if "a provider determines that there is a serious and imminent threat of a patient physically harming self or others"
yeah, pretty much the same, I'm just not that eloquent in English :P
there's a similar clause with some infectious diseases if I remember correctly, and I'm honestly not sure how's the suspected child abuse handled, but probably the same.

the cultural thing where the system makes them more likely to get imprisoned and less likely to find a job, probably.