency department
• Inpatient and outpatient settings