title: Child abuse recognition and reporting: supports and resources for changing the paradigm.
abstract: As shown previously in the Child Abuse Recognition Experience Study (CARES), primary care providers reported that they decided not to report a substantial proportion of injuries that they suspected might have resulted from abuse. The most serious cases result in death. This article provides detailed reports of 2 illustrative cases from the author's experience as a member of a multidisciplinary child fatality review team and discusses several alternative legal mechanisms for improving mandated reporting. Regional centers of excellence in child protection may be an effective way of improving child protection; current proposals to establish such centers are reviewed.
authors.affiliation: Department of Pediatrics, Harbor/UCLA Medical Center, Los Angeles, California 90502-2004, USA. carolb@pol.net
authors.forename: Carol D
authors.initials: CD
authors.lastname: Berkowitz
mesh_terms: D001344:Autopsy / Q000331:legislation & jurisprudence; D002648:Child; D002649:Child Abuse / Q000175:diagnosis / Q000331:legislation & jurisprudence* / Q000517:prevention & control; D002669:Child Welfare / Q000331:legislation & jurisprudence; D002675:Child, Preschool; D003299:Cooperative Behavior; D004636:Emergency Service, Hospital; D005104:Expert Testimony / Q000331:legislation & jurisprudence; D005260:Female; D019983:Guideline Adherence / Q000331:legislation & jurisprudence*; D006801:Humans; D007223:Infant; D033183:Interdisciplinary Communication; D020407:Internet; D019221:Mandatory Reporting; D009104:Multiple Trauma / Q000175:diagnosis / Q000401:mortality / Q000473:pathology; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence; D012017:Referral and Consultation / Q000331:legislation & jurisprudence; D014481:United States; D014947:Wounds and Injuries / Q000175:diagnosis / Q000401:mortality / Q000473:pathology / Q000517:prevention & control