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Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence (2002)

Chapter: Appendix C Mandatory Reporting Laws for Family Violence

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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Suggested Citation:"Appendix C Mandatory Reporting Laws for Family Violence." Institute of Medicine. 2002. Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence. Washington, DC: The National Academies Press. doi: 10.17226/10127.
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Appendix C Mandatory Reporting Laws for Family Violence 205

206 APPENDIX C Child Abuse and Neglect Who Must Report? Mental Social Standard for Dentist Doctor Health Nurse Worker Reporting? Report Wh Alabama Y Y Y Y Y Knowledge or Child abus Ala. Code § 26-14-3 (2000) suspicion Alaska Y Y Y Y Y Reasonable Harm as a Alaska Stat. § 47.17.020 cause to suspect child abuse (Michie 2000) Arizona Y Y Y Y Y Reasonable Injury, com Ariz. Rev. Stat. § 13-3620 grounds exploitation (2000) to believe exploitation child prosti nonacciden Arkansas Y Y Y Y Y Reasonable Child maltr Ark. Code Ann. cause to suspect that will re § 12-12-507 (Michie 1999) child maltr California Y Y Y Y Y Knowledge or Child abus Cal. [Penal] Code reasonable § 11166 (West 2000) suspicion Colorado Y Y Y Y Y Reasonable Child abus Colo. Rev. Stat. cause to know § 19-3-304 (1999) or suspect Connecticut Y Y Y Y Y Reasonable Abuse, non Conn. Gen. Stat. cause to suspect physical in §§ 17a-101 to -101b (1999) or believe Delaware Y Y Y Y Y Knowledge or Child abus Del. Code Ann. tit. 16, good faith §§ 903-904 (1999) suspicion District of Columbia Y Y Y Y Y Knowledge or Immediate D.C. Code Ann. reasonable or mental a § 2-1352 (1999) cause to suspect Florida Y Y Y Y Y Knowledge or Abuse, aba Fla. Stat. ch. 39.201 reasonable (1999) cause to suspect Georgia Y Y Y Y Y Reasonable Abuse Ga. Code Ann. cause to believe § 19-7-5 (1999)

APPENDIX C 207 dard for orting? Report What? Report to Whom? Report How? wledge or Child abuse or neglect Law enforcement or Department Oral and written icion of Human Resources sonable Harm as a result of Department of Health Not specified e to suspect child abuse or neglect and Social Services sonable Injury, commercial sexual Law enforcement or Oral and written nds exploitation of a minor, sexual Child Protective Services elieve exploitation of a minor, incest, child prostitution, death, abuse, or nonaccidental physical neglect sonable Child maltreatment or conditions Child abuse hotline Oral e to suspect that will reasonably result in child maltreatment wledge or Child abuse Child protective agency Oral and written onable icion sonable Child abuse or neglect County Department of Not specified e to know Human Services or uspect law enforcement sonable Abuse, nonaccidental Commissioner of Children Oral e to suspect physical injury, or neglect and Families or law elieve enforcement agency wledge or Child abuse or neglect Division of Child Protective Oral and written d faith Services of Department (if requested) icion of Services for Children, Youth, and Their Families wledge or Immediate danger of physical Law enforcement or Not specified onable or mental abuse or neglect Child Protective Services e to suspect wledge or Abuse, abandonment, or neglect Department of Children Oral onable and Family Services e to suspect sonable Abuse Child welfare agency designated Oral and written e to believe by the Department of Human (if requested) Resources or law enforcement continued on next page

208 APPENDIX C Child Abuse and Neglect Who Must Report? Mental Social Standard for Dentist Doctor Health Nurse Worker Reporting? Report Wh Hawaii Y Y Y Y Y Reason to Child abus Haw. Rev. Stat. believe substantial § 350-1.1 (1999) reasonably Idaho Y Y Y Y Y Reason to Abuse, aba Idaho Code believe or conditio § 16-1619 (1999) reasonably Illinois Y Y Y Y Y Reasonable Abuse or n 325 Ill. Comp. Stat. 5/4 cause to believe (West 2000) Indiana Y Y Y Y Y Reason to Abuse or n Ind. Code §§ 31-33-5-1 believe to -2, -4 (1999) Iowa Y Y Y Y Y Reasonable Child abus Iowa Code belief § 232.69 (1999) Kansas Y Y Y Y Y Reason to Injury resu Kan. Stat. Ann. suspect mental, or § 38-1522 (1999) neglect, or Kentucky Y Y Y Y Y Knows or has Dependenc Ky. Rev. Stat. Ann. reasonable cause or abuse § 620.030 (Michie 1998) to believe Louisiana Y Y Y Y Y Cause to believe Endangerm La. Civ. Stat. Ann. Art. physical or 603, 609-610 (West 2000) or welfare or abuse Maine Y Y Y Y Y Knowledge or Child likel Me. Rev. stat. Ann. Tit. 22 reasonable cause been abuse § 4011 (West 1999) to suspect Maryland Y Y Y Y Y Reason to Abuse or n Md. Code Ann., [Fam. Law] believe § 5-704 (1999)

