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5 - Adolescent decision-making and health care

Published online by Cambridge University Press:  05 June 2012

Jane Fortin
Affiliation:
University of Sussex
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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.

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Publisher: Cambridge University Press
Print publication year: 2009

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