Children and adolescents who have experienced maltreatment can struggle even after they are physically safe. They might be bothered by memories of traumatic experiences or impacted by secondary adversities common among those who experience maltreatment. Add changes in relationships and social supports (including possible placement in foster care), challenges with development and academics, and an increased risk for medical problems, and it is no surprise that these children and adolescents require expert, trauma-informed pediatric care.