The early identification and treatment of toxic stress, including child maltreatment, can lessen the associated long-term negative health and behavioral outcomes. Daycare providers, teachers, and other adults who interact frequently with children should have sufficient knowledge and skills to identify and care for children who have been exposed to traumatic childhood experiences. They should be familiar with support services to meet the needs of children whose problems cannot be adequately addressed by front-line staff. 20 Social service agencies that are responsible for investigating suspected cases of abuse and neglect should include a thorough assessment of a child’s developmental status. 20 This assess- ment.
