Child maltreatment generally encompasses neglect and physical, sexual, and psychological abuse to those younger than 18 years old (Centers for Disease Control & Prevention [CDC], 2018; World Health Organization [WHO], 2018). In 2016, about 676,000 children in the United States experienced abuse or neglect, of which more than 1,750 died as a result of child maltreatment (CDC, 2018). For those who survive, child maltreatment often leads to traumatic stress, which can cause disruption in brain development, impair development of nervous and immune systems, and increase risk for behavioral, physical, and mental health problems in adulthood (CDC, 2018; WHO 2018). As a result, childhood traumatic stress is associated with higher utilization of services across systems including health, mental health, child welfare, and juvenile justice systems (Briggs et al., 2013), putting increased demands on these child-serving systems, particularly in Oregon.