Explain the threshold and responsibility for mandatory reporting.
Communicate findings clearly and objectively to protective agencies.
Coordinate multidisciplinary response across healthcare and child protection systems.
Develop safety planning and follow-up strategies when concern remains.
Mandatory Reporting
Additional disclosures made during follow-up appointments should be documented appropriately with any follow-up required per mandatory reporting statutes.
Follow-Up Schedule
All infants, children, and adolescents should be seen <2 weeks after discharge from hospital.
After initial intake, infants may be seen frequently depending on age and concerns.
After initial intake, children are seen quarterly (every 3-4 months) for the first year of treatment.
After the first year, children are seen bi-annually (every 6 months) until 13 years of age.
At 13 years of age, children are seen yearly (every 12 months) through adolescence.
Children may be seen more frequently, by child or caregiver request, for new or worsening
concerns related to previous abuse or torture.
Child abuse specialists should provide care for all abuse or torture-related medical or psychiatric concerns but should not absorb the role of the primary care provider. Children should have access to both a primary care provider as well as a child abuse specialist.
Follow-Up Screening Recommendations: Medical
Height and weight should be recorded at every follow-up visit and documented within the child’s growth chart from the initial intake.
Photographic documentation, if the child consents, should be obtained and recorded at every follow-up visit; this may include full-body photographs and healing progression of injuries.
Follow-Up Screening Recommendations: Psychiatric or Behavioral
Screen all patients for suicidal ideation, plan, intent and means during follow up appointments.
Screen all patients for non-suicidal self-injury during follow up appointments.
Screen all patients for concerning behaviors or psychiatric symptoms at each follow-up.