 One in eight children in the United States will experience severe and persistent child maltreatment. When we think about our own population in Kaiser Permanente, we care for 776,000 children under the age of 18. Approximately 96,000 of those children are likely to experience severe child abuse or maltreatment. When these kids will act out in school and so instead of being perceived as this is a child who's being abused, it's this is a bad child who needs to be controlled or expelled. We have robust studies that show that child maltreatment and other adverse experiences in childhood can have profound effects into adulthood. It can lead to depression, anxiety disorders, aggressive disorders, higher incidents of chronic disease like heart disease, higher incidents of suicide attempts. There are studies that indicate that a large proportion of people in prisons were abused as children so the impact on communities is profound. There are many, many stories of children coming to our doorsteps for care and really needing to have a physician recognize that they're in an unsafe situation. The health care system is a vital player in the prevention, recognition, and response to child abuse and neglect. We created the Child Abuse Services and Prevention Program which is also called CAS. CAS has increased the awareness of child abuse and has also equipped our providers with the tools needed to recognize injuries. Not only are we bringing our medical expertise to the evaluation of individual children in collaboration with law enforcement and Child Protective Services, but our investment in the advocacy organizations in the identification and support of teachers in the schools, of the other community agencies that help support vulnerable families. The Child Abuse Prevention Center cannot applaud Kaiser Permanente enough. Abuse isn't something that only happens to children and nor is it something that only happens to, you know, elderly. It really ranges across the span. The way to help people get an abuse is to recognize it and to offer them help. What we do now for our children will have such long-term benefits for them, their lives, and their children and grandchildren.