Introduction. Section 1. Chapter 1. Child Spirituality and Faith Development. Dr Rebecca Nye, Children's spirituality researcher and consultant, UK. Chapter 2. Insights from Child Development for Paediatric Chaplains. The Revd Dan Roberts, Chaplain Supervisor, McLane Children's Medical Center-Baylor Scott & White Health in Temple, US. Chapter 3. Spiritual, Religious and Pastoral Care of Children and Their Families. The Revd Claire Carson, Head of the Chaplaincy-Spiritual Care Department, St George's University Hospitals NHS Foundation Trust, UK. Chapter 4. Models of Chaplaincy in a Multicultural World. The Revd Paul Nash, Chaplain Senior, Birmingham Women's and Children's Hospital, UK. Chapter 5. Screening, Assessment and Charting. The Revd Mary Robinson Director of the Chaplaincy, Children's Hospital Boston, USA. Chapter 6. Approaches and Skills for Working with Children and Young People. Ryan Campbell and The Revd Dr Sally Nash, Research lead, Centre for Paediatric Spiritual Care and the Birmingham Children's Hospital Chaplaincy Team, UK. Chapter 7. Working with Families. The Revd Krista Gregory, Director, Dell Children's Resiliency Center, Austin, USA. Chapter 8. Staff Care and Self-care. The Revd Kathryn Darby, Chaplain, Birmingham Children's Hospital, UK and The Revd Carl Aiken, Manager of Spiritual Care, Women's and Children's Hospital in Adelaide, Australia. Chapter 9. Chaplain to the Institution. The Revd Jim Linthicum, Senior Chaplain, Great Ormond Street Hospital, UK. Chapter 10 Managing and Developing the Chaplaincy Provision and Team. Paul Nash. Chapter 11. Medical Ethics: Practice and Decision-making. Chaplain Mark Bartel, manager of Spiritual Care, Arnold Palmer Medical Center, USA. Section 2. Chapter 12. Giving Voice to the Story: Working with Patients Who Cannot Speak. The Revd Dr Daniel Nuzum, Healthcare Chaplain and Clinical Pastoral Education Supervisor at Cork University Hospital, Ireland. Chapter 13. Working in Mental Health. Kathryn Darby. Chapter 14. Working with Trauma and Abuse. Chaplain Bob Flory Director of Spiritual Care and Bereavement Services, Children's Hospital Colorado, USA. Chapter 15. Major Incidents. Rabbi Naomi Kalish, Coordinator of Pastoral Care and Education, New York Presbyterian Hospital, USA. Chapter 16. Palliative and End-of-Life Care. Chaplain M. Karen Ballard, director of Chaplaincy Services, Akron Children's Hospital, USA. Chapter 17. Bereavement Care. The Revd Dr Edina A. Farkas, Paediatric Chaplain, Velkey Laszlo Center for Child Health in Miskolc, Hungary and The Revd Stephen Harrison, Baptist minister, UK. Chapter 18. Transition: Journeying with Paediatric Patients into Adult care - The Chaplain's Role. Chaplain Kobena Charm, Paediatric Chaplain, LeBonheur Children's Hospital in Memphis, USA. Chapter 19. Paediatric Spirituality, Space and Environment. The Revd Wyatt Butcher, Chaplain to Mental Health Service, Canterbury District Health Board, New Zealand and Dr Lindsay Carey, Palliative Care Unit, School of Psychology and Public Health, La Trobe University, Australia. Chapter 20. Paediatric Chaplaincy and Research. The Revd Dr Daniel H. Grossoehme, Associate Professor of Pediatrics, University of Cincinnati, USA and Lindsay B. Carey. Chapter 21. Through These Dark Valleys: A Paediatric Chaplain's Response to the Problem of God and Evil. The Revd Kathleen Ennis-Durstine, Manager of InterFaith Pastoral and Spiritual Care, Children's National Health System in Washington, D.C, USA. Chapter 22. Perspectives on Suffering from Major Faith and Worldview Traditions. Emma Roberts, Research Assistant, Birmingham Children's Hospital Chaplaincy, UK. Conclusion.