Mandatory Reporting Literature Snapshot – July 2012 Prepared by Centre for Social Research and Evaluation Prepared for Child, Family and Community Policy Contents Literature Snapshots 1 Introduction 2 Benefits that mandatory reporting might bring to maltreated children 2 Consequences of mandatory reporting for child protection agencies 2 Behaviour of mandated reporters 3 Optimum conditions for effective mandatory reporting 5 References 6 Appendix One - Internal Mandatory Reporting Report, July 2011 8 Mandatory Reporting: Literature Snapshot Literature Snapshots This literature snapshot is one of a number of time-limited research scans commissioned by Child, Family and Community Policy to inform the development of the White Paper for Vulnerable Children. The snapshot provides a narrative review of literature that focuses on a general topic of interest. It does not seek to weigh up a body of focused scholarship in order to make a definitive judgement about the strength of evidence in support of particular programmes and practices. The information in this snapshot is limited to a single literature search across reputable online information sources, government websites and other printed materials. Parameters for the literature search The Ministry of Social Development’s Knowledge Services searched academic and peer reviewed literature. The purpose of the search was to examine recent literature on mandatory reporting for any material that might cast new light on: (a) benefits that mandatory reporting might bring to maltreated children; (b) consequences for child protection agencies; and (c) behaviour of mandated reporters. Methodology The keywords used in various combinations for this search were: mandatory reporting, child abuse, child maltreatment, child welfare and failure to protect. The databases used for this search were: MSD catalogue, National Union catalogue, EBSCO databases, Gale, Proquest, Child Data, and the world wide web. Mandatory Reporting: Literature Snapshot 1 Introduction This literature snapshot provides an update on the internal Mandatory Reporting report, dated July 2011 (Appendix One). It focuses on any new and supplementary information on the following aspects of mandatory reporting: • benefits that mandatory reporting might bring to maltreated children • consequences for child protection agencies • behaviour of mandated reporters. Benefits that mandatory reporting might bring to maltreated children This literature snapshot has no additional information1 on the benefits that mandatory reporting might bring to children. Perhaps because many countries already have mandatory reporting of child abuse and neglect, the focus of the recent research literature is on the evaluations of different aspects of these reporting systems. Consequences of mandatory reporting for child protection agencies Workload and resourcing issues for mandatory reporting case reviews A study of data from South Australia suggests that the mandatory reporting system, as it is presently designed, is giving rise to an extraordinarily high number of notifications that often do not require formal action by child protection agencies (Delfabbro et al., 2010). Barriers to information sharing A number of studies discuss barriers to information sharing that make mandatory reporting less effective such as: • lack of communication and collaboration in multi-disciplinary teams (Feng et al., 2010) • the need to address potential conflicts in roles, organisational systems and interagency co-operation (Conti, 2011; Bean et al., 2011; Bunting et al., 2010). Criteria and thresholds for reporting The criterion of ‘reasonable suspicion’, which defines the legal threshold for whether a report is warranted, forms the foundation for mandatory reporting practices in the US. 1 This literature snapshot notes the internal memo of 21 February 2012 that refers to the lack of supporting evidence for an argument in Mathews (2012) that mandatory reporting is successful in identifying the majority of cases of severe maltreatment in the US. 2 Mandatory Reporting: Literature Snapshot Levi and Crowell’s study (2010), in line with past research, raises questions about whether the threshold for mandated reporting is applied consistently because there is: • Significant variability in how experts in the field of child abuse interpret reasonable suspicion (Levi and Crowell, 2010). • No standard among experts in the field of child abuse for how likely child abuse must be for reasonable suspicion to exist (Levi and Crowell, 2010). Ensuring comparable valid data Mathews (2012) discusses the issues for child protection agencies around ensuring comparable and valid data, both qualitative and quantitative. These issues arise from different systems for recording data, different terminology and system responses, a lack of relevant or complete data, and include the ‘inability to chart trends within a jurisdiction because of changes to recording and disposition’. A point of interest is that the study places particular emphasis on Australia and the UK, showing that these data issues are pertinent to child protection whether mandatory reporting exists or not2 (Mathews, 2012). Behaviour of mandated reporters Negative attitudes to mandated reporting of child abuse and neglect Negative attitudes to mandated reporting of child abuse and neglect influence the ability of mandated reporters to recognise the seriousness of cases or to hesitate when reporting. A number of factors give rise to these negative attitudes: • not having faith in child protection services • perceiving a number of individual and organisational barriers to reporting • not believing that a report will benefit the child or the family. This can be seen in the following studies that focus on different professional groups of mandated reporters: • a study of registered nurses in Australia (Fraser et al., 2010) • studies of counsellors in the US (Bean et al., 2011; Bryant and Baldwin, 2010) • a study of reporting child abuse and neglect of disabled children in Sweden (Mallén, 2011). These findings are consistent with other studies where negative attitudes are associated with non-compliance in reporting practice (see Appendix One). 