Treatment FAQ

joint custody consent for treatment how to nonconsent

by Dr. Clint Blick Published 2 years ago Updated 2 years ago

In general, parents with joint custody have an equal right to authorize nonurgent care for their children, and Johnny’s treatment could proceed with only Mom’s consent. 1 However, if Dr. K knows or has reason to think that Johnny’s father would refuse to give consent for ongoing, nonurgent psychiatric care, providing treatment over the father’s objection may be legally questionable.

Full Answer

Can a parent who does not have legal custody consent to therapy?

A parent who does not have legal custody has limited rights to make these decisions and cannot consent to therapy or access to medical records for a minor child. Remember that state laws vary regarding these rules and limitations.

How to resolve custody conflicts in deciding who may give consent?

So in order to resolve custody conflicts in deciding who may give the consent to treat, it is wise to request a copy of the court order relating to custody. This will state the rights of both parents and should be retained in the child's medical record.

Can a court order require joint custodians to consult with one another?

For example, a court order merely requiring the joint custodians “to consult with one another” before one of them takes action with respect to the child’s health care needs may cause ambiguities and result in varying interpretations.

Can a child consent to mental health treatment without parental consent?

In California, children who are twelve years of age and older can in broad circumstances consent to mental health treatment without parental consent or approval. "At the Intersection of Law and Psychotherapy" Richard S. Leslie is an attorney who has practiced at the intersection of law and psychotherapy for the past twenty-five years.

Do both parents need to consent for therapy in CA?

In California, children who are twelve years of age and older can in broad circumstances consent to mental health treatment without parental consent or approval.

Do both parents need to consent for therapy in PA?

When separated or divorced, the state of Pennsylvania requires consent of both parents (or guardians) for children under the age of 14 to participate in psychotherapy, unless there is a legal document giving one caregiver sole custody of the child.

Can my ex take my child to a therapist without my consent Australia?

If there are court orders specifying that only one parent is responsible for making health decisions, parental consent to treatment can only be obtained from that parent even if the other parent is the one to engage or contract the psychologist (Australian Psychological Society, 2018).

Can I take my child to counseling without permission from other parent Ontario?

There is no general age of consent to treatment or counselling; instead, the issue depends on whether the young person is capable of consenting. A young person will be found to have capacity to consent or to refuse consent if they both: Understand the information relevant to the proposed treatment in issue, and.

When can doctors override parents?

However, there are situations where doctors can disagree with a parent's decision if a child is in a severe medical dilemma. The parens patriae doctrine gives the state the right to intervene with a parent's decision when it's believed they are not acting in the best interest for the child's well-being.

What is PA Act 147?

Specifically, Act 147 is designed to determine who prevails in treatment-related decisions when one party (e.g., the minor) consents to behavioral healthcare services while the other party (e.g., a parent or legal guardian) does not.

Can my ex dictate who is around my child?

You may or may not be able to stop the other parent's significant other from being around your child. In general, you do not have the power to dictate which adults are around your child when they are with the other parent.

At what age can a child refuse to see a parent?

Age 18Legally, Your Child Can Refuse Visitation at Age 18 When your child reaches 18, he or she is an adult. Adults can decide who they spend time with. You will not be able to force your child to continue to see you. A family law court will no longer be able to enforce any possession or visitation clauses over an adult.

What age can a child refuse to see a parent in Australia?

The child's age: In Australia, a child is legally a minor until they turn 18. Accordingly, children up to the age of even 17-year-olds can have their opinions and wishes ignored. Consequently, there is no set age. However, the views of an older child will be generally attributed more weight.

Is parental consent needed for Counselling?

By law, healthcare professionals only need 1 person with parental responsibility to give consent for them to provide treatment. In cases where 1 parent disagrees with the treatment, doctors are often unwilling to go against their wishes and will try to gain agreement.

Is parental consent required for Counselling?

Gillick Competent: “As a general principle it is legal and acceptable for a young person to ask for confidential counselling without parental consent providing they are of sufficient understanding and intelligence.”

