Health care and your teenage child
As your child matures she’ll become more responsible for different parts of her life, including her health care. It might be tricky to find a balance between guiding your child’s health care needs and encouraging her to be independent.
The balance will keep changing too. The health care guidance your child needs at 12-14 years will be different from what he needs when he’s 15-17 years or 18-19 years.
While your child is still in early adolescence, it can be a good idea for her to see the GP alone for part of a consultation. Together you and your child can work out when the time is right for her to start developing independence in this part of her life.
Consent to health care treatment: your child’s rights
As your child matures, health professionals like GPs, specialists, psychologists, physiotherapists and dentists will start taking into account your child’s opinions and ability to make independent health care decisions. In fact, the law recognises that teenagers become more able to make health care decisions as they move towards adulthood.
In Australia parents and teenagers both have rights to consent to a teenage child’s treatment.
Your child’s rights around 14-16 years
At around 14 years, young people can consent to simple health care treatments without involving parents or guardians. This means your teenage child can start making decisions by himself and for himself, if health professionals believe he can understand:
- the health problem
- the consequences of treatment choices
- any potential risks from procedures or interventions.
Your child’s rights from 16 years
From the age of 16 years, your child can consent to medical and dental treatment with the same authority as an adult. But she doesn’t have an automatic right to refuse medical treatment, particularly life-saving treatment.
Your rights as a parent
As a parent, you have rights in relation to your child’s treatment. Parents or health professionals can mount a legal challenge if a teenage child has refused medical treatment in life-threatening circumstances.
If the legal position of consent isn’t clear, or if there is a dispute about treatment, the court can make a decision based on the ‘best interests’ of the child.
Health professionals will encourage your teenage child to talk to you. You’ll always be contacted if a health professional thinks your child isn’t mature enough to consent to his own treatment.
In general, when your child is 18 years old she’s considered to have full legal capacity to give consent to and refuse medical treatment.
Confidentiality in health care: your child’s rights
Confidentiality means keeping health and personal information private and safe. Health information includes things that people and health professionals talk about, and things that professionals write in computer files or on paper, as well as treatment details.
In most situations, doctors and other health professionals can’t tell anybody else – including you – what your child tells them during a consultation, unless your child says that it’s OK. Sometimes health professionals ask patients to sign a consent form before they contact or talk with family or other professionals.
Confidentiality is a legal requirement for doctors and other health professionals, but confidentiality may be broken.
Health professionals may break your child’s confidentiality if they believe that your child is:
- at risk of seriously harming or killing himself
- being seriously harmed, or at risk of being seriously harmed
- seriously harming someone else or at risk of seriously harming someone else.
Confidentiality may also be broken for legal reasons like a court subpoena or other statutory requirements like child protection. This would only happen in very serious cases.
Where possible health professionals will talk with your child about breaking confidentiality beforehand, to explain what they’ll share, who they’ll tell and why.
Confidentiality is one of the biggest concerns for teenagers. If they feel that confidentiality might be broken, it can stop them from seeking help.
Private time with health professionals can help teenagers feel confident to talk about personal issues. It can also build trust between health professionals and teenagers.
You can help your child feel comfortable about seeking help by respecting her right to privacy and talking about confidentiality.
Your child’s responsibilities in teenage health care
Your child can take responsibility for his own health care by:
- going to appointments on his own
- answering questions and giving information about his health in an open and honest way
- letting health professionals know about changed circumstances that might put his health care at risk
- letting health professionals know if he decides to change or stop treatment
- respecting health care staff and other people using services, and thinking about other people’s rights and needs
- taking an active part in her health care decisions and asking questions if he’s not sure about what’s happening to him
- speaking up when he’s not happy about the care he’s getting so that issues can be dealt with quickly and fairly.
Health records and sharing information
All health professionals keep records of appointments. These records are kept confidentially, and there are laws and guidelines about how they’re shared.
Your child’s My Health Record
Australia has a national electronic My Health Record system. This is a secure, personally controlled online summary of a person’s health information.
From the age of 14 your child can control what goes into this record and who has access to it. The e-Health record allows your child and her doctors, hospitals and other health professionals to view and share her health information.
Sharing your child’s health information
So your child can get the best possible health care, health professionals might need to share information with treatment team members.
Health professionals share information only when it benefits your child’s treatment and care. Professionals will usually ask for your child’s permission to share information. If there are particular things your child doesn’t want to be shared, encourage him to tell health professionals.
In public hospitals relevant health care information can be shared among treating health professionals (without formal consent) when it helps patient care – for example, test results and information about treatments or interventions.
Public hospitals also usually pass on relevant information about treatment to the patient’s GP – for example, information about visits to emergency departments or hospital admissions.
Sharing health information between public and private services or between private health professionals needs your child’s permission.
How teenagers can raise health care concerns
If your child has any concerns about privacy, confidentiality, type of treatment, length of treatment or the way she’s being treated, it’s best if she raises them with the health professional at the time.
If this doesn’t sort out the concern, your child can lodge a complaint through the Australian Health Practitioner Regulation Agency (AHPRA). AHPRA manages the governing boards of many health professions.
Your child can also contact the Australian Healthcare Complaints Commissioner for your state or territory. This agency can look into complaints about medical and health care.
Teenagers and Medicare
Medicare is Australia’s universal health care scheme, funded by the Australian Government. It gives all Australian citizens access to a wide range of health services at little or no cost.
You need a Medicare card to get Medicare benefits. Your child can get his own Medicare card when he’s 15, or younger if you ask for it. Your child can also choose to stay on your family Medicare card and have a copy made to keep with him.
Bulk billing is when Medicare pays the whole cost of seeing a health professional, but not all health professionals and services use bulk billing. If your child is making her own medical appointments, remind her to ask whether the service or professional bulk bills. If they don’t, your child can ask whether she can get a Medicare rebate.
A Medicare rebate is when you pay a fee to see a health professional and then get part of the fee or the whole fee back from Medicare. Many GPs and specialists reimburse Medicare rebates when you see them, providing you’re registered with Medicare.
There’s often a gap between what health professionals charge and what Medicare pays. This is called a ‘gap fee’ and varies depending on what the health professional charges.