Pediatrics in Review
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(Pediatrics in Review. 2009;30:457-459. doi:10.1542/10.1542/pir.30-11-457)
© 2009 American Academy of Pediatrics
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In Brief

Adolescent Consent and Confidentiality

The first 20% of the full text of this article appears below.

Confidential Health Care for Adolescents: Position Paper of the Society for Adolescent Medicine. Ford C, English A, Sigman G. J Adolesc Health. 2005;35 :160 –167

Achieving Quality Health Services for Adolescents. AAP Committee on Adolescence. Pediatrics. 2008;121 :1263 –1270[Abstract/Free Full Text]

An Overview of Minor’ Consent Law. Guttmacher Institute State Policies in Brief. New York, NY: Guttmacher Institute. 2008. Available at: http://www.guttmacher.org/statecenter/spibs/spib_OMCL.pdf

Influence of Physician Confidentiality Assurances on Adolescents’ Willingness to Disclose Information and Seek Future Health Care: A Randomized Controlled Trial. Ford CA, Millstein SG, Halpern-Felsher BL, Irwin CE. JAMA. 1997;278 :1029 –1034[Abstract/Free Full Text]

Adolescent Reproductive Health Education Program. Providing Confidential Reproductive Health Services to Minors. New York, NY: Physicians for Reproductive Choice and Health; 2008. Available upon registration at: http://www.prch.org/assets/library/65_confidentialservices08.ppt

As children become adolescents, one of the most important aspects of their medical care is providing developmentally appropriate confidential care and navigating the changing relationship with parents and guardians. Pediatricians and other clinicians who care for adolescents (defined by the Society for Adolescent Medicine as youth ages 10 to 25 years) should understand why and when to provide confidential care, the limits on confidentiality, and strategies to facilitate obtaining confidential information while encouraging parent-child communication and the continuing involvement of parents and guardians in the care of adolescents.

Essential to obtaining accurate information about an adolescent's behaviors, confidentiality in the health-care setting is developmentally appropriate and is endorsed by expert opinion, including that of the American Academy of Pediatrics, the Society for Adolescent Medicine, and myriad other national medical organizations. Although confidentiality is particularly important in the area of reproductive health, providing adolescents opportunities for private discussion with clinicians on . . . [Full Text of this Article]


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