Can police question a minor without parents consent Canada?

Police are free to approach and question any child who may have witnessed or been the victim of a crime, just as they can contact and interview an adult. Police can question a child without a parent present and are not required to obtain permission from a parent before questioning the child.

What is sole legal custody?

Sole Legal Custody. If a custody arrangement exists that lists one parent with sole legal custody, then they have to be the one to authorize therapy. Having sole custody means that this parent makes the decisions about welfare, health, education, and spiritual guidance. A parent who does not have legal custody has limited rights to make these ...

What rights do parents have with their children?

Parents that have joint legal custody share the rights to make decisions about welfare, healthcare, and education for their child. Unless specified, generally the consent of one of these parents is enough for therapy and access to medical records.

Can a minor consent to therapy?

Generally, a therapist will want consent or at least will want to inform the other parent of the treatment, but this may not always be necessary or desired. However, some states mandate that you must notify both parents.

Can you decline a patient if you can't get consent?

You could possibly proceed with treatment if you can get the consent of both parents, just to be sure you don ’t violate any legal orders.

Do you have to notify both parents of therapy?

Generally, a therapist will want consent or at least will want to inform the other parent of the treatment, but this may not always be necessary or desired. However, some states mandate that you must notify both parents.

What does it mean to have joint custody of a child?

If the parents share legal custody (joint legal custody), that generally means that both parents share the right and the responsibility of making decisions regarding the health, education, and welfare of the child, such as authorizing or consenting to treatment by a mental health practitioner. It also may mean that either parent can authorize or consent to treatment of a child and that the consent of both parents is not required. In fact, in California, the relevant statute specifies that in making an order of joint legal custody, the court shall specify the circumstances under which the consent of both parents is required to be obtained in order to exercise legal control of the child and the consequences of the failure to obtain mutual consent. In all other circumstances, the statute provides, either parent acting alone may exercise legal control of the child. Is the law in your state of practice similar?

Who was the driving force behind the Freedom of Choice Law?

Richard has been the driving force for many of the changes and additions to the laws of the State of California that affect MFTs. In 1980, he was primarily responsible for achieving passage of the "Freedom of Choice Law" that required insurance companies to pay for psychotherapy services performed by MFTs.

Is a court order ambiguous?

Court orders are sometimes ambiguous and subject to varying interpretations. For example, a court order merely requiring the joint custodians “to consult with one another” before one of them takes action with respect to the child’s health care needs may cause ambiguities and result in varying interpretations.

Do mental health practitioners treat children?

I am aware that some mental health practitioners who treat children may try to avoid accepting new clients if they are aware that the parents are engaged in a custody dispute or appear likely to soon be subject to a court order regarding custody . Nevertheless, many practitioners do treat children during a divorce/dissolution proceeding or while there is an existing order regarding custody, whether knowingly and willingly or because of the unfolding of unexpected events. In any case, knowledge of the state laws defining such terms as physical custody, legal custody, joint custody, and joint legal custody (or terms of similar import) is essential in order to avoid trouble and disruption. It is also essential to be confident that the custody arrangement described by the parent bringing the child to treatment is truthful and accurate. This may necessitate a conversation with that parent’s attorney or receipt of a copy of the most recent court order regarding custody, or both.

What is joint legal custody?

Joint legal custody means that both parents have the legal authority to make major decisions for the child. 1  These include decisions regarding education, religion, and health care. Parents should be aware, too, that legal custody is separate ...

How does joint custody work?

In this type of arrangement, the child has two residences and spends equal time living with each parent. Joint physical custody usually works best when both parents live within the same city or region.

What skills are needed to get custody of a child?

Communication skills are essential to making this type of child custody arrangement work, and it can go south quickly if both parents are not on board.

How do children benefit from seeing their parents interact genuinely with one another?

Children typically benefit from seeing their parents interact genuinely with one another, ideally demonstrating what it means to compromise and work through disagreements in a healthy manner. 3  With time and as parents learn to co-parent collaboratively, a certain degree of effectiveness can be reached when it comes to rules, consequences, meals, bedtimes, and many other child-rearing choices.

