This study examined the relationship between substance abuse and child maltreatment among U.S. Army soldiers over a 5-year period. The researchers found that 13% of child abuse offenders had used drugs or alcohol at the time of their first reported incident. Offenders who abused both a spouse and child on the same day were more likely to have substance abuse issues. Child neglect was more strongly associated with substance abuse than physical abuse. The researchers concluded that substance abuse assessments for soldiers should consider family issues and include referrals to support services.