How do you approach consent discussions with minors?

How do you approach consent discussions with minors?

• A. Obtain assent from the child when appropriate and obtain parental/guardian consent; involve the child in age-appropriate ways.
• B. Obtain parental consent only; never involve the child.
• C. Obtain only the child's assent; parents never consent.
• D. Skip consent for minor procedures.

Answer: (A)

Consent discussions with minors should balance protection with respect for developing autonomy. The best approach is to obtain parental or guardian consent while also seeking the child’s assent when appropriate. This means explaining the plan, risks, benefits, and alternatives in language the child can understand, checking their understanding, and inviting questions. Involve the child in decisions to the extent their age and maturity allow, so they feel respected and are more likely to engage in the care. At the same time, guardians hold the legal responsibility to authorize treatment, so their consent remains essential. Skipping consent entirely is unethical and illegal, and relying on parental consent without engaging the child misses opportunities to support autonomy and understanding. Conversely, asking only for the child’s assent fails to fulfill legal requirements and neglects parental involvement.

Consent discussions with minors should balance protection with respect for developing autonomy. The best approach is to obtain parental or guardian consent while also seeking the child’s assent when appropriate. This means explaining the plan, risks, benefits, and alternatives in language the child can understand, checking their understanding, and inviting questions. Involve the child in decisions to the extent their age and maturity allow, so they feel respected and are more likely to engage in the care. At the same time, guardians hold the legal responsibility to authorize treatment, so their consent remains essential. Skipping consent entirely is unethical and illegal, and relying on parental consent without engaging the child misses opportunities to support autonomy and understanding. Conversely, asking only for the child’s assent fails to fulfill legal requirements and neglects parental involvement.