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TABLE 127.6
GUIDELINES FOR MAKING THE DECISION TO REPORT
SEXUAL ABUSE OF CHILDREN
The majority of adolescent sexual assaults are perpetrated by an
acquaintance or relative of the adolescent. Depending on the patient’s age,
the identity of the alleged perpetrator, and state law, the assault may have to
be reported. Statutory rape, defined as consensual sexual intercourse
between an older person and a person younger than the state-mandated age
of consent, continues to be a controversial issue. In these cases, the assault
may have to be reported, even if the adolescent does not want it to be
reported. Furthermore, sexual assault patients may also be victims of
intimate partner violence and healthcare providers must be sensitive to this
association and screen patients for associated physical and psychological
abuse and address their safety. An understanding of specific state statutes is
important to properly determine reporting requirements under these
circumstances.
The Digital Health Era—Teleconsultation
Efforts to improve the quality of care delivered to the sexually assaulted
patient have included the use of innovative telehealth technology to facilitate
a teleconsultation for care at the bedside. While asynchronous (store and
forward) telehealth has been used for years in SART programs as a peer
