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adolescent birth rate has declined, with a 12% drop from 1991 to 1996; this was especially pronounced for African American teenagers (a 21% decrease) while Hispanic teenagers rates have not decreased and their birth rate is now the highest of any ethnic group in the United States (R Brown, 2000) SPECIAL SERVICES FOR ADOLESCENTS Legal Consultation While the legal aspects of health care are relevant for all age groups, they are particularly important for adolescents, given their unique in-between status Care providers must become familiar with general constitutional principles, federal statutes, and the statutes of their own states The most relevant issues relate to consent, con dentiality, and payment Adolescent providers confront a host of dif cult circumstances in which these issues are commingled.

1. Voldman S. ESD: physics and devices. Chichester: John Wiley and Sons, Inc.; 2004. 2. Voldman S. ESD: circuits and devices. Chichester: John Wiley and Sons, Inc.; 2005. 3. Voldman S. The effect of deep trench isolation, trench isolation and sub-collector doping on the electrostatic discharge (ESD) robustness of radio frequency (RF) ESD diode structures in BiCMOS silicon germanium technology. Proceedings of the Electrical Overstress/Electrostatic Discharge (EOS/ESD) Symposium, 2003. p. 214 23. 4. Grove AS. Physics and technology of semiconductor devices. New York: John Wiley and Sons, Inc.; 1967. 5. Sze SM. Physics of semiconductor devices (2nd ed.). New York: John Wiley and Sons, Inc.; 1981. 6. Reisch M. On bistable behavior and open-base breakdown of bipolar transistors in the avalanche regime modeling and applications. IEEE Transactions on Electron Devices, June 1992. p. 1398 409. 7. Joshi S, Juliano P, Rosenbaum E, Katz G, Kang SM. ESD protection for BiCMOS circuits. Proceedings of the Bipolar Circuit Technology Meeting (BCTM), 2000. p. 218 21.

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Ferdman, B M, 538, 552 Ferguson, L W, 367, 377, 381, 386, 395, 410 Fernald, G G, 32, 183, 199, 342, 400 Fernberger, S W, 540, 543, 552 Ferrara, R, 148, 152 Ferrari, J, 479 Ferretti, R, 148, 152 Ferster, C, 19, 22 Feuerstein, M, 291, 299 Feuerstein, R, 145, 153 Field, T M, 212, 213 Finch, F H, 371, 372, 386, 544, 552 Fine, M, 254, 256, 257, 265, 267 Finger, S, 48, 49, 50, 63, 91, 362 Finison, L J, 230, 232, 243, 541, 552 Finkel, N J, 392, 393, 409 Finn, S E, 298, 300 Fisher, W, 401, 409 Fitzgerald, L M, 216, 218 Fitzpatrick, E, 11, 22 Flamer, G B, 146, 153 Flanagan, J C, 381, 386 Flavell, J.

For example, it is common for parents to request a drug screen for their teenager without his or her knowledge, and the parents are paying the bill Who controls the medical record varies from state to state, with some denying disclosure to parents if the minor objects and some permitting noncontingent access by the parents Patient-physician privilege can prevent physician disclosure in court in most but not all states (and may not extend to nonphysicians), but medical records can be subpoenaed Most states permit minors to consent to treatment for contraception and pregnancy, communicable diseases, substance abuse, and emotional problems without parental noti cation, but provisions for abortion are highly variable and controversial; in some cases, the teenager may request a judicial bypass by the court to avoid parental noti cation.

Click the Start button in the lower-left corner of Windows. Click Run. A window opens. Type C:\Documents and Settings\Your Account Name\Local Settings\Application Data\Identities as shown in Figure 4-11. (Only part of this command is visible in the gure because of the small window.)

Successfully navigating the challenges posed by most teenagers legal status requires, at a minimum, that education of adolescent health providers include the legal requirements and guidelines that apply to diagnosis, treatment, counseling, record keeping, and court testimony The availability of good legal counsel for providers is also a necessity Finally, many providers nd that patient advocacy is facilitated by learning about inexpensive legal resources that can be accessed by their adolescent patients School-Based Health Services One obstacle to good adolescent health care is the need to learn about and access services in hospitals and clinics, with attendant problems with transportation, payment, and potential.

, 20, 22, 139, 146, 153, 211, 214, 215, 219 Fleeson, J, 212, 221 Fleishman, E A, 467, 469, 480, 509, 515, 516, 532 Flynn, J P, 59, 63 Foa, E B, 350, 353 Fogel, A, 217, 219 Folen, R, 44 Folkman, S, 166, 173, 174 Folstein, M F, 290, 299 Folstein, S E, 290, 299 Foote, W, 59, 63 Ford, M P, 146, 153, 180, 199 Fordyce, W E, 454, 462 Forrest, E, 61, 65 Forrester, J, 179, 181, 199 Forsythe, G B, 156 Foster, D, 8, 36, 73, 237, 243, 260, 270, 274, 361, 418, 456, 537 Foucault, M, 194, 305, 334 Fowers, B J, 485, 507 Fowler, F G, 132 Fowler, H W, 132 Fowler, R D.

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