I. Purpose. The purpose of this interagency Memorandum of Understanding (MOU) is to establish and improve the working relationship between the Office of Enforcement of the Environmental Protection Agency (EPA) and the Occupational Safety and Health Administration (OSHA) of the Department of Labor. The goals of the agencies are to improve the combined efforts of the agencies to achieve protection of workers, the public, and the environment at facilities subject to EPA and OSHA jurisdiction; to delineate the general areas of responsibility of each agency; to provide guidelines for coordination of interface activities between the two agencies with the overall goal of identifying and minimizing environmental or workplace hazards.. This MOU establishes a process and framework for notification, consultation and coordination between EPA and OSHA to aid both agencies in identifying environmental and workplace health and safety problems and to more effectively implement enforcement of our national ...

On November 4, approximately 200 students from Sage and other area colleges gathered with local people living with scleroderma - a chronic condition that causes tightening of the skin and other connective tissues - to talk about how health care professionals can collaborate across specialties to better serve their patients. It is the third year that Sage and Albany College of Pharmacy and Health Sciences collaborated with the Steffens Scleroderma Foundation on an interprofessional education forum.. The annual event is an opportunity for all graduate-level Dietetic Interns, Nursing, Occupational and Physical Therapy and Counseling students at Sage and Pharmacy students at ACPHS to learn about each others roles, practice interviewing patients and receive feedback from practitioners and people living with chronic conditions, said Sages Dietetic Internship Director Michelle Morgan, MS, RDN, CDN, one of the forums organizers.. For several Sage students, the conference provided additional ...

Arguably, Medical School curricula are deficient in learning opportunities related to the safe and effective use of medicines, in particular antimicrobials. Infection management is complex and multidisciplinary, and learning opportunities should reflect these principles. Aligned to the complexity of the subject matter, simulation and interprofessional based teaching are methods that can foster the collaborative skills required of future healthcare professionals. There have been calls to develop these methods in the teaching of safe prescribing and the management of infections; however, reports of such studies are limited. We developed an interprofessional education (IPE) conference for second year undergraduate medical and pharmacy students based in the North East of England. We considered contact theory in the design of three small group interprofessional workshops, on the broad themes of antimicrobial stewardship, infection management and patient safety. A mixed methods approach assessed students

In this issue brief, the Robert Wood Johnson Foundaton discusses ways to encourage more interprofessional collaboration in health care. Takeaways:

In the college of SVSU Health and Human Services, emphasis is placed on interprofessional education to prepare students for collaborative practice. We find value in developing learning activities that engage our students in a collaborative approach to care while keeping the person or population served at the center. Our role as educators is to create a safe learning environment, facilitate the interprofessional interaction, and debrief on the experiences as they apply to professional practice. The overall goal is to create a culture of effective communication and teamwork that will positively influence the quality of care in the populations and communities we serve. ...

Learn - Unit III - Interprofessional Collaboration for Patients With Problems of Fluid, Electrolyte, and Acid-Base Balance - Ignatavicius MedSurg 9th Ed - 14 Concepts of Acid-Base Balance for Nursing RN faster and easier with Picmonics unforgettable videos, stories, and quizzes! Picmonic is research proven to increase your memory retention and test scores. Start learning today for free!

Our BSc (Hons) in Medical Imaging (Diagnostic Radiography) aims to ensure that, on graduation, you have the skills required to successfully embark on a career as a Diagnostic Radiographer and to be eligible to apply for registration with the Health and Care Professions Council (HCPC). This full-time three-year programme includes clinical placements which stretch into the summer vacation and as such this programme is longer than those in other subjects. This enables us to provide both the academic and practical content in sufficient detail to ensure that at the end of three years you are competent to start work as a Diagnostic Radiographer. We aim to educate radiographers to be caring professionals, able to empathise with patients and offer high levels of patient care, while being confident in their technical ability through a strong academic foundation and able to work effectively in a multi-professional environment. Interprofessional learning is delivered as part of the core syllabus and in ...

BC Post-Secondary Emergency Planners (BCPSEP) is a group comprised of twenty-seven post-secondary institutions in British Columbia and four guest institutions from other provinces. The group is divided into four regions: South-West, Vancouver Island, Central & South East and North. The group aims to foster working relationships between institutions to develop best practices in emergency planning for the universities, colleges and institutes in BC.. The group meets approximately three times a year to share their knowledge and experience in emergency planning and business continuity. The groups strategic plan is to foster working relationships between each other in emergency planning and business continuity by:. ...

