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The confidentiality of family planning services remains a high priority to adolescents, but barriers to implementing confidentiality and privacy practices exist in settings designed for teenagers who are medically underserved, including federally qualified health centers (FQHCs).

A sample of 423 FQHCs surveyed in 2011 provided information on their use of five selected privacy and confidentiality practices, which were examined separately and combined into an index. Regression modeling was used to assess whether various state policies and organizational characteristics were associated with FQHCs’ scores on the index. In‐depth case studies of six FQHCs were conducted to provide additional contextual information.

Among FQHCs reporting on confidentiality, most reported providing written or verbal information regarding adolescents’ rights to confidential care (81%) and …