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A Qualitative Study of School Social Workers'

Clinical and Professional Relationships


when Reporting Child Maltreatment
Amy Chanmugam

This qualitative study explored school social workers' rehitionships during instances of
abuse and neglect reporting, focusing on reports made for children and adolescents already
receiving school social work services. Although school social workers frequently file abuse
and neglect reports, little is known about how they manaiic clinical and professional
relationships in the complex school environment vvlieii reporting.This study obtained rich
descriptions ot their reporting experiences. In-depth interviews and .1 focus group were
conducted with 10 participants from Texas, Florida, and Colorado, representing all school
levels. Findings describe complex clinical and professional relationship networks involved
in reporting and school social workers'penpectives on case management during disclosure
and reporting. Thematic analysis of interviews identified several themes percainiiig, for
example, to communications with caregivcrs inà children about Child Protective Services
R'ports, intfrprotessional collaboration, and management oí dilemmas regarding trust and
confidentiality with families and professionals. Participants sought to mitigate harm through
their practices, yet practices varied. Further research on the effects of practices such as
involving children in reporting is warranted. Implications for practice and education are
discussed.The author recommends that discussions of legal and ethical aspects of reporting
be augmented with discussion of interpersonal dynamics that come into play.

KEY WORDS: ahusc; child malti'catmml; interprofessional


collaboration; reporting; school soäal work

I
n 2005, state child protection agencies Overall, literature on school personnel and
received more than 3 million reports alleg- child maltreatment focuses on prevention,
ing child maltreatment, involving 6 million identification, and reporting rather than on
children,with large percentages of reports made how schools can support children who have
by educational personnel and social services per- been maltreated (Faller,2O()6). Although school
sonnel (U.S. Department of Health and Human social workers are ethically and legally man-
Services [HHSj, 2007). Educational personnel dated reporters, little is known about how they
made a higher percentage {24.3 percent) of perceive and manage clinical and professional
physical abuse reports than any other group of relationships in the coinple.x school environ-
professionals or nonprofessionals. Research on ment when they become aware of an abuse or
the perceptions and behavior of school person- neglect case and initiate a report. In a review of
nel related to abuse and neglect reporting has chnical issues raised by reporting maltreatment,
focused on reporting by teachers (Hinson S¿ Kenny (I99S) noted that professionals may feel
Fossey,2000;Kenny,20()4) and counselors (Bry- torn between issues of confidentiality and child
ant & Milsom. 2005; James & DeVaney. 1994). protection laws.
Reporting among school social workers has only
This article presents a qualitative study that
been studied recently (fonson-Reid et al., 2007).
sought to shed hght on this underresearched
Jonson-Reid and colleagues studied the casel-
practice area by exploring clinical and profes-
oads ot school social workers in two suburban
sional relationship dynamics of school social
districts and found that mal treatment-related
workers initiating reports of child abuse or
cases constituted approximately 20 percent of
neglect within the context of ongoing client
their caseloads.
relationships. The study was prompted by the

CCC Code: 1532-8759/09 Í3.00 ©J009 National Aííociation of Social Workers 145
dearth of research on school social workers' or neglect within the context of an ongoing
perceptions and actions related to reporting, by relationship with the child? (3) How do school
existing research on the mitigating effects of social workers think about relationships in
supportive adult responses to abuse disclosures these situations? (4) What does the school social
(Maggia, 2004; Lovett, 2004; Palmer, Brown, worker do during this process?
Rae-Grant.& Loughlin, 1999; Rosenthal, Feir-
ing, oí Taska, 2003), and by observations that I BACKGROUND
made as a school social worker and clinical su- All social workers in the United States are le-
pervisor. 1 observed school personnel and social gally mandated to report suspected abuse and
work interns struggle at times with reporting neglect (Kopels, 2006).The clinical and profes-
and how it influenced relationships with clients sional relationship dynamics that occur when a
and other professionals. Schools may be the most school social worker initiates a report have not
promising avenue for serving children who have been explored empirically. However, a number
been the subject of abuse and neglect reports, of closely related research studies and practice
because many reported cases do not reach the recommendations are available to inform re-
investigation stage, maltreatment is not substanti- search and practice.
ated, or maltreatment does not rise to a level that Two resources were identified that provide
would result in Child Protective Services (CPS) recommendations for school social workers
intervention Qonson-Reid et al.,2007).In 2005, during abuse disclosure and reporting, based
approximately 3H percent of reports made in the on research in other settings (Faller, 2006;
United States did not result in investigation or Graham, 1993). Faller (2006) drew on a variety
an alternative response from CPS. and abuse or of empirical studies and best practice recom-
neglect was substantiated m just 28.5 percent of mendations from school personnel to provide
investigated cases (HHS, 2007). strategies for supporting maltreated children,
Depending on whether he or she works in taking in the need to role model concern for
an elementary, middle, or high school, a school the child, the need for school personnel to
social worker may be serving a population believe the child's disclosure, and the need
more at risk of a particular type of maltreat- for service coordination among professionals
ment. Children of different ages have different involved with the child. Graham (1993) recom-
developmental vulnerabilities and face different mended that school social workers take a ho-
types of victimization risks (Finkelhor, 1995). listic approach to intervening with maltreated
Although higher percentages of younger children by providing a range of services at
children are neglected, higher percentages of multiple levels and in multiple roles. He noted
adolescents are physically and sexually abused that school social workers can help directly in
(HHS, 2007). In 2005. 21 percent of substan- their interactions with the child by working
tiated physical abuse cases involved middlc- with various systems to integrate responses to
school-age victims (12 to 15 years old), and 23 maltreatment disclosures and by making school
percent involved adolescents age 16 and older. procedures related to CPS investigations more
Young adolescents (ages 12 to 15) were the responsive to childrens needs.
subjects of 17 percent of substantiated sexual A number of maltreatment-related resources
abuse cases, a higher percentage than for any are available to school social workers. The lit-
other age group. erature covers topics such as identifying abuse
This article presents school social workers' and neglect (VanBergeijk, 2006) and making
perspectives on four research questions; (1) decisions regarding the conflicting ethical duties
What significant people or entities influence of confidentiality and reporting (Kopels, 2006;
the development of a strong working alliance Reamer, 2005). Literature is available to inform
between a school social worker and a child? (2) collaborative efforts with child welfare person-
How are these relationships affected when the nel (Altshuler, 2006; Scannapieco, 2006) and
school social worker initiates a report of abuse service provision to children already involved in

