That's nearly "twice the rate" reported for troops, returning from war zones in Iraq.
Cleveland has children who are suffering but, they're getting help.
Five year old Malaina Johnson is learning how to cope with a tragedy no child should ever have to witness.
She watched her father, Edwin Johnson strangle her mother Brandy then put her remains in a bag and set the body on fire.
"She died," Malaina said.
Malaina and sister Alexandria suffer post traumatic stress.
"I get a little scared when I think about it," Malaina said.
They are among the 350,000 children nationwide who have watched violent acts committed by family, friends even strangers and suffer the emotional scars.
Crime statistics indicate Cleveland Police respond to an average of nine domestic violence complaints each day.
Post traumatic stress disorder among children goes largely unreported around the country.
Cuyahoga County is aggressively working with parents and kids through the mental health services.
Barb Whittenberg understands the cycle of violence. She was raped as a child by her father. Barb spent many years in therapy.
They made me understand it wasn't my fault; it was his fault. These girls need to understand that what happened had nothing to do with them.
Grandmother Barb is now mother to Malaina and Alexandria.
They are doing much better. Barb has high hopes for their future.
"I look for it to be bright and just for them to put all of this tragedy behind them and have a healthy life," Whittenberg said.