Madison, age 13, seeks family planning services. She lives with both parents and her younger brother, and is enrolled in high school. She tells the nurse she has a 19-year-old boyfriend with whom she has been sexually active for about three months. She does not want her parents to find out that she is seeking birth control, as they do not know she is sexually active. The nurse discovers that Madison is pregnant. Madison indicates that she would like to have an abortion. Madison is referred to you for counseling. She asks you to please keep her information confidential.

what are the ACA ETHICAL guideline in Texas

Can Madison's counselor keep her disclosure about the sexual relationship with her boyfriend in confidence, or must she notify Madison's parents and/or children services?

Can Madison's counselor keep her disclosure about the abortion in confidence, or must she notify Madison's parents and children services?

If the counselor breaches confidentiality, what are the risks to her relationship with Madison?