{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T08:49:48Z","timestamp":1791535788335,"version":"4.3.4"},"reference-count":70,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T00:00:00Z","timestamp":1621209600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007264","name":"Office of Juvenile Justice and Delinquency Prevention","doi-asserted-by":"publisher","award":["2016-MU-MU-K053"],"award-info":[{"award-number":["2016-MU-MU-K053"]}],"id":[{"id":"10.13039\/100007264","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007264","name":"Office of Juvenile Justice and Delinquency Prevention","doi-asserted-by":"publisher","award":["2013-MU-MU-K102"],"award-info":[{"award-number":["2013-MU-MU-K102"]}],"id":[{"id":"10.13039\/100007264","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007264","name":"Office of Juvenile Justice and Delinquency Prevention","doi-asserted-by":"publisher","award":["2010-WP-BX-K062"],"award-info":[{"award-number":["2010-WP-BX-K062"]}],"id":[{"id":"10.13039\/100007264","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Child sexual abuse (CSA) remains a significant public health problem. Although the deleterious effects on the child victims could be mitigated through evidence-based interventions, victims often fail to be identified and receive clinical assessment and therapy services, particularly when they have been victimized by another youth. Given that at least a third of CSA cases are committed by another youth, understanding the process of identifying and addressing the needs of CSA victims of youth is the focus of the present study. Factors impacting services for child victims of youths with problematic sexual behavior (PSB) were examined through qualitative interviews (N = 226) with mental health agency administrators, direct service providers, and community stakeholders from eight geographically diverse communities across the United States. Responses focused on macro and micro level barriers to the identification and service provision for child victims of PSB of youths. Implications for clinicians and policymakers are discussed, along with strategies to enhance access and provision of services to meet the needs of the child victims.<\/jats:p>","DOI":"10.3390\/ijerph18105302","type":"journal-article","created":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T02:31:34Z","timestamp":1621218694000},"page":"5302","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Barriers to Accessing Treatment Services: Child Victims of Youths with Problematic Sexual Behavior"],"prefix":"10.3390","volume":"18","author":[{"given":"Alexandra","family":"Slemaker","sequence":"first","affiliation":[{"name":"Department of Sociology and Criminal Justice, Iowa State University, 510 Farm House Lane, Ames, IA 50010, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7711-0641","authenticated-orcid":false,"given":"Peter","family":"Mundey","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, Savannah State University, 3219 College Street, Savannah, GA 31404, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin K.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lana O.","family":"Beasley","sequence":"additional","affiliation":[{"name":"Department of Human Development and Family Science, Oklahoma State University, 338 Human Sciences, Stillwater, OK 74078, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane F.","family":"Silovsky","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,5,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.chiabu.2017.02.011","article-title":"Child sexual abuse and exploitation\u2014A global glimpse","volume":"66","author":"Dubowitz","year":"2017","journal-title":"Child Abus. Negl."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1177\/003335491412900303","article-title":"The Need for a Comprehensive Public Health Approach to Preventing Child Sexual Abuse","volume":"129","author":"Letourneau","year":"2014","journal-title":"Public Health Rep."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.chiabu.2017.01.025","article-title":"Reports of child sexual abuse of boys and girls: Longitudinal trends over a 20-year period in Victo-ria, Australia","volume":"66","author":"Matthews","year":"2017","journal-title":"Child Abus. Negl."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.chiabu.2017.02.035","article-title":"Adopting a public health approach to addressing child sexual abuse and exploitation","volume":"66","author":"Mian","year":"2017","journal-title":"Child Abus. Negl."