APPENDIX C 209 ndard for orting? Report What? Report to Whom? Report How? son to Child abuse or neglect or Department of Human Oral and written eve substantial risk of above in Services and reasonably foreseeable future law enforcement son to Abuse, abandonment, or neglect Law enforcement or Not specified eve or conditions that would Department of Health reasonably result in any of above and Welfare sonable Abuse or neglect Department of Children Not specified se to believe and Family Services son to Abuse or neglect Child protective services Oral eve or law enforcement sonable Child abuse Department of Oral and written ef Human Services son to Injury resulting from physical, Department of Social Oral and written pect mental, or emotional abuse, and Rehabilitation Services (if requested) neglect, or sexual abuse ws or has Dependency, neglect, Law enforcement, Cabinet Oral or written onable cause or abuse for Families and Children, elieve or county attorney se to believe Endangerment of child’s Child Protection Unit of Written physical or mental health Department of or welfare due to neglect Social Services or abuse wledge or Child likely to be or has Department of Not specified onable cause been abused or neglected Human Services uspect son to Abuse or neglect Department of Oral and written eve Social Services or law enforcement continued on next page

210 APPENDIX C Child Abuse and Neglect Who Must Report? Mental Social Standard for Dentist Doctor Health Nurse Worker Reporting? Report Wh Massachusetts Y Y Y Y Y Reasonable Physical or Mass. Gen. Laws ch. 119, cause to believe resulting fr § 51A (2000) causes harm harm to ch Michigan Y Y Y Y Y Reasonable Abuse or n Mich. Comp. Laws cause to suspect § 722.623 (1999) Minnesota Y Y Y Y Y Knows or has Neglect, or Minn. Stat. reason to believe sexual abus § 626.556 (1999) or within p Mississippi Y Y Y Y Y Reasonable Neglect or Miss. Code Ann. cause to suspect § 43-21-353 (2000) Missouri Y Y Y Y Y Reasonable Child has b Mo. Rev. Stat. cause to suspect subjected t § 210.115 (1999) neglect or subjected t that would result in ab Montana Y Y Y Y Y Knows or has Abuse or n Mont. Code Ann. reasonable cause § 41-3-201 (1999) to suspect Nebraska Y Y Y Y Y Reasonable Abuse or n Neb. Rev. Stat. cause to believe conditions § 28-711 (2000) would resu or neglect Nevada Y Y Y Y Y Knowledge or Abuse or n Nev. Rev. Stat. reasonable cause § 432B.220 (2000) to believe New Hampshire Y Y Y Y Y Reason to Abuse or n N.H. Rev. Stat. Ann. suspect §§ 169-C:29 to -C:30 (1999) New Jersey Y Y Y Y Y Reasonable Abuse N.J. Stat. Ann. cause to believe § 9:6-8.10 (West 2000)

APPENDIX C 211 dard for orting? Report What? Report to Whom? Report How? sonable Physical or emotional injury Juvenile Court Oral and written e to believe resulting from abuse which causes harm or substantial risk of harm to child’s health or welfare; sonable Abuse or neglect Department of Oral and written e to suspect Social Services ws or has Neglect, or physical or Welfare agency or Not specified on to believe sexual abuse, currently law enforcement or within past three years sonable Neglect or abuse Department of Oral and written e to suspect Human Services sonable Child has been or may be Division of Not specified e to suspect subjected to abuse or Family Services neglect or is being subjected to conditions that would reasonably result in abuse or neglect ws or has Abuse or neglect Department of Public Not specified onable cause Health and Human Services uspect sonable Abuse or neglect or Law enforcement or Oral and written e to believe conditions that reasonably Department of Health would result in abuse and Human Services or neglect wledge or Abuse or neglect Law enforcement or Not specified onable cause protective services elieve son to Abuse or neglect Department of Health Oral and written ect and Human Services (if requested) sonable Abuse Division of Youth and Oral or written e to believe Family Services continued on next page