What is joint legal and sole physical?

Joint Legal and Sole Physical. In this type of arrangement, the child would spend more time living with one parent. However, both parents make important decisions about their child's life. The parents must work together to make decisions on the upbringing of the child, even if the child has only one primary residence.

Do parents have to communicate with each other to get joint custody?

Pros. Parents who share joint legal custody must continue to communicate with one another in order to reach joint decisions. Even when one or both parents are reluctant at first, the outcome can be very beneficial for the child.

Can a parent have joint custody?

Parents should not interpret a ruling of joint legal custody as an indication that the court is likely to also grant joint physical custody. It is quite common for parents to share legal custody even while the child resides primarily with one parent and has regular visitation with the other.

What if a child's parent claims to have legal custody but the doctor isn't sure?

What if a child’s parent claims to have legal custody, but the doctor isn’t sure? A doctor who in good faith relies on a parent’s statement can properly provide urgent treatment without delving into custody arrangements. 2 In many states, noncustodial parents may authorize treatment in urgent situations—and even some nonurgent ones—if they happen to have physical control of the child when care is needed, such as during a visit. 1

What is legal custody?

The specified times each parent will spend with a minor child and which parent (s) can make major decisions about a child’s welfare. Legal custody. A parent’s right to make major decisions about a child’s welfare, including medical care.

Do married parents have legal custody of their children?

Married parents both have legal custody of their children. They also have equal rights to spend time with their children and make major decisions about their welfare, such as authorizing medical care. When parents divorce, these rights must be reassigned in a court-approved divorce decree.

Can a minor give consent to a medical procedure?

A minor—defined in most states as a person younger than age 18—legally cannot give consent for medical care except in limited circumstances, such as contraceptive care. 1, 2 When a minor undergoes psychiatric hospitalization, physicians usually must obtain consent from the minor’s legal custodian.

Can a parent with legal custody of a minor child have medical treatment?

Dr. K received a legally sound response from hospital administrators: a parent who has legal custody may authorize medical treatment for a minor child without first asking or informing the other parent. But Dr. K feels unsatisfied because the hospital didn’t provide what Dr. K sought: a clinically sound answer.

Do divorced parents have joint custody?

4 Now, however, most states’ statutes presume that divorced mothers and fathers will have joint legal custody. 3

What is joint custody in VA?

§ 20-124.1, joint legal custody is defined as a situation where “both parents retain joint responsibility for the care and control of the child and joint authority to make decisions concerning the child even though the child's primary residence may be with only one parent.”

Who wrote the legal custody of a child?

Eliza B. Hutchinson, writing for the William and Mary Journal of Race, Gender, and Social Justice, explains that legal custody encompasses decisions pertaining to a child’s: The parent with current physical custody is responsible for “immediate and day-to-day decisions”, including: Thus, decisions such as whether to have a child see a therapist ...

What are the legal rights of a child?

Eliza B. Hutchinson, writing for the William and Mary Journal of Race, Gender, and Social Justice, explains that legal custody encompasses decisions pertaining to a child’s: 1 Education 2 Upbringing 3 Religious training 4 Non-emergency medical care 5 General welfare

What is Keithley Law?

At Keithley Law, PLLC, our team of experienced family law attorneys is committed to helping clients throughout Virginia resolve their legal disputes. If you are dealing with a custody issue, you should get in touch with our legal professionals as soon as you can to schedule an initial consultation.

Can a parent be awarded sole custody of a child?

For example, if the Court finds one parent to be better informed or more involved with the children’s education or non-emergency medical care, that parent may be awarded sole custody over that matter. Third parties, such as therapists or court-appointed Guardians Ad Litem (child’s best interest attorney), can also be awarded discretion or authority over certain matters, subject to constitutional limitations (see Bonhotel, Rec. No. 0040-16-3, 2016).

Does therapy continue after divorce?