The widespread prevalence of pain demonstrates the need for comprehensive pain education for all healthcare professionals. Yet not all require the same type of pain-related knowledge and skills. IASP encourages all interprofessional medical programs to utilize the following curriculum outline to embed pain education and training. As with all health professions, an objective of a curriculum is to instill the knowledge and skills necessary to advance the science and management of pain as part of an interprofessional team. The desired outcomes of education emphasize critical competencies that support the humanistic aspects of health care and the learners capacity to successfully carry out tasks in the real world. The fundamental concepts and complexity of pain include how pain is observed and assessed, collaborative approaches to treatment options, and application of pain competencies across the lifespan in the context of various settings, populations, and care-team models.. This Interprofessional ...

Internal judges for the competition included Bernard J. Dunn School of Pharmacy Associate Dean for Academic Affairs and Professor of Pharmacy Practice Penny Shelton, Pharm.D.; Harry F. Byrd, Jr. School of Business Assistant Professor of Healthcare Management Seth Chatfield, Ph.D.; and School of Health Professions Dean Timothy Ford, Ph.D.. Local community members Cheryl Dumont, Ph.D., RN, CRNI, director of nursing research and the Vascular Access Team at Winchester Medical Center, and Charles Devine, M.D., health director of the Lord Fairfax Health District, rounded out the panel of judges. The judges were extremely impressed and after considerable deliberation, selected the winning team.. Although all presentations were excellent, the winning team gave a truly outstanding presentation, both knowledgeable and informative. Shenandoah Universitys Inter-professional Education (IPE) Committee warmly congratulates winning team members second-year physical therapy student Krista Eskey, second-year ...

p,,span,The purpose of this study was to examine perceptions of students around interprofessional education and to understand their experiences with an interprofessional acute care simulation. A mixed method was used for data collection involving qualitative and quantitative results.,/span,,/p ...

The goal of the OHSU Interprofessional Initiative is to prepare all OHSU students for deliberatively and intelligently working together with a common goal of building a safer and more effective patient-centered and community-oriented health care system.

The startup launches a new system that leverages big data to guide professionals in engaging the right contacts when theyre most likely to do business.

Wakaresaseya, literally breaker-uppers, are professional agents that specialize in destroying relationships, be they marriages or affairs, for a fee.

At Boston Childrens Hospital, nurses use simulation to hone skills, refine experience, and improve interprofessional communication.

Our data highlight the professionalism, respect and adaptability of these junior health professionals. We document the types of collaborative activities and tensions relevant in this context and, based on our findings, provide some strategies for improving IPC.

The results of this study confirm our moderated mediation hypotheses for financial barriers only. This suggests that IPC degree within integrated care initiatives was associated with patient care improvements through organisational improvements. However, this was less observed in initiatives facing financial barriers for the implementation of integrated care.. To our knowledge, this is the first study investigating whether the association between the degree of IPC in integrated care and patient care improvements is mediated by organisational improvements. In fact, our results complement the current literature about the impact of IPC on job satisfaction and well-being [11], suggesting that organisational improvements are necessary for IPC to improve patient care in integrated care initiatives. In other words, IPC interventions should adopt a systemic approach to achieve patient care improvements. This is in line with conceptual models considering care outcomes as products of interacting elements. ...

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Health Education England has commissioned the development of a Lower Limb Advanced Clinical Practice Capabilities Framework. The framework will aim to...

STANDARD DISCLAIMERS:. The material (Content) provided and taught by EquiLife is educational and informational in nature and is provided only as general information and does not constitute medical or psychological practice, advice, opinion, diagnosis, treatment or guarantee. The Content does not create any doctor-patient, therapist-patient or any other professional relationship and is not a substitute for medical diagnosis, advice, or treatment, or other professional healthcare. For the avoidance of doubt, EquiLife, LLC cannot and does not provide specific treatment advice to anyone. If you have questions about this, please contact [email protected].. You are responsible for your own health care decision-making and should obtain necessary consultations with appropriately licensed health care professionals such as physicians and psychologists. Even if those providing information via the Content display professional licensure or other credentials in the healing arts, or cite clinical trials or ...

