Strategies are needed to manage the unintended consequences for at-risk children of COVID-19–related school closings, social distancing, overwhelming numbers of distressing public health messages, and cancelation of non-urgent healthcare visits, according to a commentary in Pediatrics.Similarly, a second commentary in the same journal outlines recommendations for pediatricians to guide assessment and mitigation of the family violence likely to endanger many children during a prolonged quarantine.COVID-19 may mean more high-risk kidsIn the first commentary, the authors, from Duke University, focus on three at-risk subgroups: (1) children with mental health needs, (2) children in foster care or at risk for abuse or neglect, and (3) those with