Child Abuse Reporting and Documentation

The purpose of the reporting statute is to identify abused, and neglected children as soon as possible to protect them from further harm. Mandated must notify the appropriate Child Protective Service agency, a law enforcement agency, or a state toll-free child abuse reporting hotline. Child abuse reports remain confidential, and disclosure on  this information is limited to official organizations designated to investigate child abuse. Privacy standard as outlined in the Health Insurance Portability Accountability Act of 1996 (HIPPA) must be followed to ensure confidentiality. All infants and children's should be screened for possible abuse and neglect.

Type of child abuse:

  1. Physical abuse:  an injury intentionally inflicted on a child by caregiver paramour of a parent or anyone residing in the child home.

  1. Sexual Abuse:  the use of a child for sexual gratification or financial gain, y an adult or activities such as exhibitionist pronography, genital fonding, attemted or actual anal, vaginal, or oral intercouse.

  1. Neglect: act or omission by the perpetrator that fail to meet the child’s needs for basic living, including food, hygiene, medical care, clothing and safe environment.

  1. Emotional or psychological abuse: pattern of damaging interaction between parent and child (belittling, sharming, threatening, or committing violence against the child loves on or objects, making the child feel unsafe,encouraging developmentally inappropriate behavior unreasonability limiting activities or social interaction, rejecting the child) that result in a impairment growth, negative self-image, or disturbed child behavior.

  1. Munchausen syndrome by proxy: also known as pediatric condition falsification, is the form of medical abuse in which the child is subjected to an ‘’illness’’ induced or fabricated by a parent or caregiver. The affected parent or caregiver seeks medical care for the child’s fictitious illness and provides a fictitious history to support the illness. The fabricated or induced illness often results in the child being subjected to numerous unnecessary, invasive laboratory studies, hospitalizations or surgery.

Mandatory Reporting of Suspected Child Abuse

When to report

There are 3 circumstances under which mandatory reporting may be required:

• If a health care suspects abuse

• If a health care suspects such abuse based on information obtained from a concerned third party (eg, the child’s mother)

• If a health care suspects abuse (or has reason to believe that it has occurred) on the basis of the self-disclosures of an adult patient

Parent/caregiver/guardian should contact healthcare provider if:

  1. Notice unusual bruise or other injuries on their child

  1. Child displays sudden change in behavior ( e.g., nightmare, afraid of certain people or places) or regressive behavior (e.g., enuresis)

  1. Child verbalizes that someone has inflected actions against the child that may be considered physically, sexually,or emotionally abusive.