Confidentiality is Essential for Teen Health Care

Teen years are certainly uncomfortable times for parents. One  very uncomfortable time in parenting your teen is when you  are asked to leave the exam room so that the doctor or nurse  practitioner can talk to your child “privately”. What will your  child and the clinician talk about? Will they talk about you?  Will they tell you afterwards? Is this really necessary? After  all, your daughter and you have a very “open” relationship!!

Step back for a minute and think about your teen for a moment.  As hard as it is to be a parent of a teen, think how hard it  is to be a teenager today. Does TV and the news media give  teens good models to follow? Do movies provide good morals to  follow? Of course your parenting and your modeling of behavior  may be stellar. But can you trust that your child has not been  influenced otherwise? Could there be an advantage for your teen  to have a confidential relationship with a trusted adult? The  answer is yes!

Having a professional clinician have private time with your  child provides a moment for your teen to be free to express  their concerns. I have had hundreds of experiences in the office where a mother tells me how “good” her daughter is  and then her daughter tells me privately about her sexual  activity. No, mothers do not always know! In these experiences  I am able to help the teen confidentially get protection from  STD’s and pregnancy. (Few people realize that all methods of  contraception – birth control pills, Depo-Provera shots, nova  rings, diaphragms, IUD’s etc. are safer medically for teens than  pregnancy. Teen pregnancy has many health risks.)

Without confidential care, teens are on their own. Condoms and  other over the counter birth control may be used, if they buy them! STD’s go uncared for and give greater health problems over time. And the risk of pregnancy grows higher than when teens have access to a confidential visit with a clinician.

Parents should encourage their teens to have a private time  with their doctor or nurse practitioner. If your doctor doesn’t offer a confidential time – ask for it. If you have a  doctor that won’t offer confidential care for your teen, change  doctors. If your town has a school clinic, encourage your child  to go there to have a relationship with the clinician for when  his or her need arises.

Communities need to be open to having Department of Public  Health clinics and other health clinics provide teenagers access  to confidential care. Clinicians who are afraid to see teens  privately, shouldn’t see teenagers. Clinicians also need to  be educated in the Mature Minor laws that allow them to treat  teenagers without parental consent.

Nationally, teen pregnancy rates are on the decline. However,  there are communities north of Boston such as Gloucester  and Lawrence that have an increasing rate of teen pregnancy.  Parents and clinicians and clinics need to be aware of this  problem in these areas. School committees should be open to  their school clinics providing the full breadth of confidential  health care and treatment that teens need. Open access to  confidential health care for teens is perhaps the only way that  these local epidemics will disappear.

Teenage years are scary times for parents. Having a trusted  health care provider look out for your teen is one way to make  the pressures of teen years a little bit easier for you. After  all, you won’t have to be the only adult to worry and care for  your teen. Your clinician will too!