Health Care’s Role in Preventing Child Abuse

By Beena M. Joseph, MD, FAAP, Chief Medical Officer, CareSource Indiana

Every child deserves to grow up in a safe, loving, and supportive environment. Yet far too many still face the painful realities of abuse and neglect.

In Indiana, approximately 1 in 10 children experience some form of abuse before they turn 18. This statistic is startling, but it becomes even more concerning when we consider that many cases go unreported. The National Child Abuse and Neglect Data System estimates that for every case of child abuse that is reported, there are likely many more that remain hidden in the shadows.

But we have the power to change this. Together, we can protect our most vulnerable children and work toward a future where every child has the chance to thrive.

Strong families start with strong foundations, and that foundation begins even before a child takes their first breath. The path to healthy families begins with comprehensive prenatal and postpartum care. As a pediatrician, I have seen firsthand how health care providers, including obstetricians and pediatricians, are often the first line of support, identifying early signs of challenges. Simple conversations during routine check-ups can reveal underlying stressors that parents are facing, creating opportunities for support and intervention. When we prioritize early detection and care, we help create safe, loving environments where children can flourish—physically, emotionally, and beyond.

Access to mental health services

Mental health support is another critical pillar in our prevention efforts. Nearly 1 in 8 mothers experience postpartum depression, a condition that can profoundly impact both the mother and child if left untreated. Imagine a mother struggling with overwhelming feelings of despair— without access to proper support, she may face challenges in meeting her child’s needs. By expanding access to mental health services, we empower families to seek the help they need.

Families need more than medical care

In my experience, open communication with families is essential. A proactive approach goes beyond medical care—it means providing resources and support to families facing difficult circumstances. This holistic view is critical in preventing child abuse.

Families need comprehensive support beyond just medical care. They require stable housing, reliable childcare, and social support. Programs like the Indiana Pregnancy Promise Program, Healthy Families and The Villages are invaluable resources that connect families with essential support. For every $1 invested in prevention, we save $7 in future social service, health care, and criminal justice costs. More importantly, we change lives.

Health care is just one piece of the puzzle

Preventing child abuse is most effective when health care, social services, education and communities work together. Indiana is proving that a multi-sector approach makes a real difference. By collaborating across these vital areas, we strengthen families and ensure the safety and well-being of our children.

April is Child Abuse Prevention Month, but this issue impacts our families year-round, highlighting the need for ongoing awareness, education and support to empower parents and caregivers in creating safe environments for their children, as the future of Indiana’s children depends on our collective commitment to protect and nurture the next generation.