OPINION
This case came before the Supreme Court on the appeal of the defendant, Joanne Rossi Casiano, from an adjudication in the Superior Court that she had violated the conditions of a previously suspended sentence. On appeal, the defendant challenged the adjudication of violation on the grounds that the trial justice erred both in admitting the hearsay statements of her son, Gian Carlo Casiano, and in refusing to allow her to call the child as a witness in her own defense. For the reasons *1236 stated below, we deny the appeal and affirm the adjudication of violation. The facts insofar as pertinent to this appeal follow.
Facts and Procedural History
On March 8, 1984, defendant pleaded guilty to the manslaughter of her four-year-old son. She was sentenced to the Adult Correctional Institutions (ACI) for a term of twelve years, five years to serve, the remaining seven years suspended, with probation for seven years to commence upon her release. After her release from the ACI, defendant married Fernando Casiano with whom she had three children: Gian Carlo, bom June 6, 1988; Gabrielle, born June 18, 1991; and Enrico, bom April 14, 1993.
On April 22, 1993, eight days after the birth of Enrico, Cristina Grant (Grant), a pediatric nurse practitioner, visited defendant’s home for the purpose of providing routine mother-and-newbom services. During her one-and-a-half-hour visit, Grant observed more than once that defendant threatened to kill Gian Carlo. As a result of her observations, Grant became concerned for the physical safety of Gian Carlo. Therefore, on the following day, Grant phoned the Department of Children, Youth and Families (DCYF) to request that someone from that department go to defendant’s home to investigate the situation. On May 17, 1993, after learning that no one from DCYF had yet visited defendant’s home, Grant phoned the Child Advocate Office.
On May 18, 1993, Steven Theriault (Ther-iault), a DCYF child investigator, went to defendant’s home and informed her that he was there as a result of Grant’s report that defendant had threatened to kill Gian Carlo. According to Theriault, defendant responded that she was “just kidding” when she threatened to kill Gian Carlo. Theriault then advised defendant that on the basis of Grant’s allegations, the three children would have to be examined at Rhode Island Hospital.
At Rhode Island Hospital, Lucy Brown, M.D. (Brown), examined each of defendant’s three children in order to rule out child abuse. When she examined Gian Carlo, Brown observed that the child was “covered in bruises,” many of which were, in Brown’s medical opinion, intentionally inflicted. Brown testified that when she asked Gian Carlo about the bruises, he responded that his sister, three years younger than he, had pushed him down. Because Gabrielle was only twenty-three months old and “kind of a small, little child,” Brown “was convinced that she [Gabrielle] couldn’t have caused such an injury by pushing him [Gian Carlo] down.” Brown then left Gian Carlo in the examination room with Theriault and went to consult with her supervisor, Leigh Jackson, M.D. (Jackson).
Alone with Gian Carlo, Theriault asked the child how he got his bruises. Theriault testified that Gian Carlo answered that his little sister had pushed him down. After asking whether Gian Carlo knew the difference between telling the truth and telling a lie, Theriault testified that Gian Carlo responded, “When we tell the tmth it’s something that really happened,” but a lie is “a story that isn’t true.” Theriault then asked Gian Carlo to tell him the truth about his bruises. Theriault testified that at that point Gian Carlo answered that his mother had hit him several times with a belt, that his father also had hit him with a belt, and that his mother had caused most of the bruises. When she returned to the examination room, Brown first spoke to Theriault, then again asked Gian Carlo about his bruises. Brown testified that the child had responded that both his mother and his father had hit him with a belt. The attending physician, Jackson, examined Gian Carlo and also observed multiple bruises on the child’s body. She was of the opinion that many of the bruises were inflicted, not accidental, and that many of Gian Carlo’s “injuries were consistent with being hit with a belt-like object.”