2 Australia has mandatory reporting; the UK does not. Mandatory Reporting: Literature Snapshot 3 Insufficient knowledge of child abuse and its symptoms and lack of professional awareness of reporting processes and requirements There are a number of professions that are well placed to contribute to child protection and who are already mandatory reporters in many countries. Much of the literature on mandatory reporting refers to the need for better training in child protection for workers in these professions, as shown in the following tables: Profession Study details References Front-line clinical workers Raman et al. (2012) found significant differences in confidence and practice between front-line clinical workers in primary care and in a hospital Emergency Department in New South Wales. Raman et al., 2012 School nurses, paediatric nurse practitioners, and paediatric mental health nurse practitioners A study of school nurses, paediatric nurse practitioners, and paediatric mental health nurse practitioners in the US suggests the need to re-examine child maltreatment course materials for paediatric nurses to include not only the most common signs and symptoms of child maltreatment but also those that are less overt. Eisbach and Driessnack, 2010 Teachers Kesner (2008) points to past research indicating that the lack of training about child maltreatment in teacher education programmes in the US communicates to teachers that they have only one priority: that is, teaching. (Crenshaw et al. 1995). The study argues that this message ignores the legal responsibility teachers have with respect to mandated reporting laws, which should be given greater attention in teacher education. Kesner, 2008 Teachers In Florida, Kenny (2001a) found that 45% of teachers reported that their professional training in the area of child abuse was minimal; a further 13% reported that their training had been inadequate. Kenny (2001b) reported similar results, with 48% of teachers describing their professional training as minimal and a further 14% describing it as inadequate. Similarly, Baginsky (2000) found that only 17% of newly qualified teachers surveyed in the UK had attended a child-protection course. Goldman, 2010 Teachers Australian studies show that training received by student teachers on policy requirements or directives about child sexual abuse and mandatory reporting was ‘incidental, sparse and sporadic, rather than sustained and systematic’. Goldman and Grimbeek, 2011 Positive outcomes from training References Initial findings by Hawkins and McCallum (2001a) suggest that a one-day Mandatory Notification Training programme for teachers in South Australia increased teachers’ knowledge about the indicators of child abuse and neglect, awareness of their legal responsibilities and procedures for making a notification. Teachers who had recently received training were also found to be more likely to respond appropriately to a child’s disclosure than those who had received no training. Goldman, 2010 The results of a US study of the development of a training programme to assist medical health practitioners in effectively reporting suspected child maltreatment indicate that participants who were assigned to this training programme improved their knowledge of State and Federal laws, were better able to identify child maltreatment scenarios, and evidenced knowledge of requisite clinical skills relevant to reporting suspected child maltreatment. Alvarez et al., 2010 4 Mandatory Reporting: Literature Snapshot Optimum conditions for effective mandatory reporting The research indicates the following optimum conditions for effective mandatory reporting: Optimum condition Details References Identifying, sourcing and combining multiple sources of information to be used to recognise an accumulation of risk factors for children to assist reporters to make more effective reports of child neglect and abuse3 Annerbäc et al., 2010 to enable an accurate determination of the needs of vulnerable children and families, and the delivery of more efficient services Brown, 2012; Annerbäc et al., 2010 Enhancing collaboration and communication by addressing barriers to sharing information Feng et al., 2010; Conti, 2011; Bean et al., 2011; Bunting et al., 2010 by: - clarifying specific reporting roles in child abuse for each discipline - simplifying complex and ambiguous procedures - engaging in training programmes across professional disciplines Feng et al., 2010 Ensuring that the continuum of services for child welfare includes a broad range of community-based, interagency services that support families and promote the general wellbeing of children This approach acknowledges the many and complex causes of child maltreatment. Brown, 2012 Addressing workload issues through differentiated responses at tiers of a system through early intervention services or through broader child and family services Delfabbro et al., 2010 Ensuring that data being used for mandatory reporting is comparable and valid Clarify criteria and thresholds for reporting. Mathews, 2012; Levi and Crowell, 2010 Addressing negative attitudes to mandated reporting of child abuse and neglect Understanding the amount of evidence required by the child protection agency and addressing the lack of follow up information after reporting. Fraser et al., 2010; Bean et al., 2011; Mallén, 2011; Bryant & Baldwin, 2010 Addressing training, including training across disciplines, for professional groups who are well placed to be mandatory reporters such as teachers, nurses and doctors Teachers are ideally placed to contribute to child protection: No other professionals have such close, continuous, daily contact with child abuse victims on a day-to-day, long-term basis or have such an extensive knowledge of the children in their care. (Briggs and Hawkins 1997:17 in Goldman. 