Confidentiality issues regarding adolescents in healthcare
Ncbi bookshelf a service of the national library of medicine, national institutes of health are there special rules regarding confidentiality for programs operating in the juvenile justice system or for child welfare programs rules for communicating with others about adolescents: common issues. Health care providers play an important role in providing accurate information to adolescents about sexual health issues, including prevention of pregnancy and sexually transmitted infections. The health care provider must attempt to contact the minor’s parent/guardian and note in the minor’s record the day and time of the attempted contact and whether it was successful. To work toward a healthier adolescent population, health care providers must address sensitive issues that impact the physical and emotional health of modern youth it is important for health care providers to be comfortable discussing sensitive issues with adolescents. The circumstances in which adolescents may consent for their own care and the confidentiality laws vary from state to state depending upon the adolescent's status as a minor or adult, the service involved, and the provider's level of concern regarding harm to the patient or others.
Clinicians and health care systems who provide this care have a higher likelihood of being able to effectively address the types of sensitive health issues linked to major causes of morbidity and. Over the past several decades, adolescents have gained many opportunities to receive confidential health care services, particularly for concerns related to sexual activity, pregnancy, hiv and other sexually transmitted diseases (stds), substance abuse and mental health 2 from both a clinical and a public policy perspective, protection of. Editor’s note: this column presents a problematic case that poses a medical-ethical dilemma for patients, families, and healthcare professionalsas it is based on a real case, some details have been omitted in the effort to maintain patient confidentiality in this case, the doctor discusses her experience from the retrospect of the unanswered question. Confidentiality and adolescents’ use of providers for health information and for pelvic examinations archives of pediatric and adolescent medicine , 154 , 885 – 892 [crossref] , [pubmed] , [web of science ®] [google scholar] .
Nurses, other health care providers, and administrative staff should be fully aware of the policy at their place of employment on adolescent confidentiality, and if necessary have a referral system if the services that adolescent patients seek are not offered. Objective: to understand adolescents' preferences for multidimensional aspects of privacy, including psychological, social, and physical, and confidentiality (informational privacy) in the health care setting. Published: mon, 29 jan 2018 sara lan case three confidentiality protection is an essential component of a patient-physician relationship only in a setting of trust can patients feel comfortable sharing personal feelings and sensitive information regarding their health with their health care providers. The circumstances in which adolescents may consent for their own care and in which confidentiality is protected vary from state to state depending upon the adolescent's status as a minor or adult, the service involved, and the provider's level of concern regarding harm to the patient or others.
Indiana case threatens youth confidentiality rights for health care by rebecca gudeman confidentiality, a cornerstone of adolescent health care, may be threatened nationwide by a case now winding its way through indiana’s courts. The ama's guidelines for adolescent preventive services (gaps) recommends that physicians establish policies regarding confidential care for adolescents and parental involvement in that care 25 gaps also recommends that [health] services be tailored to the individual and that information shared by the adolescent during the medical visit. Adolescent confidentiality may present practice challenges for health care providers related to family, medical, ethical, legal, social and bureaucratic processes it is unclear how health care providers understand and practice confidentiality with adolescents in canada in the literature, there has. Confidentiality in the treatment of adolescents beginning with this issue, and continuing every other month, the apa monitor on psychology will feature ethics rounds, in which apa's ethics office will answer questions about the ethical issues psychologists most commonly face.
Given the human and financial cost of adolescent pregnancy, substance abuse, sexually transmitted diseases, depression, and suicide, facilitating teens' use of needed health care is an important priority for our health care system. There are federal and state laws governing the rules regarding privacy, consent, and confidentiality health insurance portability and accountability act (hippa) is a federal regulation requiring physicians to protect the privacy and security of medical records. Their responsibilities regarding duty of confidentiality, duty of care and sharing information risk in many adolescent health care situations legal duties can be conflicting and unclear development to learn about adolescent development, common health issues and. Adolescent confidentiality and electronic health records abstract: confidentiality concerns are heightened during adolescence, and these concerns can be a critical barrier to adolescents in receiving appropriate health care.
Confidentiality issues regarding adolescents in healthcare
Adolescents are entitled the same legal rights to confidentiality as adults, and nurses should ensure that these rights are guaranteed nurses should provide confidential services as appropriate and promote policies in health care settings that protect these services. For children and adolescents, maintaining confidentiality of information from legal guardians cannot be promised this may be more in keeping with ethical guidelines regarding confidentiality in other practice domains confidentiality of mental health information: ethical, legal, and policy issues in mental health: a report of the. Health center providers have presented a multitude of questions regarding minor consent and confidentiality while researching the topics, casbhc came across the california toolkit, which addressed the very same issues providers in colorado were asking about with permission, the original toolkit has been adapted to include colorado specific. Confidentiality in health care is the obligation of the health care provider not to disclose information (english a, legal counsel, center for adolescent health care and the law, past consultant.
Concerns about confidentiality can prevent adolescents from seeking health care , , , adolescents are also more likely to disclose sensitive information and return for follow-up care when health professionals offer explicit assurances of confidentiality . Adolescents and confidentiality: letter from a reader bringing together clinical, legal and ethical perspectives on confidentiality offers both challenges and opportunities in the treatment of adolescents. Objective to understand how iowa law applies to confidentiality and privacy in the provision of health care services to adolescents.
While health care providers regard confidentiality as paramount, the present survey reveals a wide variation of understanding and practice regarding confidential care for adolescents this was revealed in both the qualitative and quantitative data. The national center for children in poverty’s adolescent mental health in the united states fact sheet also explores issues of confidentiality for teens confidentiality is vital among this population when one considers a jama-published study showing that assurances of confidentiality increases adolescents’ willing to disclose sensitive.