During her examination Jackson asked Gian Carlo how he had acquired the bruises. Jackson testified that Gian Carlo answered that he had been hit with a belt by his mother and father. On the basis of the results of the physical examination of Gian Carlo, Brown requested that a “seventy-two hour DCYF hold” be placed on the Casiano children. Such a hold placed the children in the temporary protective custody of DCYF while DCYF determined whether they should *1237 be returned home or placed in a foster home. Theriault and Jackson took defendant into a private office to explain the seventy-two hour hold to her. In the office, Theriault asked defendant how Gian Carlo might have obtained the bruises. According to Theriault, defendant admitted that she had hit Gian Carlo with a belt. Thereafter, Gian Carlo was placed in foster care.
On May 24, 1993, defendant was charged with violating her probation on the grounds of child abuse and/or neglect. At the violation hearing in the Superior Court, held on June 7, 9, and 11, 1993, Grant testified in respect to observations she made at defendant’s home; Vicki Moss, Ph.D. (Moss), testified to the “psychological unavailability” of Gian Carlo as a witness; and Theriault testified to defendant’s admission that she had hit Gian Carlo with a belt. The court also heard expert medical testimony from Brown and Jackson regarding the nature and the cause of Gian Carlo’s injuries.
Over defendant’s objection, the court permitted Moss, Brown, Jackson, Theriault, and Detective Niko Katsetos (Katsetos) of the Providence Police Department to testify regarding statements made by Gian Carlo. Moss testified that Gian Carlo told her that his mother had hit him with a belt and held his hands over a stove; Brown testified that Gian Carlo also told her that defendant had hit him with a belt; Jackson testified that Gian Carlo related to her that he was hit with a belt by both his mother and father; Theriault testified that Gian Carlo told him that both his mother and his father had hit him with a belt; and Katsetos testified that Gian Carlo told him that his mother had hit him with a belt and with a plastic coat hanger.
During the hearing, defendant sought to call Gian Carlo as a witness, but the motion of DCYF to quash the witness subpoena for Gian Carlo was granted by the court, and Gian Carlo never testified.
On June 11,1993, the hearing justice found that defendant had violated her probation by participating in or failing to act reasonably to prevent the physical abuse of Gian Carlo. The court executed defendant’s suspended sentence and ordered that defendant serve the remaining seven years at the ACI. A notice of appeal was filed on June 23, 1993, pursuant to G.L.1956 (1985 Reenactment) § 9-24-32, and on June 29, 1994, after a prebriefing conference before a single justice of this Court, the case was ordered to the regular calendar for full briefing and argument.
Standard of Review
Upon review of an adjudication that a defendant has violated the conditions of a previously suspended sentence, this court limits its consideration to “whether the trial justice acted arbitrarily or capriciously in finding a violation.”
State v. Tatro,
The Nonhearsay Evidence
It is well established that the state need not prove a violation of probation beyond a reasonable doubt; rather, the violation need only be established by reasonably satisfactory evidence.
Olsen,
The issue before the hearing justice was whether defendant had violated her probation by abusing and/or neglecting her son. Under § ll-9-5.3(b),
“Whenever any person abuses a child * * * inflicting upon the child a physical injury not resulting in permanent disfigurement or disability he or she shall be guilty of child abuse in the second degree. Whenever any parent or other person with whom a child * * * has been placed by his or her parent, caretaker or licensed or governmental child placement agency for care or treatment allows to be inflicted *1238 upon the child a physical injury not resulting in permanent disfigurement or disability, he or she shall be guilty of child abuse in the second degree.” (Emphases added.)
The provisions of the statute apply clearly in this case.
