The U.S. Department of Health and Human services estimated 906,000 children were victims of child abuse or neglect in 2003. While physical injuries may or may not be immediately visible, abuse and neglect can have consequences for children, families, and society that last lifetimes, if not generations.

The after affects of child abuse and neglect is discussed in terms of physical, psychological, behavioral, mental, behavioral, spiritual and societal consequences. In reality, however, it is impossible to separate them completely. Physical consequences (such as damage to a child's growing brain) can have psychological implications (cognitive delays or emotional difficulties). Psychological problems often manifest as high-risk behaviors. Depression and anxiety compel a person more likely to smoke, abuse alcohol, use illegal or prescription drugs and/or eating disorders. High-risk behaviors, can lead to long-term physical health problems such as sexually transmitted diseases, cancer