| 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) |