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Families report that when emergency rooms are full and waits are long, they might be threatened with a 51A (charge of abuse/neglect) if they disagree with a clinician.  In a 2017 survey, PPAL found that that discussing or filing a 51A when a child is in psychiatric crisis occurs across the state.  This can have a lasting impact on future crises.

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Download Using 51As When There Are Child Mental Health Disagreements with Families