A child welfare worker observes red marks and welts on a 4-year-old Asian child's stomach and thighs. The child has recently been ill. The family are recent emigres and they seem stable and loving. The child seems well-cared for. There are no previous referrals for child protection. The worker should first
A. refer the family for a child protective investigation.
B. explore the possibility of a culturally specific practice that might have lead to the symptoms described.
C. recommend ongoing supportive services.
D. Do nothing.
B. explore the possibility of a culturally specific practice that might have lead to the symptoms described.
An immediate referral to child protection would seem excessive since there are no indications other than the marks at this time. Thought child abuse may be a factor, there are culturally specific practices that can produce the welts described. Some Asian groups, for example, believe that rubbing coins on the body of the sick person cures the disease. Answer C is premature, and of course, doing nothing is a poor choice if there is a vulnerable child involved.
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