Cooperation, legislation and regulations - Children and young people
Cooperation, legislation and regulations
The Medical Treatment Contracts Act (WGBO) stipulates the age from which children may decide on their treatment. The table below shows that young people between the ages of 12 and 15 have a say in decisions about their treatment. The doctor asks both the younger and the parents for their opinion. The doctor will try to get in line. If that does not work, he will weigh up whose opinion he weighs the most. From the age of 16, young people decide for themselves about their treatment. For a treatment, the doctor must have the consent of the youngster.
Age groups in the WGBO
|Age group||Who can / may decide on a treatment?|
|0 to 11 years||Parents|
|12 to 15 years||Child and parents|
|Over 16 years||Younger|
The same age groups apply to the right to information and access to the file. You can not give parents of a 16-year-old information about the treatment of their child. You can not give them access to the file if their child has not given permission for this. At a 15-year-old both the child and his parents have to be asked for their opinion. In the event of a difference of opinion, the therapist must weigh the opinion and the interests of the child against those of the parents.
When parents are divorced, the rights and duties apply to parents who have parental authority: is that one parent or do they both have parental authority?
There are many cooperation partners when it comes to caring for children. Healthcare organizations, but also social organizations for education and sport and institutions that make and implement policies (municipalities, province and national government) have a task in this. Organizations and social map differ per region.
Youth health care and youth care
Youth health care includes the GGD (and consultation agencies) and caregivers of children and young people. Youth care concerns youth protection, probation and closed youth institutions, mental health care for children (youth mental health care) and care for young people with a mild intellectual disability (youth LVB). Many civil society organizations are involved in this, also in the areas of education, sports, culture and social support. Municipalities are responsible for this youth care.
Child abuse and domestic violence
The Decree on compulsory reporting code for domestic violence and child abuse obliges health care providers to take steps in cases of child abuse or domestic violence. The professional organizations of doctors and dentists, KNMG and KNMT, have developed the reporting code for care providers in a step-by-step plan (www.vooreenveiligthuis.nl and https://www.knmt.nl/sites/default/files/nmt-19975_stappenkaart_v5_web.pdf). When a caregiver thinks of child abuse or domestic violence, he does not have to report immediately, but he has to take action. Care providers must follow the steps of the reporting code. A part of this can be contact with Safe Home, the advisory and reporting center for domestic violence and child abuse. This is also only possible for consultation and advice. That is not immediately reporting. As an assistant you must discuss signs of abuse / violence or your anxiety about it within your team.