Psychosocial Assessment

Adolescent Confidentiality Issues & Patient Rights

Providers must understand and be able to effectively communicate--with both patients and parents--the confidentiality and access-to-care rights that apply to minors in their localities. Confidentiality concerns are one of the most significant barriers preventing many adolescents from accessing health care services.14 Many young people fear that disclosure of sensitive information to parents or guardians may negatively impact family relationships, result in punitive actions, or cause personal or family embarrassment.

To assure adolescents that it is safe for them to be forthcoming, providers should:

• Explain their policies related to confidentiality in the presence of both the adolescent and parents or guardians.
• Inform adolescent patients that the same courtesy of confidentiality is extended to their parents or guardians.
• Encourage young people to share sensitive information with a responsible adult, preferably a family member.
• Assure parents and guardians that you are working with them to ensure the health of their children and will be proactive in promoting difficult conversations.

It is important to become familiar with local statutes regarding the types of services that are available to minors without parental consent. Along with your confidentiality policy, this information should be explained to both adolescents and their parents or guardians.

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References

14. Akinbami LJ, Gandhi H, Cheng TL. Availability of adolescent health services and confidentiality in primary care practices. Pediatrics. 2003 Feb;111(2):394-401.