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1177\/1077559511403920","article-title":"A Global Perspective on Child Sexual Abuse: Meta-Analysis of Prevalence Around the World","volume":"16","author":"Stoltenborgh","year":"2011","journal-title":"Child Maltreatment"},{"key":"ref_6","unstructured":"Jones, L.M., and Finkelhor, D. (2020, October 07). The Decline in Child Sexual Abuse Cases. Juvenile Justice Bulletin, Available online: https:\/\/www.ncjrs.gov\/pdffiles1\/ojjdp\/184741.pdf."},{"key":"ref_7","unstructured":"Finkelhor, D., and Jones, L.M. (2019, May 05). Explanations for the Decline in Child Sexual Abuse Cases. Juvenile Justice Bulletin, Available online: https:\/\/www.ojp.gov\/pdffiles1\/ojjdp\/199298.pdf."},{"key":"ref_8","unstructured":"Finkelhor, D., Saito, K., and Jones, L. (2019, November 09). Updated Trends in Child Maltreatment. Crimes against Children Research Center. Available online: http:\/\/unh.edu\/ccrc\/pdf\/Updated%20trends%202014.pdf."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1080\/08884310420001679386","article-title":"Child sexual abuse: A public health is-sue","volume":"17","author":"Anderson","year":"2004","journal-title":"Crim. Justice Stud."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.psi.2015.03.002","article-title":"Psychological injury in victims of child sexual abuse: A meta-analytic review","volume":"24","author":"Amado","year":"2015","journal-title":"Psychosoc. Interv."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1016\/j.chiabu.2006.12.018","article-title":"Exposure to childhood sexual and physical abuse and adjustment in early adulthood","volume":"32","author":"Fergusson","year":"2008","journal-title":"Child Abus. Negl."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1016\/S0145-2134(00)00200-3","article-title":"Symptomatology and health care utilization of women primary care patients who experienced childhood sexual abuse","volume":"24","author":"Hulme","year":"2000","journal-title":"Child Abus. Negl."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1017\/S0033291715002743","article-title":"Maltreatment in childhood substantially increases the risk of adult depression and anxiety in prospective cohort studies: Systematic re-view, meta-analysis, and proportional attributable fractions","volume":"46","author":"Li","year":"2016","journal-title":"Psychol. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1542\/peds.2006-3058","article-title":"Obesity risk for female vic-tims of childhood sexual abuse: A prospective study","volume":"120","author":"Noll","year":"2007","journal-title":"Pediatrics"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1097\/00004583-200303000-00006","article-title":"Ten-Year Research Update Review: Child Sexual Abuse","volume":"42","author":"Putnam","year":"2003","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1080\/00223980109603677","article-title":"A Meta-Analysis of the Published Research on the Effects of Child Sexual Abuse","volume":"135","author":"Paolucci","year":"2001","journal-title":"J. Psychol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/S0272-7358(99)00072-0","article-title":"Interpersonal functioning among women reporting a history of child-hood sexual abuse: Empirical findings and methodological issues","volume":"21","author":"DiLillo","year":"2001","journal-title":"Clin. Psychol. Rev."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.chiabu.2006.03.012","article-title":"Re-victimization patterns in a national longitudinal sample of children and youth","volume":"31","author":"Finkelhor","year":"2007","journal-title":"Child Abus. Negl."},{"key":"ref_19","first-page":"S13","article-title":"Is ado-lescent sibling violence a precursor to college dating violence?","volume":"28","author":"Noland","year":"2004","journal-title":"Am. J. Health Behav."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.chiabu.2017.02.040","article-title":"Fur-ther victimization of child sexual abuse victims: A latent class typology of re-victimization trajectories","volume":"66","author":"Papalia","year":"2017","journal-title":"Child Abuse Negl."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1016\/j.cpr.2009.08.003","article-title":"The impact of child sexual abuse on health: A systematic review of reviews","volume":"29","author":"Maniglio","year":"2009","journal-title":"Clin. Psychol. Rev."