how to explain a patient why a mandated report has to be made to report abuse

by Kaitlin Ortiz 4 min read

What Is Mandated Reporting? - Verywell Mind

15 hours ago  · Mandated reporting refers to the legal obligation to report abuse. Mandated reporters are individuals or agencies that are legally required to make these reports. In the United States, mandated reporting laws vary significantly. The Rape, Abuse, and Incest National Network (RAINN) allows you to look up mandated reporting laws for your state. >> Go To The Portal


Mandated reporting means timely making an official report to the authorities when a nurse suspects maltreatment, abuse is concurrently happening, a patient confides to the nurse that they are being abused, or the nurse witnesses an event or behavior that is suspicious of physical, mental, financial abuse, or exploitation or neglect.

Full Answer

What are the problems with mandatory reporting of abuse?

The other major difficulty with mandatory reporting is the trauma and damage done to children and families when unsubstantiated reports are investigated.

What is mandated reporting in psychiatry?

Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Mandated reporting refers to the legal obligation to report abuse. Mandated reporters are individuals or agencies that are legally required to make these reports.

Should adult patients be required to report child abuse?

In many jurisdictions, mandatory reporting requires that self-disclosures made by adult patients about their own abuse as a child be reported-even over the objections of the adult patient in question. This additional, unintended consequence of mandatory reporting can cause significant distress and damage to the psychiatrist-patient relationship.

What is a mandated reporter for child abuse?

Mandated reporters may report suspected child abuse, elder abuse, or vulnerable adult abuse. Abuse can include physical, sexual, or emotional abuse (though many states do not include emotional abuse under mandated reporting laws), neglect, and exposure to unsafe environments, such as drug use or domestic violence .

Why are mandated reporters important?

Mandated reporters are required by law to report suspected child or elder abuse as soon as practically possible. Mandated reporters who report suspected cases of abuse have absolute immunity, civilly and criminally, for making such reports.

What types of abuse need to be reported?

that California law requires mandatory reporting of known or suspected:• Child abuse and neglect.• Elder and dependent adult abuse.• Domestic violence.

What is the nurse's role in reporting suspected abuse?

For nurses being a mandated reporter means that it is a nurse's responsibility to report any suspicions of child or adult abuse or neglect. If the story just doesn't fit, the nurse needs to be suspicious. If the child or adult suggest they have been abused, the nurse needs to report.

What is the best response for reporting suspected abuse?

In the case of an emergency, call 911. – If child abuse is occurring, call 911 immediately. – If you suspect or know of child abuse, call local police or child services.

When you suspect abuse the first thing you should do is?

Answer. All states have a system to receive and respond to reports of suspected child abuse and neglect. If you suspect a child is being harmed, or has been harmed, you should report your concerns to the appropriate authorities, such as child protective services, in the state where child maltreatment is occurring.

What types of abuse are nurses mandated to report ATI?

Mandated reporting means timely making an official report to the authorities when a nurse suspects maltreatment, abuse is concurrently happening, a patient confides to the nurse that they are being abused, or the nurse witnesses an event or behavior that is suspicious of physical, mental, financial abuse, or ...

Why is mandatory reporting important in healthcare?

Mandatory reporting is a highly effective tool to protect patients and the general public, as well as to support healthcare workers to do their jobs safely and well. It can be challenging for healthcare workers to know how, when and whether a mandatory notification is required.

What should a nurse do when a patient is being abused?

If a nurse suspects abuse or neglect, they should first report it to a physician, nurse practitioner, or physician assistant. Notifying a supervisor may also be required, depending on the workplace. If the victim is with a suspected abuser, the exam should take place without that person in the room.

What should you do if you witness abuse or neglect of a patient?

Discuss any suspicion of abuse sensitively with the patient, whether or not reporting is legally mandated, and direct the patient to appropriate community resources. Report suspected violence and abuse in keeping with applicable requirements.

Who should be notified if abuse or neglect is suspected?

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. To report a concern, contact the Adult Protective Services (APS) agency in the state where the older adult resides.

What protections do mandated reporters have under Canra?

Under CANRA, Mandated reporters have a legal responsibility to report known or reasonably suspected child abuse or neglect. Reporters are those whose duties bring them in contact with minors on a regular basis.

Do mandated reporters have confidentiality under Canra?

Yes. CANRA reports are confidential, except as outlined in California Penal Code section 11167.5, subdivision (b).

What is emotional abuse?

Emotional Abuse. Emotional or psychological abuse is behavior that impairs a child's emotional development or sense of self-worth. Examples may include constant criticism, threats, rejection, or withholding love, support, or guidance.

What is child abuse?

Federal Child Abuse Definitions. The Federal Child Abuse Prevention and Treatment Act (CAPTA), as amended and reauthorized by the CAPTA Reauthorization Act of 2010, defines child abuse and neglect as, at a minimum: "any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, ...

What is parental substance use?

