This survey takes a closer look at two pressing needs. The first is the important role of prevention, specifically at the most effective prevention programs and how they are funded. The second need, based on feedback from PCA America Chapters and other prevention experts, is to better understand child fatalities and the kind of prevention strategies that can best reduce fatalities. This survey differs from previous surveys, as it did not attempt to gather data on child abuse and neglect reports or substantiations. Instead, the National Center on Child Abuse Prevention Research, the research arm of PCA America, is working with the National Child Abuse and Neglect Data System (NCANDS) and the Centers for Disease Control and Prevention (CDC) to ensure that our nation has the best systems available for gathering and tracking child maltreatment incidences. This report's highlights and findings are based on responses from 50 states and the District of Columbia, although all states have not responded to all questions. The results are reported in two main sections: Child Abuse and Neglect Prevention, and Child Maltreatment Fatalities. At the beginning of each are highlights followed by the complete findings for that section. Estimating procedures for child maltreatment fatalities should be used when interpreting the results for child maltreatment fatalities. In addition, throughout the document are references and links to sites containing additional information on the topics cited.