146 Chililren a-Schools VOLUME Í I , NUMBEK Î JULY 1009


the foster care system (Altshuler, 2006; Traube Participant Work Setting and
& McKay, 2006). Resources describing the Prior Experience
dynamics of effective interprofessional practice, At the time of participation, five participants
which is key in supporting maltreated children, worked in elementary schools, four worked
arc also available to school personnel (Casto & in middle schools, and one worked in a high
Julia, 1994;Tourse & Mooney, 1999). school. One participant split her time between
The relationship between a practitioner and a two schools, and nine served one school full-
chent takes on special importance in instances of time.Two worked in rural schools, two worked
trauma (Gil, 1991; Herman, 1992).Trauma may in suburban schools, and six worked in urban
damage trust and intimacy. When a child dis- schools. Seven were employed by a nonprofit
closes maltreatment to a school social worker, the agency, two were employed by school districts,
school social worker is in a paradoxical situation. and one was employed by the local government.
She or he may be in a therapeutic relationship Eight worked in Texas.
with a child, for which trust is essential; yet to Seven participants had prior work experience
ensure the safety of the child and follow legal at other schools; five of these had worked at
mandates, she or he must breach confidentiality multiple levels, and three had experience both
to report the victimization. It may be apparent as an agency-employed school social worker
to an adult that trust is compatible with initiat- and as a nonagency school social worker. Par-
ing a report to ensure the child's safety, but for ticipants' total work history (past and current
a vulnerable child or youth, the report may employment) represented experience at 17
jeopardize the sense of trust in the confidential schools (four high schools, five middle schools,
relationship. In addition,Webb (2003) noted that and eight elementary schools) and five districts
the report can be seen as a challenge to the tam- in Texas, Colorado, and Florida.
ily's autonomy. Kenny (1998) summarized the
relational aspect of reporting as follows: "The Sampling Procedures
report of abuse is just the beginning" (p. 12). Study procedures were approved by the Insti-
Studies of adolescent and adult survivors of tutional Review Board of the University of
childhood abuse suggest that the initial responses Texas at Austin. Participants were recruited
victims receive to disclosures of the abuse may with convenience, maximum-variation, and
influence their long-term adjustment (Alaggia, snowball sampling techniques (Creswell, 1998).
2004;Loven,2004; Pahiier et al.. 1999;Rosenthal First, I recruited from a nonprofit school social
et al., 2003). Supportive responses to children work agency. So as to have maximum variation
and adolescents during the disclosure process of experiences in the study, participants were
may mitigate harm. recruited to ensure representation of all school
levels and of urban and rural schools.The agency
METHOD also allowed me to hold a focus group. A tocus
In-depth, semistructured interviews and one group format was used to augment individual
focus group were conducted with school so- interview data collection by providing an op-
cial workers (N = 10) in Texas, Florida, and portunity for reporting issues that 1 had not
Colorado. All study participants were female. considered asking about to emerge through
Three were Latina/Hispanic, and seven were participants' dialogue. Three agency employ-
white.The mean length of experience in school ees, all working in elementary schools, elected
social work was tive years. Eight participants to attend. Finally, I used snowball sampling
had MSWs, one had a BSW, and one worked techniques to identify additional school social
under the supervision of someone with an workers not employed by nonprofit agencies.
MSW but did not have a social work degree. Three participants were identified in this man-
The mean approximate number of abuse and ner. The seven participants who were not part
neglect reports participants had made in the past of the focus group were invited to participate
12 months was eight. via e-mail, with a follow-up phone call. Group

CHANMUCAM / Smdy of School Social Workers' Cihiical and Professional Relationships when Reporting Child Mallreiument 147
participants were invited via a flyer e-mailed to lowed by identification of patterns across cases. It
all agency employees. was soon apparent, however, that understanding
ot the number and tenor of the relationships
Data Collection participants described would require graphic
Texas participants were interviewed in person in representation to organize the details. Analysis
locations they identified as confidential and most plans were adjusted, with each case's coding
convenient. Colorado and Florida participants beginning with development of two relationship
were interviewed by phone. Seven were inter- diagrams inspired by ecomapping (Hartman,
viewed individually,and three were interviewed 1995).The first diagram illustrated relationships
in a focus group format. that the participant described as influential in
A semistructured interview guide was created developing a working alliance with her client.
on the basis of a literature review and expert The second illustrated her clinical and profes-
consultation. It contauied three sections. The sional relationships during a specific case of
first section concerned the participant's work- maltreatment disclosure and reporting. Both
ing environment and professional relationships. had the social worker and the primary client in
The second section asked each participant to the center. (No diagrams were created from the
describe in detail a recent deidentified case in focus group transcript because it did not provide
which she had initiated a report of abuse or the same level of detail.)
neglect regarding a client on her caseload—that As the researcher coded each transcript line
is, witii whom she had a preexisting relationship. by line, the role title of each person or group
Most chose to report their most recent case. named (for example, mother. CPS) was added
The participant was then asked whether that to the diagram. Each time the participant sub-
case was typical and in what ways it differed sequently named that person in a new context,
from other reporting cases. The final interview a line was drawn to represent the relationship
section explored participants' general percep- interaction.Thus,some pairings on the diagram
tions about school social work practices and began to have three or more lines connect-
their "rules of thumb" related to relationships ing them to each other, indicating frequent
and maltreatment disclosure and reporting. An interactions. These relationships were then
iterative approach was used for ongoing devel- characterized as"intense"and represented with
opment of the guide to use emerging data to one bold line. Two other types of relationships
refine questions. were characterized as intense and are denoted
The focus group format was similar, with with a bold line: those described as playing
minor differences. I served as a facilitator rather a prominent role and those about which the
than interviewer. The guide followed the same school social worker made strong affective
topic sequence. During the second section of statements. Some relationship comments de-
the interview guide, participants were not asked scribed communications, actions, or emotions
to describe a particular case aloud in the group. that were reciprocated, whereas others did
Instead, they were instructed to recall details of not. These relationship exchanges were de-
a recent reporting case during a minute of silent picted with arrows. Relationships described as
reflection to guide their conmients in the ensu- "unpredictable," "ambiguous," or "conflicted"
ing discussion. Participants were able to ask one were diagrammed with dashed lines. When
another questions and compare experiences.The the participant mentioned a person or group
focus group and the individual interviews were as influential but that person was not an actor
aiidiotaped and transcribed verbatim. in tlie situation, their role title (for example,
father) was included but no lines were con-
DATA ANALYSIS nected to it. Taken as a whole, each diagram
The initial analysis plan was to conduct thematic provided a vivid snapshot oi' the number of
analyses (Miles & Hubernian, 1994), beginning players influencing the situation and the tenor
with line-by-line coding of each transcript, fol- ot the relationship interactions.

