Protecting Severely Abused and Neglected Children

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Abstract
Physicians are required by law to report all cases of suspected child abuse and neglect to a state social service agency. For all reported cases, but especially those of the most severely mistreated children, there is an assumption that the child will be rescued. The reporting physician expects that the child will be safe from further harm and that the child's long-term development will become the highest priority. Initially, those expectations are supported by the flurry of activity that includes completing paperwork, speaking with a social worker, and providing evidence through the medical record or testifying in a preliminary hearing. . . .

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