2010: 283). The importance of training to facilitate effective mandatory reporting is emphasised by the Council of Australian Governments: Prevention, detection, early intervention and, crucially, education, for professionals, parents and other adults, and for all school children, are highly desirable and cost-effective strategies. (Council of Australian Governments, 2009 in Goldman 2010:292). Raman et al., 2012; Eisbach & Driessnack, 2010; Goldman, 2010; Kesner, 2008; Goldman and Grimbeek, 2011; Bunting et al., 2010; Alvarez et al., 2010; Fraser et al., 2010; Bryant & Baldwin, 2010; Feng et al., 2010 3 An effective report may be seen as one that leads to substantiation and to an intervention to help the child. Mandatory Reporting: Literature Snapshot 5 References Alvarez, K., Donohue, B., Carpenter, A., Romero, V., Allen, D. and Cross, C. (2010). Development and preliminary evaluation of a training method to assist professionals. Reporting Suspected Child Maltreatment. Originally published online 14 April 2010. http://cmx.sagepub.com/content/15/3/211 Annerbäc, E., Svedin, C. and Gustafsson, P (2010). Characteristic features of severe child physical abuse – A multi-informant approach. Journal of Family Violence, 25, 165172. Bean, H., Softas-Nall, L. and Mahoney, M. (2011). Reflections on mandated reporting and challenges in the therapeutic relationship: A case study with systemic implications. The Family Journal: Counseling and Therapy for Couples and Families, 19(3), 286-290. Brown, R. (2012). Reporting Child Abuse and Neglect: Who is Responsible? APHSA Policy and Practice: February. Bryant, J. K. and Baldwin, P. A. (2010). School counsellors’ perceptions of mandatory reporter training and mandatory reporting experiences. Child Abuse Review, 19, 172186. Bunting, L., Lazenbatt, A. and Wallace, I. (2010). Information sharing and reporting systems in the UK and Ireland: Professional barriers to reporting child maltreatment concerns. Child Abuse Review, 19, 187-202. Conti, S. (2011). Lawyers and mental health professionals working together: Reconciling the duties of confidentiality and mandatory child abuse reporting. Family Court Review, 49(2), 388 – 399. Delfabbro, P., Hirte, C., Wilson, R., and Rogers, N. (2010). Longitudinal trends in child protection statistics in South Australia. Children Australia, 35(3), 4-10. Eisbach, S. S. and Driessnack, M. (2010). Am I sure I want to go down this road? Hesitations in the reporting of child maltreatment by nurses. Journal for Specialists in Paediatric Nursing, 15(4), 317-323. Feng, J., Fetzer, S., Chen, Y., Yeh, L., and Huang, M. (2010). Multidisciplinary collaboration reporting child abuse: A grounded theory study. International Journal of Nursing Studies, 47, 1483-1490. 6 Mandatory Reporting: Literature Snapshot Fraser, J. A., Mathews, B., Walsh, K., Chen, L., and Dunne, M. (2010). Factors influencing child abuse and neglect recognition and reporting by nurses: A multivariate analysis. International Journal of Nursing Studies, 47, 146-153. Goldman, J. D. G. (2010). Australian undergraduate primary school student-teachers’ responses to child sexual abuse and its mandatory reporting. Pastoral Care in Education, 28(4), 283-294. Goldman, J. D. G. and Grimbeek, P. (2011). Sources of knowledge of departmental policy on child sexual abuse and mandatory reporting identified by primary school student-teachers. Educational Review, 63(1), 1-18. Kesner, J. (2008). Child protection in the United States: An examination of mandated reporting of child maltreatment. Child Indicators Research, 1, 397-410. Levi, B. and Crowell, K. (2010). Child abuse experts disagree about the threshold for mandated reporting. Clinical Pediatrics, 50(4), 321-329. Mallén, A. (2011). ‘It's like piecing together small pieces of a puzzle’: Difficulties in reporting abuse and neglect of disabled children to the social services. Journal of Scandinavian Studies in Criminology and Crime Prevention, 12(1), 45-62. Mathews, B. (2012). Exploring the contested role of mandatory reporting laws in the identification of severe child abuse and neglect. In M. Freeman (Ed.), Law and Childhood Studies (pp302-338). Oxford University Press: Oxford, United Kingdom. Raman, S., Holdgate, A., and Torrens, R. (2012). Are our frontline clinicians equipped with the ability and confidence to address child abuse and neglect? Child Abuse Review, 21(2), 114-130. Mandatory Reporting: Literature Snapshot 7 Appendix One - Internal Mandatory Reporting Report, July 2011 Purpose of the Report This report provides: • background information about mandatory reporting of child abuse and neglect, including the countries with comparable jurisdictions to New Zealand that have introduced it • an overview of mandatory reporting systems in the Australian States and Territories • findings on mandatory reporting systems, with a particular focus on the Australian experience • possible next steps for improving our understanding before introducing mandatory reporting in New Zealand. Executive Summary 1 There is no evidence that mandatory reporting improves the protection/welfare of children. 2 New Zealand currently achieves higher rates of notification than most Australian States. 3 Some benefits of mandatory reporting noted in the literature are: • acknowledgement of the seriousness of child abuse • increased public awareness of child abuse • overcoming reluctance by some professionals to report suspected child abuse. 4 Disadvantages noted in the literature include: • overloading care and protection agencies with reports, some of which will not meet the threshold for statutory investigation • serious cases being overlooked as agencies struggle to manage workloads • effects on help-seeking by families and children • once introduced it is almost impossible to go back. 5 There are steps the Ministry of Social Development could take to enhance our understanding of our current system and inform our understanding of what any future change might involve. 5.1 We could examine Child, Youth and Family (CYF) notification data to find out more about: • current levels of reporting by notifier groups and for subpopulations of children of interest including young children and children who are being re-notified • 8 more nuanced CYF data pictures of renotifications over time, by examining a cohort of children Mandatory Reporting: Literature Snapshot • notifier type categories that could better track the level of reporting over time for key professional groups. 5.2 We could identify the proportion of child deaths due to maltreatment where the child was not known to CYF and consider whether outcomes may have been different had mandatory reporting been in place. 5.3 Engage in conversations with Australian officials about what is being learned from: • the recent introduction in Western Australia of mandatory reporting of sexual abuse • the comparatively low and steady annual level of notifications in Victoria, Australia of about 40,000 notifications • the introduction of the on-line Mandatory Reporter Guide in New South Wales, Australia. 