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1192\/bjp.184.5.416","article-title":"Impact of child sexual abuse on mental health: Prospective study in males and females","volume":"184","author":"Spararo","year":"2004","journal-title":"Br. J. Psychiatry"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1007\/s11606-008-0516-1","article-title":"Health Care Utilization and Costs Associated with Childhood Abuse","volume":"23","author":"Bonomi","year":"2008","journal-title":"J. Gen. Intern. Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1300\/J045v17n02_01","article-title":"The economic costs of child sexual abuse in Canada: A preliminary analysis","volume":"17","author":"Hankivskym","year":"2003","journal-title":"J. Health Soc. Policy"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/j.chiabu.2018.02.020","article-title":"The economic burden of child sexual abuse in the United States","volume":"79","author":"Letourneau","year":"2018","journal-title":"Child Abus. Negl."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1177\/1077559507306718","article-title":"Report of the ATSA Task Force on children with sexual behavior problems","volume":"13","author":"Chaffin","year":"2008","journal-title":"Child Maltreatment"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1111\/j.1755-6988.2008.00021.x","article-title":"Children with Sexual Behavior Problems","volume":"59","author":"Swisher","year":"2008","journal-title":"Juv. Fam. Court. J."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Finkelhor, D., Ormrod, R., and Chaffin, M. (2009). Juveniles Who Commit Sex Offenses Against Minors. Juv. Justice Bull., 1\u201312.","DOI":"10.1037\/e630532009-001"},{"key":"ref_29","unstructured":"Hackett, S., Holmes, D., and Branigan, P. (2020, October 07). Operational Framework for Children and Young People Displaying Harmful Sexual Behavior. NSPCC. Available online: https:\/\/learning.nspcc.org.uk\/media\/1657\/harmful-sexual-behaviour-framework.pdf."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1016\/j.chiabu.2004.12.011","article-title":"Child peer sexual abuse: Preliminary data on outcomes and disclosure experiences","volume":"29","author":"Sperry","year":"2005","journal-title":"Child Abus. Negl."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1177\/1077559519873975","article-title":"Sexual Abuse and Assault in a Large National Sample of Children and Adolescents","volume":"25","author":"Finkelhor","year":"2020","journal-title":"Child Maltreatment"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1177\/1077559502007003002","article-title":"Characteristics of young children with sexual behavior problems: A pilot study","volume":"7","author":"Silovsky","year":"2002","journal-title":"Child Maltreatment"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1002\/car.2277","article-title":"Assessing Risk of Victim Crossover with Children and Young People who display Harmful Sexual Behaviours","volume":"22","author":"Allardyce","year":"2013","journal-title":"Child Abus. Rev."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Caffaro, J.V. (2014). Sibling Abuse Trauma: Assessment and Intervention Strategies for Children, Families, and Adults, Routledge.","DOI":"10.4324\/9781315808369"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1007\/s10896-016-9877-0","article-title":"Treating Adult Survivors of Sibling Sexual Abuse: A Relational Strengths-Based Approach","volume":"32","author":"Caffaro","year":"2016","journal-title":"J. Fam. Violence"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/j.avb.2004.12.001","article-title":"Treating sibling abuse families","volume":"10","author":"Caffaro","year":"2005","journal-title":"Aggress. Violent Behav."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"4887","DOI":"10.1177\/0886260517718831","article-title":"\u201cVictim, Perpetrator, or Just My Brother?\u201d Sibling Sexual Abuse in Large Families: A Child Advocacy Center Study","volume":"35","author":"Tener","year":"2017","journal-title":"J. Interpers. Violence"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"2482","DOI":"10.1111\/jocn.13531","article-title":"Sibling sexual abuse: Why don\u2019t we talk about it?","volume":"26","author":"Yates","year":"2016","journal-title":"J. Clin. Nurs."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1002\/j.1556-6678.2007.tb00457.x","article-title":"Sibling maltreatment: The forgotten abuse","volume":"85","author":"Kiselicia","year":"2007","journal-title":"J. Counse. Dev."