Who is mandated to report?

Are all health clinicians mandated to report?

  • Yes.  

Who else is a mandated reporter?

  • Residents
  • Interns
  • Members of hospital staff
  • Health professionals
  • Mental health professionals
  • Social workers

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 reasonable cause to suspect, as a result of information received in his or her professional or official capacity, that a child is abused or neglected.
    • A health-care professional involved in the delivery or care of an infant knows that the infant is affected by a dangerous drug.

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 a child who has been abused or neglected as defined by Montana statute 41-3-102 and legal guidance interpreting the statute.
    • "Child abuse or neglect" means actual physical or psychological harm to a child; Substantial risk of physical or psychological harm to a child; or Abandonment.
      • The term includes:
      • Actual physical or psychological harm to a child or substantial risk of physical or psychological harm to a child by the acts or omissions of a person responsible for the child's welfare; or
      • Exposing a child to the criminal distribution of dangerous drugs, as prohibited by 45-9-101, the criminal production or manufacture of dangerous drugs, as prohibited by 45-9-110, or the operation of an unlawful clandestine laboratory, as prohibited by 45-9-132.
      • For the purposes of this definition, "dangerous drugs" means the compounds and substances described as dangerous drugs in Schedules I through IV in Title 50, chapter 32, part 2.
      • In proceedings under this chapter in which the federal Indian Child Welfare Act is applicable, this term has the same meaning as "serious emotional or physical damage to the child" as used in 25 U.S.C. 1912(f).
      • The term does not include self-defense, defense of others, or action taken to prevent the child from self-harm that does not constitute physical or psychological harm to a child.
    • "Physical or psychological harm to a child" means the harm that occurs whenever the parent or other person responsible for the child's welfare:
      • Inflicts or allows to be inflicted upon the child physical abuse, physical neglect, or psychological abuse or neglect;
      • Commits or allows sexual abuse or exploitation of the child;
      • Induces or attempts to induce a child to give untrue testimony that the child or another child was abused or neglected by a parent or other person responsible for the child's welfare;
      • Causes malnutrition or a failure to thrive or otherwise fails to supply the child with adequate food or fails to supply clothing, shelter, education, or adequate health care, though financially able to do so or offered financial or other reasonable means to do so;
      • Exposes or allows the child to be exposed to an unreasonable risk to the child's health or welfare by failing to intervene or eliminate the risk; or
      • Abandons the child.
    • The term does not include a youth not receiving supervision solely because of parental inability to control the youth's behavior.

 

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 Montana Code Annotated 2017 at the Montana Legislature website.

How to report:

What is the method of reporting?

  • When a mandated reporter knows or has reasonable cause to suspect, as a result of information they receive in their professional or official capacity, that a child is abused or neglected, he or she shall promptly make a report to the Department of Public Health and Human Services.

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?

  • As soon as a reporter knows or has reason to believe that a child has been abused or neglected, they shall promptly make a report.

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?

  • The department shall establish a centralized intake (CI) bureau. The CI bureau is responsible for the operation of the statewide centralized intake system that receives and screens all reports of suspected child abuse, neglect, or abandonment statewide from both mandatory and discretionary reporters 24 hours a day, 7 days a week. All reports of child abuse or neglect must be made through the child abuse hotline. If a person calls, visits, or writes a department office other than the child abuse hotline to report child abuse or neglect, that department office shall refer the person or written communication to the hotline.

For more information, refer to Making and Screening Reports of Child Abuse and Neglect at the Child Welfare Information Gateway.  

State/County Hotline?

  • Montana Department of Public Health and Human Services
  • Child and Family Services Division
  • 1-866-820-5437  

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.