Gilbert et al. (2009) continued to suggest strategies to improve recognition, mostly used in pediatric practice, include training, use of questionnaires for asking children and parents about maltreatment, and evidence based guidelines for whom should be assessed by child protection specialists. During the time David was experiencing abuse, no one initially stepped in to stop the abuse. In the 1960s and 1970s, David was suffering abuse by her mother and the nurse and teachers at his school were not required by law to report the abuse. I also believed during the time David was abuse, child abuse was taboo and people did not discuss it publicly. If the teachers and nurses as well as social services agents were properly trained to recognize child
