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By Robert W. Blum (Eds.)

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Extra info for Adolescent Health Care. Clinical Issues

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Second, the court, as in previous decisions, put the burden of decision making on the judgment of medical personnel, especially physicians. In Parham, a formal adversary hearing is not man­ dated; admissions must be sanctioned by an administrator and medical personnel in the hospi­ tal. " Although the door on due process for minors facing commit­ ment is not closed, for the moment, it appears that most voluntary commitments of minors to psychi­ atric and related facilities will be administered and monitored by medical and administrative per­ sonnel.

In no case was a mechanism included with the form to provide written feedback to patients about their health status or examination. After an initial draft had been completed, the new forms were reviewed by health professionals who work with youth and based upon their rec­ ommendations, revisions were made and the forms were tested in the field. One hundred ado­ lescents coming to clinics for initial or comprehen­ sive examinations were asked to complete the health history form. language were analyzed before the final form was developed.

Concrete thinkers may encounter difficulty in appreciating the consequences of their actions in futuristic terms [Hoffman, 1980, p. " Basing 3. her perspective on current understanding of cog­ nitive development, Hoffman concludes: "Al­ though experience will further temper judgment and discrimination, a young person generally pos­ sesses all the mental equipment for rational thought by the midteen years/ 7 In certain do­ mains, such as certification to stand trial as an adult or the right to drive a car, this view of youth is already in force.

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