In most states, physicians are mandated to report child abuse. Following are four hypothetical cases

In most states, physicians are mandated to report child
abuse. Following are four hypothetical cases involving child abuse. Determine
whether you would report any of these cases as child abuse

_
The dirty house case: Mr. and Mrs. Jones and their two preschool children, John
and Mary, live in a decrepit house with three large dogs and a number of cats.
Mr. Jones works as a laborer. Mrs. Jones is not employed outside the house and
does nothing inside either. There is trash all over the house and many
cockroaches. The dogs go freely in and out, and the cats use the piles of old
newspapers as
»

In most states, physicians are mandated to report child
abuse. Following are four hypothetical cases involving child abuse. Determine
whether you would report any of these cases as child abuse

_
The dirty house case: Mr. and Mrs. Jones and their two preschool children, John
and Mary, live in a decrepit house with three large dogs and a number of cats.
Mr. Jones works as a laborer. Mrs. Jones is not employed outside the house and
does nothing inside either. There is trash all over the house and many
cockroaches. The dogs go freely in and out, and the cats use the piles of old
newspapers as litter boxes. The smell is horrible. John and Mary are extremely
dirty at all times. They seem to eat junk food a lot. They have no toys and
play with various odds and ends. However, aside from runny noses, they appear
to be healthy and developing normally. _
The massage parlor case: Sharleen, age 7, lives with her mother, Barbara, in a
small apartment over the men-only massage parlor where Barbara works from 4:00
p.m. until midnight. Drinks are served in the waiting room of the massage
parlor, and it is possible that there is some drug use on the premises as well.
There are pornographic magazines available and soft-porn programs on the
television sets. Some of the videotapes may have been made on the premises.
Sharleen spends her after-school time at the massage parlor, sometimes coloring
or playing with her own toys, sometimes helping to straighten up the waiting room,
and sometimes just going around talking to people. She stays there until
Barbara takes her up and puts her to bed, usually around nine o’clock at night.
_ The truant case:
Bobby, age 8, skipped school several times. A neighbor told his father about it,
but when his father confronted the boy, Bobby lied, saying he had gone to
school every day. The father viewed these as serious offenses on Bobby’s part
and he punished Bobby by beating him with a leather strap hard enough to leave
marks on the back of Bobby’s legs. _
The suicidal child: Margaret, age 14, took a large overdose of medication and
then called the hospital. Due to prompt action, she survived. The hospital
requested that she have a psychiatric evaluation before her discharge.
Margaret’s parents refused initially, but when they were threatened with court
action, they capitulated. Margaret’s evaluation indicated that she was of
normal intelligence but showed signs of “depression, hostility, and
impulsiveness.” A foster home placement and individual therapy were
recommended. Margaret’s parents refused to follow the recommendations.
(Hypothetical cases taken from material used at the MCLE/NELI Child Abuse and
Neglect Program, Boston College Seminar, October 25, 1984.)

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