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1 | AN ACT concerning health.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Mental Health and Developmental | ||||||
5 | Disabilities Code is amended by changing Section 3-501 as | ||||||
6 | follows:
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7 | (405 ILCS 5/3-501) (from Ch. 91 1/2, par. 3-501)
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8 | Sec. 3-501. Minors 12 years of age or older request to | ||||||
9 | receive
counseling services or psychotherapy on an outpatient | ||||||
10 | basis. | ||||||
11 | (a) Any minor 12 years of age or older may request and | ||||||
12 | receive
counseling services or psychotherapy on an outpatient | ||||||
13 | basis. The consent
of the minor's his parent, guardian , or | ||||||
14 | person in loco parentis shall not be necessary
to authorize | ||||||
15 | outpatient counseling services or psychotherapy. The minor's | ||||||
16 | parent,
guardian or person in loco parentis shall not be | ||||||
17 | informed of such counseling
or psychotherapy without the | ||||||
18 | consent of the minor unless the facility director
believes such | ||||||
19 | disclosure is necessary. If the facility director intends
to | ||||||
20 | disclose the fact of counseling or psychotherapy, the minor | ||||||
21 | shall be
so informed. However, until the consent of the minor's | ||||||
22 | parent, guardian ,
or person in loco parentis has been obtained, | ||||||
23 | outpatient counseling services or
psychotherapy provided to a |
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1 | minor under the age of 17
shall be initially limited to not | ||||||
2 | more than 8 90-minute sessions 5 sessions, a session lasting | ||||||
3 | not more
than 45 minutes . The service provider shall consider | ||||||
4 | the factors contained in subsection (a-1) of this Section | ||||||
5 | throughout the therapeutic process to determine, through | ||||||
6 | consultation with the minor, whether attempting to obtain the | ||||||
7 | consent of a parent, guardian, or person in loco parentis would | ||||||
8 | be detrimental to the minor's well-being. No later than the | ||||||
9 | eighth session, the service provider shall determine and share | ||||||
10 | with the minor the service provider's decision as described | ||||||
11 | below: | ||||||
12 | (1) If the service provider finds that attempting to | ||||||
13 | obtain consent would not be detrimental to the minor's | ||||||
14 | well-being, the provider shall notify the minor that the | ||||||
15 | consent of a parent, guardian, or person in loco parentis | ||||||
16 | is required to continue counseling services or | ||||||
17 | psychotherapy. | ||||||
18 | (2) If the minor does not permit the service provider | ||||||
19 | to notify the parent, guardian, or person in loco parentis | ||||||
20 | for the purpose of consent after the eighth session the | ||||||
21 | service provider shall discontinue counseling services or | ||||||
22 | psychotherapy and shall not notify the parent, guardian, or | ||||||
23 | person in loco parentis about the counseling services or | ||||||
24 | psychotherapy. | ||||||
25 | (3) If the minor permits the service provider to notify | ||||||
26 | the parent, guardian, or person in loco parentis for the |
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1 | purpose of consent, without discontinuing counseling | ||||||
2 | services or psychotherapy, the service provider shall make | ||||||
3 | reasonable attempts to obtain consent. The service | ||||||
4 | provider shall document each attempt to obtain consent in | ||||||
5 | the minor's clinical record. The service provider may | ||||||
6 | continue to provide counseling services or psychotherapy | ||||||
7 | without the consent of the minor's parent, guardian, or | ||||||
8 | person in loco parentis if: | ||||||
9 | (A) the service provider has made at least 2 | ||||||
10 | unsuccessful attempts to contact the minor's parent, | ||||||
11 | guardian, or person in loco parentis to obtain consent; | ||||||
12 | and | ||||||
13 | (B) the service provider has obtained the minor's | ||||||
14 | written consent. | ||||||
15 | (4) If, after the eighth session, the service provider | ||||||
16 | of counseling services or psychotherapy determines that
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17 | obtaining consent would be detrimental to the minor's
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18 | well-being, the service provider shall consult with his or | ||||||
19 | her supervisor when possible to review and authorize the | ||||||
20 | determination under subsection (a) of this Section. The | ||||||
21 | service provider shall document the basis
for the | ||||||
22 | determination in the minor's clinical record and
may then | ||||||
23 | accept the minor's written consent to continue to
provide | ||||||
24 | counseling services or psychotherapy without also
