Mature minors

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JavaScript seems to be disabled in your browser. You must have JavaScript enabled in your browser to utilize the functionality of this website. It is a relatively new legal concept, and as of only a few states such as Arkansas and Nevada have enacted the doctrine into statute.

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Most nurses view obtaining consent and providing treatment as routine. But when the patient is a minor, especially an older child or adolescent, obtaining consent can be anything but routine. How can a nurse know when a minor can grant consent and when consent must come from parents or guardians?

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The AMA should remain committed to efforts to increase vaccination rates, and this resolution should support state legislators to establish policies. The delegates were discussing a resolution from the Michigan delegation, which called for the AMA to supports state policies allowing adolescents to provide their own consent for vaccination and encourages state legislatures to establish comprehensive vaccine and minor consent policies. Our AMA already supports the rights of minors to consent for other treatments such as [for sexually transmitted diseases] or HIV without parental consent, and supports the importance of childhood immunizations, so it's reasonable to extend the support for minors.

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Nqaba Matshazi. The AMA said the prevalence of unvaccinated children was troubling to physicians. With that in mind, the premier national physician organization in the U.

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In Canada, adoption proceedings are governed by provincial or territorial legislation. About half of Canadian jurisdictions deal with adoption proceedings as part of their broader child protection statutes; the other half has specific adoption statutes. Some provinces and territories also have separate legislation governing inter-country adoption.

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The mature minor doctrine is an American rule of law accepting that an unemancipated minor patient may possess the maturity to choose or reject a particular health care treatmentsometimes without the knowledge or agreement of parents, and should be permitted to do so. Jurisdictions may codify an age of medical consent, accept the judgment of licensed providers regarding an individual minor, or accept a formal court decision following a request that a patient be designated a mature minor, or may rely on some combination. For example, patients at least 16 may be assumed to be mature minors for this purpose, [3] patients aged 13 to 15 may be designated so by licensed providers, and pre-teen patients may be so-designated after evaluation by an agency or court.

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Articles in the December issue discuss various health issues affecting school-aged children, including acne, eczema and growth disorders. Volume 40, No. Can children and young people consent to their own medical treatment?

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One of the topics covered in the Infants Act is the health care of children. For more information on the Infants Act, visit www. A child who is assessed by a health care provider as being capable to give consent is called a "mature minor". A health care provider can accept consent from the child and provide the treatment without getting consent from the parent or guardian if the health care provider is sure that the child understands:.

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Get the latest updates on EFC topics and stay connected. In December, the Council of Canadian Academies CCA will report to Parliament on whether to expand access to medical assistance in dying MAID in three major areas: to mature minors, to those with mental illness as the sole underlying medical conditionand by advance directive. The CCA reports will not make recommendations, but the reports will include available evidence on expanded access to MAID in these three areas and consider how the evidence informs our understanding of MAID in the Canadian context.

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Any teenager who can demonstrate competence to consent to or refuse treatment. In the common law, a teenager who demonstrates adequate maturity may choose or reject some forms of care, including contraceptive and pregnancy care, mental health and chemical dependency consultations, and treatments for sexually transmitted diseases. In these instances the consent of the parent or guardian is not necessarily needed. Although the concept of the mature minor recognizes the autonomy of the teen, before care is provided without parental consent health care professionals must be able to obtain evidence of and clearly document both the teen's maturity and his or her understanding of any proposed treatment.

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