In this work of social commentary, Parent describes the harrowing conditions he worked under and the brutalization he witnessed during the four years he was employed as a caseworker by New York City's Emergency Children's Services. His job was to respond in the night to calls made regarding children in life-threatening situations. He would then visit their homes and decide whether the children should be removed. Inadequately trained and without sufficient supervision, he and his co-workers were forced to balance dangerous situations against taking often unwilling children from their homes into tenuous foster-care arrangements. Believing that child abuse can happen in rural as well as urban areas, Parent argues for public scrutiny of child welfare agencies as well as a societal commitment to protecting children.