148 Children & Schools VOLKMF. }I. NUMBER } Jui.v Î009


After creation ofthe diagrams tor each case, maltreatment and "be believed" but also ambiva-
interview transcripts were analyzed using the- lent about reporting and family intervention.
matic analysis (Braun & Cbrk, 2006; Miles &
Hubertnan, 1994). Each transcript was coded in RESULTS

a second line-by-line reading, with each discrete Research Questions 1 and 2


concept noted in the margin. The concepts The first two research questions were as follows:
were assigned code labels, and codes recurring (1) What significant people or entities influence
in a transcript indicated emerging within-case the development of a strong working alliance
tliemes, which were summarized in coder notes between a school social worker and a child? (2)
at the end of the transcript. After all cases were How are these relationships affected when the
coded, the within-case themes and diagrams school social worker initiates a report of abuse
were reviewed across cases to identify patterns or neglect within the context of the ongoing
in the data set. This entailed seeking support relationship with the child? Most participants
or disconfirmation for each within-case theme reported that a large number of people or other
by looking at whether and how it recurred in groups (such as a student support team) influence
other cases. Disconfirming data led meto either the school social worker's working alliance with
eliminate an emerging theme or expand the a client.Their relationship networks are complex
evolving theme definition to better encapsulate and change during times of maltreatment disclo-
the concepts. The final themes presented here sure and reporting. Both clinical and professional
are those that appeared across three or more relationships may become more intense in terms
cases. A senior qualitative researcher acted as a of frequency of communication or emotionally
consultant and reviewed analysis procedures and charged communication. For example, extended
emerging codes and patterns. family members and siblings may become part
of the network, or routine communications with
Trustworthiness the school counselor may diverge into urgent
Qualitative research cannot be evaluated in terms and frequent communications with the princi-
of vahdity and reliability in the same way that pal. One high school social worker described
quantitative research can (Miles & Huberman, her relationships as follows:
1994). A number of methods exist, however, to
increase the rigor and trustworthiness of qualita- It's a wliole system. You've gotta have yood
tive fmdings.In this study,several methods were relationships with everyone in the system
used to increase rigor, such as attention to po- for it to run right. And you can certainly tell
tentially disconfirniing cases and ongoing review when you have a bad. or no, relationship with
with the senior consultant. Maximum-variation maybe one part of that system, whether tliat
sampling also represented an effort to increase he the student or a teacher .,, everything kind
the likelihood lif identifying negative evidence of comes to ¿l halt. If yoti're trying to help a
to refine development of emerging patterns. sttident with academics and they just were
Member checking was done with two school absent for a very valid reason, like they were
social workers. One had participated in the raped the night before, you certainly with
study.The other was unfamiliar with it and did confidentiality can't necessarily share that with
not work in Texas, Florida, or Colorado. Both the teachers. But if you have a good trusting
read a summary and provided feedback. The relationship, when you go to the teacher and
participant expressed overall agreement with say. "You know, this student's going to be out
findings, whereas the nonparticipant thought and can you give me some of their work? I'm
one aspect of reporting was not emphasized helping them with this or that." they just trust
enough. Specifically, she stated that the neutral you and do it.Whereas if they don't really know
research language did not adequately capture the you, they may bv likc,"Wcll, no. if she's absent,
intensity of emotions experienced by children. she still fails, 1 don't care," Or they mayjust see
She perceived children as yearning to disclose you as someone who is trying to enable the

CHAN M ut; AM / Siiidy of Sehool Social Workers' Clinieûl and Professional Relationship! when Reporting ChiU Maltreaiment 149
Student to not take responsibility. There can such as interns and caseworkers. When siblings
be lots of different reasons. Certainly everyone receive individual counseling services, they are
that yoLi interact with on the campus can have assigned to different on-site agency personnel. A
an impact on the working relationship. small number oí tamily characteristics have been
altered for this article to ensure that families are
Notably, the majority of cases described by not identifiable, but the number and professional
participants in this study were reporting cases roles of those involved and the reported intensi-
that did not result in CPS services. Participants ties of relationships were not altered. Although
reported that they generally attempt to maintain each participant's diagrams were unique, the
supportive involvement with the child when majority were similar to Lori's m the number
reporting, and the majority stated that they and complexity of the relationships depicted.
increase their support of the family at this cime. Lori described her most recent report, initi-
Contact with school and outside agency person- ated three weeks prior to her interview. The
nel also increases, in terms of both frequency case involved the sexual assault of her primary
and scope of information exchanged. client's older sibling, a high school student, by
Figures 1 and 2 depict relationships described a family member living in their home. At the
by a middle school social worker, Lori (a pseud- time that Lori's client told her about the assault,
onym). Lori is employed by a nonprofit agency. Lori had already been considering filing a CPS
She supervises other on-site social services staff. report and was taking steps to link the client's

Figure 1: Influences on the Working Alliance between


a School Social Worker and a Child (Lori's Case)

Teachers

Off-.site
agency
supervisor

Schon I
Support
Personnel agency
Team sraff

Nofe: Haif line = a relationship; arrow = directionW in which (ornmunitation. actions, and emotion! (low bold line = ¡nlen« or espetially clow relationship: dashed line i
infrequent contact, afnhiguouî or conflicted relationship

150 Children &Schools VOLUME 31, N U M B E R J JULY 1 0 0 9


Figure 2: Clinical and Professional Relationships during
a Specific Abuse Reporting Case (Lori's Case)

