Presented are detailed reports of eight child abuse and neglect programs, and a synthesis of the information obtained through onsite visits to programs and a review of the literature. Provided in Part I are the descriptive case studies of two hospital-based programs (Children's Trauma Center, Children's Hospital Medical Center, Oakland, California, and the SCAN Program, Pittsburgh Children's Hospital, Pittsburgh, Pennsylvania), two private nonprofit agency-based programs (Bowen Center of the Juvenile Protective Association, Chicago, Illinois, and SCAN Volunteer Service, Inc., Little Rock, Arkansas), two public social service agency-based programs (Hennepin County Welfare Department, Minneapolis, Minnesota, and Lehigh-Northampton Counties Coordinated Child Abuse Program, Pennsylvania), and two community-based team programs (Billings Child Abuse and Neglect Community-Based Team, Billings, Montana and Laramie Child Abuse Council and Treatment Team, Laramie, Wyoming). Part II on themes and issues in child abuse and neglect presents chapters on the following topics: criteria and definitions, case reporting and incidence; characteristics and dynamics of abuser/neglecters; characteristics of the abused/neglected child; identification, case management, and treatment; social services health, child care, educational, and law enforcement systems; and conclusions and recommendations. (IM)