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s10896-013-9571-4","article-title":"Sibling Sexual Abuse: An Exploratory Study of Long-term Consequences for Self-esteem and Counseling Considerations","volume":"29","author":"Morrill","year":"2014","journal-title":"J. Fam. Violence"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1016\/S0145-2134(99)00058-7","article-title":"Brother-sister incest\u2014father-daughter incest: A comparison of characteristics and consequences","volume":"23","author":"Rudd","year":"1999","journal-title":"Child Abus. Negl."},{"key":"ref_42","unstructured":"(2020, September 04). U.S. Department of Health and Human Services, Administration on Children, Youth and Families. Child Maltreatment U.S. Department of Health and Human Services, Available online: https:\/\/www.acf.hhs.gov\/sites\/default\/files\/documents\/cb\/cm2014.pdf."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"2257","DOI":"10.1177\/0886260513517550","article-title":"The Impact of Sexual Abuse Committed by a Child on Mental Health in Adulthood","volume":"29","author":"Allen","year":"2014","journal-title":"J. Interpers. Violence"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/S0145-2134(02)00365-4","article-title":"Intrafamilial sexual abuse: Brother-sister incest does not differ from father-daughter and stepfather-stepdaughter incest","volume":"26","author":"Cyr","year":"2002","journal-title":"Child Abus. Negl."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1016\/S0145-2134(00)00212-X","article-title":"Child on child sexual abuse: Psychological perspectives","volume":"24","author":"Shaw","year":"2000","journal-title":"Child Abus. Negl."},{"key":"ref_46","unstructured":"Cohen, J.A., Mannarino, A.P., and Deblinger, E. (2017). Treating Trauma and Traumatic Grief in Children and Adolescents, The Guilford Press. [2nd ed.]."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1111\/jcpp.12047","article-title":"Practitioner review: The victims and juvenile perpetrators of child sexu-al abuse\u2014assessmenant intervention","volume":"54","author":"Vizard","year":"2013","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_48","unstructured":"(2019, June 28). California Evidence-Based Clearinghouse for Child Welfare. Available online: https:\/\/www.cebc4cw.org\/program\/trauma-focused-cognitive-behavioral-therapy\/."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1037\/1076-8971.11.1.194","article-title":"Disclosure of Child Sexual Abuse: What Does the Research Tell Us About the Ways That Children Tell?","volume":"11","author":"London","year":"2005","journal-title":"Psychol. Public Policy Law"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.chiabu.2018.12.025","article-title":"\u2018Snitches get stitches\u2019: School-specific barriers to victim disclosure and peer reporting of sexual harm committed by young people in school contexts","volume":"89","author":"Allnock","year":"2019","journal-title":"Child Abus. Negl."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.chiabu.2017.08.009","article-title":"Assessing parental understanding of sexualized behavior in children and adolescents","volume":"72","author":"Marriage","year":"2017","journal-title":"Child Abus. Negl."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1080\/03124070701519645","article-title":"Responses to sibling sexual abuse: Are they as harmful as the abuse?","volume":"60","author":"Rowntree","year":"2007","journal-title":"Aust. Soc. Work"},{"key":"ref_53","unstructured":"Charmaz, K. (2014). Constructing Grounded Theory, Sage. [2nd ed.]."},{"key":"ref_54","unstructured":"(2020, March 02). Criminal Justice Joint Inspection, Available online: https:\/\/www.justiceinspectorates.gov.uk\/prisons\/wp-content\/uploads\/sites\/4\/2014\/04\/Children_and_Young_People_who_Sexually_Offend_Thematic_Report_310113_Final.pdf."},{"key":"ref_55","unstructured":"Hackett, S., Masson, H., and Phillips, S. (2020, January 16). Services for youth people who sexually abuse: A report on mapping and exploring services for young people who have sexually abused others. Youth Justice Board for England and Wales. Available online: https:\/\/core.ac.uk\/download\/pdf\/4157311.pdf."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1177\/147322540400400302","article-title":"The Extent and Nature of Work with Adolescents Who Have Sexual Behaviour Problems: Findings from a Survey of Youth Offending Teams in England and Wales","volume":"4","author":"Masson","year":"2004","journal-title":"Youth Justice"},{"key":"ref_57","unstructured":"O\u2019Brien, W. (2021, February 12). Australia\u2019s Response to Sexualised or Sexually Abusive Behaviours in Children and Young People. Australian Crime Commission. Available online: http:\/\/dro.deakin.edu.au\/eserv\/DU:30065114\/obrien-australias-2010.pdf."