These expectations lay out requirements for providing adolescent-friendly care that is accessible and protective of a minor's right to confidential family planning. These standards mandate that projects encourage family participation and strictly adhere to state laws regarding the mandatory reporting of child abuse or sexual assault. At the same time, projects may not require parental consent or notify parents of a minor’s family planning services.

All Adolescent Services expectations from the Title X Program Handbook are listed below, along with resources your project can use to meet each one. (Texas Title X-funded agencies: Refer to this Program Policy Notice for Texas-specific guidance.)

Featured Resources

Last Reviewed: 2023-04 | Toolkit/Guide

Title X Staff Training Plan Toolkit

Clinical

Apply all expectations listed under “Provision of Quality Family Planning Services” when providing services to adolescent clients

See the featured resources above.

Clinical

Provide adolescent-friendly health services, which are services that are accessible, acceptable, equitable, appropriate and effective for adolescents. (42 CFR § 59.2)

See the featured resources above and additional resources below.

Last Reviewed: 2021-11 | Video

Understanding Trauma & The Six Core Principles of a Trauma-Informed Approach Video

Admin
Clinical

To the extent practical, Title X projects shall encourage family participation. However, Title X projects may not require consent of parents or guardians for the provision of services to minors, nor can any Title X project staff notify a parent or guardian before or after a minor has requested and/or received Title X family planning services. (Section 1001, PHS Act; 42 CFR § 59.10(b))

See the featured resources above and additional resources below.

Last Reviewed: 2022-02 | Training Guide

Encouraging Family Participation in Adolescent Decision Making Training Guide

Admin
Clinical

Ensure that all applicants for Title X funds certify that they encourage family participation in the decision of minors to seek family planning services. (Consolidated Appropriations Act, 2022, Pub. L. No. 117-103, 136 Stat. 49, 466 (2022))

See the featured resources above.

Admin
Clinical

Ensure that all applicants for Title X funds certify that they provide counseling to minors on how to resist attempts to coerce minors into engaging in sexual activities. (Consolidated Appropriations Act, 2022, Pub. L. No. 117-103, 136 Stat. 49, 466 (2022))

See the featured resources above and additional resources below.

Last Reviewed: 2022-03 | Training Guide

Counseling Adolescent Clients to Resist Sexual Coercion Training Guide

Admin
Clinical

No Title X services provider shall be exempt from any State law requiring notification or the reporting of child abuse, child molestation, sexual abuse, rape, or incest. (Consolidated Appropriations Act, 2022, Pub. L. No. 117-103, 136 Stat. 49, 444, 466–67 (2022))

See the featured resources above and additional resources below.

Resource
Last Reviewed: 2024-01 | Job Aid

Using the RHNTC Website to Track Your Network’s Training Completion Job Aid

Last Reviewed: 2026-01 | Training Guide

Mandatory Child Abuse Reporting in Title X-Funded Family Planning Settings: Instructions for Customizing and Delivering a State-Specific Training

Resource
Last Reviewed: 2019-07 | Video

Trauma-Informed Mandatory Child Abuse Reporting in a Family Planning Setting Video