Off to a Good Start: A Behaviorally Based Model for Teaching Children With Down Syndrome; Book 1: Foundations for Learning.

tinue to feel that Kevin’s safety is at risk because of a lack of support by other potential care providers or the worsening health status of his guardian affecting her ability to ensure his safety, the medical professional may be required to report his/her concerns to the local child protective services agency. Requirements for meeting a threshold of “neglect” vary from state to state, and it is therefore critical for medical professionals to be familiar with regulations regarding mandated reporting of abuse/neglect in the state of their practice. The Child Welfare Gateway, a service of the U.S. Department of Health and Human Services, is an excellent resource providing statutes for individual states. If it is determined that safety concerns must be reported to the local child protective services agency, discussing the concerns and the mandate to report as well as involving the guardian in placement of the report may assist in maintaining an open and trusting relationship with the guardian.