SO's son will be starting school next month. He will be going into the same district that his father and I both attended. In our experiences, if the school at all senses that there is an issue at the child's home, they get CPS involved almost immediately. For example, I have dealt with trichotillomania (compulsively pull out my eyelashes/eyebrows) since I was 9 y/o. The school noticed that I had bare spots and called CPS on my parents...even though my parents were not harming me and I did not say anything to the school. CPS finally stopped dropping by after 1.5 years.