212 APPENDIX C Child Abuse and Neglect Who Must Report? Mental Social Standard for Dentist Doctor Health Nurse Worker Reporting? Report Wh New Mexico Y Y Y Y Y Knowledge or Abuse or n N.M. Stat. Ann. reasonable § 32A-4-3 (Michie 2000) suspicion New York Y Y Y Y Y Reasonable Abuse or m N.Y. [Soc. Serv.] Law cause to suspect § 413 (McKinney1999) North Carolina Y Y Y Y Y Cause to suspect Abuse, neg N.C. Gen. Stat. dependency § 7B-301 (1999) resulting fr North Dakota Y Y Y Y Y Knowledge or Abuse, neg N.D. Cent. Code reasonable cause resulting fr § 50-25.1-03 (2000) to suspect or neglect Ohio Y Y Y Y Y Knowledge or Suffers or Ohio Rev. Code Ann. suspicion suffering a § 2151.421 (Anderson 1999) physical or injury or d reasonably or neglect Oklahoma Y Y Y Y Y Reason Abuse or n Okla. Stat. tit. 10, to believe § 7103 (1999) Oregon Y Y Y Y Y Reasonable Abuse Or. Rev. Stat. cause to believe §§ 419B.005, .010-.015 (1997) Pennsylvania Y Y Y Y Y Reasonable Abuse 23 Pa. Cons. Stat. cause to suspect § 6311 (1999) Rhode Island Y Y Y Y Y Reasonable Abuse, neg R.I. Gen. Laws cause to know abuse perp § 40-11-3 (2000) or suspect another chi

APPENDIX C 213 ndard for orting? Report What? Report to Whom? Report How? wledge or Abuse or neglect Law enforcement or Not specified onable Department of Children, icion Youth, and Families or tribal law enforcement (if child resides in Indian country) sonable Abuse or maltreatment Central register of child Oral and written e to suspect abuse and maltreatment se to suspect Abuse, neglect, Department of Oral or written dependency, or death Social Services resulting from maltreatment wledge or Abuse, neglect, or death Department of Not specified onable cause resulting from abuse Human Services uspect or neglect wledge or Suffers or faces threat of Public Children Oral and written icion suffering abuse, neglect, Services Agency or (if requested) physical or mental wound, law enforcement injury or disability that reasonably indicates abuse or neglect son Abuse or neglect Department of Oral or written elieve Human Services sonable Abuse Office for Services to Oral e to believe Children and Families or law enforcement sonable Abuse Department or appropriate Oral and written e to suspect county agency sonable Abuse, neglect, or sexual Department for Children Oral e to know abuse perpetrated by and Their Families uspect another child continued on next page

214 APPENDIX C Child Abuse and Neglect Who Must Report? Mental Social Standard for Dentist Doctor Health Nurse Worker Reporting? Report Wh South Carolina Y Y Y Y Y Reason Physical or S.C. Code Ann. § 20-7-510 to believe has been o (Law. Co-op. 1999) affected by South Dakota Y Y Y Y Y Reasonable Abuse or n S.D. Codified Laws cause to suspect §§ 26-8A-3, -6 (Michie 2000) Tennessee Y Y Y Y Y Knowledge or Wound, in Tenn. Code Ann. reasonable physical or § 37-1-403 (1999) indication or condition c reasonable brutality, a appearance Texas Y Y Y Y Y Cause to believe Physical or Tex. [Fam.] Code Ann. or welfare §§ 261.101-.103 affected by (West 2000) or neglect Utah Y Y Y Y Y Observes or Incest, mo Utah Code Ann. has reason exploitatio § 62A-4a-403 (1999) to believe physical ab circumstan resulting in Vermont Y Y Y Y Y Reasonable Abuse or n Vt. Stat. Ann. tit. 33, cause to belive §§ 4913-4914 (2000) Virginia Y Y Y Y Y Reason Abuse or n Va. Code Ann. to suspect § 63.1-248.3 (Michie 1999) Washington Y Y Y Y Y Observation or Abuse or n Wash. Rev. Code reasonable conditions § 26.44.030 (2000) cause to believe in abuse or West Virginia Y Y Y Y Y Reasonable Neglect or W. Va. Code cause to suspect conditions § 49-6A-2 (2000) in neglect

