{"report_id":346,"form_id":"22","user_id":81,"organization_id":13,"question_id":"319","question_type":"Free_Text","text_answer":"A child protection report not being made by the medical provider following a previous diagnosis of \u00e2\u20ac\u0153failure to thrive\u00e2\u20ac\u009d was influenced by the medical providers experience with child maltreatment.  Contributing to a report not being made was the ambiguity of the threshold and understanding of when and where to report when there is a diagnosis of \u00e2\u20ac\u0153failure to thrive\u00e2\u20ac\u009d.  In cases such as this, barriers can also exist when accessing professional expertise to provide clarity around a \u00e2\u20ac\u0153failure to thrive\u00e2\u20ac\u009d diagnosis and what diagnosis and treatment rise to the level of a child protection report.  This can also make it difficult for providers to know when to make a child protection report.\r\n\r\nAdditional circumstances, such as the need to preserve the relationship with the family and ensure that the family will follow through with routine medical care can further support a medical provider not making a child protection report in a case like this.  Mom's active engagement and consistent follow through with the child's routine medical care supported a report not being made.  Furthermore, the mother in this case was already engaged with routine medical care for the child.  \r\n\r\nFurther supporting a report not being made is that there is subjectivity in the definition of \u00e2\u20ac\u0153failure to thrive\u00e2\u20ac\u009d as well as a variety of diagnoses and treatment for failure to thrive situations. Additionally, the definition of \u00e2\u20ac\u0153failure to thrive\u00e2\u20ac\u009d under general neglect embedded within the Intake, Screening, and Response Path guidelines can also influence individual's understanding of what meets the threshold to report.","created_by":81,"updated_by":81,"updated_at":"5\/26\/2021 1:43:34 pm","created_at":"5\/26\/2021 1:43:34 pm","id":34939}