What is Child Sexual Abuse (CSA)
Child sexual abuse (CSA) refers to the involvement of a child, a person under 18 years old, in sexual activity that violates the laws or social taboos of society and that the child:
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Does not fully comprehend.
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Does not consent to or is unable to give informed consent to.
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Is not developmentally prepared for and cannot give consent to.
Examples of child sexual abuse:
Non-physical
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Using a child in pornographic production
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Exposure to x-rated books, movies, or internet content
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Verbal Harassment
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Showing genitalia to a child
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Voyeurism
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Sex in front of a child
Physical
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Fondling
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Intercourse
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Oral sex
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Having a child touch someone’s genitals
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Sexual assault / rape
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Sodomy
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Trafficking
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Digital penetration
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Digital penetration is the insertion of a person's fingers or toes (digits) into another person's vagina or anus
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Masturbation in front of a child
What is Grooming
Most child sexual abuse begins with grooming, a slow process that builds trust. Grooming often looks like kindness, mentorship, or attention. That's what makes it so dangerous. Understanding grooming is the first step toward prevention.
What Grooming Is and Isn't
Grooming is not affection, friendship, or mentorship. It's a strategy of manipulation that prepares a child for abuse and conditions adults to ignore warning signs. It often looks like kindness or special attention and is designed to build trust and break down boundaries over time. Grooming can happen in person or online and usually occurs in several stages.
Six Stages of Grooming
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Targeting the victim: Looking for children who are vulnerable, isolated, or have unmet emotional needs.
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Gaining the victim’s Trust: Build relationships with the child and sometimes the family, appearing helpful and protective.
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Filling a need: Providing gifts, attention, or affection to build emotional dependence.
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Isolating the child: Creating opportunities to be alone with the child and distancing them from other relationships.
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Sexualizing the relationship: Gradually introducing sexual content or touch to confuse and desensitize the child.
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Maintaining control: Using threats, guilt, or manipulation to keep the child silent and compliant.
What is Consent
There is often a fear that talking with children about consent means introducing sexual or inappropriate topics. In reality, these conversations are about safety, respect, and boundaries.
When we speak openly and in age-appropriate ways, these conversations empower children to understand their right to say “no,” ask for permission, and respect both their own bodies and the bodies of others.
A helpful way to introduce this concept is through child-friendly resources. The video link below offers a simple and engaging approach to teaching children about consent:
Consent for Kids
Concerning Behavior in Children
As a parent or caregiver, it can be hard to determine which behaviors are concerning. Here is a list of behaviors adapted and selected from the Child Sexual Behavior Inventory (CSBI). The CSBI was specifically developed as an assessment tool for children 12 years and younger referred for sexual behavior problems.
If you notice any of these repeated behaviors in your child, they should be addressed immediately with intervention or treatment before they escalate:
1. Wants parents or adults to show sexual behaviors |
18. Masturbates with others around |
2. Sneaks to watch adults engage in sexual activity |
19. Puts or tries to put objects in vagina or anus |
3. Sneaks to watch pornography |
20. Uses sexual words in an angry way around children or adults |
4. Seems to go to unfamiliar adults too easily |
21. Makes sexual sounds (sighing, moaning, and heavy breathing) |
5. Rubs body against people or object while others are around |
22. Shows sexual behaviors using toys and other objects |
6. Scratches private parts when others are around |
23. Imitates sexual intercourse with other children |
7. Goes or tries to go into toilet stalls with other children |
24. Takes off most or all clothes to go to the bathroom (even in a public restroom) |
8. Shows “private parts” to adults |
25. Drop pants; shows bottom, penis, or vagina; then runs away |
9. Tries to undress other children or adults |
26. Tries to peek at children when they are in the bathroom or bedroom |
10. Asks children to touch their “private parts” |
27. Asks adults to touch their “private parts” |
11. Asks adults to take inappropriate pictures |
28. Kisses or tries to kiss adults not in the family |
12. Strokes or rubs the clothes or hair of adults |
29. Rubs or tries to rub the leg or thigh of adults |
13. Rubs or tries to rub the chest or breast of adults |
30. Tries to film children and adults in a compromising position related to the above |
14. Coerces, forces, bribes, manipulates, or threatens others |
31. Has knowledge of sex beyond their developmental level |
15. Behaves in a manner that is more sexually advanced than children their age |
32. Will not stop actions at another child’s or adult’s request to stop |
16. Receive complaints from other children about behaviors |
33. Does not respect the boundaries of others: may touch, hit, step over, or take other people’s things |
17. Causes pain or discomfort to self or others |
34. Engages younger children in non-consensual sexual play or engages children their age who are developmentally delayed |
If your child displays any of these behaviors, please do not ignore them or assume they will go away with time. Do not be ashamed or afraid. Please get your child help. If you see these types of behaviors in other children you know, please do not ignore it, alert someone.
