August 6, 2026

Kentucky’s child abuse rate rises to fifth highest in the country

 (WBKO/WKYT) – Kentucky’s child abuse rate is one of the highest in the U.S., according to the latest national report.

Released by the U.S. Department of Health & Human Services Children’s Bureau, the “Child Maltreatment 2024” report found that the rate of child maltreatment victims in Kentucky was 14.1 per 1,000 children.

That means about 14 out of every 1,000 children in Kentucky experienced some form of abuse or neglect during 2024, maintaining the same rate as in 2023.

The report found that most child victims in Kentucky and nationally were younger than age 1.

Norton Healthcare says that one of the most concerning findings in the 2024 report involves infants with prenatal substance exposure. According to the report, only 23.7% of Kentucky’s screened-in substance-exposed infants had such a plan, making Kentucky third lowest in the nation among states reporting this data.

“Kentucky’s Child Fatality and Near Fatality External Review Panel has been citing this as an issue for years,” Dr. Currie said, in a release. “We have so many child victims that end up with fatalities or near fatalities that were known to be substance exposed and did not have a plan of safe care. This national report confirms what we’re seeing on the panel and shows we have a lot of work to do around this issue.”

Kentucky also has the eighth highest rate of caregivers with substance use disorders, nearly 40% compared with the national average of about 25%.

AREAS OF IMPROVEMENT

While the rate remained unchanged, the raw number of child victims in Kentucky decreased by 13% compared with 2020.

Kentucky also is improving in one historically difficult area: identifying and substantiating psychological maltreatment. The state has the seventh highest number of substantiated psychological maltreatment cases.

“Psychological maltreatment is incredibly harmful and often hard to substantiate,” Dr. Currie said. “Our team has worked hard to include more language about psychological maltreatment in our reports, and we’re finally seeing those efforts reflected in the data.”

Despite areas of progress, Dr. Currie emphasized that Kentucky remains in crisis.

“We continue to rank in the top five nationally for child maltreatment,” she said, in a release. “There are system issues, like plans of safe care and substance-exposed babies, that absolutely need improvement. But the bigger solution must be prevention. Until Kentucky invests upstream, we will keep reacting after abuse has already occurred.”

HOW TO PREVENT CHILD ABUSE

While child abuse remains a persistent problem, doctors have tips on how community members can help prevent it.

“Child abuse prevention truly begins with strengthening families,” said Kelly Kries, M.D., Norton Children’s Medical Group – Bowling Green, in a release. “When families are overwhelmed, their children are more vulnerable. Small, thoughtful gestures from friends, neighbors or extended family can make a meaningful difference. Strong, supported families create safer environments for children.”

 
  • If you feel yourself getting overwhelmed, it’s OK to step away for a moment. Take deep breaths, listen to music, or reach out to someone you trust.
  • New parents: Try to rest when your baby sleeps. Prioritizing your own rest helps you care for your baby.
  • Learn about typical child behavior and development. For example, crying is how infants communicate — it is not a sign they are “bad” or “spoiled.”
  • Keep a short list of friends or family members you can call for support when you need a break.
  • If you know a parent who is stressed, offer to watch their children for an hour or two so they can recharge.
  • Offer to run an errand for a neighbor with young children. Small gestures can greatly reduce daily stress.
  • If you witness a tense moment, you can help diffuse it. Even a simple comment like, “I remember going through that, too,” can break the tension and protect the child

HOW TO REPORT ABUSE:

  • In Kentucky, the number to call to report suspected child abuse is (877) KY-SAFE1 (597-2331).
  • The Childhelp National Child Abuse Hotline, (800) 4-A-CHILD (422-4453), offers professional crisis counselors who can provide intervention, information and referrals to emergency, social service and support resources. Calls are confidential.

In Kentucky, everyone is mandated to report a reasonable suspicion that maltreatment has occurred.