At the beginning of the movie, Anne is living with an emotionally abusive foster mother, her husband, and their many children. There is a lot of screaming and name-calling from the mother. At one point, she calls Anne "poor miserable trash that don't deserve no better".
A young girl dyes her hair green and lays in her bed, crying about how ugly she feels.
An approximately 4-year-old girl falls ill during one scene. She has the croupe and struggles to breathe. She is barely saved.
Two young girls jump onto a bed late at night, unaware that one of the girls' great-aunt is sleeping in it. The great-aunt gets very angry and calls them names.