We consider initially whether the nonhearsay evidence presented at the hearing was sufficient to sustain the state’s burden of proving the violation. This court has affirmed an adjudication of violation of probation when “it was abundantly clear that the nonhearsay evidence presented at the adjudication hearing was clearly sufficient to ‘establish the violation by reasonably satisfactory evidence.’ ”
Tatro,
First, the physical evidence, described in the testimony of two examining physicians, established to a reasonable degree of medical certainty that Gian Carlo had multiple intentionally inflicted injuries over his body — injuries that from their location and configuration could not have occurred by accident or by a “push” from his “small, little” two-year-old sister. At the hearing, Brown testified that “When I said he was covered with bruises * * * when he took all his clothes off, and I looked at him and I was horrified.” Brown said that Gian Carlo “had bruises on his back, on his arms, on his legs and his buttocks, and back of his thighs.” Finally, Brown testified to a reasonable degree of medical certainty that “these bruises were intentionally inflicted and not accidental.”
In a similar vein, Jackson testified that “Typical accidental bruises do not have these particular shapes. The location on the body that we found these bruises was very atypical for an accidental injury.” According to Jackson, Gian Carlo had “multiple bruises in different stages of healing. He had bruises that were linear in nature.” Jackson concluded that the bruises “were consistent with being hit with a belt-like object.” This Court notes that the bruising was clearly evident in the photographs presented in the record of the case. Jackson also concluded that Gian Carlo “had multiple injuries that had been inflicted as opposed to have
[sic
] been accidental.” Moreover, we have noted that evidence of injuries occurring over a period of time and evidence of soft-tissue injury (here the skin) are elements that serve as criteria for the “battered child syndrome.”
State v. Durand,
Second, defendant in fact stated that she had struck Gian Carlo with a belt, and she acknowledged that her husband had also hit the child with a belt. When Theriault asked defendant to “just tell me the truth about what happened,” defendant responded, “Well, maybe I hit him a few times, maybe I hit him with a belt, * * * I think my husband hit him, too.”
In finding that defendant had violated her suspended sentence, the hearing justice relied on the “compelling, uncontroverted testimony” of Brown and Jackson and photographs of Gian Carlo’s injuries, which the court found to be “persuasive and supportive of the testimony of the physicians.” Relying heavily on this nonhearsay evidence, the hearing justice reasonably found that defendant had “participated in or failed to act reasonably to prevent the child Gian Carlo from being beaten.”
The instant case is clearly analogous to
Tatro
insofar as issues that were “central to the determination of the commission of the violation” were clearly resolvable by evidence other than hearsay evidence.
Tatro,
In the instant case, it is “abundantly clear that the nonhearsay evidence presented at the adjudication hearing was clearly sufficient ‘to establish the violation by reasonably satisfactory evidence.’ ” Id. The photographs of the injuries on Gian Carlo’s body, the testimony of the two physicians who described these injuries, and the admissions made by defendant were clearly sufficient to sustain the state’s burden of proving the violation by reasonably satisfactory evidence. Consequently, we conclude that the hearing justice did not act arbitrarily or capriciously in finding that defendant had violated her probation. In addition, we have previously noted that the admission of hearsay testimony at an adjudication hearing does not require ipso facto the reversal of a finding of violation. Id. at 113. The nonhearsay testimony in this case was more than sufficient to sustain the state’s burden of proof. Therefore, the admission of hearsay testimony at defendant’s hearing does not mandate reversal of the finding of a violation of probation.
The Admission of Hearsay Statements of Gian Carlo
We next consider defendant’s argument that, at her probation-revocation hearing, the admission of Gian Carlo’s hearsay statements, in lieu of the child’s direct testimony, violated the confrontation clause of the United States and Rhode Island Constitutions. Both Constitutions guarantee to an accused in a criminal prosecution the right to confront the witnesses against him or her. U.S. Const. Amend. VI; R.I. Const, art. I, § 10. It is well-settled, however, that a hearing on whether a defendant has violated probation “is not part of a criminal prosecution, and, thus, does not call for the full panoply of rights due a defendant in such a criminal proceeding.”
Bourdeau,
A probation-revocation hearing is an informal proceeding, and strict application of the rules of evidence is not required.
