Colorado Code § 12-245-203.5

Minors - consent for outpatient psychotherapy services - immunity - definition
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(1) As used in this section, unless the context otherwise requires, "mental health
professional" includes a professional person as defined in section 27-65-102 (27); a mental
health professional licensed pursuant to part 3, 4, 5, 6, or 8 of this article 245; a licensed
professional counselor candidate; a psychologist candidate; a clinical social worker candidate; a
marriage and family therapist candidate; or an addiction counselor candidate.
(2) (a) Notwithstanding any other provision of law, a mental health professional may
provide psychotherapy services, as defined in section 12-245-202 (14)(a), to a minor who is
twelve years of age or older, without the consent of the minor's parent or legal guardian, if the
mental health professional determines that:
(I) The minor is knowingly and voluntarily seeking such services; and
(II) The provision of psychotherapy services is clinically indicated and necessary to the
minor's well-being.
(b) A minor may not refuse psychotherapy services when a mental health professional
and the minor's parent or legal guardian agree psychotherapy services are in the best interest of
the minor.
(3) If a minor voluntarily seeks psychotherapy services on the minor's own behalf
pursuant to subsection (2)(a) of this section:
(a) The mental health professional may notify the minor's parent or legal guardian of the
psychotherapy services given or needed, with the minor's consent, unless notifying the parent or
legal guardian would be inappropriate or detrimental to the minor's care and treatment;
(b) The mental health professional shall engage the minor in a discussion about the
importance of involving and notifying the minor's parent or legal guardian and shall encourage
such notification to help support the minor's care and treatment; and
(c) Notwithstanding the provisions of subsection (3)(a) of this section, a mental health
professional may notify the minor's parent or legal guardian of the psychotherapy services given
or needed, without the minor's consent, if, in the professional opinion of the mental health
professional, the minor is unable to manage the minor's care or treatment.
(4) A mental health professional shall fully document when the mental health
professional attempts to contact or notify the minor's parent or legal guardian and whether the
attempt was successful or unsuccessful, or the reason why, in the mental health professional's
opinion, it would be inappropriate to contact or notify the minor's parent or legal guardian. If a
minor seeks psychotherapy services on the minor's own behalf pursuant to subsection (2)(a) of
this section, documentation must be included in the minor's clinical record, along with a written
statement signed by the minor indicating that the minor is voluntarily seeking psychotherapy
services.
(5) Psychotherapy services must be provided in a culturally appropriate manner. Written
and oral instruction, training of providers and staff, and the overall provision of services must be
culturally appropriate and provided in a manner and format to support individuals with limited
English proficiency or challenges with accessibility related to a disability and with respect for
diverse backgrounds, including individuals with different cultural origins and individuals who
are lesbian, gay, bisexual, or transgender.
(6) As used in this section, "psychotherapy services" does not include inpatient
psychotherapy services.
(7) If a minor who is receiving psychotherapy services pursuant to this section
communicates a serious threat of imminent physical violence against a specific person or
persons, including a person who is identifiable by the person's association with a specific
location or entity, the mental health professional is subject to the notification provisions of
section 13-21-117 (2) and shall notify the minor's parent or legal guardian unless notifying the
parent or legal guardian would be inappropriate or detrimental to the minor's care and treatment.
(8) Repealed.

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