5.4 Engage in conversations with key groups such as the CYF National Call Centre social workers, Family Start providers, the Paediatrics Society, Well Child/Tamariki Ora Providers and Plunket about their views about the benefits or otherwise of introducing mandatory reporting legislation in New Zealand. Background 6 The legal requirement to report suspected cases of child abuse and neglect to child welfare authorities is known as ‘mandatory reporting’. The objective is to protect children who may be or are being abused or neglected by ensuring that incidents of suspected or actual child abuse or neglect are reported. 7 Mandatory reporting laws specify those conditions under which an individual is legally required to make a report to the statutory child protection service in their jurisdiction. This does not preclude an individual from making a report to the statutory child protection service if they have concerns for the safety and wellbeing of a child that do not fall within mandatory reporting requirements. 8 Most mandatory reporting laws have common elements such as: • selected individuals mandated to report • the forms of child abuse and neglect to be reported and thresholds for the level of harm • details of the reporting procedures (how reports are made and the agencies to receive and investigate reports) • penalties for failing to report and false reporting • provisions for immunity from prosecution. New Zealand’s new legislative proposal “failing to protect a child” 9 The proposal to amend the Crimes Act 1961 by introducing a new offence of failing to protect a child or vulnerable adult from risk of death, serious injury or sexual assault is now before Parliament. The purpose of the provision is to place a duty on people who live in the same households as a child to intervene rather than do nothing when a child living with Mandatory Reporting: Literature Snapshot 9 them is subject to major risk of harm or death. The maximum penalty proposed for failing to intervene is 10 years imprisonment. The key aspect of the provision is that, knowing that a child is at such risk, a member of the child’s household has failed to take reasonable steps to protect that child. 10 A person may be regarded as a member of a particular household if they live in the same house or are so closely connected with the household that it is reasonable to regard them as a member. This will cover all situations where a member of a household knows that a child is at risk of death, serious injury or sexual assault and does not take reasonable steps. It would most obviously have applied to the adult members of the Glassie family who knew what was happening to Nia. It would have applied to the parent of the Kahui twins who did not perpetrate abuse (assuming they knew of the abuse). It will not cover schoolteachers, doctors and others who are clearly not members of the child’s household even if they knew about the risks the child was subject to. 11 The key differences from mandatory reporting are: • this provision applies to members of the child’s household only • it does not compel a person to report concerns to the Police or to CYF • it obliges the taking of reasonable steps. Reasonable steps may mean doing something other than reporting to agencies. Ensuring that a non-custodial parent takes action may be sufficient in some cases. However, having regard to the high level of risk facing the child, reporting the concerns to an agency may be the only reasonable step to take. New Zealand’s position on mandatory reporting 12 New Zealand has considered, and rejected, mandatory reporting on at least two occasions: • during the development of the CYPF Act in 1987-8 • by a Ministerial Review Team reviewing the CYPF Act in 1992. Instead, in 1994, the duties of the Chief Executive in section 7 of the CYPF Act were extended to include responsibility for developing child abuse reporting protocols and public education campaigns. Most countries with comparable jurisdictions to New Zealand have mandatory reporting 13 Model laws to introduce mandatory reporting were first drafted in the USA in 1963 with every state having laws passed by 1976 (Hutchinson, 1993). Just over ten years later, a similar process took place in Australia, so that all Australian states and territories now have some form of mandatory child abuse reporting laws. 14 Mandatory reporting is legislated for in all Canadian jurisdictions apart from the Yukon Territory which has a general discretionary reporting provision, although teachers and day care workers are required to report abuse. Alberta has had mandatory reporting provisions since 1966. 15 Denmark, Sweden and Finland also have such laws though their role and function is somewhat different to those in the USA and Australia because of these countries’ different histories and the nature of their care and protection systems (Gilbert, 1997). 10 Mandatory Reporting: Literature Snapshot 16 England introduced a mandatory reporting system on the basis of ‘cause for concern’ for a child’s welfare (Munro and Parton, 2007). Changes made to the Children’s Act 2004 enabled the national database (ContactPoint) to be created, capturing information accessible to agencies. In May 2010, following heavy criticism by a wide range of groups regarding children’s rights and privacy issues, the UK Coalition Government announced plans to scrap ContactPoint, and in August 2010 the database was switched off. What are the benefits of mandatory reporting systems? 17 Mandatory reporting has come in for considerable and often heated debate about its efficacy and effectiveness. These debates inevitably involve the functioning of the care and protection system, of which the reporting of child abuse and neglect forms an important part. 18 The inability to disentangle reporting and responding effects, the lack of comparable jurisdictions with and without mandatory reporting and the influence of a myriad of factors on reporting behaviour means that to date there is no evidence of the effectiveness of mandatory reporting legislation in protecting children in Australia or elsewhere (Ainsworth & Hansen, 2006). 