That therapy continue during and after divorce and custody proceedings, even when the mother opposed continuing therapy (Tartaglino, 2013).

Does therapy continue at the discretion of a court appointed Guardian Ad Litem?

That therapy continue at the discretion of a court appointed Guardian Ad Litem (Lamont, 2007).

What is sole legal custody?

SOLE LEGAL CUSTODY: The parent with sole legal custody has the right to seek mental health evaluation. and/or treatment of child without consent from the non-custodial parent. JOINT LEGAL CUSTODY: When parents have joint legal custody, ask to see the actual court-ordered custody agreement to determine whether the other parent must be notified ...

Do you have to involve both parents in mental health?

Ethics texts recommend making it a rule to involve both parents whenever mental health services are being provided to a child. Even if one parent lives far away, it is possible to obtain written consent and gather information from that parent by phone.

Can a minor get mental health treatment in Virginia?

However, in Virginia, minors also have the right to seek outpatient mental health treatment on their own, without parental consent, and “shall be deemed an adult” for the purposes of consenting to receive those services. [See Virginia Code §54.1-2969 .]

What is the best way to resolve custody conflicts?

So in order to resolve custody conflicts in deciding who may give the consent to treat, it is wise to request a copy of the court order relating to custody. This will state the rights of both parents and should be retained in the child's medical record.

Who can give custody of a child?

Legal custody may be awarded to one parent (sole custody) or to both parents (joint custody).

What are the two types of custody?

In a nutshell, there are two types of custody arrangements: physical custody and legal custody . Physical custody means the child lives with that parent and is under his or her supervision. However, physical custody does not always give that parent the legal authority to consent for the child.

What happens when one parent brings a child in for care?

Often, one parent will bring the child in for care and then the other parent will call concerned or angry that they were not consulted before care was rendered, claiming they would not have approved what was done. Webinar: Skills to Survive and Thrive in Private Practice.

What are the rights of a divorced parent?

A school district’s obligations are to: • pursue the child’s disability-related education needs; • provide notice to parents; actively pursue the child’s needs once any needed consent is obtained from any one parent; and let each parent know his/her rights and procedural options. n

When is it appropriate to give notice to both parents?

When parents have joint custody, notice to both parents is the right way to go, unless it is quite clear from a parent’s own written statement that he or she does not wish to play any role in the child’s education. When consent is required, consent from either parent is sufficient. Either parent can pursue a due process hearing.

How to stop a school district from moving forward?

parents agree; rather, it is simply because one parent’s consent is enough. Congress has never been interpreted as requiring school districts to get both parents’ consent. When parents are divorced and neither has been divested by a court of their parental rights, the result is the same: Consent from one parent is all a district needs in order to move forward. If the non-consenting parent wants to stop the district from moving forward, there are two things that the parent can do. One is to go back to the divorce court and ask the court to remove the other parent from educational decision-making. The other is to start a special education due process hearing by filing a due process complaint notice with the Office for Dispute Resolution (“ODR”). Once it is clear that one of the parents is an actively non-consenting parent, that parent should be informed of these two options by the school district in writing, with a copy to the other parent. The objection of one parent, however, does not negate the consent given by the other. If there is a special education hearing in such a situation, then there will presumably be three parties: the district and the consenting parent on one side, and the non-consenting parent on the other. Once a hearing is requested, a school district should consult with its attorney to decide whether to stop the evaluation while the hearing is pending. Ultimately, the Hearing Officer gets to decide whether the evaluation will occur (or was proper), after the district and, optionally, the consenting parent, describes to the Hearing Officer why they think an evaluation should occur. Certainly, the school district can try to mediate between the parents or try to get one of them to acquiesce to the position of the other. However, the district has no obligation to try to bridge the gap between the parents, whether the parents are living together or not.

Is consent required for a reevaluation?

Consent, however, is another matter. Consent is required for initial evaluation, and consent is important in reevaluations. (A reevaluation could legally proceed if both parents are repeatedly unresponsive.) In an intact family, a district can take action based on the consent of one parent. This is not really because the district can assume that both

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