Other issues include when and how agencies must report child abuse and neglect, how they can best screen employees and volunteers to ensure that no one on staff abuses or injures a client, and whether they are in compliance with applicable standards regarding the quality of care. The discussion concludes that any agency specializing in whole or in part in providing treatment, counseling, assessment, or referral services must comply with Federal confidentiality regulations. Information may be disclosed after the youth has signed a consent form or in medical emergencies, child abuse reports, and communications within a program. Discussion of additional legal requirements, checklist, and summary of State laws regarding parental consent.