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Published byMoses Wilcox Modified over 9 years ago
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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 Access Parental 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 sbhc.program@state.or.ussbhc.program@state.or.us -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 sarah.ramowski@state.or.us Thank You!!
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