Delaronde S, King G, Bendel R, Reece R
University of Connecticut Health Center, Department of Community Medicine & Health Care, Farmington, CT, USA.
Child Abuse Negl. 2000 Jul;24(7):901-10. doi: 10.1016/s0145-2134(00)00151-4.
This study investigates the opinions of social workers, pediatricians, and physician assistants in their support for the existing child maltreatment mandated reporting policy and an alternative reporting policy. Differences in professional training, age, gender, reporting behavior, attitudes towards reporting, and level of certainty needed to report were considered in determining which group of mandated reporters was most likely to support either the existing or an alternative policy.
A total of 382 social workers, pediatricians, and physician assistants in Connecticut and Massachusetts completed a self-report questionnaire. This sample represented an overall adjusted response rate of 76%.
There was slightly more support for the existing reporting policy compared to the alternative policy. After controlling for age, attitudinal variables, and reporting behavior, social workers were significantly more likely to favor an alternative child maltreatment reporting policy than pediatricians or physician assistants. Also, those mandated reporters who had not consistently reported all suspected cases of maltreatment were significantly more likely to favor the alternative policy than consistent reporters.
Because the majority of mandated reporters do not consistently report all suspected cases of maltreatment and support for an alternative reporting policy varies among different groups, consideration of alternative strategies and policies that address the concerns of different types of professionals may be appropriate.
本研究调查了社会工作者、儿科医生和医师助理对现有虐待儿童强制报告政策及一项替代报告政策的看法。在确定哪类强制报告者最有可能支持现有政策或替代政策时,考虑了专业培训、年龄、性别、报告行为、对报告的态度以及报告所需的确定程度等方面的差异。
康涅狄格州和马萨诸塞州的382名社会工作者、儿科医生和医师助理完成了一份自我报告问卷。该样本的总体调整后回复率为76%。
与替代政策相比,对现有报告政策的支持略多一些。在控制了年龄、态度变量和报告行为后,社会工作者比儿科医生或医师助理更有可能支持一项替代的虐待儿童报告政策。此外,那些没有始终报告所有疑似虐待案件的强制报告者比始终报告的人更有可能支持替代政策。
由于大多数强制报告者没有始终报告所有疑似虐待案件,且不同群体对替代报告政策的支持存在差异,因此考虑采用能够解决不同类型专业人员所关注问题的替代策略和政策可能是合适的。