Who is mandated to report?
Are all health clinicians mandated to report?
- Yes.
Who else is a mandated reporter?
- A professional or professional’s delegate who is engaged in the practice of:
- The healing arts
- Hospital administration
- Psychological or psychiatric treatment
- Child care
- Education
- Social services
- Correctional supervision
- Probation or correctional services
- Law enforcement
For more information, refer to Mandatory Reporters of Child Abuse and Neglect at the Child Welfare Information Gateway.
When is the reporting duty triggered?
What is the standard?
- A report is required when a reporter knows or has reason to believe that a child is being neglected or sexually or physically abused, or has been neglected or physically or sexually abused within the preceding 3 years.
For more information, refer to Mandatory Reporters of Child Abuse and Neglect at the Child Welfare Information Gateway.
What must be reported?
How does state law define child abuse and neglect for reporting purposes?
- Mandated reporters must report physical abuse, sexual abuse and neglect as defined by Minnesota statute 626.556 and legal guidance interpreting the statute.
- "Physical abuse" means any physical injury, mental injury, or threatened injury, inflicted by a person responsible for the child's care on a child other than by accidental means, or any physical or mental injury that cannot reasonably be explained by the child's history of injuries, or any aversive or deprivation procedures, or regulated interventions, that have not been authorized under section 125A.0942 or 245.825.
- Abuse does not include reasonable and moderate physical discipline of a child administered by a parent or legal guardian which does not result in an injury. Abuse does not include the use of reasonable force by a teacher, principal, or school employee as allowed by section 121A.582. Actions which are not reasonable and moderate include, but are not limited to, any of the following:
- Throwing, kicking, burning, biting, or cutting a child;
- Striking a child with a closed fist;
- Shaking a child under age three;
- Striking or other actions which result in any nonaccidental injury to a child under 18 months of age;
- Unreasonable interference with a child's breathing;
- Threatening a child with a weapon, as defined in section 609.02, subdivision 6;
- Striking a child under age one on the face or head;
- Striking a child who is at least age one but under age four on the face or head, which results in an injury;
- Purposely giving a child poison, alcohol, or dangerous, harmful, or controlled substances which were not prescribed for the child by a practitioner, in order to control or punish the child; or other substances that substantially affect the child's behavior, motor coordination, or judgment or that results in sickness or internal injury, or subjects the child to medical procedures that would be unnecessary if the child were not exposed to the substances;
- Unreasonable physical confinement or restraint not permitted under section 609.379, including but not limited to tying, caging, or chaining; or
- In a school facility or school zone, an act by a person responsible for the child's care that is a violation under section 121A.58.
- Abuse does not include reasonable and moderate physical discipline of a child administered by a parent or legal guardian which does not result in an injury. Abuse does not include the use of reasonable force by a teacher, principal, or school employee as allowed by section 121A.582. Actions which are not reasonable and moderate include, but are not limited to, any of the following:
- "Sexual abuse" means the subjection of a child by a person responsible for the child's care, by a person who has a significant relationship to the child, as defined in section 609.341, or by a person in a position of authority, as defined in section 609.341, subdivision 10, to any act which constitutes a violation of section 609.342 (criminal sexual conduct in the first degree), 609.343 (criminal sexual conduct in the second degree), 609.344 (criminal sexual conduct in the third degree), 609.345 (criminal sexual conduct in the fourth degree), or 609.3451 (criminal sexual conduct in the fifth degree). Sexual abuse also includes any act which involves a minor which constitutes a violation of prostitution offenses under sections 609.321 to 609.324 or 617.246.
- Effective May 29, 2017, sexual abuse includes all reports of known or suspected child sex trafficking involving a child who is identified as a victim of sex trafficking. Sexual abuse includes child sex trafficking as defined in section 609.321, subdivisions 7a and 7b. Sexual abuse includes threatened sexual abuse which includes the status of a parent or household member who has committed a violation which requires registration as an offender under section 243.166, subdivision 1b, paragraph (a) or (b), or required registration under section 243.166, subdivision 1b, paragraph (a) or (b).
