“…The low report rate by HSSPs, especially by hospital personnel (∼5%) ( Fallon, Filippelli, Joh-Carnella, Miller, & Denburg, 2019 ; Tonmyr et al, 2010 ), is concerning given that the proportion of children and adolescents who are experiencing child maltreatment and who come to the attention of child protection authorities is already considered a huge underestimate of the true incidence in the Canadian population ( Public Health Agency of Canada, 2010 ). Furthermore, other evidence indicates that HSSPs experience challenges in recognizing less overt forms of child maltreatment (e.g., emotional abuse, emotional neglect, children’s exposure to IPV), initiating conversations with children and caregivers about potential maltreatment concerns, and ensuring private, safe spaces for children to discuss their concerns and experiences ( Beynon, Gutmanis, Tutty, Wathen, & MacMillan, 2012 ; Kimber, McTavish, Couturier et al, 2019 , 2019b ; McTavish et al, 2017 ; Tufford, Bogo, & Asakura, 2014 ; Tufford, Bogo, Katz, Lee, & Ramjattan, 2019 ). A recent qualitative meta-synthesis on children’s and caregivers perspectives of the mandatory reporting process concluded that HSSPs need to pay greater attention to the provision of empathy, warmth, and appropriate referrals for supportive community services when working with individuals who have been exposed to child maltreatment ( McTavish et al, 2019 ).…”