Child Abuse and Neglect

Common Concerns

When you suspect a child is, or is at risk of, being abused or neglected, it is important to take action. Most abused children are not able to help themselves.

Certain people, such as health professionals, social workers, and teachers, are required by law in all 50 states to report suspected child abuse and neglect, usually to the police or to state child protection services. In some states, all citizens are mandated by law to report any suspicion of child abuse or neglect. For more information, see the Other Places to Get Help section of this topic.

Law enforcement and child protective services will investigate a child abuse or neglect complaint and submit a report to the prosecutor. Based on the report, the prosecutor will determine whether the situation requires prosecution. If convicted of a crime, an abuser may have to serve a jail sentence. The role of the juvenile court is to ensure a child's safety and connect families to social services.

In 2004, about 56% of the suspected child abuse reports were made by professionals in the line of duty. The remaining 44% of referrals were made by family members, neighbors, and other community members.2

Many people are unsure how to handle suspected abuse because they:

  • Are not sure what acts are considered abuse and neglect.
  • Fear they will cause the child more harm.
  • Worry that they will falsely accuse a parent or caregiver.
  • Fear that they will become a victim themselves of violence or harassment from the abuser.
  • Are concerned they will be sued.

Keep in mind that by reporting suspected abuse or neglect, you may prevent a child from suffering serious injury, severe lifelong emotional problems, or even death. You can make reports anonymously. If you give your name, it is kept confidential. A person who makes a report in good faith is immune from lawsuits.

Because in most states suspected abuse must be investigated within 24 hours, the risk of causing a child more harm by making a report is less than if you do not report your suspicions.

Investigators sometimes are not able to find enough evidence to support suspected abuse. In this case, parents or caregivers may be referred to social services to reduce the child's risk of abuse or neglect.


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Author: Sabra L. Katz-Wise
Ralph Poore
Last Updated: January 3, 2007
Medical Review: Kathleen Romito, MD - Family Medicine
Michael J. Sexton, MD - Pediatrics

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Topic Contents
 Topic Overview
 Symptoms
 What Happens
 What Increases the Risk
 When to Seek Help
 Exams and Tests
 Treatment Overview
 Prevention
Arrow PointerCommon Concerns
 Other Places To Get Help
 Related Information
 References
 Credits