Skip to main content Accessibility help
×
Hostname: page-component-8448b6f56d-qsmjn Total loading time: 0 Render date: 2024-04-19T14:27:58.768Z Has data issue: false hasContentIssue false

5 - Adolescent decision-making and health care

Published online by Cambridge University Press:  05 June 2012

Jane Fortin
Affiliation:
University of Sussex
Get access

Summary

Introduction

It is no accident that many of the boundaries to adolescent legal independence have been mapped out by the courts in the context of health care. Medical treatment often involves an invasion of bodily and personal privacy which would be intolerable if patients had no right to control its delivery. International human rights law recognises that an important aspect of an adult's right to self-determination includes the right to decide what should happen to his own body. Long before the Human Rights Act (HRA) 1998 was implemented, the common law had emphasised that adult patients enjoy such a right. Precisely the same reasoning can be applied to adolescents. Although young children, particularly if they are unwell, might not be equal to reaching decisions on their medical treatment, adolescents are different. They are not only fast reaching maturity, but society has an interest in ensuring that they take responsibility for decision-making over important aspects of their lives. Furthermore, they are being taught to value their status as rights-holders and can justifiably argue that they, like adults, have the right to make choices over their medical treatment, if competent to do so.

This chapter is divided into two sections. It first assesses the extent to which the general principles of law recognise an adolescent's capacity to consent to and refuse medical treatment.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bartlett, P. and Sandland, R. (2000) Mental Health Law, Policy and Practice, Blackstone Press Ltd.Google Scholar
,BMRB International (2004) Tracking Survey Wave 12 Evaluation of the Teenage Pregnancy Strategy, Report of results of twelve waves of research, BMRB International.Google Scholar
Bradshaw, J., Kemp, P., Baldwin, S. and Rowe, A. (2004) The Drivers of Social Exclusion: A Review of the Literature for the Social Exclusion Unit in the Breaking the Cycle Series, Social Exclusion Unit.Google Scholar
Brazier, M. and Bridge, C. (1996) ‘Coercion or Caring: Analysing Adolescent Autonomy16 Legal Studies84.CrossRefGoogle Scholar
Bridge, C. (1999) ‘Religious Beliefs and Teenage Refusal of Medical Treatment62 Modern Law Review585.CrossRefGoogle Scholar
,British Medical Association (BMA) (2001) Consent, Rights and Choices in Health Care for Children and Young People, BMJ Books.Google Scholar
,British Medical Association (BMA) and the Law Society (2004) Assessment of Mental Capacity: Guidance for Doctors and Lawyers, BMJ Books.Google Scholar
Bynner, J. and Londra, M. (2004) The Impact of Government Policy on Social Exclusion Among Young People: A Review of the Literature for the Social Exclusion Unit in the Breaking the Cycle Series, Social Exclusion Unit.Google Scholar
Cater, S. and Coleman, L. (2006) ‘Planned’ Teenage Pregnancy: Perspectives of Young Parents from Disadvantaged Backgrounds, Joseph Rowntree Foundation.Google Scholar
Collishaw, S, Maughan, B., Goodman, R. and Pickles, A. (2004) ‘Time Trends in Adolescent Mental Health45 Journal of Child Psychology and Psychiatry1350.CrossRefGoogle ScholarPubMed
,Committee on the Rights of the Child (2002) Concluding Observations of the Committee on the Rights of the Child: United Kingdom of Great Britain and Northern Ireland CRC/C/15/Add 188 2002, Centre for Human Rights, Geneva.Google Scholar
,Committee on the Rights of the Child (2008) Concluding Observations of the Committee on the Rights of the Child: United Kingdom of Great Britain and Northern Ireland CRC/C/GBR/CO/4, Centre for Human Rights, Geneva.Google Scholar
,Council of Europe (2000) ‘White Paper’ on the Protection of the Human Rights and Dignity of People Suffering From Mental Disorder, Especially Those Placed as Involuntary Patients in a Psychiatric Establishment, CM (2000) 23 Addendum.Google Scholar
Cyranowski, J., Frank, E., Young, E. and Shear, K. (2000) ‘Adolescent Onset of the Gender Difference in Lifetime Rates of Major Depression57 Archives of General Psychiatry21.CrossRefGoogle ScholarPubMed
