Pediatricians provide continuous medical care and anticipatory guidance for children who have been reported to state child protection agencies, including tribal child protection agencies, because of suspected child maltreatment. Because families may continue their relationships with their pediatricians after these reports, these primary care providers are in a unique position to recognize and manage the physical, developmental, academic, and emotional consequences of maltreatment and exposure to childhood adversity. Substantial information is available to optimize follow-up medical care of maltreated children. This new clinical report will provide guidance to pediatricians about how they can best oversee and foster the optimal physical health, growth, and development of children who have been maltreated and remain in the care of their biological family or are returned to their care by Child Protective Services agencies. The report describes the pediatrician' s role in helping to strengthen families' and caregivers' capabilities and competencies and in promoting and maximizing high-quality services for their families in their community. Pediatricians should refer to other reports and policies from the American Academy of Pediatrics for more information about the emotional and behavioral consequences of child maltreatment and the treatment of these consequences. Pediatricians provide medical care and anticipatory guidance for children who have been maltreated. Because as many as 25% of the child population has experienced some form of maltreatment, medical encounters in a pediatric practice with maltreated children are not uncommon. 1-3 Although only a small proportion of children who have been maltreated are investigated by Child Protective Services (CPS), each year, state CPS agencies determine that approximately 700 000 children have been victims of child maltreatment. 4 Approximately 75% of these children are neglected, and about 17% are physically abused; many children suffer multiple forms of maltreatment. In the United States, an estimated 1700 children die each year as a result of abuse and neglect. Child maltreatment has many long-term health, developmental, and