can you report suspected abuse if patient doesnt admit to being abused

by Mr. Milford Larkin DVM 3 min read

You suspect a patient is being abused. What should you do?

19 hours ago  · If someone is in immediate danger, call 9-1-1 or the local police. If the danger is not immediate, but you suspect that abuse has occurred or is occurring, please tell someone. … >> Go To The Portal


However, this depends on the victim and type of abuse. Adults who are alert and oriented and capable of their decision-making can choose not to report on their own and opt to leave. Depending on the state, nurses may be required to report suspicious injuries to law enforcement whether or not the patient consents or wishes to press charges.

Full Answer

What happens when a patient abuse case is reported?

When a patient abuse case is reported, the case goes through 4 stages. In the first stage, referred to as “intake”, a trained staff member will ask the reporter a series of questions to ensure that all the necessary information is received.

What should I do if I suspect patient abuse?

If a patient, family member, or caregiver observes patient abuse in any context, it’s crucial to contact the authorities right away. There are a few ways to report suspected or known patient abuse. The first method is to contact the New York State Protective Services for Adults at 1-800-342-3009 and report the details of the suspected abuse.

Are patients in your exam room being abused?

Patients in your exam room may be experiencing one of a number of forms of abuse—domestic violence, human trafficking or other violence—and identifying those being abused can sometimes be tough.

Do nurses have to report cases of abuse and neglect?

Being on the front lines of healthcare, nurses have unfortunately needed to report cases of abuse and neglect. As mandated, they are trained to identify signs and symptoms of abuse or neglect and are required by law to report their findings.

Who can report child abuse or neglect?

Anyone can report suspected child abuse or neglect. Reporting abuse or neglect can protect a child and get help for a family.

How to stop child abuse?

There are ways you can help stop child maltreatment if you suspect or know that a child is being abused or neglected. If you or someone else is in immediate and serious danger, you should call 911. You may be wondering who can report child abuse and neglect, what information is included in a report, or what happens after a report is made.

What happens after you make a report?

After you make a report, it will be sent to child protective services (CPS). When CPS receives a report, the CPS worker reviews the information and determines if an investigation is needed. The CPS worker may talk with the family, the child, or others to help determine what is making the child unsafe. The CPS worker can help parents ...

How to contact a child protection agency?

Contact your local child protective services office or law enforcement agency. Call or text 1.800.4.A.CHILD (1.800.422.4453). Professional crisis counselors are available 24 hours a day, 7 days a week, in over 170 languages.

Is there a hotline for child abuse?

Child Welfare Information Gateway is not a hotline for reporting suspected child abuse or neglect, and it is not equipped to accept reports or intervene in personal situations of this nature.

What should a nurse do when treating a patient?

Nurses should provide a calm, comforting environment and approach the patient with care and concern. A complete head-to-toe examination should take place, looking for physical signs of abuse. A chaperone or witness should be present if possible as well.

What is the mandate of a nurse?

As mandated, they are trained to identify signs and symptoms of abuse or neglect and are required by law to report their findings. Failure to do so may result in discipline by the board of nursing, discipline by their employer, and possible legal action taken against them. If a nurse suspects abuse or neglect, they should first report it ...

Do nurses have a responsibility to care for victims of abuse?

Employers are typically clear with outlining requirements for their workers, but nurses have a responsibility to know what to do in case they care for a victim of abuse.

Should a nurse report abuse?

The nurse should notify law enforcement as soon as possible, while the victim is still in the care area. However, this depends on the victim and type of abuse. Adults who are alert and oriented and capable of their decision-making can choose not to report on their own and opt to leave. Depending on the state, nurses may be required ...

Do nurses have to be able to connect victims of abuse?

While not required by law, nurses should also offer to connect victims of abuse to counseling services. Many times, victims fall into a cycle of abuse which is difficult to escape.

What to do if you have already asked a woman if she is being abused?

If you have already asked a woman if she is being abused and she has responded that she isn’t, you may still have concerns. In this instance, you should speak to your safeguarding lead and/or line manager to discuss what the next steps are.

What to do if a woman discloses abuse?

If a woman does disclose abuse to you it is your duty to act and connect her to appropriate support. It is always best to seek her consent to make a referral to a support agency, rather than signposting her to services.

How do I contact Refuge for domestic abuse?

She can call 0808 2000 247 to speak to a member of our all-female, highly-trained helpline staff, or she can visit www.nationaldahelpline.org.uk to book a safe time to be called back or use our live chat service, Mon-Fri, 3-6pm.

How to reassure a woman that she is not alone?

Above all else, reassure her that she is not alone, and she should call 999 if she is in immediate danger. Do not tell her to leave her abuser or try to intervene in the situation yourself. Leaving an abuser is a process – remember that on average it takes seven attempts before a woman is able to finally leave.

What is the simplest question to ask a woman?

The simplest question to ask a woman is whether she has changed her behaviour because she is scared of her partner’s reaction. That is domestic abuse. When discussing domestic abuse try to ask her the question directly, but only if she is alone and it is safe to do so.

What to do if a girl tells you she is in danger?

Thank her for sharing her experiences with you, tell her you believe her and that you can help her to find and receive support. Above all else, reassure her that she is not alone, and she should call 999 if she is in immediate danger.

What to do if an appointment with a woman is happening?

