9 CAR § 100-407 – Consent to treat — Refusal of treatment

(a)
1. (1) Youth and parents or guardians may refuse treatment or procedures.
2. (2) Youth who refuse routine or nonemergency treatment or medical procedures shall be counseled as to the possible health consequences of their refusal.
3. (3) Documentation of refusal shall be made in the youth’s healthcare record.
4. (4)
  1. (A) The youth shall be given the opportunity to sign and date the healthcare record indicating their refusal.
  2. (B) Should the youth refuse to sign his or her healthcare record indicating their refusal, the healthcare staff shall witness, sign, and date the healthcare record along with another facility staff member.
(b) The treating or prescribing physician shall be notified if the youth refuses at least three (3) consecutive prescribed medications or medical treatments.
(c)
1. (1) Youth shall not be forced to accept any medication or medical intervention.
2. (2) In situations where the youth is an imminent danger to self or others, the involved healthcare provider or staff shall consult with designated Division of Youth Services staff.
(d) Where policies under this section conflict with state or federal law, the law shall supersede these policies.