APPENDIX C 215 dard for orting? Report What? Report to Whom? Report How? son Physical or mental health or welfare Department of Oral elieve has been or may be adversely Social Services or affected by abuse or neglect law enforcement sonable Abuse or neglect State’s attorney, Oral se to suspect Department of Social Services, or law enforcement wledge or Wound, injury, disability, Juvenile court judge, Oral or written onable physical or mental Department of cation or condition caused by Children’s Services, onable brutality, abuse, or neglect or law enforcement earance se to believe Physical or mental health Law enforcement or Not specified or welfare adversely Department of Protective affected by abuse and Regulatory Services or neglect erves or Incest, molestation, sexual Law enforcement or Not specified reason exploitation, sexual abuse, Division of Child and elieve physical abuse, neglect; or Family Services circumstances reasonably resulting in any of above sonable Abuse or neglect Commissioner of Social Oral and written se to belive and Rehabilitation Services son Abuse or neglect Department of Oral uspect Social Services ervation or Abuse or neglect or Law enforcement or Not specified onable conditions likely to result Department of Social se to believe in abuse or neglect and Health Services sonable Neglect or abuse, or State Department of Not specified se to suspect conditions likely to result Human Services and in neglect or abuse Division of Public Safety and law enforcement (if serious) continued on next page

216 APPENDIX C Child Abuse and Neglect Who Must Report? Mental Social Standard for Dentist Doctor Health Nurse Worker Reporting? Report Wh Wisconsin Y Y Y Y Y Reasonable cause Abuse or n Wis. Stat. to suspect or threat of ab § 48.981 (1999) reason to believe or neglect Wyoming Y Y Y Y Y Knowledge or Abuse or n Wyo. Stat. Ann. reasonable cause subjection § 14-3-205 (Michie 2000) to believe or that would suspect result in ab NOTE: Because the term “allied health professional” is defined variably among different states, this chart cannot accurately summarize the duties of all persons who might be included in this broad category.

APPENDIX C 217 ndard for orting? Report What? Report to Whom? Report How? sonable cause Abuse or neglect, or Department of Health Oral and written uspect or threat of abuse and Family Services (if requested) on to believe or neglect wledge or Abuse or neglect or Child protective agency Not specified onable cause subjection to conditions or law enforcement elieve or that would reasonably ect result in abuse or neglect t states, this s broad

218 APPENDIX C Elder Abuse and Neglect Who Must Report? Mental Social Standard for Dentist Doctor Health Nurse Worker Reporting? Report Wh Alabama Y Y Y Y Y Reasonable Physical ab Ala. Code § 38-9-8 (2000) cause to believe exploitatio or emotion Alaska N Y Y Y Y Reasonable Abandonm Alaska Stat. cause to believe exploitatio § 47.24.010 (Michie 2000) neglect, or Arizona Y Y Y Y Y Reasonable Abuse, neg Ariz. Rev. Stat. basis to believe exploitatio § 46-454 (2000) Arkansas Y Y Y Y Y Observation or Abuse, sex Ark. Code Ann. reasonable neglect, or § 5-28-203 (Michie 1999) cause to suspect California N Y Y Y Y Observation or Abuse, aba Cal. [Welf. & Inst.] Code knowledge of or isolation o § 15630 (West 2000) reasonably abuse or n suspects Connecticut Y Y Y Y Y Reasonable Abuse, neg Conn. Gen. Stat. cause to suspect or abandon § 17b-451 (1999) or believe Delaware Y Y Y Y Y Reasonable In need of Del. Code Ann. tit. 31, cause to believe § 3910 (1999) District of Columbia Y Y N Y Y Substantial In need of D.C. Code Ann. cause to believe due to abu § 6-2503 (1999) Florida Y Y Y Y Y Knowledge of Abuse, neg Fla. Stat. ch. 415.1034 or reasonable exploitatio (1999) cause to suspect Georgia Y Y Y Y Y Reasonable Physical in Ga. Code Ann. cause to believe nonacciden § 30-5-4 (1999) or exploita Hawaii Y Y Y Y Y Knowledge or Abuse and Haw. Rev. Stat. reason to believe imminent a § 346-224 (1999)

