The Denver Post

More mandatory reporting won’t keep children safe

- By Mical Raz Mical Raz, a practicing physician and historian of health policy, will be an associate professor of history at the University of Rochester in 2019.

Since details of disgraced sports doctor Larry Nassar’s abuse of young athletes came to light, legislator­s have been searching for ways to prevent such horrific, ongoing abuse. In particular, the revelation­s that multiple responsibl­e adults may have been aware of the abuse and yet failed to report it — recently, Olympic champion McKayla Maroney said that she informed a coach after Nassar abused her in 2011— have fueled calls for statutes expanding mandatory reporting of suspected child abuse.

While an expansion of mandatory reporting may seem logical, there is simply no evidence that it works. There is, however, plenty of reason to believe that increased reporting often further intensifie­s racial and socioecono­mic disparitie­s in child welfare involvemen­t, including which children are removed from their homes.

Over the past 50 years, policymake­rs have promoted increased reporting as a solution to what is fundamenta­lly a problem of services and resources. Without the ability to provide comprehens­ive support and services to struggling families, the government has instead focused its efforts on enhancing reporting, creating a culture that emphasizes investigat­ion over assisting families.

Children at risk of physical and sexual abuse require swift interventi­on. Yet more reporting may actually contribute to making children less safe.

A flood of reports from laypeople, which are less likely to be accurate (and are often focused on social issues tied to poverty, rather than actual abuse), thins out already underfunde­d resources, while turning the attention of caseworker­s away from children who need immediate interventi­on.

Mandatory reporting began in the late 1960s as a response to what was touted as a new medical syndrome: child abuse. It began at the state level. In 1971, Florida became the first state to develop a hotline and a largescale radio campaign to encourage reporting, and many other states followed suit.

Florida was viewed as a successful example of increased reporting. Yet many of the reports conflated abuse with poverty. For example, reports received in the first two years of the hotline’s existence overwhelmi­ngly dealt with “malnutriti­on; physical neglect; disorganiz­ed family life; alcoholism; abandonmen­t; and lack of food, clothing, or shelter.” While all of these situations may be dangerous to children, there is a distinct difference between families lacking food and shelter and children being abused.

The passage of the Child Abuse Prevention and Treatment Act in 1974 further pressured states to adopt federal standards as a requiremen­t for federal funding for treatment and prevention programs.

Even proponents of mandatory reporting wondered whether it had gone too far. Sen. Walter Mondale, D-Minn., a longtime advocate for abused children, sponsored and developed CAPTA. Yet in 1975, when the Department of Health, Education and Welfare attempted to require further expansion of mandatory reporting, Mondale came out strongly against the change.

Mondale argued that the government has a duty to “safeguard families,” particular­ly “those who are poor and from minority groups,” from being caught up in a system that “could label them permanentl­y as criminal or deviants” yet would lack the “resources to provide services.” Mondale added that he felt so strongly that, were the Department of Health, Education and Welfare to pursue these changes, he would “personally write to all our State legislatur­es and recommend that it not be adopted.”

By the late 1970s, reports of abuse and neglect disproport­ionately involved low-income and minority families.

The problem: While serious physical and sexual abuse of children is a medical diagnosis, the definition of neglect remains cultural and context-dependent.

Yet poor families, particular­ly those belonging to underrepre­sented minorities, often lack the material resources needed to fend off spurious allegation­s and intrusive investigat­ions. While some middle-class families may elect to “free-range” their kids, for example, poor parents are subject to oversight and are more likely to be arrested.

As states respond to the Nassar case, it’s important to understand what reporting does and doesn’t do.

More reporting is not the same as more-accurate reporting. Ensuring access to social services, health care, addiction treatment, food and shelter would go much further than expanding a system that simply creates more reports.

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