Counselors Law
(police
Mo die r & legal
Principal {single svsteml

Teachers
Perpeiraior
Child
\ 1'roteen vc
Set vie«

School Child Kx tended


soda]
worker
V family
mem bet

Direct
Father
supervisor
on another (not in
Siblings home)
campus at the
Siaff ai other Siblings at
Other schools other school
.School on-site (agency (including
Support agency & school ppLmary
Personne i staff employees) vienm)
Team

Mote: Hair line a a relationships arrow = dir«t>on(i) in which communiât ion, actions, and emotiuns flow; bold line ^ intense or especially close relationship; dashed line >
infrequent contact ambiguous or conflicted relationihip; bon with no line to tt = person mentioned as inf luentrjl but not actively involved; line with no arrow "^ one-time
contad, relationship not lerminaled.

mother to community services,because a recent was disciplined for her school behavior. She
suicide attempt by the mother had caused Lori enlisted the help of other personnel working
concern about child supervision and the family's for her agency on the same campus to provide
emotional climate. At the time of Lori's mter- services for her client's siblings. She continued
view for this study, personnel at other schools efforts to link the mother with community
interacting with the family had also made CPS service providers. She coordinated services with
reports, and CPS had not yet interviewed any personnel at elementary and high .schools who
children in the family. Pohce were investigating were serving other children in the family. She
the mother because she had attempted to assault became frustrated with what she perceived to be
the alleged perpetrator. Lori worked with the a slow response by the assigned CPS investigator
mother, unsuccessfully, to obtain emergency and sought help from her supervisor, who called
mental health services and assistance with child the investigator s supervisor to advocate that the
care. Over the three weeks, Lori's client had children be interviewed without delay.
escalating behavior problems at school and All other participants but two described simi-
was suspended. As part of her management of lar numbers of people involved and similar types
this case, Lori intervened at numerous levels, and increases in intensity of relationships related
in various roles, with the many people shown to disclosure and reporting. The two who dit-
in Figure 2. For example, she shared more in- fered from others reported involvement offewer
formation with the principal when the client people and less intense relationships. One was a

CHANMLICAM / Study of School Social Workers' Clirjiail and Professional Relniiomhips when Reporting ChilA Malrreatmeni
district-employed middle school social worker, disclosure and reporting situations?), including
and one was a nonprofit-em ployed elementary themes related to trust, boundaries, and the
school social worker.These outlying cases were dynamic, interactive nature of relationships.
closely examined to determine whether they Participants described assessing and manag-
were different from the others in additional ways. ing their relationships on an ongoing basis,
Other differences were identified. The district especially in relation to confidentiality with
employee was the only one in this sample whose protessionals and openness about the reporting
district required training on abuse and neglect with chents. Analysis of participant percep-
reporting for all personnel, and she shared that tions and interpretations about relationships
her colleagues t)'pically complied with reporting when reporting abuse or neglect fell into the
protocol. Several others had shared that other following categories: overall salience of issues
school personnel, e.specially teachers,often asked related to reporting, consultation, school social
the social worker to report on their behalf, worker relationships with the child, school so-
including when the social worker did not have cial worker relationships with the caregiver and
direct knowledge of the child. The nonprofit caregiver support, professional collaborations
agency employee was the only participant in within the school, CPS, social workers' personal
this sample whose terminal degree was a BSW stress, school level and age differences,and dif-
and one of only two who never informed ferences in perceptions related to the school
children when she was initiating a report. The social worker's career experiences. The nature
interview schedule included questions about of the participant's physical workspace seemed
the participants physical work area.This school closely related to clinical themes, especially
social worker had a completely private work confidentiality and trust. Several participants
space and few student "drop-ins," whereas the worked in challenging space configurations
majority of participants described some level of that were not always private. Also, focu.s group
challenges with confidentiality because of room participants emphasized that many of the dy-
layouts, close proximity to other personnel, or namics that marked reporting within ongoing
the high volume of students passing through relationships were not typical of issues arising
their offices each day. In fact, several mentioned in reports of children they did not have a rela-
using alternative spaces in moments when they tionship with.They perceived the latter type of
quickly needed to be able to speak cont'identially reporting situations to be less complex.
with a student (for example, janitors closet,gym
Ot'erall Salience of Issues Related to Report-
bleachers, cafeteria stage, small electrical utility
ing. Eight participants expressed strong feelings
room, library audiovisual room).
about the importance of this topic, with several
In several cases shared by participants, the expressing the wish that there were a regular
maltreatment disclosure and subsequent report forum in which they could explore clinical issues
changed which professional colleagues within around disclosure and reporting. This research
the school the social worker collaborated with topic had less salience for two participants.These
most closely. In Lori's case, for example, the are the two previously described as reporting a
support team and assistant principals were in- smaller relationship network and less intensity
fluential in her ability to develop relationships in relationships when reporting.
with children in general, but they were not Consultation. Consultation with peers and su-
involved in the maltreatment reporting case pervisors was important to school social workers
she described. for informing their intervention. All consulted
others regularly, with most participants stating
Research Question 3 they consulted a peer or supervisor every time
Several overarching themes emerged promi- they prepared to make a CPS report. These
nently in analysis of the interviews regarding consultations went beyond discussions related
the third research question (How do school to decision making on whether to report. Most
social workers think about relationships in participants expressed the fact that every case