APPENDIX C 219 dard for orting? Report What? Report to Whom? Report How? sonable Physical abuse, neglect, County Department of Oral and written e to believe exploitation, sexual abuse, Human Resources or or emotional abuse law enforcement sonable Abandonment, Department of Health Not specified e to believe exploitation, abuse, and Human Services’ neglect, or self-neglect Central Information and Referral Service sonable Abuse, neglect, or Law enforcement or Oral and written s to believe exploitation of property protective services worker ervation or Abuse, sexual abuse, Central registry or Not specified onable neglect, or exploitation law enforcement e to suspect ervation or Abuse, abandonment, Adult protective services Oral and written wledge of or isolation or financial agency or law enforcement onably abuse or neglect ects sonable Abuse, neglect, exploitation, Commissioner of Not specified e to suspect or abandonment Social Services elieve sonable In need of protective services Department of Health Not specified e to believe and Social Services stantial In need of protective services Department of Oral or written e to believe due to abuse or neglect Human Services wledge of Abuse, neglect, or Central abuse registry Oral easonable exploitation e to suspect sonable Physical injury inflicted by Adult protection agency, Oral or written e to believe nonaccidental means, neglect, law enforcement, or or exploitation district attorney wledge or Abuse and threat of Department of Oral and written on to believe imminent abuse Human Services continued on next page

220 APPENDIX C Elder Abuse and Neglect Who Must Report? Mental Social Standard for Dentist Doctor Health Nurse Worker Reporting? Report Wh Idaho Y Y Y N Y Reasonable Abuse, neg Idaho Code cause to believe exploitatio § 39-5303 (1999) Illinois Y Y Y Y Y Reason Abuse, neg 320 Ill. Comp. Stat. to believe exploitatio 20/2, 20/4 (West 2000) 12 months Indiana Y Y Y Y Y Belief or reason Endangere Ind. Code to believe § 12-10-3-9 (1999) Iowa Y Y Y Y Y Suspicion Abuse Iowa Code § 235B.3 (1999) Kansas N Y Y Y Y Reasonable Abuse, neg Kan. Stat. Ann. cause to believe or in need § 39-1431 (1999) services Kentucky Y Y Y Y Y Reasonable Abuse, neg Ky. Rev. Stat. Ann. cause to suspect § 209.030 (Michie 1998) Louisiana Y Y Y Y Y Cause to believe Adverse ef La. Rev. Stat. Ann. mental hea § 14/403/2 (West 2000) abuse, neg Maine Y Y Y Y Y Reasonable Abuse, neg Me. Rev. Stat. Ann. tit. 22, cause to suspect accompani § 3477 (West 1999) Maryland Y Y Y Y Y Reason Abuse, neg Md. Code Ann., [Fam. Law] to believe or exploita § 14-302 (1999) Massachusetts Y Y Y Y Y Reasonable Suffering f Mass. Gen. Laws ch. 19A, cause to believe caused by § 15 (1999) Michigan Y Y Y Y Y Suspicion or Abuse, neg Mich. Comp. Laws reasonable § 400.11a (1999) cause to believe

APPENDIX C 221 ndard for orting? Report What? Report to Whom? Report How? sonable Abuse, neglect, or Commission on Aging Not specified e to believe exploitation son Abuse, neglect, or financial Department on Aging Not specified elieve exploitation, within past 12 months ef or reason Endangered adult Adult protective services Not specified elieve or law enforcement or statewide telephone number picion Abuse Department of Not specified Human Services sonable Abuse, neglect, exploitation, Department of Social and Not specified e to believe or in need of protective Rehabilitation Services services sonable Abuse, neglect, or exploitation Cabinet for Families Oral or written e to suspect and Children se to believe Adverse effect on physical or Adult protection agency Not specified mental health or welfare by or law enforcement agency abuse, neglect, or exploitation sonable Abuse, neglect, or exploitation, Department of Oral and written e to suspect accompanied by incapacitation Human Services son Abuse, neglect, self-neglect, Department of Oral or written elieve or exploitation Social Services sonable Suffering from or death Executive Office of Oral and written e to believe caused by abuse Elder Affairs picion or Abuse, neglect, or exploitation Department of Oral onable Social Services e to believe continued on next page

