| This study explored the therapist's experience of mandated reporting in cases of child abuse in Massachusetts. The law (Chapter 119, Section 51A, Massachusetts General Laws Ann.) states that all clinicians working with children whom they suspect are being abused must make a report to the Department of Social Services. However, the literature notes consistently that psychotherapists often do not comply with their legal obligations.;Much of the current literature available on mandated reporting analyzes quantitatively the rates of non-compliance. Some research focusses on possible reasons for non-compliance using hypothetical vignettes or theoretical models. This study investigated the experience of mandated reporting as it is understood by clinicians.;Ten subjects were interviewed using a phenomenological research model. Through an exploration of the process of filing a 51A, the research looked at the multiple factors that professionals contend with in their decision making in mandated reporting. Therapists were asked to speak about their personal experiences without interference from the researcher. One follow up question, which asked the clinician to discuss a case, was utilized. In addition, basic demographic information about the therapist was collected.;The interviews were audiotaped, transcribed, and analyzed thematically in the results section. The major finding was dilemmas in reporting caused by lack of trust in the child protection system. Other themes included concerns about the clinical dilemmas posed by the mandated reporting law, and the lack of clarity of definitions of child abuse. In addition, the therapists expressed the need for adequate training and teamwork in child abuse cases as well as the impact of race, culture, class and other social issues on mandated reporting. These findings were discussed in the context of the literature reviewed, and from varying perspectives, including sociological, clinical and legal. Implications for theory, practice and research were suggested. |