152 Chi Uren & Schools VOLUME 51, NUMBER 3 Jtn.v 1009
has unique nuances and benefits from a second how school social workers perceived the utility
opinion. Participants sought to exchange ideas of formal support teams, with some describ-
on case management and clinical and profes- ing benefits and two elementary school social
sional relationship issues. workers describing negative team cultures.The
School Social Worker Relationship with the latter included accounts of a "sensationalizing"
Child. Participants stated that this relationship team that had asked the school social worker
changes during the process of disclosure and to make abuse and neglect reports on the basis
reporting.The relationship may grow closer or of gossip about parents and, conversely, a team
be hurt. Several participants described their com- that another participant perceived as mitiimizing
munication and actions as being guided by the student needs. Informal collaborations, however,
desire to "empower" the child. They described were cited by most school social workers as
wanting to restore power to the child because essential. Most participants cited the relation-
of the child's experience of abuse or neglect, ship between the school social worker and the
and they named elements of their intervention principal as key to facilitating relationships with
that were aimed at such empowerment. Several students and also cited the principal as influential
stated their belief that their response to the child during reporting, especially in terms of influenc-
could mitigate effects ofthe abuse. ing school norms.
School Social Worker Relationships with the Participants described similar decision-
Caregiver and Carcgiver Support. Participant making processes regarding the extent of
interviews included empathie statements about communication with teachers about reports.
the challenges families faced, particularly related Most described involvement of the teacher as
to poverty, mental illness, and inadequate ser- a case-by-case decision that depended on the
vices. In their assessment of family situations, situation, the teacher, and the school level, with
participants used words like "overstressed," more elementary-level social workers in this
"overwhelmed," and "overworked" to describe sample sharing case specifics with teachers.The
caregivers. The instances in which these de- paramount consideration discussed by most par-
scriptors were used included cases in which ticipants regarding teacher communication was
the caregiver was the presumed perpetrator of balancing confidentiality with the best interven-
physical abuse, emotional abuse, or neglect, A tion for the child, which in some cases involved
minority of participants made negative com-
increased sharing of case details. One elementary
ments about caregivers. One participant who
school social worker described her thoughts on
did not make empathie statements about the
communicating with teachers about abuse and
caregiver was one of two in this sample to focus
neglect reports and her efforts to reiterate the
on a case of intrafamilial sexual abuse. (Others
importance of confidentiality as follows:
who mentioned sexual abuse in passing noted
that these cases typically receive a quick CPS
response.) In that case, which involved a ninth- Just making sure that the people that need to
grader living alone with a single-parent father, be involved are involved , ,. and the ones chiit
the participant did not discuss the caregiver in really understand about confidentiality are
detail. Her comments tocused instead on her there, . , . I convey to the teacher reiterating
dismay that the CPS investigator described the how important it is to keep this information of
young adolescent as lying, particularly because a what's going on with their particular student
subsequent medical exam (not arranged by CPS) confidential. And just to bring that up a^ain
confirmed that the client had the same sexually to the teacher, on the importance . . , they
transmitted disease as her father. understand, but sometimes 1 think it needs to
be reviewed , , , with al! these people going
Professional Collahorations within the School. in and out of break rooms and mail areas and
Formal teams were generally influential for most coffee area.s and work areas, its real easy tor
participants, but not necessarily in instances of that confidentiality to be broken . . . closed
CPS reporting. There was wide variation in doors are important.

CHANMUGAM / Study of School Social Workers' Clinical and Professional Relarionships when Reporting Child Maltreatment 153
CPS. School social workers described strategic keep it as a note," you know, I totally understand
thinking and a wide range of feelings about CPS their situation, why they have to do thac, but
interactions. Several made empathie statements that's frustrating.That's the hard part.
about the challenging nature of CPS work.
Others expressed negative feelings about their Social Workers' Personal Stress. Most par-
relationships with CPS staff and investigative ticipants reported experiencing stress related
responses. Negative expressions were related to reporting and identified a variety of reasons.
to CPS judgments made during referral and They described stress related to concern for the
investigation and lack of foUow-up communi- child's well-being, cases involving poverty and
cation. Several participants stated that children parental mental illness,and lack of social services
and families would be better served if school (especially when abuse or neglect was not likely
social workers received timely updates about to be substantiated but the school social worker
the disposition of a case and if school personnel assessed the child as being at risk in the family).
were consulted by CPS for information about Professional relationship dynamics contributed
the child's daily presentation. Most participants to stress, and sources included other profession-
expressed understanding of CPS priorities and als not honoring confidentiality, not complying
caseloads, sometimes coupled with frustration with reporting mandates, and asking school
that their clients were maltreated at a level that social workers to report secondhand suspicions.
would not result in CPS intervention. For ex- Workload-related stress included documenta-
ample, one school social worker with elementary tion requirements and the workload impact of
and high school work experience (who was reporting,including tensions between the desire
one of three participants in the sample with to do preventive work and the need to manage
prior experience working in the child welfare crises immediately. One school social worker
system) said. talked about the balance between her work
and parenting commitments and how working
The luiture of the system is that it tries to late to catch up after a CPS report affects her
reduce a ver\' complex situation into check schedule, noting that even as she begins to hear
boxes and it misses so much . , . it's so hit or an abuse disclosure,she sometimes thinks,"Who
miss. I can call the CPS hotline and I can just am 1 going to let down this time?"
tell from the way they answer the phone if School Level and Age Differences. Elementary
I've got a worker with an attitude or not, and school social workers reported awareness of
I'll hang up and wait and call back and get a the swift impact their report might have on
ttitTerent worker [laughs]..., I wish CPS had a family In contrast, middle and high school
more support to be able to do their job better. social workers emphasized concerns about lack
So many people there ¿ire reallyjaded,.. .You'll of response and lack of services for adolescent
call and say."I have a such and such child who maltreatment victims. Two participants with
made an outcry that her uncle rubbed her high school experience noted "discrimination"
breasts last night," And they'll be like, "Well. against adolescents related to responses to abuse
was it over the clothes or under the clothes?" disclosure, both within the school and by law
,'\nd you're tike, well, if it was over the clothes enforcenient and CPS.These same two described
then it doesn't really count.... I know that's cases in which adolescents ended up running
all part of their risk assessment and they have away. One participant with work experience
to get to the high-priority risk to be able to in all three school levels called for a new word
take a report, but it s really challenging to hear —"teenagerisni"—to describe the preconcep-
someone on tiie other line say/'Well,you know, tions held by some adults about the truth of
thiit's just not bad enough.This kid s needs and adolescents' statements:
transgressions do not rise to the level of care or
concern th;it we can address," When they say, They .ilmost assume that the parent is rhe
"We won't even send it to the field, we'll just person who knew what they were doing.