Contacting a children’s advocacy center is a great place to start to seek additional help and guidance. If you are seen by a children’s advocacy center, they will be able to provide the most appropriate referrals for treatment; see the "Resources" page
Remember, it is not uncommon for a child to be displaying these behaviors to communicate that something has happened and that they need help.
Facts about CSA
What Every Parent and Caregiver Should Know
Child sexual abuse (CSA) is more common than many people realize. Understanding the facts is one of the most powerful tools parents and caregivers have to keep children safe.
Child sexual abuse is widespread.
An estimated 1 in 4 girls and 1 in 20 boys experience sexual abuse before age 18.
Abuse occurs across all communities, cultures, socioeconomic groups, and family structures.
Most children are abused by someone they know.
Over 90% of children who are sexually abused know the person who harmed them
Abusers are often family members, relatives, family friends, caregivers, coaches, faith leaders, or older youth, not strangers.
Children often do not disclose right away.
Many children delay telling, or never tell, because of fear, confusion, shame, loyalty to the abuser, or concern about upsetting adults.
Delayed disclosure does not mean the abuse did not happen.
Child sexual abuse does not look one way.
There is no single “type” of child who is abused, and no single way abuse affects children.
Signs may be emotional, behavioral, physical, or subtle, and sometimes there are no obvious signs at all.
Children are safest when adults take responsibility for prevention, rather than placing the burden on children to protect themselves.
Talking about sexual abuse does not harm children.
Age-appropriate, honest conversations about bodies, boundaries, and safety do not increase risk.
In fact, children who have these conversations are more likely to seek help if something feels wrong.
Prevention starts with informed, engaged adults.
By learning the facts, challenging myths, and taking proactive steps, parents and caregivers can play a powerful role in preventing child sexual abuse and supporting children’s safety and well-being.
Common myths about child sexual abuse
Myths about child sexual abuse can make it harder to recognize risk, respond effectively, and prevent harm. Understanding the realities helps adults take meaningful action to protect children.
Myth: Child sexual abuse is rare
Fact: Child sexual abuse is far more common than many people believe. It affects children across all communities, cultures, and income levels. Thinking “it doesn’t happen here” can leave children unprotected.
Myth: Most abuse is committed by strangers
Fact: The vast majority of children who are sexually abused are harmed by someone they know and trust, such as a family member, family friend, caregiver, coach, or older youth. Stranger danger messaging alone does not prevent abuse.
Myth: Children make up stories about sexual abuse
Fact: False disclosures are rare. Children are much more likely to delay telling or not tell at all than to invent abuse. When a child shares a concern, it is critical to listen, stay calm, and take them seriously.
Myth: Sexual abuse only happens to certain “at-risk” children
Fact: There is no single profile of a child who is abused. Children of all ages, abilities, family structures, and backgrounds can be targeted. Risk is more closely tied to environments and adult behaviors than to children themselves.
Myth: Teaching children to say “no” is enough to prevent abuse.
Fact: While body safety education is important, children cannot be expected to stop abuse on their own. Prevention works best when adults take responsibility by supervising, setting boundaries, addressing grooming behaviors, and creating safe environments.
