In Oklahoma, a child is reported abused or neglected every ten seconds. In 2008, over 11,000 children were confirmed victims of abuse or neglect in the state. Neglect, which includes failure to provide basic needs, is the highest form of child maltreatment in Oklahoma. Substance abuse by caregivers is a major contributing factor to neglect cases. Child abuse and neglect can have long-term negative health impacts, with survivors at greater risk for problems like low academic achievement, drug use, and criminal behavior.