Clinical Care
Trainee
Kimberly Randell, MD, MSc (she/her/hers)
Professor of Pediatrics
Pediatrics, Division of Emergency Medicine
Children's Mercy Hospitals and Clinics
Kansas City, Missouri, United States
Maya Ragavan, MD. MPH, MS
Assistant Professor of Pediatrics
University of Pittsburgh School of Medicine
Wexford, Pennsylvania, United States
Allison Jackson, MD, MPH (she/her/hers)
Associate Professor of Pediatrics
Children's National Hospital, George Washington University School of Medicine & Health Sciences
Washington, District of Columbia, United States
Workshop
Description: 1 in 5 U.S. children experience Intimate partner violence (IPV). Pediatric across specialties can support families to mitigate negative outcomes associated with childhood IPV. Mandatory supporting, a healing-centered approach to support, considers caregiver and community strengths and the diverse resources that may provide support, as well as complexities of child protective services (CPS) reporting in the context of IPV. Reporting may be necessary for child protection and family resource connection may also result in escalated abuse, a punitive response toward the adult IPV survivor, and decreased trust in healthcare providers. Providers must also consider the impacts of systemic racism and implicit bias on IPV help-seeking and CPS reporting; families of color (especially Black and Indigenous children) are disproportionately represented in the CPS system. Mandated reporting requirements differ by state and are often nonspecific regarding IPV. Limited education currently exists for pediatric providers around CPS reporting in the context of IPV. In this workshop, IPV and child abuse experts will aid participants in building knowledge and skills to use healing-centered engagement to make IPV survivor- and child-centered decisions about CPS reporting. After large group case review to elucidate indications for and complexities of CPS reporting in the context of IPV, small group discussions will formulate strategies for clinical care. The large group will reconvene to discuss strategies, enabling participants to identify tangible actions they can incorporate into practice. We will conclude with considerations for future research and advocacy around mandatory supporting and CPS reporting in the context of IPV.