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This study describes the implementation efforts of CSA prevention programming led by Prevent Child Abuse Vermont, both one year prior to the policy enactment and ten years later (i.e., 2008\u20132019). We used data from the National Child Abuse and Neglect Data System (NCANDS) to obtain rates of substantiated CSA reports and examined their association with program implementation. Findings from longitudinal hierarchical linear modeling indicated that, in seven Vermont counties, an increased number of CSA prevention programs correlated with a decrease in substantiated CSA reports. Three adult focused programs, Nurturing Healthy Sexual Development, Informed Supervision, and Overcoming Barriers\u2014were also associated with reduced substantiated CSA reports. These findings suggest that consistent implementation of CSA prevention programs across the state of Vermont was associated with lower rates of CSA incidents.<\/jats:p>","DOI":"10.1177\/10775595251340025","type":"journal-article","created":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T08:00:56Z","timestamp":1746777656000},"page":"299-309","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Longitudinal Analysis of a Statewide, Social Ecological Approach to Child Sexual Abuse Prevention in Vermont"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5859-2913","authenticated-orcid":false,"given":"Maureen C.","family":"Kenny","sequence":"first","affiliation":[{"name":"Florida International University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcie","family":"Hambrick","sequence":"additional","affiliation":[{"name":"Prevent Child Abuse Vermont"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6980-976X","authenticated-orcid":false,"given":"Luciana","family":"Assini-Meytin","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Borelus","sequence":"additional","affiliation":[{"name":"Department of Psychology, Fairleigh Dickinson University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mido","family":"Chang","sequence":"additional","affiliation":[{"name":"Florida International University"},{"name":"Department of Counseling, Recreation and School Psychology, Florida International University, Miami, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,9]]},"reference":[{"key":"e_1_3_7_2_1","unstructured":"An Act Relating to Improving Vermont\u2019s Sexual Abuse Response System V.T. 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