Myth: Talking about sexual abuse will scare children
Fact: Age-appropriate conversations about bodies, boundaries, and safety help children feel informed and supported. These conversations do not cause harm; they increase the likelihood that a child will speak up if something feels wrong.
Myth: Good people don’t sexually abuse children
Fact: People who sexually abuse children often appear caring, helpful, and trustworthy. Focusing only on “bad people” can make it harder to recognize concerning behaviors and protect children effectively.
Challenging myths is a critical step in prevention. When adults understand the realities of child sexual abuse, they are better equipped to recognize risk, respond appropriately, and create safer spaces for children.
Age Appropriate Behavior:
Below you will find behaviors depicting healthy sexual development along with what you can do during these stages to reinforce healthy, age appropriate behaviors.
Important Note:
This chart is intended to be flexible and responsive to individual development. Age ranges can be interpreted according to a child’s developmental stage as well as their stated age, recognizing that factors such as environment, stress, disability, and lived experiences can influence development.
Birth to 18 months
Healthy Sexual Development:
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Learn to differentiate good touch from bad touch by physical interaction with caregivers
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Learn gender role conditioning from family
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Boys have penile erections and girls lubricate shortly after birth
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Will explore all body parts of their body they can reach
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Learn patterns of love, approval, and affection
What You Can Do:
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Provide safe affection, hugs, kisses, and rocking.
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Please pay attention to children’s body language: when and how they like to be hugged, kissed, picked up, or comforted, and when they want space
18 months to 3 years
Healthy Sexual Development:
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Learn to differentiate good touch from bad touch by physical interaction with caregivers
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Learn gender role conditioning from family
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Boys have penile erections and girls lubricate shortly after birth
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Will explore all body parts of their body they can reach
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Learn patterns of love, approval, and affection
What You Can Do:
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Provide safe affection, hugs, kisses, and rocking.
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Please pay attention to children’s body language: when and how they like to be hugged, kissed, picked up, or comforted, and when they want space
3 to 6 years old
Healthy Sexual Development:
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Identifies as a boy or girl (as defined by culture)
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Develops feelings of guilt
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Identifies with same-sex parent
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Increased interest in modesty when dressing or toileting
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Curious about conception, pregnancy, and childbirth
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Uses sexual words without understanding meaning
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Engages in sex-play games from a childlike perspective
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Interested in physical differences between boys and girls
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May speak negatively about the opposite sex
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Engages in role-play (house, doctor, parenting)
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May masturbate privately
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May refuse to bathe with others or prefer to wear underwear even when bathing at home
What You Can Do:
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Explain what body parts do, including genitals
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Give clear rules about appropriate touching (self vs. others, public vs. private)
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Provide age-appropriate explanations about gender and society
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Introduce concepts of gender equity and marriage equality
7 to 12 years old
Health Sexual Development:
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Internalizes cultural and gender expectations
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Concerned with fairness and rules
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Builds self-esteem through accomplishments and relationships
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Increased sexual curiosity and experimentation
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Asks questions about sex
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Curiosity may include looking at pictures or mutual touching
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May masturbate privately
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Increased desire for privacy
What you can do:
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Introduce basics of reproduction
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Provide information about puberty (body changes, menstruation, erections, ejaculation)
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Explain sexual orientations and gender identity
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Provide accurate, age-appropriate information about sexual activity if asked
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Allow participation in health and relationship education classes
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Offer age-appropriate books about bodies and health
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Set parental controls on devices
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Respect privacy and boundaries
13 to 17 years old
Healthy Sexual Development:
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Earlier developmental patterns continue
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Increased concern about physical appearance
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Uneven emotional regulation and impulse control
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Tests independence and authority
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Peers become more influential than family
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Develops personal values
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Begins exploring sexual intimacy
What you can do:
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Continue strategies from ages 7 to 12
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Educate about birth control options
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Discuss boundaries and mutual respect
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Teach consent: (“no means no”)
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Discuss rejection and coping skills
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Educate about sexual violence and dating violence