Femsy and Mansy are still sharing the office together. The working relationship has stabilized over time. Lately, however, Mansy starts to make sexually tinted comments to Femsy and is touching her when she is passing. Femsy reports the incident to Boss. (Click on the pictures to see them in full size) A great leader: Takes…

Achieve Excellence is a small team of highly dedicated people led by Chris McCloskey. Our dedication is to help others to achieve excellence in their lives through achieving excellence in their working relationships. We do this through training workshops and 1 to 1 coaching.. Practically, this leads us to run workshops for teams or coach individuals in the following key areas:. How to communicate excellently with others (Conducting Crucial Conversations, Professional Presentation Skills, Training Excellence, Teaching Excellence, Facilitation Skills). How to get the best out of your staff (Inspiring Leadership, Managing with Personal Power, Motivational Mentoring & Coaching, Influencing with Integrity, Appraising Performance, Team-Tuning, Social Styles, MBTI). How to get the best out of yourself (1:1 Coaching to help you create the career and life you want to live and solve the issues that are preventing you getting there.). Our experience has led us to deliver training and coaching throughout ...

We take our role in the local community very seriously and do our very best to build partnerships and ensure our local communities share the benefits of our international reputation, global connections and world-class facilities.. We work hard, hand in hand with our Students Union and local partners, to help our students to understand their responsibilities as local residents and how to be a good neighbour. But we do recognise that from time to time there will be concerns and subsequent complaints from local residents.. We have developed close working relationships with Local Policing Teams in Coventry and Warwickshire and the safer communities and environmental health teams at Coventry City Council and Warwick District Council and we will continue to work hard with these partners and the local community to reduce instances of anti-social behaviour in the local area.. ...

Objectives1. Describe key features of clinical presentation and assessment of the healthcare condition(s) reviewed in the case presented2. Discuss critical decision-making points related to the course of care related to the case presented3. Review up-to-date literature and evidence-based practices related to the presentation and/or management of the key clinical focus of the

To all the doctors out there,. I think its time we have a chat. Really, its not fair to limit this talk to just doctors, though. This is really to all medical professionals. Doctors, nurses, medical assistants, nurse practitioners, physicians assistants, and so many others. Its time for us to talk about the things that so many of your patients are thinking and feeling but cant bring themselves to say to you.. There is a basic formula for how the doctor-patient relationship must work in order for people to remain healthy. It goes a little something like this:. competent and compassionate doctor + cooperative patient = relatively good health. There is one rather large component missing here, though. None of this will work, not one bit of it, without trust. Trust is the MOST critical piece of the working relationship between doctors and patients. The trust between medical professionals and patients is absolutely critical. If patients dont trust their doctors to really listen to them and ...

David Thomas, social assistance trainer for OMSSA has been involved in the area of policy development and training for over 15 years. He worked for the Region of Durham in policy and research until 2017 and is now an independent consultant supporting municipalities in training, change management policy development, and human services integration. Many of OMSSAs members know David from past years employed by OMSSA as a social assistance trainer and Manager of Consulting and Training. Davids networking with our members has continued to build superior working relationships over the decades and David continues to develop and facilitate curriculum for OMSSA. Prior to Davids policy and training development he worked several years as a Caseworker and Employment Supervisor throughout the 1980s. David has a degree in Adult Education, a diploma in Social Services and is currently working on his Masters of Education through Athabasca University. ...

David Thomas, social assistance trainer for OMSSA has been involved in the area of policy development and training for over 15 years. He worked for the Region of Durham in policy and research until 2017 and is now an independent consultant supporting municipalities in training, change management policy development, and human services integration. Many of OMSSAs members know David from past years employed by OMSSA as a social assistance trainer and Manager of Consulting and Training. Davids networking with our members has continued to build superior working relationships over the decades and David continues to develop and facilitate curriculum for OMSSA. Prior to Davids policy and training development he worked several years as a Caseworker and Employment Supervisor throughout the 1980s. David has a degree in Adult Education, a diploma in Social Services and is currently working on his Masters of Education through Athabasca University. ...

Groups and Teams have different dynamics at play during training, offering the potential to change, grow and adapt from the shared experience. We focus our training approach to….. 1) Provide the theory with practical examples to improve their knowledge and understanding.. 2) Simplify the communication and improve the working relationships.. 3) Design bespoke training solutions for your team with you.. Let us give them the tools to improve their performance and the business.. Examples of popular development areas are Communication skills, Feedback skills, Time Management, Managing difficult people and situations.. Goal success: Group training/ Teams / ...