If your appointment with her is happening virtually, you must be very careful to ensure that your conversation is confidential. You’ll need to be certain there is no one in her vicinity who could be listening in to the call or tracking it

What are signs of patient abuse?

One of the hallmark signs of elder abuse is a sudden change in an elderly patient’s physical, mental, or financial well-being. Often the change is strange and inexplicable, but the specific signs that indicate an elder might be experiencing abuse tend to vary from victim-to-victim. Common signs and symptoms that caregivers should note when working with elderly patients include the following:

When should a caregiver report abuse?

If a patient discloses abuse, this should be reported immediately. Caregivers should always document evidence of abuse as soon as they notice it, date the observations, and then report their observations to the proper authorities as soon as possible.

What are the most common types of elder abuse?

This type of abuse includes shoving, hitting, or the inappropriate use of chemical or physical restraints.

Why is it important to develop rapport with patients?

As a caregiver, it’s important to develop rapport with patients so that they feel comfortable disclosing information to you about things like abuse. As a caregiver, you should know the most common types of abuse that commonly occur and be able to recognize signs that an elder is being abused.

How to build rapport with a patient?

Empathy and a genuine, positive attitude are necessary if you want to build rapport with your patient. Unconditional positive regard is also a key part of rapport building; agreeing with and (when possible) reinforcing the thoughts and emotions of your patients will help them relate to you and feel closer to you, thus building trust and confidence. Asking questions and showing interest in the patient while also showing respect for boundaries and privacy can be a complex, but very important, balance when it comes to rapport building.

Why don't elderly people report abuse?

Here are some of the main reasons why elderly patients might not report their abuse to someone trustworthy who can help: ● Embarrassment - Some forms of abuse (such as sexual abuse) come along with shame on the part of the victim, and reporting the abuse may be uncomfortable.

What are the forms of emotional abuse?

But treatment that includes humiliation, ridicule, blaming, or scapegoating are all forms of emotional abuse. Abusers will use emotional tactics such as intimidation, threats, or yelling to control the elder or they may ignore the elderly patient completely or isolate him or her from their friends or family.

What happens if you report abuse in a nursing home?

A confirmed report of abuse or neglect can lead to an arrest and civil lawsuit claims for compensation and damages. Health care workers and nursing home administrators found guilty of or liable for mistreating those in their care can lose their licenses, spend time in jail, and be ordered to pay victims and families. The intent of each possible penalty is twofold—to prevent the perpetrator from harming others and to deter others from acting in abusive or negligent ways.

What is the purpose of reporting abuse?

Reporting suspected abuse or neglect can accomplish many positive things. The first is that it provides grounds for moving a mistreated nursing home patient or long-term care facility resident to a healthier environment while breaking a contract without penalty. Even if a relocation does not occur, identifying problems facilitates beneficial adjustments in personnel and therapies.

What are the signs of emotional abuse?

Bruises, sudden weight loss, steep declines in health and/or responsiveness, and fearfulness can be signs of physical and emotional abuse. Unexplained spending or transfers of property can indicate financial exploitation. Neglect can be shown by the development of bed sores and an increased use of restraints.

When do therapists file a report?

In the case of suspected child abuse, therapists must file a report if they have “reasonable suspicion” about child abuse.

What happens if a therapist fails to take reasonable steps to protect the intended victim from harm?

“If a therapist fails to take reasonable steps to protect the intended victim from harm, he or she may be liable to the intended victim or his family if the patient acts on the threat ,” Reischer said.

What happens if a therapist violates the ethics of the state?

Therapists are held to very high ethical standards by their governing state board and a violation of those ethics could result in fines, loss of licensure, or even jail time , said Walwyn-Duqesnay. While each state has its own set of guidelines and regulations on what its mental health professionals are required to report, there are common themes that transcend across the country.

Who does Cinéas say has to step in and report a situation when vulnerable people are threatened?

Cinéas said a therapist may have to step in and report a situation when vulnerable people are threatened, which could include children, elderly individuals and those living with a disability.

Can a therapist report a patient's intent to harm someone else?

A therapist may be forced to report information disclosed by the patient if a patient reveals their intent to harm someone else. However, this is not as simple as a patient saying simply they “would like to kill someone,” according to Jessica Nicolosi, a clinical psychologist in Rockland County, New York. There has to be intent plus a specific identifiable party who may be threatened.

Can a therapist disclose a divorce?

Most situations will stay under wraps. For instance, Reed noted that even if a wife is cheating on her husband and they are going through a divorce, the therapist has no legal obligation whatsoever to disclose that information in court.

Should clients withhold anything from their therapist?

“Clients should not withhold anything from their therapist, because the therapist is only obligated to report situations in which they feel that another individual, whether it be the client or someone else, is at risk,” said Sophia Reed, a nationally certified counselor and transformation coach.

Why does Gretchen need to report abuse?

If Carly had younger siblings living with her father, for instance, she might need to report the abuse in order to protect the children. If Carly lived in a state that legally required social workers to report past abuse ...

Does Gretchen allow Carly to report abuse?

On balance, given the facts of the case as interpreted by Gretchen, she decides to permit Carly to decide whether or not to report the abuse. This course of action not only respects Carly’s rights to self-determination and privacy, but also affords Gretchen with the opportunity of continuing to work with Carly.