Mandatory Reporting of Child Abuse, Elder Abuse, and Dependent Adult Abuse
This domain tests the duty to report suspected abuse, the legal override of confidentiality, and the difference between suspicion and proof.
Core rules
- Nevada psychologists are mandatory reporters. Child abuse and neglect reporting is governed by NRS 432B.220; elder and dependent adult abuse reporting is governed by NRS 200.5093. Reports go to the designated state agency or law enforcement, depending on the statute and situation.
- The threshold is reasonable suspicion, not certainty. Do not investigate, confront the alleged abuser, or wait for proof. A report made in good faith is protected; failure to report can lead to criminal and licensing consequences.
- Reporting is an exception to privilege and confidentiality. Do not seek client consent before reporting when the statute requires a report.
- Document the disclosure, your observations, the report made, the agency or law enforcement contact, and the time. Continue treatment and safety planning as appropriate.
Worked example
A 14-year-old discloses that an uncle has been sexually touching her. The psychologist does not call the uncle or the parents first. The psychologist reports to the designated child protective agency or law enforcement, documents the disclosure and report, and then addresses immediate safety and treatment needs.
Traps
Reporting only confirmed abuse; delaying a report to obtain consent or consult the family; confusing permissive disclosure with mandatory reporting; failing to report elder abuse because the client asks you not to; omitting report documentation.