Confidentiality is a complex topic in the world of child and adolescent psychiatry. The last 40 to
50 years have been characterized by increased attention to this issue and the publication of
various ethical codes and practice position statements by professional organizations. Which of
the following is not a true statement with respect to confidentiality of the child or adolescent
A. The PMHNP should not be concerned with consent for disclosure when child abuse or
maltreatment has occurred.
B. In 1979, the American Psychiatric Association (APA) stated that children 12 years of age
or older can give consent for disclosure.
C. The American Academy of Child and Adolescent Psychiatry (AACAP) Code of Ethics
states that consent is not required for disclosure.
D. Regardless of code or position statement by any organization, the best approach is when
the child and PMHNP agree on disclosure.