Bour-deau,
The question before us, then, is whether there was good cause to deny defendant the opportunity to confront Gian Carlo. The determination of good cause has generally rested on the reliability of proffered substitute evidence and the state’s explanation of why confrontation was undesirable or impractical.
United States v. Reynolds,
49
*1240
F.3d 423, 426 (8th Cir.1995);
United States v. Martin,
1. The Reliability of the Hearsay Evidence
Because “[t]he central concern of the Confrontation Clause is to ensure the reliability of the evidence against a criminal defendant,”
Maryland v. Craig,
In
Greene,
this court found that a witness’s “written statement * * * had virtually no indicia of reliability” when “[i]t was in contradiction of other documentary evidence * * * and her own initial statement.”
Because we have concluded that the hearsay testimony was sufficiently reliable to be admitted at defendant’s probation-revocation hearing, we need not address defendant’s argument that Gian Carlo’s statements do not fall within any hearsay exception.
2. The Adequacy of the State’s Reason for Denying Confrontation
Maryland v. Craig,
The hearing justice found that Gian Carlo was psychologically unavailable to tes *1241 tify on the basis of the expert testimony of a psychologist who asserted that it would be extraordinarily detrimental to Gian Carlo to testify in court against his mother. It is the conclusion of this Court that the state’s interest in protecting Gian Carlo from the psychological trauma of testifying against his mother at the hearing constituted an adequate reason for denying the right to confrontation. Therefore, we hold that the trial justice did not abuse his discretion in finding that Gian Carlo was unavailable to testify.
3. The Competence of Gian Carlo to Testify
We next consider defendant’s argument that the hearsay statements made by Gian Carlo were inadmissible because there was no evidence that he was competent to testify. We disagree. First, defendant’s reliance on
State v. Paster,
The Right to Compulsory Process
Last, we consider defendant’s argument that the hearing justice’s refusal to permit her to call Gian Carlo as a witness in her defense violated her constitutional right to compulsory process. The compulsory process clause of the Sixth Amendment to the United States Constitution guarantees the right of a criminal defendant to offer the testimony of witnesses on her or his behalf and to compel the testimony of such witnesses if necessary. Article I, section 10, of the Rhode Island Constitution also guarantees the right of criminal defendants “to have compulsory process for obtaining [witnesses] in their favor.” Moreover, an accused retains the right to present witnesses at a probation-violation hearing.
Gagnon,
In circumstances similar to those in this case, courts have combined a defendant’s compulsory process clause claim with his or her confrontation clause claim.
See, e.g., United States v. Martin,
We held ante that the hearing justice had not abused his discretion in finding that Gian Carlo was psychologically unavailable to testify against defendant. It is apparent to us that the detrimental effects of forcing Gian Carlo to testify for defendant and then face cross-examination would equal those of testifying on behalf of the state. Thus, compelling Gian Carlo to testify as a witness for defendant would effectively negate the trial justice’s previous ruling of unavailability.
We point out that defendant was not prejudiced by the exclusion of evidence from Gian Carlo because there was but one question to be settled at the hearing — whether defendant had violated her probation by inflicting the *1242 bruises on Gian Carlo’s body. The only proffered evidence that was relevant to answering that question supported the conclusion that defendant had struck Gian Carlo. Such evidence would have assisted the state, not defendant. Thus, the hearing justice did not err in refusing to allow defendant to call Gian Carlo as a witness.
Conclusion
In summary, we conclude that the evidence presented at the defendant’s hearing was more than reasonably satisfactory to prove that she had violated her probation. The testimony presented — most significantly the defendant’s own statements that she had inflicted at least some of the injuries by hitting Gian Carlo with a belt — was more than sufficient to satisfy the state’s burden of proof. Therefore, we hold that the hearing justice did not act arbitrarily or capriciously in finding that the defendant had violated the conditions of her previously suspended sentence. Consequently, we deny and dismiss this appeal and affirm the adjudication of the Superior Court, to which we return the papers in the case.
