A-TEAM: An Interprofessional Approach to Mandated Reporting in the Hospital Setting

Published:January 20, 2023DOI:


      Reporting suspected child maltreatment in pediatric settings presents unique challenges. Variation in mandated reporter training may lead to discomfort and emotional dysregulation. Failure to collaborate inter-professionally potentially results in suboptimal care for vulnerable children and families. A-TEAM promotes awareness, transparency, empathy, a nonjudgmental strategy, and management by an interprofessional team when referring patients for child protective services evaluation. A faculty trained in pediatric trauma nursing led the development of A-TEAM. Integrating nursing and social work expertise protects the integrity of family-centered patient care. The A-TEAM approach may be a valuable contribution to the continuing education of pediatric health care professionals.


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      1. Child Welfare Information Gateway. (2021). Numbers and trends.

        • Cfar I.
        • Tomasik J.
        • Fleming C.
        Promising interprofessional collaboration practices. White paper. The Robert Wood Johnson Foundation, 2015
        • Cornell K.L.
        Person-in-situation: History, theory, and new directions for social work practice.
        Praxis. 2006; 6: 50-57
        • Donohue B.
        • Alvarez K.M.
        • Schubert K.N.
        An evidence-supported approach to reporting child maltreatment.
        Mandated reporting laws and the identification of severe child abuse and neglect. Springer, 2015: 347-379
        • Fraser J.A.
        • Matthews B.
        • Walsh K.
        • Chen L.
        Factors influencing child abuse and neglect recognition and reporting by nurses: A Multivariate analysis.
        Journal of Nursing Studies. 2010; 47: 146-153
        • Green M.
        Nurses’ adherence to mandated reporting of suspected cases of child abuse.
        Journal of Pediatric Nursing. 2020; 54: 109-113
        • Henderson K.
        Mandated reporting of child abuse: Considerations and guidelines for mental health counselors.
        Journal of Mental Health Counseling. 2013; 35: 296-309
        • Herendeen P.A.
        • Blevins R.
        • Anson E.
        • Smith J.
        Barriers to and consequences of mandated reporting of child abuse by nurse practitioners.
        Journal of Pediatric Health Care. 2014; 28: e1-e7
        • Lines L.E.
        • Hutton A.E.
        • Grant J.
        Integrative review: Nurses’ roles and experiences in keeping children safe.
        Journal of Advanced Nursing. 2017; 73: 302-322
        • Magee K.
        Maintaining the therapeutic alliance when reporting child maltreatment: Recommendations for mental-health clinicians.
        Journal of Contemporary Psychotherapy. 2021; 51: 9-13
        • McTavish J.R.
        • Kimber M.
        • Devries K.
        • Colombini M.
        • MacGregor J.C.D.
        • Whathen C.N.
        • Agarwal A.
        • MacMillan H.L.
        Mandated reporters’ experiences with reporting child maltreatment: A meta-synthesis of qualitative studies.
        BMJ Open. 2017; 7e013942
        • Pietrantonio A.M.
        • Wright E.
        • Gibson K.N.
        • Alldred T.
        • Jacobson D.
        • Niec A.
        Mandatory reporting of child abuse and neglect: Crafting a positive process for health professionals and caregivers.
        Child Abuse & Neglect. 2013; 37: 102-109
        • Roney L.
        • Knapik K.
        • Eaves T.
        • Neitlich J.
        • LaPointe K.
        An interprofessional approach to family-centered child-protective services referral: A case report.
        Journal of Trauma Nursing. 2021; 28: 401-405
        • Skarsaune K.
        • Bondas T.
        Neglected nursing responsibility when suspecting child abuse.
        Clinical Nursing Studies. 2015; 4: 24-32
      2. Svard, V. (2017). Why don't they report? Hospital personnel working with children at risk. Childcare in Practice, 23(4), 342–355.

        • Tufford L.
        • Bogo M.
        • Katz E.
        • Lee B.
        • Ramjattan R.
        Reporting suspected child maltreatment: Educating Social Work Students in decision making and maintaining the relationship.
        Journal of Social Work Education. 2019; 55: 579-595
        • Tufford L.
        • Lee B.
        Decision-making factors in the mandated reporting of child maltreatment.
        Journal of Child and Adolescent Trauma. 2018; 12: 233-244
      3. Tufford, L. (2014). Repairing ruptures in the mandatory reporting of child maltreatment: perspectives from social work. Families in Society: The Journal of Contemporary Social Services, 95(2), 115–121.

        • Turney D
        Sustaining relationships: working with strong feelings III: Love and positive Feelings.
        in: Ruch G. Turney D. Ward A. Relationship-based social work: Getting to the heart of practice. Jessica Kingsley Publishers, 2010
        • Webb D.
        Interdisciplinary teamwork. Minding the Baby  Training Institute.
        Yale Child Study Center, 2011
        • Wilson I.
        • Lee J.
        Barriers and facilitators associated with child abuse and neglect reporting among child care professionals: A systematic review.
        Journal of Psychosocial Nursing and Mental Health Services. 2021; 59: 14-22
        • Yildiz E.
        • Tanriverdi D.
        Child neglect and abuse: A global glimpse within the framework of evidence perspective.
        International Nursing Review. 2018; 65: 370-380