Parental Substance Use. Many states include parental substance use in their definition of child abuse or neglect and related circumstances such as: exposing a child to harm prenatally (mother's use of substances or illegal drugs) manufacturing methamphetamine in the presence of a child.

What are the types of physical abuse?

Physical abuse is a non-accidental bodily injury to a child caused by a parent, caregiver, or another person responsible for a child. Injuries from physical abuse could range from minor bruises to severe fractures or death. Physical abuse can include: 1 punching 2 beating 3 kicking 4 biting 5 shaking 6 throwing 7 stabbing 8 choking 9 hitting (with hand or other object) 10 burning 11 otherwise causing physical harm

What is considered a failure to provide necessary food, shelter, supervision?

Neglect typically includes the following categories: Physical: failure to provide necessary food, shelter, supervision. Medical: failure to provide necessary medical or mental health treatment or withholding medically indicated treatment from a child with life-threatening conditions. Educational: failure to educate a child or attend ...

What is considered abandonment?

Educational: failure to educate a child or attend to special education needs. Emotional: inattention to a child's emotional needs, failure to provide psychological care, or permitting a child to use alcohol/ drugs. Many states also consider abandonment as a form of neglect. In general, a child is considered abandoned when.

Is poverty considered child abuse?

Living in poverty is not considered child abuse or neglect; however, if a family's failure to use available resources puts the child's health or safety at risk, child welfare intervention could be required.

When is mandatory reporting required?

When to report. There are 3 circumstances under which mandatory reporting may be required: • If a psychiatrist interviews a child and suspects abuse. • If a psychiatrist suspects such abuse based on information obtained from a concerned third party (eg, the child’s mother) • If a psychiatrist suspects abuse (or has reason to believe ...

Why is mandatory reporting important?

Mandatory reporting may deter individuals who can pose a risk to children from seeking psychiatric help. Such help is not only beneficial to the adult in question, but when successful, can also assist in preventing future acts of child abuse.

Why is it important to report a child's self-disclosure?

Nevertheless, most psychiatrists likely appreciate the importance of making a report based on a child’s self-disclosures: that child may need further treatment; other children may be at risk; the alleged perpetrator may need to be stopped, and perhaps also sanctioned and treated.

How long does it take to report a child abuse incident?

Jurisdictions may require a telephone call or a written statement within 24 to 36 hours of finding out about a reportable event.

What to do if a psychiatrist is in doubt?

If a psychiatrist is in doubt as to whether a specific incident is reportable, documented consultation with a professional colleague can be useful. In addition, guidance can usually be obtained from relevant reporting agencies without first disclosing a patient’s identity.

How many men sought treatment in 1989?

It had also kept track of all self-disclosures made during therapy about committed acts that had possibly been abusive. Before the statutory mandate of 1989, 73 men (previously unknown to law enforcement) over a 10-year period sought treatment in relationship to activities involving possible child sexual abuse.

When did psychiatrists have to report child abuse?

One year later, in 1989 , psychiatrists were additionally mandated to report suspicions based on the self-disclosures of adult patients made at the time of an initial psychiatric intake assessment. The mandated reporting of suspected child abuse still stands in marked contrast to other sorts of mandates.

Why is mandatory reporting important?

Mandatory reporting is a very direct acknowledgement that child abuse and neglect is prevalent, serious and often hidden. Its aim is to enable early detection of cases of harm to children which might otherwise escape the notice of relevant authorities or helping agencies. It also reinforces the moral obligation on every adult citizen to care ...

Why did mandatory reporting not cause an explosion?

In other jurisdictions like Australia the introduction of mandatory reporting did not cause quite such an explosion but this is probably because mandatory reporting was introduced so much later when voluntary reporting had largely become the norm.

What is the aftermath of the Sullivan and Thompson case?

Nevertheless, the factual aftermath of the reports made in both Sullivan and Thompson are evidence of the potential for horrible consequences of mandatory reporting laws. In Sullivan, the child’s father came under suspicion as the perpetrator of sexual abuse.

Why did the High Court rule that no such duty existed?

The High Court held that no such duty existed because of the mandatory nature of the report. It is hard to see how it could be otherwise. Professionals who are forced to report their suspicions do need to be protected when they make honest mistakes in the performance of their mandated duty.

What has happened to referrals?

The explosion in referrals has resulted in many agencies and departments being completely overwhelmed with cases to investigate. In every jurisdiction there are complaints that the agencies involved in protecting children from abuse have become overburdened and in many cases, completely unworkable.

How does interrogation affect children?

Long, often repeated interrogations and physical examinations can leave children emotionally scarred and innocent caregivers thoroughly traumatised, thus reducing their capacity to care for their children in the future. In most jurisdictions there is provision for the forcible removal of children from the family home.

What happens when you accuse your parents of child abuse?

Falsely or erroneously accused parents can suffer shame and misplaced guilt leading to feelings of powerlessness, inadequacy and sometimes life-threatening depression.