19 At the same time some of the literature identifies anticipated benefits of mandatory reporting systems, some of which are outlined below. Symbolic acknowledgement of the seriousness of child abuse 20 Mandatory reporting is considered to be a symbolic acknowledgement of the seriousness of child abuse; that children need to be protected, that governments believe this, and that it is the duty of certain people to be vigilant about protecting children. Mandatory reporting requirements reinforce the moral responsibility of community members to report suspected cases of child abuse and neglect. It can act as a signal of the community’s abhorrence of child abuse and the state’s responsibility to protect vulnerable children. Child’s rights to protection, dignity and security arguments have been applied by Mathews and Bross (2008). Increased public awareness of child abuse 21 Mandatory reporting, and the publicity associated with its introduction, has been found to increase public awareness of child abuse, both within mandated professional groups and within the community at large. In many instances it also results in a substantial increase in the number of reports being made to child protection departments. Some Australian states noted increased levels of reporting from mandated and non-mandated reporters. Whether this results from mandating, the publicity surrounding it, or other factors is not always clear. Overcoming reluctance of some professionals to report suspected cases of child abuse 22 The introduction of mandatory reporting aims to overcome the reluctance of some professionals to become involved in suspected cases of child abuse by imposing a public duty to do so. 23 In 2009 the Parliament of Western Australia introduced mandatory reporting of sexual abuse. The number of notifications increased by 13 percent in 2008-09 compared to 2007- Mandatory Reporting: Literature Snapshot 11 08. More than half of those additional notifications were about sexual abuse. An increase in notifications received in the first eight months of 2009-10 was possibly due to a continuation of the effect of mandatory reporting of child sexual abuse by doctors, nurses, midwives, teachers and police, that was introduced half way through 2008-09 (Government of Western Australia, 2010). 24 Some studies have confirmed the influence of the legal obligation on reporting (Walsh et al, 2008). However how other factors such as the reporter’s ability to interpret terminology used in these laws, can prove problematic. For example, applying concepts such as ‘reasonable suspicion’ and ‘significant harm' to actual cases has proved problematic (Walsh et al, 2008 and Mathews et al, 2006). These and other issues led to calls in New South Wales for more targeted training and support for groups mandated to report, including agencies’ access to aggregated data, and more information on the outcomes of the reports they make to child protection authorities (State of New South Wales, 2008). 25 New South Wales recently introduced the 0nline Mandatory Reporter Guide that allows reporters to enter case information to determine whether the threshold for ‘significant harm’ is met. The tool can be viewed at http://sdm.community.nsw.gov.au/mrg/app/summary.page. What are the disadvantages of mandatory reporting? 26 In Victoria Australia the introduction of mandatory reporting was found to result in: • marked increases in the level of notifications from all types of notifiers whether mandated or not • initial increases in reports by mandated professionals and then a tailing off • a comparatively small increase in the number of investigations and the number of children found to be maltreated. There was a modest increase in the detection of sexual abuse (Ministry of Social Development, 2000). These and other issues identified as creating problems to the good functioning of the mandatory reporting legislation and the responses to it are outlined below. Non-compliance 27 Non-compliance is believed to be a significant problem in many jurisdictions but it is difficult to ascertain at what level this operates. There is a range of personal, situational and systemic factors that may impede a professional’s legal obligation to report. 28 Doctors are one professional group whose reporting rates are below what could be expected given the contact they have with children and families and their training. In New Zealand over the 12 month period from October 2009 to October 2010, there were 307 notifications to CYF from GPs for children under 7. This number comprised 0.6% of the total notifications for this group of children. Doctors in one Australian study were evenly divided as to whether mandatory reporting legislation had been effective in compelling doctors to report abuse (Holland, 1999). 29 When mandated people report suspected cases of child abuse or neglect, they expect the child protection department to investigate and take action regarding their report. If this does not occur, there is a risk that such people may cease to make reports in the future. In 12 Mandatory Reporting: Literature Snapshot particular, such systems may discourage older children from reporting abuse, fearing the consequences. Increased notifications overwhelming statutory care and protections responses 30 If there are inadequate resources available to the responsible department to respond to the increased demand, then the increasing number of reports may result in services being overwhelmed with cases to investigate, and lacking sufficient staffing to do so (Ainsworth, 2002 and Mansell, 2006). This places pressure on the statutory care and protection process system, making it harder to focus on children at risk of significant harm and taking up resources away from restorative and care services. 