This chapter defines child maltreatment and provides an overview of how maltreatment presents in healthcare settings. Protective and risk factors associated with child maltreatment are identified. Reporting rules for suspected child maltreatment are outlined, as is the role of the consulting psychologist in the hospital setting, child advocacy center, and in the patient-centered medical home. Provision of anticipatory guidance on adverse childhood experiences (ACEs) and toxic stress will be provided as will suggestions for brief intervention on managing common physiological symptoms often associated with trauma. This chapter addresses the role of the consulting psychologist in educating healthcare professionals about the negative effects of child maltreatment including corporal punishment. Evidence-based interventions to address child maltreatment in the outpatient setting are provided. A case example is provided to demonstrate the role of a consulting psychologist in an integrated pediatric primary care setting.