Early Childhood Caries (ECC) is the most chronic childhood disease and more predominant in low-income and underserved children. Although easily transmitted, ECC is entirely preventable. Dr. Ramos-Gomez and his team at the University of California, Los Angeles put together an interprofessional curriculum where both medical and dental knowledge and practice is integrated to prepare dentists and primary care providers to more cost effectively address ECC and thereby reduce disparities in oral health. The curriculum, known as the Strategic Partnership for Interprofessional Collaborative Education in Pediatric Dentistry (SPICE-PD), consists of nine evidence-based training modules: applied statistics and research, community partners, interprofessional education/training, quality improvement, policy and advocacy, disease management/risk assessment, ethics/professionalism, cultural competency and children with special heath-care needs ...

Areas: Sarasota Experienced onsite condominium manager for an association in Longboat Key. Must have at least 5 years of CAM experience. Will operate the daily operations of the community and facilitate solutions to problems within the community, including maintenance, project management, employee supervision, vendor relations, financial planning, record keeping and administrative tasks.. Must be professional, competent and focused on providing an unsurpassed customer service. This is a hands on leadership position and requires proven leadership skills, ability to develop and maintain effective working relationships, excellent problem resolution and communication skills.. Requirements: * Must have at least 5 years of onsite community association management experience.. * Proven record of handling large community projects.. * Must be knowledgeable with Florida Statute 718.. * Must be able to professionally educate, coach and lead the board and committees.. * Must be able to cultivate and maintain ...

a) Tell me about what typically occurs when someone with Medicare insurance contacts your office in search of counseling? and (b) Tell me about any times when you have had to alter a pre-existing working relationship with a client because of their Medicare coverage? Follow-up questions focused on the impact of current Medicare mental health policy on the interviewees, as well as their perceived impact on clients, local communities, other therapists in the area, and their employment contexts.. Data Analysis. The IPA process outlined by Smith et al. (2009) was employed to analyze the transcribed interview data. The following steps were employed throughout the analysis process: (a) reading and re-reading of transcripts, (b) initial noting, (c) developing emergent themes, (d) searching for connections across emergent themes, (e) moving to the next case, and (f) looking for patterns across cases. Codes and themes developed at each stage of the first transcript analysis required consensus agreement ...

I am the Clinical Coordinator of the Center for CP at UCLA. I am involved in all three core missions of the Center - clinical care, research and education. I evaluate patients in our an inter-disciplinary lifespan clinic, perform gait studies in our gait and motion lab and participate in the Centers research projects. Over the last four years our educational program has been focused on teaching EBM to PTs internationally. The academy has been an excellent resource for me on evidence-based practice, as well as a venue for developing working relationships across disciplines. I would hope to share that experience and knowledge with a colleague who is new to the academy.. ...

The new Strategic Research Collaboration (SRC) will see SAIC and Nofima work together on projects of mutual interest. In particular, those addressing SAICs four PIAs: sea lice control, sustainable feeds, rapid detection of pathogens and diseases, and shellfish spat.. A Letter of Intent setting out shared objectives and goals for an initial period of three years was signed during a recent visit to the institutes head office in Tromso, where representatives from SAIC, the Institute of Aquaculture and the University of Stirling were given a behind-the-scenes tour of Nofimas ground-breaking research facilities and activities.. Commenting on the new collaboration, SAIC CEO Heather Jones said: This is a must-seize opportunity for SAIC to join forces with one of Europes leading names in aquaculture research and deliver real competitive advantage to the industry.. The new SRC will enable us to forge a close working relationship with Nofima; access an even broader range of competencies; and explore ...

The BPHP organizations engage in networking and collaboration efforts to create tools and products for use by our constituents and the Maternal and Child health field at large.. Communities and States Identifying and Actualizing their Roles in Breastfeeding Support is a toolkit aimed to improve working relationships between State and Local health departments, State, Local, Territorial, Tribal and Cultural Breastfeeding Coalitions, Community-based organizations and stakeholder groups. The purpose of the toolkit is to facilitate partnerships, and opportunities to advance health equity by improving the reach and impact of existing resources and currently-funded investments in breastfeeding support, enhancing our capacity to identify and address inequities in breastfeeding support, and integrate breastfeeding into the broader public health agenda.. On behalf of the Breastfeeding Public Health Partner organizations, we hope this toolkit helps work across sectors, foster strategic relationships with ...

