<aside>

• Call ethicist or risk management whenever you are unsure
  • Ethicist: weighing pros and cons
  • Risk Management: Look at liability
  • Colleague: 2 brain > 1 brain
• DOCUMENT!
  • So important for medical-legal
  • If it isn’t documented, it didn’t happen </aside>

Situations of Mandatory Reporting

Driving ability reporting → MTO

Public Health Reportable Diseases

!Non-accidental Injury of Child → CAS

💣 Serious, imminent harm to self or others → parent, CAS, partners (situation dependent)

• SI - Suicidal Ideation
• Homocidal Ideation

Pediatric considerations

• Suspected abuse to a child < 16 yo

  <aside>

  • **CAS https://www.torontocas.ca/**
    1. Help getting social support
    2. Help them defining health goal and figure out what they want
    3. Address the abuse
  • Considerations
    • Reasonable ground: more likely than not likely
    • Zone of Parental Discretion: https://bioethics.pitt.edu/sites/default/files/publication-images/Messer2019/Resources/Session 4, Gilliam (2016) The zone of parental.pdf (is this just non-ideal parent or actually abuse?)
  • Strategy:
    • Involve dedicated team in the hospital, ask for help
    • Involve the parents in the call
    • Explain what
    • For indigenous population: contact alternative support groups (NO CAS)
      • Social Worker
      • Indigenous Health Navigator </aside>

Additional Guideline

https://www.cpso.on.ca/en/Physicians/Policies-Guidance/Policies/Reporting-Requirements/Guide-to-Legal-Reporting-Requirements