You’ve been treating a 4-year-old with Cerebral Palsy who is…

You’ve been treating a 4-year-old with Cerebral Palsy who is mostly non-verbal and lower physical functioning. This patient tends to have a saturated diaper on every session, appears dirty/unkept, and misses sessions frequently due to the parent’s schedule. At this session you asked about the results from the recent neurologist appointment and the parent states they missed it and had to reschedule it for the 3rd time. What would you do and why?

You’ve suspected abuse of your 73yo patient for 2 months now…

You’ve suspected abuse of your 73yo patient for 2 months now; today your patient reports that their spouse has been sexually assaulting them but does not specifically ask you to report this nor gives you direct permission to report. What would you do and why?