Good Ethics = Good Supervision - Law and Ethics in Clinical Practice

Child Abuse is a Serious Problem

There are 3 million cases of child maltreatment reported each year and 33% are substantiated. Some 1,300 children die each year and the rest sometimes carry physical and emotional scars for the rest of their lives.

What is Child Abuse?
Child Abuse is mistreatment or neglect of children by parents or caretakers resulting in injury or harm. It includes: Non-accidental Physical injuries, Sexual Assault, Sexual Exploitation, Physical Neglect, Inadequate Supervision, Mental Cruelty
Who Should Report Child Abuse? Any citizen is encouraged to report child abuse. All professionals who have a special working relationship or contact with children are mandated by law to report actual and suspected abuse. Reports must be made immediately by telephone and in writing, within 36 hours of receiving the information concerning the incident. Professionals required to report include medical personnel, teachers, mental health workers, social workers, childcare personnel, commercial film and photographic print processors and law enforcement officers. Failure to report may result in criminal action. Mandated reporters are not liable for civil damages or criminal prosecution as a result of making a report. Other persons are not liable unless it can be proven that an intentionally false report was made.

If child abuse is suspected in the clinical situation we are mandated to report these suspicions to the local Child Protective Agency. We want to always act in the best interest of our client. As stated, that can require outside referrals, consultation, referrals to CPS or hospitalization. It always requires a commitment to stay current with the state of treatments available in our profession. When dealing with a CPS referral it is generally best to approach the issue gently and firmly. As we address the parameters of confidentiality, in the intake and informed consent process, we can refer to that discussion and explain that we are bound to protect the child and parent in these situations. Acting in their best interest is to make the referral and get the extra support these agencies can provide. CPS is usually grateful to have a therapist already involved and will align with the established clinical goals.