LaborDayRN
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We've definitely had those injuries. My eight year old had to get his arm set 6 moths ago at the emergency room. I previously worked for the advocacy center and a CASA volunteer and I have not heard of anything like that being routine. I'm not saying it doesn't happen, I'm just sharing my experience locally.
Many larger hospital have social workers on staff. When certain medical criteria is met, staff usually puts in an order for a social worker consult. If needed DCFS can be called in.