Abstract: | Children exposed to significant abuse, neglect and household dysfunction often present a confusing and difficult‐to‐treat clinical picture. This paper discusses the use of systems theory to develop treatment plans for maltreated children in clinical settings. Although its value is well recognised in the literature, systems thinking is not easy to implement in ordinary clinical settings and the systemic approach is not universally practised. Systems theory is an integrative theory, which helps clinicians identify and prioritise key areas of difficulty, and organise information from multiple system levels into a well‐defined treatment plan. Treatment plans take into account not only patient but also service factors, and to be viable in clinical settings must function within the limits of organisational reality. A case vignette is provided. |