222 APPENDIX C Elder Abuse and Neglect Who Must Report? Mental Social Standard for Dentist Doctor Health Nurse Worker Reporting? Report Wh Minnesota Y Y Y Y Y Reason Maltreatm Minn. Stat. to believe injury not §§ 626.556, .557 (1999) Mississippi Y Y Y Y Y Reasonable Abuse, neg Miss. Code Ann. cause to believe § 43-47-7 (2000) Missouri Y Y Y Y Y Reasonable Likelihood Mo. Rev. Stat. cause to suspect physical h § 660.255 (1999) protective Montana Y Y Y Y Y Knowledge or Abuse, sex Mont. Code Ann. reasonable or exploita § 52-3-811 (1999) cause to suspect Nebraska Y N Y Y Y Reasonable Abuse or c Neb. Rev. Stat. cause to believe resulting in § 28-372 (2000) or observation Nevada Y Y Y Y Y Knowledge or Abuse, neg Nev. Rev. Stat. reasonable or isolatio § 200.5093 (2000) cause to believe New Hampshire Y Y Y Y Y Reason Physical a N.H. Rev. Stat. Ann. to believe exploitatio § 161-F:46 (1999) hazardous New Mexico Y Y Y Y Y Reasonable Abuse, neg Stat. Ann. cause to believe § 27-7-30 (Michie 2000) North Carolina Y Y Y Y Y Reasonable Need of pr N.C. Gen. Stat. cause to believe § 108A-102 (1999) Ohio Y Y Y Y Y Reasonable Abuse, neg Ohio Rev. Code Ann. cause to believe § 5101.61 (Anderson 1999) Oklahoma Y Y Y Y Y Reasonable Abuse, neg Okla. Stat. tit. 43A, cause to believe § 10-104 (1999)

APPENDIX C 223 dard for orting? Report What? Report to Whom? Report How? son Maltreatment or physical Designated common Oral elieve injury not reasonably explained entry point sonable Abuse, neglect, or exploitation Department of Written and/or se to believe Human Services or oral welfare department sonable Likelihood of suffering serious Department of Oral or written se to suspect physical harm and in need of Social Services protective services wledge or Abuse, sexual abuse, neglect, Department of Public Health Not specified onable or exploitation and Human Services or se to suspect county attorney sonable Abuse or conditions reasonably Law enforcement or Oral and written se to believe resulting in abuse Department of Health and (if requested) bservation Human Services wledge or Abuse, neglect, exploitation, Aging Services Division of Not specified onable or isolation Department of Human se to believe Resources or law enforcement son Physical abuse, neglect, Commissioner of Health and Oral and written elieve exploitation, or living in Human Services (if requested) hazardous conditions sonable Abuse, neglect, or exploitation Children, Youth, and Oral or written se to believe Families Department sonable Need of protective services Director of Department of Oral or written se to believe Social Services sonable Abuse, neglect, or exploitation Department of Job and Oral and written se to believe Family Services (if requested) sonable Abuse, neglect, or exploitation Department of Human Not specified se to believe Services, district attorney, or law enforcement continued on next page

224 APPENDIX C Elder Abuse and Neglect Who Must Report? Mental Social Standard for Dentist Doctor Health Nurse Worker Reporting? Report Wh Oregon Y N Y Y Y Reasonable Abuse Or. Rev. Stat. cause to believe §§ 124.050, .060-.065 (1999) Rhode Island Y Y Y Y Y Reasonable Abuse, neg R.I. Gen. Laws cause to believe or abandon § 42-66-8 (2000) South Carolina Y Y Y Y Y Reason Occurrence S.C. Code Ann. § 43-35-25 to believe abuse, neg (Law. Co-op. 1999) Tennessee Y Y Y Y Y Reasonable Abuse, neg Tenn. Code Ann. cause to suspect § 71-6-103 (1999) Texas Y Y Y Y Y Cause Abuse, neg Tex. [Hum. Res.] Code Ann. to believe § 48.051 (West 2000) Utah Y Y Y Y Y Reason Abuse, em Utah Code Ann. to believe psychologi § 62A-3-302 (1999) or exploita Vermont Y Y Y Y Y Knowledge, Abuse, neg Vt. Stat. Ann. tit. 33, receipt of §§ 6903-6904 (2000) information, or reason to suspect Virginia Y Y Y Y Y Reason to suspect Abuse, neg Va. Code Ann. § 63.1-55.3 (Michie 1999) Washington Y Y Y Y Y Reasonable Abandonm Wash. Rev. Code cause to believe exploitatio §§ 74.34.020, .035 (2000) assault, or West Virginia Y Y Y Y Y Reasonable Neglect, ab W. Va. Code cause to believe emergency § 9-6-9 (2000) Wyoming Y Y Y Y Y Knowledge or Abuse, neg Wyo. Stat. Ann. reasonable or abandon § 35-20-103 (Michie 2000) cause to believe NOTE: Because the term “allied health professional” is defined variably among different states, this chart cannot accurately summarize the duties of all persons who might be included in this broad category.