31 New Zealand currently achieves higher rates of notification than most Australian states that have mandatory reporting. Table 1: Rate of notifications per thousand children 0-17yrs of age4 NZ 32 NSW Vic WA SA 2004-05 46.8 87.9 33.6 N/A 53.1 2008-09 102.0 139.9 37.5 20.6 69.8 In order to cope with this influx of reports, some child protection departments have increased the threshold or level of seriousness of reports that give rise to an investigation. In 2010 in New South Wales the threshold for reporting child maltreatment changed from “risk of harm” to “risk of significant harm”. Sharing responsibility or ‘passing the buck’ 33 A fundamental expectation in the safeguarding agenda is that better agency communications will increase cooperative working. If professionals believe that they have done their legal duty by making a report this can reduce sharing of responsibility or no one taking responsibility. There may also be possible effects on help being given to families due to professionals needing to be seen to do the ‘right thing’ rather than offering help when needs are identified. Effects on help-seeking by families and children 34 Confidentiality is known to be an important factor in people seeking help. Studies conducted with children seeking their views on the proposed UK database found that the lack of confidentiality would make them reluctant to use a service when they need help (Munro & Parton, 2007). 35 There have also been problems raised for the mandatory reporting of children living with domestic violence (Humphreys, 2008). Where notification is mandated or expected, this 4 Based on Australian Institute of Health and Welfare, Child protection Australia 2008/09 (published Jan 2010) and previous editions; and Ministry of Social Development, The Statistical Report and Statistics NZ population estimates. Mandatory Reporting: Literature Snapshot 13 step must be taken by professionals regardless of the woman’s view or protective factors that may be in place. This can undermine the voluntary and empowerment model of intervention and fail children. Possible steps to improve our knowledge if mandatory reporting is to be introduced in New Zealand 36 Over the past thirty years New Zealand has been responding to similar care and protection system problems and issues as have countries with mandatory reporting and learning from these countries’ experiences. There are various steps we could take to inform our understanding about potential benefits and disadvantages of introducing mandatory reporting in New Zealand. The information gathered would deepen our understanding of how our child protection system is working, regardless of whether mandatory reporting is introduced or not. 37 We could examine CYF notification data to find out more about: • current levels of reporting by particular notifier groups and for subpopulations of children including children who are renotified • review the current notifier type categories to better track reporting levels over time; currently there are no categories for some professional groups that could be mandated to report • provide a more nuanced CYF data picture of children born in 1993 to better understand reporting levels within the child population in New Zealand. 38 It would be helpful to review child maltreatment deaths where children were known and not known to CYF and consider whether outcomes may have been different had mandatory reporting been in place. 39 We could engage in conversations with Australian officials about what is being learned from: • the recent introduction in Western Australia of mandatory reporting of sexual abuse • the comparatively low and steady level of notification in Victoria of about 40,000 notifications • the introduction of the Mandatory Reporter Guide in New South Wales. 40 We should engage in conversations with key groups such as the Paediatrics Society, Well Child/ Tamariki Ora providers, CYF National Call Centre social workers and Family Start providers about their views about the benefits or otherwise of introducing mandatory reporting legislation in New Zealand. 41 Finally we should consider the pros and cons of mandatory legislation focused on protecting children as opposed to a system focused on ‘safeguarding children’, which has a much wider remit. 14 Mandatory Reporting: Literature Snapshot Mandatory reporting in Australia 42 This section examines in more detail Australian mandatory reporting systems in terms of the groups mandated and types of abuse to be reported. About whom can notifications be made? 43 Legislation in all Australian jurisdictions except New South Wales requires mandatory reporting in relation to all young people up to the age of 18 (whether they use the terms "children" or "children and young people"). In New South Wales, the legislative grounds for intervention cover young people up to 18 years of age, but it is not mandatory to report suspicions of risk of harm in relation to young people aged 16 and 17. Which groups are mandated to report? 44 The groups of people mandated in Australia to notify their concerns, suspicions or beliefs to the appropriate statutory child protection authority range from a limited number of specified persons in specified contexts (Queensland) through to every adult (Northern Territory). Some states have a limited number of occupations listed, such as Queensland (doctors, departmental officers, and employees of licensed residential care services) and Victoria (police, doctors, nurses and teachers). Other jurisdictions have more extensive lists (Australian Capital Territory, South Australia, and Tasmania) or use generic descriptions such as "professionals working with children". 45 In addition to state and territory law, there are provisions within Commonwealth legislation that relate to mandatory reporting. Under the Family Law Act 1975 (Cth), personnel from the Family Court of Australia, the Federal Magistrates Court and the Family Court of Western Australia also have mandatory reporting obligations. This includes registrars, family counselors, family dispute resolution practitioners or arbitrators, and lawyers independently representing children's interests, as outlined in Appendix A. What types of abuse are mandated reporters required to report? 46 In addition to differences across jurisdictions in the people who are mandated to report abuse concerns, there are also differences across jurisdictions in the abuse types for which it is mandatory to report. In some jurisdictions it is mandatory to report suspicions of each of the recognised abuse types (ie physical abuse, emotional abuse, sexual abuse and neglect); while in other jurisdictions it is mandatory to report only some of the abuse types. Most States and Territories require reports of all suspicions or beliefs of sexual abuse, without imposing a requirement that the abuse has caused or is likely to cause significant harm. Western Australia's new provisions also adopt this approach. 