,Department for Children, Schools and Families (DCSF) (2008) The Children Act 1989 Guidance and Regulations, Volume I, Court Orders, The Stationery Office.Google Scholar
,Department for Children, Schools and Families (DCSF) and Department of Health (DH) (2008) Teenage Parents: Who Cares?, DCSF.Google Scholar
,Department for Constitutional Affairs (DCA) (2007) Mental Capacity Act 2005: Code of Practice, The Stationery Office.Google Scholar
,Department for Education and Skills (DfES) (2006a) Teenage Pregnancy Next Steps: Guidance for Local Authorities and Primary Care Trusts on Effective Delivery of Local Strategies, DfES.Google Scholar
,Department for Education and Skills (DfES) (2006b) Teenage Pregnancy: Accelerating the Strategy to 2010, DfES.Google Scholar
,Department of Health (DH) (1986) Circular HC (86) 1, DH.
,Department of Health (DH) (1991) Residential Care, Volume 4 of The Children Act 1989 Guidance and Regulations, HMSO.Google Scholar
,Department of Health (DH) (2004a) Best Practice Guidance for Doctors and Other Health Professionals on the Provision of Advice and Treatment to Young People Under 16 on Contraception, Sexual and Reproductive Health, Reference Number 3382, DH.
,Department of Health (DH) (2004b) National Service Framework for Children, Young People and Maternity Services, Executive Summary, DH.
,Department of Health (DH) (2006) Report on the Implementation of Standard 9 of the National Service Framework for Children, Young People and Maternity Services, DH.
,Department of Health (DH) (2008) Code of Practice: Mental Health Act 1983, The Stationery Office.Google Scholar
,Department of Constitutional Affairs (DCA) (2007) MCA 2005: Code of Practice, The Stationery Office.Google Scholar
Douglas, G. (1992) ‘The Retreat from Gillick55 Modern Law Review569.CrossRefGoogle ScholarPubMed
Downie, A. (1999) ‘Consent to Medical Treatment – Whose View of Welfare?29 Family Law818.Google Scholar
Eekelaar, J. (1993) ‘White Coats or Flak Jackets? Doctors, Children and the Courts – Again’, 109 Law Quarterly Review182.Google Scholar
Feldman, D. (2002) Civil Liberties and Human Rights in England and Wales, Oxford University Press.Google Scholar
Fennell, P. (2007) Mental Health: The New Law, Jordans.Google Scholar
Ferguson, L. (2004) The End of an Age: Beyond Age Restrictions for Minors' Medical Treatment Decisions, Law Commission of Canada.Google Scholar
Fortin, J. (2001) ‘Children's Rights and the Use of Physical Force13 Child and Family Law Quarterly243.Google Scholar
Fortin, J. (2006a) ‘Accommodating Children's Rights in a Post Human Rights Act Era69 Modern Law Review299.CrossRefGoogle Scholar
Fortin, J. (2006b) ‘Children's Rights – Substance or Spin?Family Law759.Google Scholar
Freeman, M. (2005) ‘Rethinking Gillick’ 13 International Journal of Children's Rights201.CrossRefGoogle Scholar
,General Medical Council (GMC) (2007) 0–18 Years: Guidance for All Doctors, GMC.Google Scholar
Gostin, L. (1992) ‘Consent to Treatment: The Incapable Person’ in Dyer, C. (ed.) Doctors, Patients and the Law, Blackwell Scientific Publications.Google Scholar
Green, H., McGinnity, A., Meltzer, H., Ford, T. and Goodman, R. (2004) Mental Health of Children and Young People in Great Britain, 2004, Palgrave Macmillan.Google Scholar
,HM Government (2008) Information Sharing: Guidance for Practitioners and Managers, Department for Children, Schools and Families.Google Scholar
Hale, B. (2005) ‘What Can the Human Rights Act 1998 do for My Mental Health?17 Child and Family Law Quarterly295.Google Scholar
Hale, B. and Fortin, J. (2008) ‘The Legal Principles Governing the Care and Treatment of Children with Mental Health’ in Rutter, M., Bishop, D., Pine, D., Scott, S., Stevenson, J., Taylor, E. and Thapar, A. (eds.) Rutter's Child and Adolescent Psychiatry, Blackwell Publishing.Google Scholar
,Healthcare Commission (2007) HC 97, State of Healthcare 2007, The Stationery Office.Google Scholar
,Health Development Agency (2004) Teenage Pregnancy: an Overview of the Research Evidence, Health Development Agency.Google Scholar
,Health Protection Agency (2006) Diagnoses of Selected STIs by Region, Sex and Age Group. United Kingdom: 1996–2005, Health Protection Agency.Google Scholar