154 Childrtn &Sehools VOLUME 31, NUMBER J JULY 2009


And that contuses me . . . the report is <ibout parents that say . . . 'I don't even want social
the parent. . . . I have found that it is almost work services because I know, y'all know too
like teenagers have hecome looked at as,"Oh, much about my situation that you're going to
they are always lying and manipulating." And call CPS."* The fact that all participants in this
true, some of them do do that a tot. But it study who elected to attend the focus group
always amazed me, the cynicism of the adult worked in elementary schools may indicate
working with that age group . . . when they greater salience of the topic in elementary
have a younger sibling living in che home, I settings.
always mention that, because it means maybe Differences in School Socia! Workers Related
the teenager will get help now.... It's almost to Career Experience. School social workers
üke,what ¿lreall the"isnis"? Racism, adultism, reported an increase in their comfort manag-
it's almost a tecnat^crism. People assuming that ing relationships and responsibilities related to
the teenager is the bad one. reporting as they gained work experience. One
with experience working at all three school
Participants who had worked at multiple levels described how her comfort with report-
school levels and could compare experiences at ing changed:
different levels confirmed the theme of elemen-
tiiry school social workers approaching reporting I was scared to death when I hrst got hired.
with a sense that it was likely to set a chain of . . . Of course, the first report was so scary. 1
events in motion with repercussions for the had already had to make one when I was an
family, whereas middle and high school social intern. So at least I had that under my belt. But
workers did not anticipate intervention from that first one was scary. 1 felt all alone—That
CPS. In some cases this was not a concern, but didn't last too long. Certainly it has changed.
in other cases participants approached report- My comfort level is ... well it is just something
ing with a sense of futility, particularly because chat has to be done.. .. It's more logical and
it had the potential to change their relationship less emotion based.
with the adolescent without changing his or her
circumstances.
Although there was not agreement on best
Elementary school social workers reported clinical practices in this sample, several of the
more challenges dealing with cases in which participants acknowledged that they developed
there were behavioral indicators of maltreat- practices they beheved to be most effective
ment in the absence of physical indicators or over the course of their experience, often
a verbal disclosure. Four elementary school through consultation and supervision. Several
social workers mentioned these types of cases, described going through the teaching process
with the additional complicating factor of each year with interns, noting that reporting
unavailable or refused parental permission to is often stressful for social work interns. The
work with the child. These cases introduced initial contact with a client, when the limits of
extra complications for the workers in terms confidentiality are explained, was cited as key;
of chnical and professional relationships, often several participants noted the novice mistake
requiring them to repeat explanations to school of omitting or rushing througii the process of
personnel about tlieir limited ability to main- informed consent, which greatly complicates
tain clinical relationships with children without relationships when reporting.
parental consent.Two elementary school social
workers also mentioned that even in cases in Research Question 4
which there was no suspicion of maltreatment, Regarding the fourth research question (What
they heard comments from parents reluctant does the school social worker do during the dis-
for their child to receive services because of closure and reporting process?) each participant
potential CPS involvement. One elementary described typical actions and their views of best
school social worker said,"Sometimes I've had practices. Analyses of the actions they described

CHANMUGAM / Study of School Soc/al Workers' Clinical and Professional Rflattonships wben Reporting Child Maltreatment 155
yielded eight specific categories: consultation, who did it. And Tin willing to field that, you
formal procedures and documentation, inter- know, but I want them to know I did it so
action with other school personnel, increased that they then direct the parent towards me.
family support, efforts to have ongoing CPS It s just not a surprise to them. So they're not
contact, clinical preparation, child involvement going, who wrote •) report? And [ don't tell
in reporting, and caregiver notification of report. the teachers. But sometimes they ask... .And
School social workers performed multiple roles sometimes their friends a.sk. And itjust,it varies.
at multiple system levels during disclosure and And I don't tell the friends, the kid.s do.
reporting; consultant, clinical interventionist,
facilitator, collaborator, advocate, and case man- Increased Family Support. In most cases, re-
ager (Franklin ik Harris,2007).One participant porting was only one of several actions taken
had been involved as an educator and manager by participants to address concerns about the
in planning schooiwide training and procedures faniily.They typically attempted to link ilimilies
related to child abuse. with community services, and the disclosure
Consultation. All participants sought peer or initiated greater attempts at involvement with
supervisor consultation—often both, and often caregivers. Several participants described the
multiple times for one reporting case. Most strengths-focused language used in their efforts
participants used consultation to review case to build alliances with caregivers. Several also
details to double-check that ethical and legal expressed that they considered many of the
requirements were being met. Consultation cases they reported to be abusive or neglect-
also provided an opportunity to discuss plans ful yet not at a severe enough level to warrant
for appropriate intervention with the child CPS substantiation or even investigation. The
within the school and strategies for increasing increased family support was based on multiple
the likelihood that the family would receive factors, including new awareness of maltreatment
appropriate services, whether from CPS or because of the disclosure; threats to the thera-
community agencies. peutic alliance because of the confidentiality
Formai Procedures and Documentation. School breach; and tlie recognition that other service
social workers described wide variation in providers, including CPS, were unlikely to be
what was required ot them in their schools. able to follow up to tlie extent that a school
The school generally requested some form of professional would.
notification that a CPS report had been made, Efforts to Have Ongoing CPS Contact. T h e
but this notification ranged from leaving a voice majority of school social workers attempted
mail message for the principal to completing to establish and maintain contact with CPS
detailed tbrms chat were circulated among staff after reporting, sometimes making frequent
and then filed. efforts. In Lori's case, for example, her supervi-
Interaction with Other School Personnel. In sor contacted the assigned CPS investigator's
addition to required formal procedures, most supervisor to advocate for speedier interviews
participants described always cisnimunicating with the children.
that they h.id filed a C'PS report with at least Clinical Preparation. Several participants
one other on-site school administrator or coun- described the communication efforts they
selor. The torni of this conmiunication varied. typically make prior to reporting. Some said
This middle school social worker's statement they give information about the reporting and
illustrates a typical description: investigation process to the child. Some seek to
ease the CPS interview process for the child
|1 infortnl both the printipuls and the coun- by arranging with the school office to be the
selor. I Ice .ill three of them know th^tt I have person called to pull the child from class when
made .1 report for CPS 011 this stiidcnt. But I CPS comes to campus and sharing this plan
don't ^\vc them the details because sometimes with the child. Some prepare for the distancing
tlif piirents cilî. an£;ry and wanting to know the family may initiate because <ïf a report and