APPENDIX C 225 dard for orting? Report What? Report to Whom? Report How? sonable Abuse Senior and Disabled Services Oral e to believe Division or law enforcement sonable Abuse, neglect, exploitation, Director of Department of Not specified e to believe or abandonment Elderly Affairs son Occurrence or likelihood of Adult protective Oral or written elieve abuse, neglect, or exploitation services program sonable Abuse, neglect, or exploitation Department of Oral or written e to suspect Human Services se Abuse, neglect, or exploitation Department of Protective Oral or written elieve and Regulatory Services son Abuse, emotional or Law enforcement or Not specified elieve psychological abuse, neglect, adult protective services or exploitation wledge, Abuse, neglect, or exploitation Commissioner of the Written ipt of Department of Aging and rmation, or Disabilities or law enforcement on to suspect son to suspect Abuse, neglect, or exploitation Department of Public Welfare Oral or written sonable Abandonment, abuse, financial Law enforcement and Oral or written e to believe exploitation, sexual or physical Department of Social and assault, or neglect Health Services sonable Neglect, abuse, or Protective services agency Not specified e to believe emergency situation wledge or Abuse, neglect, exploitation, Law enforcement or Not specified onable or abandonment Department of Family Services e to believe t states, n this

226 APPENDIX C Intimate Partner Violence Who Must Report? Mental Social Standard for Dentist Doctor Health Nurse Worker Reporting? Report Wh California Y Y N Y N Knows or Wound or Cal. [Penal] Code reasonably inflicted b § 11160 (Deering 2000) suspects or other ph from assau conduct Colorado N Y N N N Believes or Injury cau Colo. Rev. Stat. has reason firearm or § 12-36-135 (1999) to believe instrument from crimi domestic v Kentucky Y Y Y Y Y Reasonable Abuse, neg Ky. Rev. Stat. Ann. cause to suspect of adult § 209.030 (Michie 1998) Rhode Island N Y N Y N Reasonable cause Domestic v R.I. Gen. Laws to believe or § 12-29-9 (2000) victim statement NOTE: Because the term “allied health professional” is defined variably among different states, this chart cannot accurately summarize the duties of all persons who might be included in this broad category.

APPENDIX C 227 dard for orting? Report What? Report to Whom? Report How? ws or Wound or other physical injury Law enforcement agency Oral and written onably inflicted by firearm or wound pects or other physical injury resulting from assaultive or abusive conduct eves or Injury caused by discharge of Law enforcement Not specified reason firearm or by sharp or pointed elieve instrument or injury resulting from criminal act, including domestic violence sonable Abuse, neglect, or exploitation Cabinet for Families Oral or written se to suspect of adult and Children sonable cause Domestic violence Court’s domestic violence Written elieve or training and monitoring unit im statement ferent be included

Next: Appendix D Mandatory Education Laws for Family Violence »
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As many as 20 to 25 percent of American adults—or one in every four people—have been victimized by, witnesses of, or perpetrators of family violence in their lifetimes. Family violence affects more people than cancer, yet it's an issue that receives far less attention. Surprisingly, many assume that health professionals are deliberately turning a blind eye to this traumatic social problem.

The fact is, very little is being done to educate health professionals about family violence. Health professionals are often the first to encounter victims of abuse and neglect, and therefore they play a critical role in ensuring that victims—as well as perpetrators—get the help they need. Yet, despite their critical role, studies continue to describe a lack of education for health professionals about how to identify and treat family violence. And those that have been trained often say that, despite their education, they feel ill-equipped or lack support from by their employers to deal with a family violence victim, sometimes resulting in a failure to screen for abuse during a clinical encounter.

Equally problematic, the few curricula in existence often lack systematic and rigorous evaluation. This makes it difficult to say whether or not the existing curricula even works.

Confronting Chronic Neglect offers recommendations, such as creating education and research centers, that would help raise awareness of the problem on all levels. In addition, it recommends ways to involve health care professionals in taking some responsibility for responding to this difficult and devastating issue.

Perhaps even more importantly, Confronting Chronic Neglect encourages society as a whole to share responsibility. Health professionals alone cannot solve this complex problem. Responding to victims of family violence and ultimately preventing its occurrence is a societal responsibility

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