4: Peds Confidentiality

Question 1

Federal law allows minors to receive family planning services without parents consent at what locations?

Answer 1

• Title X funded family planning clinics
• Medicaid providers

Question 2

Most states allow minors to consent to what services?

Answer 2

• Contraception
• STI treatment
• Pregnancy testing
• Substance abuse
• Mental health issues

Question 3

Which specific minors have separate laws?

Answer 3

1. Mature minors
2. High school grads
3. Military members
4. Married
5. Minors living separately from parents
6. Legally emancipated minors
7. Pregnant or parent minors

Question 4

All states allow at least 1 and some states allow all 4 of these sensitive services.

Answer 4

1. Family planning
2. STI screening and treatment
3. Outpatient mental health treatment
4. Substance abuse treatment

Question 5

Minor consent for STD services is allowed in all states but age varies from _____.

Answer 5

Minor consent for STD services is allowed in all states but age varies from 14-16 yo.

Question 6

If a minor requires an abortion and your state does not allow it without parental consent, what are your options?

Answer 6

• In some cases you can suggest the minor seek care in another state.
• If parental consent is not attainable some states allow judicial order and consent through the court system.

Question 7

Why could sensitive services lead to underbilling?

Answer 7

• Billing practices may violate patient confidentiality.
• Billers may mail out statements that have services rendered.

Question 8

T/F Providers should educate both parents and minors about the meaning, importance, and limits of confidential care.

Answer 8

True

Question 9

T/F Providers should support communication between minors and caregivers but involvement of parents is not required.

Answer 9

True

Question 10

In what 3 situations is it to break confidentiality with minors?

Answer 10

• Physical or sexual abuse.
• Suspected risk of suicide or homicide.
• STI reporting.