- Dr. C. Henry Kempe's work in the 1960s drew attention to child abuse and led states to enact mandatory reporting laws requiring professionals like physicians to report suspected abuse. By the 1970s these laws also applied to school personnel.
- School counselors consistently underreport suspected abuse despite daily contact with children, but fear liability for inaccurate reports. However, all states provide immunity for reports made in good faith, and failure to report is the only actionable offense.
- Advocates push for increased liability to encourage more reporting, as existing penalties like fines are insufficient and not often pursued criminally. Ethical guidelines also require counselors to report suspected abuse.