The evaluation of student progress is a primary responsibility of all teachers. The highest possible level of student achievement is a common goal of both the district and the home. As a close working relationship between the district and the home is essential to the accomplishment of this goal, regular communications with parents is essential.. Grades are to be updated on a weekly basis in the Infinite Campus student information system unless otherwise approved by the building administrator for unique circumstances such as a cumulative project. Teachers should use a variety of communication devices, including telephone and personal conferences as well as written grade reports, to keep parents well informed. At the beginning of the grading period, students and parents are to be informed regarding the basis of the grades and the methods to be used in determining grades.. In grades K-3, grading will follow standards based criterion established for student grading and progress.. In grades 4-12, ...

IntroductionFollowing the announcement for this years Employee of the Year there have been many changes. Working relationships are strained and communication is poor. Envy and jealousy have caused team members to draw away from their leaders. After ...

posted: Sep 20, 2016 Female; Graduate of any 4 year course preferably Business Administration or Psychology graduate; With high degree of initiative and sense of responsibility; With strong personality to form effective working relationship with people at all levels; Well versed in MS Office; With at least 2 years working experience in the same field preferably in hotel industry; Has knowledge in General Affairs / Admin Services, HR, Labor Relation, Payroll and Employees Benefits; Preferably with knowledge in processing documentation within SBMA and processing papers of expats; With good English communication skills both in oral and written ...

Regardless of the specific work activity, a primary thread running through all our training activities is the skill of Use of Self and its variants. For us, this means assisting the trainee in exploring and understanding the qualities and dynamics that he or she brings to each interpersonal encounter and how these facilitate or hinder effective interactions. It also means that the trainee is encouraged to become more attuned to his or her own thoughts and feelings in working with clients, and recognize how this increased self-awareness can be used to better understand client dynamics and develop effective treatment strategies. Because we believe in the working alliance as an indispensable ingredient in any helping relationship, we encourage trainees to recognize, improve, and employ those personal qualities that will assist in forming effective working relationships with clients, peers, center staff, and other members of the university community. Because our training programs are based ...

6. Communicates regularly with other staff members and supervisor.. Mission Advancement: Accepts and demonstrates the Ys values. Demonstrates a desire to serve others and fulfill community needs. Recruits volunteers and builds effective, supportive working relationships with them. Supports fund-raising.. Collaboration: Works effectively with people of different backgrounds, abilities, opinions, and perceptions. Builds rapport and relates well to others. Seeks first to understand the other persons point of view, and remains calm in challenging situations. Listens for understanding and meaning; speaks and writes effectively. Takes initiative to assist in developing others.. Operational Effectiveness: Makes sound judgments, and transfers learning from one situation to another. Embraces new approaches and discovers ideas to create a better member experience ...

About Our Working Relationship. We?ll provide reasonable support in helping you keep your certification current. We?ll challenge you both with the volume and speed of work meaning you?ll never be bored and always feel like you?re part of something meaningful. You?ll be surrounded by great people that deliver continuously and are willing to try new approaches to challenging issues; we are passionate technologists and experienced operations people which means you will learn from us as we learn from you. This isn?t always a 9 to 5 job, we?re growing fast and we?re global, but personal/family time won?t suffer and we?re accommodating to varying work schedules and arrangements. You will be part of a small team that has a diverse set of responsibilities whose roles and skills are distinct but complimentary from yours; together you will be mighty.. About Us. From professional sports teams to Fortune 100 companies, we work with some of the biggest brands in the world ? and so will you. We are a ...

We are seeking two exceptional candidates that shall have the necessary management qualities and leadership skills to chair meetings of the two strategically important Management Committees outlined above.. An Independent Chair is defined as a person who has not held an officer post or an executive member post in a constituent body in the two years prior to being nominated. Each chair will serve for a term of 3 years, with a maximum of 2 terms being served.. Terms of reference for each Management Committee will include, but are not limited to - details of requirements for operational plans; working relationships with the Board; reporting between the Board, Management Committees, the Constituent Bodies and sport sub-committees. These will be determined by the Board in consultation with each Management Committee.. ...

