There is as yet no clear consensus about the effectiveness of interventions targetting child neglect. This article presents proposals for what to consider when evaluating those programs. First of all, child neglect is more an ecosystemic than a parental problem. An evaluation should therefore focus on changes within and outside the family. The individualized, multimodal nature of the programs makes an implementation fidelity evaluation necessary. Further, the evaluation should examine the factors that support the implementation, sustainability, and distribution of the program. Finally, an evaluation must be based on the outcomes perceived by a variety of players to provide a complete picture of the direct and indirect impact of the intervention.