Hobcraft, J. and Kiernan, K. (2001) ‘Childhood Poverty, Early Motherhood and Adult Social Exclusion52 British Journal of Sociology495.Google ScholarPubMed
Hoggett, B. (1996) Mental Health Law, Sweet and Maxwell.Google Scholar
Huxtable, R. (2000) ‘Re M (Medical Treatment: Consent) Time to remove the “flak jacket”?12 Child and Family Law Quarterly83.Google Scholar
Jones, R. (2006) Mental Health Act Manual, Sweet and Blackwell.Google Scholar
Kennedy, I. (1992) Treat Me Right: Essays in Medical Law and Ethics, Clarendon Press.Google Scholar
Lansdown, R. (1998) ‘Listening to Children: Have We Gone Too Far (or Not Far Enough)?91 Journal of the Royal Society of Medicine457.CrossRefGoogle ScholarPubMed
Lee, E., Clements, S., Ingham, R. and Stone, N. (2004) A Matter of Choice? Explaining National Variations in Teenage Abortion and Motherhood, Joseph Rowntree Foundation.Google Scholar
Lewis, P. (2001) ‘The Medical Treatment of Children’ in Fionda, J. (ed.) Legal Concepts of Childhood, Hart Publishing.Google Scholar
Loughrey, J. (2008) ‘Can You Keep a Secret? Children, Human Rights, and the Law of Medical Confidentiality20 Child and Family Law Quarterly312.Google Scholar
Lowe, N. and Juss, S. (1993) ‘Medical Treatment – Pragmatism and the Search for Principle56 Modern Law Review865.CrossRefGoogle Scholar
McCafferty, C. (1999) ‘Won't Consent? Can't Consent! Refusal of Medical Treatment29 Family Law335.Google Scholar
Mason, J. and Laurie, G. (2006) Mason and McCall Smith's Law and Medical Ethics, Oxford University Press.Google Scholar
Masson, J. (1993) ‘Re W: Appealing from the Golden Cage5 Journal of Child Law37.Google Scholar
,Mental Health Act Commission (2004) Safeguarding Children and Adolescents Detained Under the MHA 1983 on Adult Psychiatric Wards, The Stationery Office.Google Scholar
Moffitt, T. and the E-Risk Study Team (2002) ‘Teen-aged Mothers in Contemporary Britain43 Journal of Child Psychology and Psychiatry727.CrossRefGoogle ScholarPubMed
Montgomery, J. (2003) Health Care Law, Oxford University Press.Google Scholar
,National Statistics (2007) Social Trends No 37, The Stationery Office.Google Scholar
,Office for National Statistics (ONS) (2008) Social Trends No 38, Palgrave Macmillan.Google Scholar
,Office of the Children's Commissioner (2007) Pushed into the Shadows: Young Peoples' Experience of Adult Mental Health Facilities, Office of the Children's Commissioner.Google Scholar
,Parliamentary Office of Science and Technology (2004) Teenage Sexual Health. Postnote, 217, 1–4.
Parry, M. (2000) ‘Secure Accommodation – the Cinderella of Family Law12 Child and Family Law Quarterly101.Google Scholar
,Social Exclusion Unit (SEU) (1999) Teenage Pregnancy Cm 4342, Cabinet Office.
,Social Exclusion Unit (SEU) (2000) Young People, Report of the Policy Action Team 12, Cabinet Office.
Stalker, K, Carpenter, J., Phillips, R., Connors, C., MacDonald, C. and Eyre, J. (2003) Care and Treatment? Supporting Children With Complex Needs in Healthcare Settings, Joseph Rowntree Foundation.Google Scholar
Tabberer, S., Hall, C., Prendergast, S. and Webster, A., (2000) Teenage Pregnancy and Choice, Abortion or Motherhood: Influences on the Decision, Joseph Rowntree Foundation.Google Scholar
Tan, J., Hope, T., Steward, A. and Fitzpatrick, R. (2003) ‘Control and Compulsory Treatment in Anorexia Nervosa: the Views of Patients and Parents26 International Journal of Law and Psychiatry627.CrossRefGoogle ScholarPubMed
Taylor, R. (2007) ‘Reversing the Retreat From Gillick? R (Axon) v Secretary of State for Health18 Child and Family Law Quarterly81.Google Scholar
,UNICEF, Innocenti Research Centre (2001) A League Table of Teenage Births in Rich Nations, Innocenti Report Card Issue No. 3 July 2001, UNICEF.
,UNICEF, Innocenti Research Centre (2000) A League Table of Child Poverty in Rich Nations, Innocenti Report Card Issue No. 1 June 2000, UNICEF.
,UNICEF, Innocenti Research Centre (2007) Child Poverty in Perspective : An Overview of Child Well-being in Rich Countries, Innocenti Report Card Issue No. 7, UNICEF.
Wiggins, M., Oakley, A., Sawtell, M., Austerberry, H., Clemens, F. and Elbourne, D.(2005) Teenage Parenthood and Social Exclusion: a Multi-method Study, Summary Report of Findings, Social Science Research Unit Report, Institute of Education.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×