Child abuse is a pervasive public health issue that persists across time and geographies, proving challenging to mitigate despite concerted efforts. In the Caribbean, mental health is further compounded by cultural factors such as the normalization of physical punishment and the trivialization of intimate partner and community violence. The complex relationships between child abuse, self-directed violence, and collective violence—encompassing social, political, and economic dimensions remain poorly understood. This chapter provides an overview of child abuse-related issues that have not been given due attention, for example, child abuse in children under five, the victim versus survivor dichotomy, developmental trajectories in child abuse, and why some fostered children yearn for home, despite their painful backgrounds. Several actionable solutions are discussed, emphasizing the urgent need for early detection, child-centered approaches, empirical data and research, policy intervention, societal change, and a more robust child protection system to address the prevalence and impact of child abuse in the Caribbean.