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. Author manuscript; available in PMC: 2015 Oct 1.
Published in final edited form as: Pediatr Clin North Am. 2014 Jul 24;61(5):873–888. doi: 10.1016/j.pcl.2014.06.002
1. Screen for child maltreatment risk factors, including parental depression,
 substance abuse, intimate partner violence, parental stress, harsh punishment,
 and food insecurity
2. Identify family protective factors (e.g. social support, self-efficacy, parenting
 competence)
3. Provide anticipatory guidance about challenging behaviors and developmental
 issues that may increase the risk for maltreatment (e.g. infant crying, toilet
 training)
4. Ask parents about discipline and help them replace corporal punishment with
 more effective and less harmful strategies
5. Discuss sexual development and behavior with parents. Help parents and
 children become more skilled in communication about sexuality and sexual
 abuse (see Table 4)
6. Become knowledgeable about the availability and effectiveness of local
 community-based resources. Encourage families to use your expertise to identify
 services that meet their needs.
7. Advocate for implementation and sustaining of community-based services to help
 families prevent maltreatment.
8. Advocate for implementation and sustaining of federal, state, and local programs
 that ameliorate underlying maltreatment risk factors (e.g. poverty, substance
 abuse, depression and other mental health disorders)