Marie is brought in periodically to the office by Claire and is 2 months behind on routine 1-year vaccinations at 14 months of age. At today’s visit she is brought in by Claire’s aunt. Her aunt asks you if you have heard the latest? Child Protection Services (CPS) is now involved as Dave “hit the baby” and caused a nosebleed and a small bruise to her forehead. Marie was seen at the Urgent Care as it was a Sunday, and the physician there notified CPS. Dave has now moved out of the home and will only be allowed supervised visitation if he completes anger management counselling and parenting classes. “Finally, he will get the help he needs!” the aunt exclaims. You ask about Claire and her aunt says she is exhausted and asked her aunt to bring Marie to this appointment. Claire’s aunt wonders if Claire is also embarrassed by the breakdown of her relationship with Dave, and feels guilty that she could have done more to protect Marie.