Current literature regarding the prevalence of child abuse and neglect, resulting developmental impacts on children, and early intervention services for children and families involved in the child welfare system is summarized. While early intervention eligibility referrals are mandated for this population under the Child Abuse Prevention and Treatment Act of 2003, Part C, maltreated children remain underrepresented and services remain underutilized. Reasons for this underutilization and weak links in service provisions for families involved in child welfare are examined. In addition, barriers for service provision of children and families involved in the welfare system and recommendations for improving outcomes, including enhanced professional development, are presented.