The authors review research demonstrating the variable effects of childhood
sexual abuse, the need for intervention. and the effectiveness of availabl
e treatment models. The well-controlled treatment-outcome studies review ed
do not focus on sensationalistic fringe treatments that treat sexually abu
sed children as a special class of patients. Instead, studies demonstrate e
mpirical evidence for extending and modifying treatment models from mainstr
eam clinical child psychology to sexually abused children. The authors prop
ose a continuum of interventions to meet the needs oft his heterogeneous gr
oup. Interventions range from psychoeducation and screening to short-term,
abuse-focused cognitive-behavioral therapy with family involvement, to more
comprehensive long-term plans for multiproblem cases. Last discussed are g
aps in the research and suggestions for future research to address the pres
sing dilemmas faced by clinicians and policymakers.