 Review of the literature identifies four major risk factors leading to child maltreatment, 1 maternal depression, 2 alcohol and substance abuse, 3 domestic violence, and 4 parental stress and poor coping. The project has several arms to address these risk factors. Initially, there is training to help busy primary care providers PCPs address the targeted problems in the pediatric office setting. The second phase is the introduction of a brief screening questionnaire into selected well child visits to identify these risk factors in families. If risk factors are present, the PCP will briefly assess the problem. A project social worker is available by phone or in the office to help address the problem, and to aid the families in accessing community resources. Another part of the project assesses the validity of the screening questionnaire against several gold standard measures used to diagnose the targeted risk problems. 