},{"key":"ref_58","unstructured":"Bross, D.C., Krugman, R.D., Lenherr, M.R., Ros-enberg, D.A., and Schmitt, B.D. (1988). The prevalence and characteristics of multidisciplinary teams for child abuse and neglect: A national survey. The New Child Protection Team Handbook, Garland."},{"key":"ref_59","first-page":"433","article-title":"Evaluating multidisciplinary child abuse and neglect teams: A research agenda","volume":"84","author":"Lalayants","year":"2005","journal-title":"Child Welf."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1046\/j.0312-407X.2003.00062.x","article-title":"\u2018But she didn\u2019t say no\u2019: An exploration of sibling sexual abuse","volume":"56","author":"McVeigh","year":"2003","journal-title":"Aust. Soc. Work"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1177\/1077559597002001007","article-title":"Multidisciplinary Team Approaches to the Investigation and Resolution of Child Abuse and Neglect: A National Survey","volume":"2","author":"Kolbo","year":"1997","journal-title":"Child Maltreatment"},{"key":"ref_62","unstructured":"National Children\u2019s Alliance (2019, July 22). Where to Begin: CACs and Youth with Problematic Sexual Behavior. National Children\u2019s Alliance. Available online: https:\/\/4a3c9045adefb4cfdebb-852d241ed1c54e70582a59534f297e9f.ssl.cf2.rackcdn.com\/ncalliance_c273eef2b28d8a2ab25b6472207df8f3.pdf."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/j.avb.2011.02.005","article-title":"Interventions for families victimized by child sexual abuse: Clinical issues and approaches for child advocacy center-based services","volume":"16","author":"Tavkar","year":"2011","journal-title":"Aggress. Violent Behav."},{"key":"ref_64","unstructured":"National Children\u2019s Alliance (2019, July 22). Youth with Problematic Sexual behavior: Best Practice Documents Overview. National Children\u2019s Alliance. Available online: https:\/\/4a3c9045adefb4cfdebb-852d241ed1c54e70582a59534f297e9f.ssl.cf2.rackcdn.com\/ncalliance_e46e3cf2aea9faf70a424ec82ce4d152.pdf."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1002\/jcop.22187","article-title":"A qualitative investigation of policy for youth with problematic sexual behavior","volume":"47","author":"Kelley","year":"2019","journal-title":"Am. J. Community Psychol."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"104317","DOI":"10.1016\/j.chiabu.2019.104317","article-title":"Early identification of youth with problematic sexual behavior: A qualitative study","volume":"105","author":"Shawler","year":"2020","journal-title":"Child Abuse Negl."},{"key":"ref_67","unstructured":"Missouri Department of Social Services (2021, May 07). 13 \u00a7 CSR 35-31.010. Available online: https:\/\/casetext.com\/regulation\/missouri-administrative-code\/title-13-department-of-social-services\/division-35-childrens-division\/chapter-31-child-abus\/section-13-csr-35-31027-juveniles-with-problem-sexual-behaviors."},{"key":"ref_68","unstructured":"Mundey, P., Kelly, A., Shawler, P., Shields, J.D., Silvis, V., and Silovsky, J.F. Community response to youth with problematic sexual behavior: A qualitative analysis of eight communities, status (unpublished; manuscript in preparation)."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1093\/bjsw\/bcx018","article-title":"\u2018Siblings as better together\u2019: Social worker decision making in cases in-volving sibling sexual behaviour","volume":"48","author":"Yates","year":"2018","journal-title":"Br. J. Soc. Work"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1002\/car.2284","article-title":"A Balancing Act: A Family Perspective to Sibling Sexual Abuse","volume":"22","author":"Keane","year":"2013","journal-title":"Child Abus. Rev."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/10\/5302\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:02:22Z","timestamp":1760162542000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/10\/5302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,17]]},"references-count":70,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2021,5]]}},"alternative-id":["ijerph18105302"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18105302","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,17]]}}}