Primary care providers are involved not only in the medical care of the child but also involved in supporting the childs emotional and developmental needs (1-3). A major barrier to productive working relationships between child care and health care professionals is inadequate communication (1,2). Knowing who is treating the child and coordinating services with these sources of service is vital to the ability of the caregivers/teachers to offer appropriate care to the child. Every child should have a medical home and those with special health care needs may have additional specialists and therapists (4-7). The primary care provider and needed specialists will create the Care Plan which will be the blueprint for healthy and safe inclusion into child care for the child with special health care needs.. ...

Alberta Blue Cross maintains a close working relationship with pharmacy, dental, optical and other health service providers who deliver products and services to our customers across the province.

Internal Medicine doctors provide a variety of medical services and strive to build a working relationship with all their patients in the Sioux City area.

Gary Pedersen, the recently-appointed Executive Director of the Department of Chemistry, has received a 2006 Distinguished Staff Award from the University of Washington. Pedersen was one of two staff members from the College of Arts and Sciences to receive an award, which recognizes staff who contribute to the mission of their unit or the University, respond creatively to challenges, maintain the highest standards in their work, establish productive working relationships, and promote a respectful and supportive workplace. Pedersen, who was Administrator in Chemistry from 1987-2000, has recently returned to the Department of Chemistry after spending several years in the College of Aquatic and Fishery Sciences, and we are happy to have him back.. For more information on Pedersens award, please see the original article from A&S Perspectives.. ...

Our skills include the ability to analyze the design, operation, and use of both simple and complex products, and to develop a defense which is logical and able to be readily understood by both judges and juries. We have worked closely with in-house counsel, engineers, design professionals, quality assurance managers, safety experts, and employees of manufacturers, distributors, suppliers, retailers, and others to understand the methods by which products are conceptualized, developed, tested, produced, distributed, and sold in the marketplace.. Our involvement with many products liability cases has resulted in a close working relationship with expert witnesses and consultants, many of whom are drawn from industrial and research backgrounds. These experts and consultant assist us in providing an early evaluation of the issues involved to determine the potential exposure presented to our client, and to successfully resolve the matter in an efficient and cost effective manner.. ...

Nobody likes to go to the doctor, but when a child has a neuromuscular disease, doctor visits usually are a regular part of life. A good working relationship between parents and their childs various doctors goes a long way toward making the experience positive for everyone involved and ensuring the child gets the best medical care. To that end, there are steps both doctors and parents can take... ...

Internal audit is the effectual monitoring and supervision of operations, accounting and regulative conformance of companies. The internal audit map together with direction and external hearers, have to describe such internal control conformity to the audit commission.. An Audit Committee ( AC ) is established to function as a channel of communicating every bit good as maintain effectual relationship between Board of Directors, direction, internal hearers and external hearers. With respects to the good working relationship in association to corporate administration, fiscal coverage model and internal controls, internal hearer should besides keep a good coverage line with senior direction degree on these affairs. William ( 2001 ) states that choice fiscal accounting and describing consequence merely from effectual interrelatednesss .. In general, the optimal figure of members that forms an AC should be a lower limit of five and a upper limit of seven members ( Gauthier, 1997 ) . Such members ...

Conrad Chuang is Director for Product Marketing at Orchestra Networks where he is responsible for positioning the EBX MDM, Data Governance and RDM products in the market. Mr. Chuang is a frequent speaker at industry conferences and events where he brings significant insight from his working relationships with organizations across multiple industries and his understanding of the key challenges organizations are facing in the management of their reference data. He received his BS in Economics and Masters of Arts in International Commerce & Policy from George Mason University, followed by his MBA in High Tech Marketing & Finance from Babson Colleges Franklin W. Olin Graduate School of Business.

Mandatory reporting is also yet another attack on the professionalism of many workers who are considered incapable of making reporting decisions without a law. Already surrounded by bureaucracy, guidance, managerialism and procedures this will be yet another form of direction imposed on the practitioner. Who needs three years of study when its all in the book? Anyone else noticed that probation officers no longer need any qualifications in future?. Other questions arise. Will mandatory reporting have an impact on the therapeutic process? Will people be less open with their therapist knowing the worker has no margin of discretion and less confidential space to work in? If a report has to be made what will happen to the working relationship that had been established?. Mandatory reporting is not the panacea it appears at first sight and in the rush to do something we may end up with a worse situation than we have now.. (1) DHSS (1985) Review of Child Care Law HMSO: London (paras ...