How much is a mandated reporter in Connecticut?

If the DCF knows or feels that the reporter is making false claims of abuse, the person’s identity will be turned over to the police. The fine for failure to report within the appropriate amount of time can be from $500-$2,000 and may require additional education or training on being a mandated reporter.

How long does it take to investigate a child?

According to the DCF’s website, it “is responsible for immediately evaluating and classifying all reports of suspected abuse/neglect/imminent risk.” (CT.GOV) If the DCF finds that the report needs to be investigated, the department works as hard as it can to start the investigation within two hours if it feels that the child is at risk of imminent danger. If there is not an immediate emergency, then the department must start investigation within three days from the day of the report. For all reports being made, DCF has 30 days to investigate the child’s case.

Why can't the public see the entire story in HIPPA cases?

The public never sees the entire story in these cases. This makes it easier for healthcare providers and law enforcement to be wrongfully maligned. Because of HIPPA confidentiality laws , the naturopathic physician that saw this child can’t share all of the medical details that made her make this decision.

What happened to the family after they refused to cooperate with police?

What had started as a wellness check escalated to law enforcement entering the home because the family refused to work with the police after they had made multiple attempts to work with the parents.

Is medical neglect a real issue?

At the same time, medical neglect is a real child safety issue which can lead to tragic outcomes if appropriate action isn’t taken. We must have an investigative process in place when we are concerned that children might be in potentially deadly situations – and we do. That’s why we have mandatory reporting and DCS.

Is it okay to minimize the severity of a child's illness?

Mentally minimizing the severity of your child’s illness is actually a form of self-preservation. This is the same reason that it’s not advised that medical providers take care of family members – your judgement can be clouded when it comes to caring for the people you love.

What happens if you don't comply with mandatory reporting?

Failure to comply with the mandatory reporting requirements can not only result in criminal penalties, but they can also subject a child to continued abuse or neglect. If you have questions about the mandatory reporting laws in your state, it's in your best interest to speak with an experienced criminal defense attorney near you.

What are the requirements for reporting a child?

Situations in which mandatory reporters must report vary depending on state mandatory reporting laws. However, according to the HHS, there are typically two standards as to when a report should be made: 1 When the reporter has reason to believe or suspects that a child has been abused or neglected. 2 When the reporter sees a child being subjected to harm or knows of conditions that would reasonably result in harm to the child.

How many states have mandatory reporting laws?

According to information provided to the U.S. Department of Health and Human Services (HHS), there are 48 states that have mandatory reporting laws requiring certain people to report child abuse and neglect. These individuals are usually people who have frequent contact with children because of their occupation.

Does child neglect cover child abuse?

However, it's important to remember that many of these laws also cover child neglect. In some states, these laws require that people in certain professions report child abuse and neglect to a proper authority, such as a law enforcement agency or child protective services.

Reporters are not expected to investigate or prove abuse

The nurse or any other mandated reporter is not expected to investigate or to prove the abuse nor to pass judgement on the situation. In fact, it is imperative to report suspicions without waiting for more evidence or proof.

What qualifies as abuse, neglect, or exploitation?

Abuse or neglect can happen at any age, in any family or caregiving circumstance, and any socio-economic situation. Scenarios involved can include physical, mental, and financial abuse, neglect including abandonment, restriction of food, fluids, or hygiene, and preventing an adult or from receiving appropriate medical care.

Types of abuse to report

The most recognized forms of abuse or neglect include child maltreatment, abandonment, neglect, or sexual exploitation and trafficking. Dependent adult and elder abuse often involve things like financial abuse, physical abuse, neglect, or sexual exploitation or trafficking.

Who else is mandated to report?

Other mandated reporters include Physicians, Physician Assistants, NP’s, Social Workers, Teachers, Teacher’s aides, Police officers, and Clergy. Laws vary from state to state and take in to account privileged/confidential conversations such as doctor-patient or clergy-patient.

Why do mandated reporters have to tell their family?

Mandated reporters can choose to tell the family that they have called the Hotline and the reasons for their decision. This disclosure may help maintain a relationship between the mandated reporter and the child‘s family, especially when there is on-going contact. By disclosing, you can maintain credibility and the trust of the family.

What is CPS recommendation?

CPS recommendations – CPS advises against telling the family IF: The report involves sexual abuse. The family’s knowledge of the report could impair the CPS investigation by limiting CPS’s ability to gather information from the child and/or family members. The family’s knowledge of the report would result in immediate danger ...

Does a supervisor have to disclose to the family?

Your supervisor may have additional concerns about disclosure: Your agency may have a specific policy that includes disclosure to the family as part of an ongoing helping relationship. Your agency may prohibit disclosure to the family.

Do you have to tell your family about a CPS report?

You are not required by law to tell the family that you have made a report to the Hotline. In fact, CPS is mandated by law to protect your confidentiality after you make a report.