Download - Minor Consent & Confidentiality in SBHCs
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Minor Consent & Confidentiality in
SBHCs
OSBHCN Conference
October 10, 2008
Sarah Ramowski
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Purpose
• Learn from each other…successes & failures
• Ask lots of questions!
• Give SPO input, but we are here to facilitate conversation among you all
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Outline
• Overview of Statutes…what they say, what they don’t, what is fuzzy
• State Program Office policies to help you
• Panelist Questions
• Audience Q&A and Discussion
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Statute: Age of Consent
• Any Age – Treatment for venereal diseases (ORS
109.610)
– Birth control information & services (109.640)
• Age 14– Mental health or substance use diagnosis
& treatment (109.675)
• Age 15– Any other medical or dental treatment
(109.640)
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Statute: Confidentiality
• All Health Care Services except Mental Health (109.650)
– Providers may disclose minors’ information to parents, but are not obligated to do so
• Clinical Judgment is Key!
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Statute: MH Confidentiality
• ORS 109.675 (2)– Parents should be involved unless
they refuse or “clear clinical contraindications to the contrary”
• ORS 675.580 & 675.765– LCSWs & LPCs (and their employees) will
not disclose client communication without permission (exceptions for abuse, threat to self or others, or obtaining other assistance for client)
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Statute: Provider Type & Consent/Confidentiality• Reproductive health/family
planning– Provider type not specified
• Mental Health– MD, psychologist, NP, social worker,
community mental health worker
• Other Health Services– Physician or dentist
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What about Mid-Level Providers?• Mid-level providers not really
covered by statute
• Mental health is exception
• SBHC/District policy is important
• Expected that age of consent will be followed across the board
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Consent for Services vs. SBHC AccessParental consent to access SBHC
vs.
Minor consent for receiving health care services
SPO has policy flowchart to help guide you
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Progress & Next Steps
Today
- Write down questions/comments for us
Future
- Email [email protected]
- Webinar 12/9 on HIPAA/FERPA
- SPO to put out guidance memo & get additional clarification
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On To the Panel…
• Coos County– Shannon Weybright– Ingrid Tyson
• Washington County– Kathleen O’Leary
• Ashland– Judy Blickenstaff
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Contact Information
Sarah Ramowski
Adolescent Health Policy Specialist
(971) 673-0377
Thank You!!