156 Children &Schools VOLUME JI, NUMBER 3 JULY 2009


make referrals for additional services in advance. It was pretty much open talk about all o f i t , , .
Several reported taking specific actions in the the hard part was I didn't liave tiuicli to i!;o with.
belief that their intervention could mitigate the 'Cause 1 h-iven't tiocten niudi inforinatioii from
impact of the abuse. CPS. I ctmldn't rt-ally give them nnich more,
Child Involvement in Reporting, Every par- but they were toid a report was made, mid my
ticipant stated that she thoroughly reviews the reasoning behind the report was,"I chink the
limits of confidentiality with students at the Mom needs help, 1 think y'all are just, you
beginning of services. Most shared this un- know just really overworked right now as a
prompted when discussing their process with a family. And y'ati need somebody to come in
child when they arc preparing to report. Several and help , .. we have to since your sister was
typically remind children ofthat initial conver- raped." And. just talking about feelings about
sation as an introduction to informing them CPS and reaction co that.And it was very shut
that they need to file a CPS report.Two school down from there,andjust really,"Can we play?
social workers who were interviewed said they Let's play a game,"
never inform children that they are filing a CPS
report. Three participants, all at the elementary Caregiver Notification of Report. Some of the
school level, inform children and involve them school social workers thought notifying the
in reporting on a case-by-case basis. Five others caregiver that they had made a report was im-
expressed that they feel strongly that involving portant for building or maintaining an alliance
children is the best practice for clinical reasons, that would serve the needs of the child. The
if circumstances allow. These five represented majority stated that they do not routinely Jo
elementary, middle, and high school social this,but they will acknowledge initiating a C]PS
workers. Their examples of involving older report if asked and will discuss their concerns if
children included assisting them in calling CPS the caregiver raises the issue. Several described
themselves, allowing them to be in the room strategic, strengths-focused approaches to com-
while the school social worker called, or keep- municating concerns and telling caregivers
ing them informed of CPS communication. about their reasoning and the legal requirement
The eight who involve children in reporting for a report. Two of the school social workers
presented these actions as being guided by reported that they usually deny making a report
careful deliberations, including attention to not if asked directly. Of these two, one stated that
saying or doing anything that might interfere her district forbids acknowledgment because
with an investigation. The focus group, which of liability concerns, and the other believed, on
comprised three elementary-level participants the basis of past experience, that acknowledging
with varying views on child involvement, had making a report would damage her relationship
a lively discussion on the nuances of and best with the caregiver.
practices tor child involvement. Several of the
eight participants who tell children when they DISCUSSION
are making a CPS report noted that children Study findings indicate that reporting maltreat-
showed a range of feelings about the report, ment goes beyond following ethical and legal
including fear, anxiety, rehef, hope, hopelessness, procedures and includes a large interpersonal
and indifference. Participants stated that one component for school social workers. When
child may often have mixed feelings, perhaps reporting abuse or neglect of a child on his or
originating trom wanting things to change in her caseload,a school social workers'chnical and
the family but not necessarily wanting to be the professional relationship networks may change in
agent of change. Lori said this about her efforts terms ot frequency and intensity of contact and
to be responsive to the child's feelings regard- scope of information exchanged. Reporting is
ing her family situation and about the report not a discrete event that resolves client issues and
in ensuing interactions with the child (and the concludes the intervention.The act of reporting
child's sibhng at her school): introduces relatioEiship changes.

/ Study of School Social Worirers' Clinifal and Professional Relationships when Reporting Child Maltreûtment 157
Thematic analysis of the interviews found strongly held beliefs and typical actions related to
similarities and difference in perspectives and this practice found in this small sample. A school
experiences of school social workers. Themes social worker talking with a child about a report
of trust were prominent for both clinical and that she or lie initiated is a qualitatively differ-
professional relationships. Reporting increased ent dynamic than a social worker talking about
participants' interactions across professions, the maltreatment itself, because it concerns the
including interactions with educators, law practitioner-child relationship, and the report
enforcement personnel, and medical person- makes the practitioner an actor in the childs
nel. Increased interprofessional collaboration family life. Given that most participants believed
introduces increased complexity and need for that their actions could mitigate harm, and
trust among the professionals involved (Kline given the variation in practices, further research
fi; Bnibeck. 1999), which was validated in this should identifV' which responses to disclosure
study's findings. and reporting practices are most common and
Practices and perspectives differed in several whether these have the intended effect.
areas. There was variation in reporting-related Several participants, especially those who had
procedures within schools, in views about the worked at multiple school levels, highlighted
effectiveness of form;il student support teams, challenges faced by adolescents, including adult
and in decision making and actions related to skepticism when they disclose maltreatment.
notifying children and caregivers about the Such nonsupportive responses should concern
report itself social workers,because relatively higher percent-
Similarities were found in consultation and ages of adolescents are physically and sexually
caregiver practices and in beliefs about the school abused in comparison with younger children
social worker's ability to have a positive influence {HHS, 2007), reports concerning young adoles-
during reporting. An overarching theme for cents may be less likely to be investigated than
eight participants was the ongoing balancing of reports involving younger children (Jonson-
the child's best interests with obligations to other Reid, 2002). and responses to disclosures have
people, procedures, and laws. The majority of implications for adjustment {Alaggia, 2004;
the school social workers in this study described Lovett. 2004; Palmer et al., 1999; Rosenthal
practices with caregivers that were consistent et al., 2003). Furthermore, some adolescents
with recommendations to increase clinical and are involved in sexual relationships with adults
instrumental support of families when reporting that appear to be voluntary but, according to
abuse or neglect (Crosson-Tower, 2(X)2; Kenny, their state's definitions, are illegal (Hines &
1998; Staudt, 2001 ; Webb, 2003). Finkelhor, 2007). There is controversy about
This study raises questions about specific how to conceptualize and respond to these
practices. For example, is it beneficial to talk cases in practice, and research in this area is not
to the child about the report? And if so. how? well developed. The notion of the "compliant
(I could locate no studies on clinical practices victim" may play a role in the types ot negative
with children related to reporting.) Most par- responses to adolescent abuse described by par-
ticipants expressed the belief that their actions ticipants. School social workers must be aware of
at the time of disclosure and reporting could the vulnerabilities ofthe age group they work
mitigate negative effects of the maltreatment with in terms of developmental needs, types of
and the breach in confidentiality caused by the victimizations and stereotypes likely to be faced,
need to report. Several participants in this study and system responses that may vary on the basis
described the need to empower children during ofthe victim's age.
the process of disclosure and reporting, and some
mentioned sharing information with the child LIMITATIONS
about the report and CPS actions as one aspect This qualitative study used a small, nonprob-
of empowerment. This may be a fruitful area ability, convenience sample. Results are not
for further exploration, given the wide range of generalizable to other school social workers.