- "Neglect" means the commission or omission of any of the acts specified under clauses (1) to (9), other than by accidental means:
- Failure by a person responsible for a child's care to supply a child with necessary food, clothing, shelter, health, medical, or other care required for the child's physical or mental health when reasonably able to do so;
- Failure to protect a child from conditions or actions that seriously endanger the child's physical or mental health when reasonably able to do so, including a growth delay, which may be referred to as a failure to thrive, that has been diagnosed by a physician and is due to parental neglect;
- Failure to provide for necessary supervision or child care arrangements appropriate for a child after considering factors as the child's age, mental ability, physical condition, length of absence, or environment, when the child is unable to care for the child's own basic needs or safety, or the basic needs or safety of another child in their care;
- Failure to ensure that the child is educated as defined in sections 120A.22 and 260C.163, subdivision 11, which does not include a parent's refusal to provide the parent's child with sympathomimetic medications, consistent with section 125A.091, subdivision 5;
- Nothing in this section shall be construed to mean that a child is neglected solely because the child's parent, guardian, or other person responsible for the child's care in good faith selects and depends upon spiritual means or prayer for treatment or care of disease or remedial care of the child in lieu of medical care; except that a parent, guardian, or caretaker, or a person mandated to report pursuant to subdivision 3, has a duty to report if a lack of medical care may cause serious danger to the child's health. This section does not impose upon persons, not otherwise legally responsible for providing a child with necessary food, clothing, shelter, education, or medical care, a duty to provide that care;
- Prenatal exposure to a controlled substance, as defined in section 253B.02, subdivision 2, used by the mother for a nonmedical purpose, as evidenced by withdrawal symptoms in the child at birth, results of a toxicology test performed on the mother at delivery or the child at birth, medical effects or developmental delays during the child's first year of life that medically indicate prenatal exposure to a controlled substance, or the presence of a fetal alcohol spectrum disorder;
- "Medical neglect" as defined in section 260C.007, subdivision 6, clause (5);
- Chronic and severe use of alcohol or a controlled substance by a parent or person responsible for the care of the child that adversely affects the child's basic needs and safety; or
- Emotional harm from a pattern of behavior which contributes to impaired emotional functioning of the child which may be demonstrated by a substantial and observable effect in the child's behavior, emotional response, or cognition that is not within the normal range for the child's age and stage of development, with due regard to the child's culture.
- "Physical abuse" means any physical injury, mental injury, or threatened injury, inflicted by a person responsible for the child's care on a child other than by accidental means, or any physical or mental injury that cannot reasonably be explained by the child's history of injuries, or any aversive or deprivation procedures, or regulated interventions, that have not been authorized under section 125A.0942 or 245.825.
Are child molestation, sexual abuse, rape, statutory rape, incest, intimate partner violence, sexual exploitation and/or trafficking of a minor reportable as child abuse or neglect and if so, how are they defined and what is reportable?
For the most current definitions of these terms, refer to 2018 Minnesota Statutes at the Minnesota Legislature Office of the Revisor of Statutes webpage.
How to report:
What is the method of reporting?
- A person who knows or has reason to believe a child is being neglected or physically or sexually abused, or a child has been neglected or physically or sexually abused within the preceding 3 years, immediately shall make a report. For purposes of this section, 'immediately' means as soon as possible but in no event longer than 24 hours.
- An oral report shall be made immediately by telephone or otherwise. An oral report made by a mandated reporter shall be followed within 72 hours, exclusive of weekends and holidays, by a report in writing to the appropriate police department, the county sheriff, the agency responsible for assessing or investigating the report, or the local welfare agency.
For more information, refer to Making and Screening Reports of Child Abuse and Neglect at the Child Welfare Information Gateway.
What is the timeline in which to report?
- A report must be made as soon as possible, but no longer than 24 hours. An oral report from a mandated reporter must be followed by a written report within 72 hours.
For more information, refer to Making and Screening Reports of Child Abuse and Neglect at the Child Welfare Information Gateway.
To whom are reports made?
- A report shall be made to the local welfare agency, agency responsible for assessing or investigating the report, police department, county sheriff, tribal social services agency, or tribal police department.
For more information, refer to Making and Screening Reports of Child Abuse and Neglect at the Child Welfare Information Gateway.
State/County Hotline?
- Visit the Minnesota Department of Human Services webpage to find your county’s child protection agency’s contact information.
Confidentiality:
What federal confidentiality laws apply to health information collected during a Title X visit?
- Title X regulations 42 CFR 59.11
- HIPAA 45 CFR 164.502
Is there an exception in federal confidentiality law that allows a clinician to comply with mandatory child abuse reporting laws?
- Yes.