This article examines the scope of the child maltreatment problem in t
he United States. Representatives of child protective service agencies
in each state and the District of Columbia were interviewed to obtain
current estimates of child maltreatment reports and fatalities. The r
esults of the survey indicate that rates of reported and substantiated
cases of child maltreatment as well as confirmed child deaths due to
abuse or neglect have steadily increased over the past 8 years. Eviden
ce shows that very young children face the greatest risk of dying from
maltreatment. Other findings such as specific characteristics of the
reported population, differences in states' reporting procedures, and
changes in funding of child welfare services are presented along with
a discussion of policy implications.