To Report or Not to Report

Morris, John L.

doi:10.1001/archpedi.1985.02140040096037

Cited by 105 publications

(8 citation statements)

References 7 publications

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“…The main difficulty evoked by the FPs of our study was the fear of making an incorrect diagnosis. In the literature, the fear of making a mistake is also the main obstacle to reporting (along with the judicial consequences for the practitioner) [ 5 , 7 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have sought to identify the difficulties faced by FPs and that might explain this “under-reporting”: fear of an incorrect diagnosis [ 5 , 6 ], the possible impact of a report on the FP’s relationship with the family [ 6 ], fear of not spending enough time with other patients and, lastly, financial repercussions [ 5 – 7 ]. In study by Jones’ et al [ 8 ], 83 % of the physicians explained that they had failed to report an incident because they knew the parents well.…”

Section: Introductionmentioning

confidence: 99%

“…Other research has found that physicians are less inclined to make a report because they feel that this action will not benefit the child, [ 7 – 9 ] and may even aggravate the situation. [ 6 , 10 ] Physicians also mention a lack of confidence; [ 5 , 6 , 11 ] or a previous negative experience with social services or the judicial system [ 8 , 10 , 12 , 13 ]. They are also afraid of the penal repercussions for FP and/or parents, and considered that making and following up a report is very time-consuming [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for child abuse: levels of knowledge and difficulties in family medicine. A mixed method study

et al. 2015

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BackgroundFamily physicians (FPs) have a central role in the detection and management of child abuse. According to the literature, only 2–5 % of initial reports of child abuse come from the medical profession.MethodsThe objective of this study was to assess levels of knowledge of risk factors for child abuse by Family Physicians (FPs) and the attention that the physicians pay to these risk factors. We conducted a mixed-method survey based on semi-structured interviews. 50 FPs practicing in the Somme County (northern France) were interviewed with closed and open questions. The FPs’ level of knowledge of risk factors for child abuse and obstacles in the detection of child abuse were assessed.ResultsThe FPs’ level of knowledge of risk factors for child abuse was similar to that reported in the literature. However, FPs knew little about the significant role of prematurity. Likewise, the FP’s training did not seem to influence their knowledge of risk factors. Fear of an incorrect diagnosis was the main obstacle to reporting a suspected case. The FPs considered that they were often alone in dealing with a difficult situation and considered that the judicial system and the social services were not sufficiently active.ConclusionsFew FPs had actually received specific training in the detection and management of child abuse but many stated their need for this type of training. FPs encounter many obstacles in the detection of child abuse, which sometimes make the FP reluctant to report a suspected or potential case. Medical education need to be improved in this field.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-015-1607-9) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Risk factors for child abuse: levels of knowledge and difficulties in family medicine. A mixed method study

et al. 2015

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“…Among mandated reporters, other factors that have been shown to affect the decision to report actual suspected cases of abuse include whether or not a report is legally required (Kalichman and Brosig, 1993), the benefits to the child of making such a report (Zellman, 1990b) and the would-be reporter's views of CPS (Kenny, 2001;Morris et al, 1985). Both non-mandated and mandated reporters show reporting tendencies based on their expertise and what events they logistically have an opportunity to observe.…”

Section: Does the Mandate Make A Difference? Reporting Decisions In Ementioning

confidence: 99%

“…Some would-be reporters may not believe in the competence or responsiveness of CPS (Kenny, 2001;Morris et al, 1985;Zellman, 1990a), or feel that some other entity, such as a friend or a church organization, might do a better job of intervening (Keller and McDade, 2000;Tite, 1993). Further, there may be misconceptions as to the procedures that CPS follows in processing reports, especially among those who have never actually made a report to CPS.…”

Section: Does the Mandate Make A Difference? Reporting Decisions In Ementioning

confidence: 99%

Does the mandate make a difference? reporting decisions in emotional abuse

Carleton

2006

Child Abuse Review

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Mandated (N = 57) and non-mandated (N = 94) reporters were questioned as to their perceptions of the seriousness of 20 vignettes related to child emotional abuse, as well as their willingness to report the actions contained in the vignettes to child protective services. No difference was observed between mandated and non-mandated reporters on the mean number of vignettes considered reportable. In addition, several psychosocial variables, including perceptions of teasing, political viewpoint, tendencies towards diffuse responsibility, perceptions of child protective services (CPS) and attitude towards helping others, were measured. Separate regression equations for mandated and non-mandated reporters showed two different models in predicting reporting tendencies. Mandated reporters were most affected by the seriousness of the situation and their willingness to engage in prosocial behaviour, whereas non-mandated reporters were most motivated by judgements of the seriousness of the abusive situation and their faith in child protective services. Being a male was also observed to be more predictive of reporting for non-mandated reporters.

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