47 In contrast, in Queensland and Victoria the legislative reporting duties specify that a reporter is only required to report cases where the abuse has caused significant harm, or is at risk of causing significant harm. New South Wales has recently introduced a ‘significant harm’ threshold. Is the identity of notifiers protected? 48 In most Australian jurisdictions the identity of notifiers - whether mandated or not - is explicitly protected. However, in some jurisdictions there are limits to this protection. For example, in the Northern Territory, the identity of reporters is not disclosed to families, but may be disclosed to the Family Matters Court. Mandatory Reporting: Literature Snapshot 15 References Ainsworth, F. (2002). Mandatory reporting of child abuse and neglect: Why would you want it? Developing Practice: The Child, Youth and Family Work Journal, 4, 5-8. Ainsworth, F. & Hansen, P. (2006). Five tumultuous years in Australian child protection: Little progress. Child and Family Social Work, 11, 33-41. Gilbert, N. (Ed.). (1997). Combating Child Abuse: International Perspectives and Trends. Oxford University Press: Oxford, United Kingdom. Government of Western Australia Department for Child Protection, Department of Child Protection Annual report 2009-2010. Harries, M., & Clare, M. (2002). Mandatory Reporting of Child Abuse: Evidence and Options. Report for the Western Australian Child Protection Council. Perth: Department for Community Development. Holland, G. (1999). Mandatory reporting of abuse: The influence of legislation on doctors' reporting behaviour. Youth Studies Australia, 18(2), 30-36. Humphreys C. (2008). Problems in the system of mandatory reporting of children living with domestic violence. Journal of Family Studies, 14 (2-3), 228-239. Hutchinson, E. D. (1993). Mandatory reporting laws: Child protective case finding gone awry? Social Work, 35, 56-63. Mansell, J. (2006). The underlying instability in statutory child protection: understanding the system dynamics driving risk assurance levels. Social Policy Journal, 28. 97-132. Mathews, B and Bross, D. (2008) Mandated reporting is still a policy with reason: Empirical evidence and philosophical grounds. Child Abuse and Neglect, 32, 511-516. Mathews, B. Walsh, K. Fraser, J. (2006). Mandatory reporting by nurses of child abuse and neglect. Journal of Law and Medicine, 13, 505-517. Ministry of Social Development (2000). Mandatory Reporting Briefing Note to the Minister of Social Services and Employment. Munro, E., & Parton, N. (2007). How far is England in the process of introducing a mandatory reporting system? Child Abuse Review, 16, 5-16. Quinton, P. (1991). Mandatory Reporting. Canberra: ACT Community Law Reform Committee. State of New South Wales (2008). Report of the Special Commission of Inquiry into Care and Protection Services in New South Wales. Downloaded 23 June 2012 from http://www.dpc.nsw.gov.au/publications/news/stories/?a=33794 Tomison, A. (2002). Mandatory reporting: A question of theory versus practice. Developing Practice: The Child, Youth and Family Work Journal, 4, 13-17. 16 Mandatory Reporting: Literature Snapshot Walsh, K. M., Bridgstock, R. S., Farrell, A. M., Rassafiani, M. & Schweitzwer, R. (2008). Case, teacher and school characteristics influencing teachers’ detection and reporting of child physical abuse and neglect: Results from an Australian survey. Child Abuse and Neglect, 32(10), 983993. Mandatory Reporting: Literature Snapshot 17 Appendix A: Mandatory reporting requirements across Australia Table 1 Overview of mandatory reporting in each Australian state and territory State Who is mandated to Territory notify? What is to be notified? Maltreatment types for which it is mandatory to report Relevant sections of the Act/Regulations ACT A person who is: a doctor; a dentist; a nurse; an enrolled nurse; a midwife; a teacher at a school; a person providing education to a child or young person who is registered, or provisionally registered, for home education under the Education Act 2004; a police officer; a person employed to counsel children or young people at a school; a person caring for a child at a child care centre; a person coordinating or monitoring home-based care for a family day care scheme proprietor; a public servant who, in the course of employment as a public servant, works with, or provides services personally to, children and young people or families; the public advocate; an official visitor; a person who, in the course of the person's employment, has contact with or provides services to children, young people and their families and is prescribed by regulation A belief, on reasonable grounds, that a child or young person has experienced or is experiencing sexual abuse or non-accidental physical injury; and Physical abuse Section 356 of the Children and Young People Act 2008 (ACT) A person who, in the course of his or her professional work or other paid employment delivers health care, welfare, education, children's services, residential services or law enforcement, wholly or partly, to children; and Reasonable grounds to suspect that a child is at risk of significant harm; and NSW a person who holds a management position in an organisation, the duties of which include direct responsibility for, or 18 Sexual abuse the belief arises from information obtained by the person during the course of, or because of, the person's work (whether paid or unpaid) Physical abuse Sexual abuse Emotional/psychological abuse Sections 23 and 27 of the Children and Young Persons (Care and Protection) Act 1998 (NSW) those grounds Neglect arise during the course of or from the person's work Exposure to family violence Mandatory Reporting: Literature Snapshot State Who is mandated to Territory notify? What is to be notified? Maltreatment types for which it is mandatory to report Relevant sections of the Act/Regulations A belief on reasonable grounds that a child has been or is likely to be a victim of a sexual offence; or otherwise has suffered or is likely to suffer harm or exploitation Physical abuse Sections 15 and 26 of the Care and Protection of Children Act 2007 (NT) direct supervision of, the provision of health care, welfare, education, children's services, residential services or law enforcement, wholly or partly, to children NT Qld Any person with reasonable grounds Sexual abuse Emotional/psychological abuse