Start with the state where your sister and niece live. It won't do much good to contact his state at this point.
All states have a main number (information line) for state agencies. I work for the State of Delaware and we have a "no wrong door" policy that if anyone calls the wrong number all operators have to get them to the right people and not blow them off. Ask for the "Child Protective Services" unit. Ask to speak to a supervisor there and explain your dilemma.
State workers are all overloaded with too much work but all of the child units are like us and will go out of their way to help a child.
Be sure and call her school or better yet have the mother call the school to arrange special counseling for her. All states are required to furnish the services any child needs and the little girl obviously has some severe mental trauma that is keeping her from speaking.
Also, call your political representatives, councilman, mayor, governor's office and ask for what agencies they can recommend for help. Carbon copy all of the people you contact to each other. When they see that you are very serious about hanging in for the long haul, they will take you seriously. It's their JOB to serve citizens and protect those who can't defend themselves.
Your sister may need you to be the proactive one. She is probably as damaged by her daughter's damage as anyone and may just feel too paralyzed to be proactive at this time. Let her know you are there to help, not judge, not convict, just get the help that is needed.
And talk to your niece. Don't make promises that you can't deliver on but tell her that you are doing everything you can to make her feel safe. That alone could be more helpful than anything. Even a child knows that sometimes there are no miracles but as long as someone understands her pain and will always be there for her, it makes life not so frightening for her.
Good luck and keep us posted.



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This may give the child some relief from the stress of what's going on and clear the way to communication. 

Start out nice, that gives you somewhere to go to.
and I rarely get upset. Please ignore the hysterical laughter you hear in the background 
