Doctor and Patient Confidentiality for Teens and Adolescents

From the time babies are born, new parents are present in the room while children are seen by pediatricians. As children reach their teenage years, either the child or the doctor will ask the parents to remain in the waiting room during the examination. For many parents, this transition can feel unsettling.

There's a good reason for this separation, however. Once children have reached the teen years, they are old enough to be afforded a degree of doctor-patient confidentiality. The only way this can be achieved is through private consultations and examinations.

It's helpful to understand your rights regarding doctor-patient confidentiality and care for teens and adolescents, whether you're the child or the parent. Also, when you're in need of a new health insurance policy, a local independent insurance agent can help you get coverage fast. But first, here's a guide to what you should know about doctor and patient confidentiality when it comes to teen and adolescent care.

What Doctors Can't Tell Parents

Laws regarding how much information can be kept from parents differ from state to state, and different doctors' offices may have different policies regarding this matter. For the most part, however, pediatricians will keep several things confidential, and with good reason.

Can Doctors Tell Parents If Their Teen Is Sexually Active?

Many teens are sexually active but may not feel comfortable letting their parents know. Teens who are engaging in sexual activity may be at risk for sexually transmitted diseases or other health risks. When teens can speak honestly with their doctors about this subject, they can receive STD testing and medical advice and can discuss birth control options. 

A doctor's responsibility is to ensure that your child has the best preventive care possible. The pediatrician is likely to counsel your child to have a frank conversation with you about sexual matters, but cannot require it. Unless the doctor believes there is an immediate threat to your child's safety or someone else's due to their sexual activity, they cannot disclose any information about their sexual activity and will keep these details private.

Can Doctors Tell Parents If Their Teen Smokes, Drinks, or Uses Other Drugs?

No parent wants to hear that their child is drinking alcohol or using other drugs, and few teens would be willing to admit it. However, it's sometimes crucial that pediatricians are aware of any drug or alcohol use. Some medications that may be prescribed can be dangerous if used in conjunction with certain drugs, and many health problems may be caused by substance abuse. 

It's necessary that your child’s doctor learns all the facts and can properly diagnose and treat your child. The doctor will likely recommend that your child speak with you about these issues, but may not tell you about them unless serious physical danger could result.

Can Doctors Tell Parents About Their Teen's Mental Health?

Teens who are suffering from depression or anxiety issues may not feel comfortable discussing this with or around their parents. In fact, a high percentage of adolescents state that they would not seek care for issues related to depression if they were required to notify their parents. 

Doctors need to be able to speak frankly with patients about situations that may be affecting their mental health. As a result, doctors cannot disclose information about teens' and adolescents' mental health unless it poses an immediate threat.

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When Can Doctors Speak to Parents?

If a teen is exhibiting problems or behavior that can be interpreted as dangerous, it's the doctor’s duty to inform the parents. The decision about whether or not to inform parents is usually left up to the doctor, though some states have specific laws or guidelines that dictate when disclosure is required. 

If the doctor suspects that the problems originate in the home and that the child is in danger, authorities may be notified. Here are some examples of instances where the doctor may breach the teen’s confidentiality.

Doctors Can Talk to Parents About HIV/AIDS

In most cases, testing for the presence of HIV antibodies is done confidentially. However, if test results are positive for this disease, the decision to notify parents can be a tricky one. 

Some states require that physicians notify parents only if the teen is under the age of 16, while others may require disclosure for any minor. Still, others mandate that the doctor maintain the teen’s confidentiality. In all cases, your pediatrician is likely to encourage your child to speak with you about this diagnosis.

Doctors Can Talk to Parents About Contraception

In 1977, the U.S. Supreme Court decreed that adolescents under age 18 have a right to confidentiality regarding contraception. However, fewer than half of the states in the U.S. uphold this right. 

Some states require that parents be notified about contraceptive measures administered by doctors, while others enable teens to receive this treatment or medication confidentially. You will need to speak with your child’s doctor to learn the policies practiced in their particular offices.

Doctors Can Talk to Parents About Abortion

Again, this matter is dictated by state law. Many states require parental notification if a minor is seeking an abortion, but the Supreme Court has ordered that, if such a law exists, there must be a way that this notification can be bypassed (known as a "judicial bypass procedure") if a teen can show that abortion is in their best interest and that notifying parents could be dangerous.

Doctors Can Talk to Parents About Severe Mental Health Issues

If teens exhibit signs of severe emotional and mental health problems, are at risk for suicide, or can endanger those around them, the treating physicians have a duty to notify parents. If the doctor suspects that these issues may stem from major problems within the home, authorities may be called to investigate the child’s living conditions.

Learn More By Speaking with Your Child’s Doctor

Because confidentiality agreements can vary from state to state and office to office, it's important that you request a copy of the privacy policies in the doctor’s office. Your teen or adolescent child should also be aware of these policies. A teen who understands that disclosing important but personal information to the doctor will be kept confidential is most likely to receive appropriate treatment and preventive care.

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An Independent Insurance Agent Can Help You Find the Right Health Insurance

When you need health insurance coverage for any member of your family, no one's better equipped to help than a local independent insurance agent. These agents have access to multiple health insurance providers near you and can shop and compare policies and quotes for you. And down the road, your agent can help file claims for you and update your coverage as necessary.