Crenshaw W B, Bartell P A, Lichtenberg J W
Child Welfare. 1994 Jan-Feb;73(1):15-27.
Mandatory reporting laws have created a difficult dilemma for many mental health providers (MHPs). Professional ethics, confidentiality, and the best interests of the client are often seen as conflicting with the legal obligation to report child abuse. The receptivity of child protective service (CPS) agencies to three alternative MHP reporting strategies was assessed in a national survey. The results indicate strong support for the current model of reporting and marginal support for alternatives that supply the MHP and the family with more latitude in determining when to report and how reports are handled. The results are discussed in relation to what many MHPs see as the need for more integrated, flexible, and cooperative approaches to the protection of abused and neglected children.
强制报告法律给许多心理健康服务提供者（MHPs）带来了一个棘手的困境。职业道德、保密性以及客户的最大利益，常常被视为与报告虐待儿童的法律义务相冲突。在一项全国性调查中，评估了儿童保护服务（CPS）机构对三种替代的心理健康服务提供者报告策略的接受程度。结果表明，对当前的报告模式有强烈支持，而对那些给予心理健康服务提供者和家庭在决定何时报告以及如何处理报告方面有更大灵活性的替代模式则支持有限。针对许多心理健康服务提供者所认为的，需要采用更综合、灵活和合作的方法来保护受虐待和被忽视儿童这一点，对结果进行了讨论。
