Nurses,
Parents with IDD, and Mandated Reporting of Child Maltreatment
Lauren Clark, RN, PhD, FAAN
Shapiro Family Endowed Chair in Developmental
Disabilities Studies
UCLA School of Nursing
Mothers
with IDD may feel afraid that child protective services will analyze
how they parent and then take their children away. Their worries are
justified. Without evidence of injury or other abuse, mandated
reporters tend to escalate concerns about parents
with IDD to child protective services based on their own
assumptions about what makes a ‘good enough’ parent.
I’m
a nurse and I teach nursing students. Nurses can have biases. They are
taught that high-tech health care can ‘fix’ people. Nursing students
seldom have clinical experiences with adults with IDD. They may
graduate with a limited understanding of disability and reproductive
justice. Those biases lead to inaccurate assessments of child
maltreatment in families with a parent with IDD.
It’s
time to fix lapses in IDD competence among nurses. Nursing
education can include how to respect autonomy, support
decision-making, and provide person- and family-centered care across
the lifespan. Including nurses
with disabilities in the workforce will narrow the gap between the
nurses and parents with a disability. Collaborating with parents with
IDD to develop and teach parent support programs will involve those
most affected by oversurveillance in preventing child maltreatment.
Nurses can become mandated supporters, not just mandated reporters.
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