“…Most of the reviewed articles addressed the barriers and difficulties for professionals to detect and report abuse cases. The following barriers were found: lack of confidence in defining, identifying, and reporting abuse; reluctance to report abuse unless there is certainty that abuse had occurred; concern for the therapeutic relationship; potential consequences for the victim; the risk of a long judicial process; empathy with the abuser; a lack of screening procedures; not having clear definitions of abuse; shortages of available interventions for the abused and abusers; perceptions regarding the intent of the perpetrator; a lack of training; a lack of time; the victim's health; inability or unwillingness of victims to report their situation; absence of clear legislation; ignorance of laws concerning abuse; not knowing where or how to report; a lack of protocols; ethical dilemmas and paradoxes posed by reporting; the belief that abuse is a private family matter; and insecurity about whether the informant will be protected (All, 1994;Almogue et al, 2010;Bover, Moreno, Mota, & Taltavull, 2003;Cooper et al, 2009;Daly & Coffey, 2010;Joubert & Posenelli, 2009;Kennelly, Sweeney, & O'Neill, 2007;Kennedy, 2005;Killick & Taylor, 2009;Ko & Koh, 2012;Leddy, Farrow, & Schulkin, 2014;Liao, Jayawardena, Bufalini, & Wiglesworth, 2009;Mandiracioglu, Govsa, Celikli, & Yildirim, 2006;Rodriguez, Wallace, Woolf, & Mangione, 2006;Schmeidel et al, 2012;Strümpel & Hackl, 2011;Taylor et al, 2006). Two of the studies reviewed (Schmeidel et al, 2012;Yaffe et al, 2009) showed how perceptions of such barriers to detecting and reporting can vary depending on the professional profile and that health and social services professionals could have different attitudes, beliefs, values, and behaviours towards abuse.…”