**1. Introduction**

The sexual abuse of children continues to be an extensive international problem with serious long term consequences. There are varying definitions of CSA, with the World Health Organization defining CSA as the involvement of a child under the age of 18 in sexual activity that they do not fully comprehend, do not give consent to, or for which the youth is not developmentally prepared and that violates the social taboos or laws of society [1]. CSA may include penetrative and nonpenetrative acts. Prevalence rates for CSA vary greatly, based on differing definitions of CSA, underreporting of CSA, and differences in child welfare record keeping by country. Prevalence rates for CSA according to a 2009 meta-analysis from 65 studies in 22 countries determined that an estimated 20% of girls and 8% of boys were victims of CSA prior to age 18 [2]. The high prevalence rates and the serious long term emotional, physical, relational and sexual consequences of CSA implore the need for efficacious, trauma informed interventions for the child and family. The vast majority of CSA is perpetrated by an offender the child knows and trusts, mandating that the interventions address the family and not just the victim [3].

Additionally, multidisciplinary coordination of law enforcement, forensic interviewing, child welfare services and therapists is essential to minimize retraumatization of the child and to best promote healing and recovery.