Neglect Exposure to physical violence (e.g., a child witnessing violence between parents at home) Registered health professionals Reasonable Sexual abuse grounds to believe a child aged 14 or 15 years has been or is likely to be a victim of a sexual offence and the age difference between the child and offender is greater than 2 years Section 26 of the Care and Protection of Children Act 2007 (NT) An authorised officer, employee of the Department of Communities (Child Safety Services), a person employed in a departmental care service or licensed care service Awareness or reasonable suspicion of harm caused to a child placed in the care of an entity conducting a departmental care service or a licensee Section 148 of the Child Protection Act 1999 (Qld) Physical abuse Sexual abuse or exploitation Emotional/psychological abuse Neglect A doctor or registered nurse (Public Health Act 2005, s158) Awareness or reasonable suspicion during the practice of his or her profession of harm or risk of harm Sections 191-192 and 158 of the Public Health Act 2005 (Qld) The Commissioner for A child who is in Section 20 of the Mandatory Reporting: Literature Snapshot 19 State Who is mandated to Territory notify? What is to be notified? Maltreatment types for which it is mandatory to report Relevant sections of the Act/Regulations Children and Young People need of protection under s10 of the Child Protection Act (i.e. has suffered or is at unacceptable risk of suffering harm and does not have a parent able and willing to protect them) Commission for Children Young People and Child Guardian Act 2000 (Qld) SA Doctors; pharmacists; registered or enrolled nurses; dentists; psychologists; police officers; community corrections officers; social workers; teachers; family day care providers; employees/volunteers in a government department, agency or instrumentality, or a local government or non-government agency that provides health, welfare, education, sporting or recreational, child care or residential services wholly or partly for children; ministers of religion (with the exception of disclosures made in the confessional); employees or volunteers in a religious or spiritual organisations Reasonable Physical abuse grounds that a child has been or Sexual abuse is being abused or neglected; and Emotional/psychological abuse the suspicion is formed in the Neglect course of the person's work (whether paid or voluntary) or carrying out official duties Section 11 of the Children's Protection Act 1993 (SA) Tas. Registered medical practitioners; nurses; dentists, dental therapists or dental hygienists; registered psychologists; police officers; probation officers; principals and teachers in any educational institution; persons who provide child care or a child care service for fee or reward; persons concerned in the management of a child care service licensed under the Child Care Act 2001; any other person who is employed or A belief, suspicion, reasonable grounds or knowledge that: Sections 13 and 14 of the Children, Young Persons and Their Families Act 1997 (Tas.) 20 a child has been or is being abused or neglected or is an affected child within the meaning of the Family Violence Act 2004; or Physical abuse Sexual abuse Emotional/psychological abuse Neglect Exposure to family violence there is a Mandatory Reporting: Literature Snapshot State Who is mandated to Territory notify? What is to be notified? Maltreatment types for which it is mandatory to report Relevant sections of the Act/Regulations engaged as an employee for, of, or in, or who is a volunteer in, a government agency that provides health, welfare, education, child care or residential services wholly or partly for children, and an organisation that receives any funding from the Crown for the provision of such services; and any other person of a class determined by the Minister by notice in the Gazette to be prescribed persons reasonable likelihood of a child being killed or abused or neglected by a person with whom the child resides Vic. Registered medical practitioners, registered nurses, a person registered as a teacher under the Education, Training and Reform Act 2006 or teachers granted permission to teach under that Act, principals of government or nongovernment schools, and members of the police force Belief on Physical abuse reasonable grounds that a Sexual abuse child is in need of protection on a ground referred to in Section 162(c) or 162(d), formed in the course of practising his or her office, position or employment Sections 182(1) a-e, 184 and 162 c-d of the Children, Youth and Families Act 2005 (Vic.) WA Court personnel; family counsellors; family dispute resolution practitioners, arbitrators or legal practitioners representing the child's interests Reasonable grounds for suspecting that a child has been: abused, or is at risk of being abused; ill treated, or is at risk of being ill treated; or exposed or subjected to behaviour that psychologically harms the child. Section 160 of the Western Australia Family Court Act 1997 (WA); Licensed providers of child care or outsideschool-hours care services Mandatory Reporting: Literature Snapshot Physical abuse Sexual abuse Emotional/psychological abuse Neglect Allegations of Physical abuse abuse, neglect or assault, including Sexual abuse sexual assault, of an enrolled child Neglect during a care session Regulation 20 of the Child Care Services Regulations 2006; Regulation 19 of the Child Care Services (Family Day Care) Regulations 2006; 21 State Who is mandated to Territory notify? What is to be notified? Maltreatment types for which it is mandatory to report Relevant sections of the Act/Regulations Regulation 20 of the Child Care Services (Outside School Hours Family Day Care) Regulations 2006; Regulation 21 of the Child Care Services (Outside School Hours Care) Regulations 2006 Doctors; nurses and midwives; teachers; and police officers Belief on reasonable grounds that child sexual abuse has occurred or is occurring Sexual abuse Section 124B of the Children and Community Services Act 2004 (WA) Children and Community Services Amendment (Reporting Sexual Abuse of Children) Act 2008 became part of the Children and Community Services Act 2004. Notes: * Section 67ZA of the Family Law Act 1975 (Cth) applies to all states and territories. 22 Mandatory Reporting: Literature Snapshot