Explanation

When an adult patient discloses historical child abuse, the PMHNP's mandated reporting obligation depends on the applicable state's statute. Some states require mandated reporters to report any disclosure of child abuse, regardless of when it occurred or the victim's current age — particularly when the alleged perpetrator may still have access to children. Other states limit mandated reporting to situations involving current minors. The PMHNP must consult the applicable state law to determine whether a reporting obligation exists. Regardless of the legal requirement, the PMHNP should address the clinical and safety implications — including the possibility that the perpetrator may still be abusing children — and work with the patient around her wishes, safety, and therapeutic needs.

Key Takeaway

Mandated reporting of historical child abuse by adult patients varies by state. The PMHNP must know the applicable jurisdiction's requirements and cannot assume a universal rule.