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25 | obtaining the consent of a parent, guardian, or person in
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26 | loco parentis. |
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1 | (5) If the minor continues to receive counseling | ||||||
2 | services or psychotherapy without the consent of a parent, | ||||||
3 | guardian, or person in loco parentis beyond 8 sessions, the
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4 | service provider shall evaluate, in consultation with his
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5 | or her supervisor when possible, his or her determination
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6 | under this subsection (a), and review the determination
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7 | every 60 days until counseling services or psychotherapy | ||||||
8 | ends or the minor reaches age 17. If it is determined | ||||||
9 | appropriate to notify the parent, guardian, or person in | ||||||
10 | loco parentis and the minor consents, the service provider | ||||||
11 | shall proceed under paragraph (3) of subsection (a) of this | ||||||
12 | Section. | ||||||
13 | (6) When counseling services or psychotherapy are | ||||||
14 | related to allegations of neglect, sexual abuse, or mental | ||||||
15 | or physical abuse by the minor's parent, guardian, or | ||||||
16 | person in loco parentis, obtaining consent of that parent, | ||||||
17 | guardian, or person in loco parentis shall be presumed to | ||||||
18 | be detrimental to the minor's well-being. | ||||||
19 | (a-1) Each of the following factors must be present in | ||||||
20 | order for the service provider to find that obtaining the | ||||||
21 | consent of a parent, guardian, or person in loco parentis would | ||||||
22 | be detrimental to the minor's well-being: | ||||||
23 | (1) requiring the consent or notification of a parent, | ||||||
24 | guardian, or person in loco parentis would cause the minor | ||||||
25 | to reject the counseling services or psychotherapy; | ||||||
26 | (2) the failure to provide the counseling services or |
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1 | psychotherapy would be detrimental to the minor's | ||||||
2 | well-being; | ||||||
3 | (3) the minor has knowingly and voluntarily sought the | ||||||
4 | counseling services or psychotherapy; and | ||||||
5 | (4) in the opinion of the service provider, the minor | ||||||
6 | is mature enough to participate in counseling services or | ||||||
7 | psychotherapy productively. | ||||||
8 | (a-2) The minor's parent, guardian, or person in loco | ||||||
9 | parentis shall not be informed of the counseling services or | ||||||
10 | psychotherapy without the written consent of the minor unless | ||||||
11 | the service provider believes the disclosure is necessary under | ||||||
12 | subsection (a) of this Section. If the facility director or | ||||||
13 | service provider intends to disclose the fact of counseling | ||||||
14 | services or psychotherapy, the minor shall be so informed and | ||||||
15 | if the minor chooses to discontinue counseling services or | ||||||
16 | psychotherapy after being informed of the decision of the | ||||||
17 | facility director or service provider to disclose the fact of | ||||||
18 | counseling services or psychotherapy to the parent, guardian, | ||||||
19 | or person in loco parentis, then the parent, guardian, or | ||||||
20 | person in loco parentis shall not be notified. Under the Mental | ||||||
21 | Health and Developmental Disabilities Confidentiality Act, the | ||||||
22 | facility director, his or her designee, or the service provider | ||||||
23 | shall not allow the minor's parent, guardian, or person in loco | ||||||
24 | parentis, upon request, to inspect or copy the minor's record | ||||||
25 | or any part of the record if the service provider finds that | ||||||
26 | there are compelling reasons for denying the access. Nothing in |
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1 | this Section shall be interpreted to limit a minor's privacy | ||||||
2 | and confidentiality protections under State law.
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3 | (b) The minor's parent, guardian , or person in loco | ||||||
4 | parentis shall not
be liable for the costs of outpatient | ||||||
5 | counseling services or psychotherapy which
is received by the | ||||||
6 | minor without the consent of the minor's parent, guardian ,
or | ||||||
7 | person in loco parentis.
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8 | (c) Counseling services or psychotherapy provided under | ||||||
9 | this Section shall be provided in compliance with the | ||||||
10 | Professional Counselor and Clinical Professional Counselor | ||||||
11 | Licensing and Practice Act or the Clinical Psychologist | ||||||
12 | Licensing Act. | ||||||
13 | (Source: P.A. 86-922.)
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