I5S Childrrn &Sehooh VOLUME I I . N U M B E R 3 JULY 2009


Findings provide preliminary information on Reid et al., 2007).This small exploratory study
school social workers' perspectives and experi- deliberately recruited participants for maximum
ences related to their clinical and professional variation in experiences, developmental ages
relationships when initiating abuse and neglect served, and employment settings. Future studies
reports. may benefit from fielding more homogenous
It is not possible to rule out researcher effects samples or samples large enough to allow for
(Miles & Huberman, 1994) as an explanation examination of differences between subgroups.
for the high level of salience many participants Given that this study focused on reports con-
expressed related to relationship issues arising as cerning children already on the school social
a result of abuse and neglect reporting. Partici- workers' caseloads, future studies of dynamics
pants describing strengths-focused interventions when a child is not yet receiving service would
may have been framing actions in a socially flirther develop the knowledge base on report-
desirable manner in terms of practices recom- ing practices.
mended in the clinical literature. EfForts were
made to reduce potential researcher effects and IMPLICATIONS FOR PRACTICE
social desirability through, for example, member The results illustrate the need for school social
checking and asking neutral, nonleading ques- workers to be mindful of the relationship dy-
tions in the interview.When I asked participants namics involved in reporting abuse and neglect
to describe a recent case in detail, it is possible within the context of an existing client rela-
that they recalled especially complex cases.The tionship. The findings also have implications
majority stated they were focusing on their most for social work roles and self-care and the need
recent reporting case, and a follow-up question for additional adolescent services. Study partici-
asked how it was similar to and different from pants expressed ideas for system improvements
other reporting experiences. It is not possible in the school, school district, community, and
to be certain that the detailed cases reported are CPS that would lay the groundwork for there
representative.The majority of^participants were being fewer relationship cliallenges related to
based in Texas. Lewis (1998) noted that school reporting. Few participants, however, had ad-
social work has evolved more slowly in Texas dressed the issue of child maltreatment in the
than elsewhere and that the state's general priva- roles of manager, educator, or policy initiator
tization of social services has applied to schools and developer (Franklin & Harris, 2007). School
as well. The present fmdings may be colored social workers have ideal training to intervene
by regional idiosyncrasies. Seven participants at the system level to initiate development of
worked for a nonprofit agency, and three did not. reporting policies and to assist in the education
These differing employment models may have of personnel on reporting procedures, which is
influenced areas such as professional networks a part of sound ethical practice (Reamer, 2005).
and supervisory structures in ways that affected Also, participants described the importance of a
relationships and reporting. However, two of strong collégial foundation with school person-
nel in navigating the relationship dynamics of
the nonagency school social workers reported
reporting. Ongoing interprofessional trainings
dynamics similar to those shared by agency
assist with the maintenance of such a founda-
school social workers.
tion. Cross-disciplinary discussions of topics
The ove rre près en ta tion of the nonprofit
like consent requirements and conf^ideutiality
model and one geographic region, the high values would foster the understanding that re-
level of salience expressed by most participants, duces complexity in handling cases of suspected
and the variability in this small sample under- maltreatment. School social workers may also
score the need for further study of school social train school personnel on practices that ease
workers'experiences and perceptions related to the challenges of reporting, such as discretion
CPS reporting, especially because maltreated in the front office when CPS personnel visit
children form a large proportion ofVhool social campus.
workers'caseloads (AJIen-Meares. 1994; Jonson-

CHANMUGAM / Study of School Social Workers' Clinical and Profhsiona! Relationships wheri Reporting ChiU Maltreatment 159
Many participants talked about personal stress consultation, it must be reiterated for novice so-
reactions that arose for a variety of reporting- cial workers that consultation does not eliminate
related reasons.The importance of self-care for the legal obligation to report suspected maltreat-
social workers cannot be emphasized enough, ment.Training targeted to specific school levels
as these perspectives illustrate. Regular peer is also suggested.
support with other school social workers at the The case diagrams presented in this article
same school level may be especially valuable. provide a vivid snapshot of the school social
One Stressor frequently mentioned was the lack workers ecology in reporting instances of sus-
of services for troubled families, especially for pected abuse or neglect.These diagrams may be
adolescents. Several participants commented on valuable tools for educating school stakeholders
the lack of services for adolescents who are be- about the pivotal role of the school social worker
ing hurt in their families at a level that does not and for educating practitioners and students un-
lead to CPS intervencion.These findings surest familiar with school social work about practice
both a major unmet need for adolescents and a in school settings.The diagrams have generated
role being played by school social workers that useful discussion in, for example, an undergradu-
they feel they cannot adequately fulfill. ate generalist social work practice course.
Learning more about CPS may be useful for
IMPLICATIONS FOR EDUCATION school social workers, particularly regarding
AND TRAINING their common goals and different approaches.
The Findings support the emphasis in social Future child welfare workers would also benefit
work training on fully informing clients of the from learning about school social workers as
limits of confidentiality at the outset of the re- potential collaborators.They have the potential
lationship. Participants cited this as an essential to work on behalf of children as allies. Three
practice that eased the process of informing a school social workers in this sample had prior
client that an abuse or neglect report would be child welfare work experience.They expressed
made. Furthermore, findings indicate that school frustrations about communication access with
social workers will benefit when curriculums CPS, but when they were in contact with CPS
on ethical and legal aspects of confidentiality, personnel, they described more confidence
client self-determination, and maltreatment than others in their ability to collaborate and
reporting are augmented by discussion of clini- use language that would achieve the goals they
cal and systemic aspects. As Saxon, Jacinto, and thought best for the child. Œ
Dziegielewski (2006) noted, ethical decision
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CHANMUGAM / Study ofSchool Social Workers' Ciinicul und Professiuiuil kchuionsbips when Reporting Child Maltreatment 16

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