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Topic: Commercial Sexual Exploitation of Children and Adolescents: Services for Victims

Scientific Ratings in this topic:

1 - Well-Supported by Research Evidence

2 - Supported by Research Evidence

3 - Promising Research Evidence

4 - Evidence Fails to Demonstrate Effect

5 - Concerning Practice

NR - Not able to be Rated

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Definition for Commercial Sexual Exploitation of Children and Adolescents: Services for Victims:

Commercial Sexual Exploitation of Children and Adolescents: Services for Victims is defined by the CEBC as services for youth aged 17-years-old and younger who have engaged in, solicited for, or been forced to engage in sexual conduct or performance of sexual acts (e.g., stripping) in return for a benefit, such as money, food, drugs, shelter, clothing, gifts, or other goods or for financial or some other gain for a third party. The sexual conduct may include any direct sexual contact or performing any acts, sexual or non-sexual for the sexual gratification of others. These acts can be live, filmed, or photographed and still constitute sexual exploitation. Commercial sexual exploitation of children and adolescents may include prostitution, pornography, trafficking for sexual purposes, and other forms of sexual exploitation. The youth is treated as a sexual object and as a commercial object. The sexual exploitation of the child may profit a much wider range of people than the immediate beneficiary of the transaction.

When this topic area was posted in Spring 2013, commercial sexual exploitation of children and adolescents was a crime that had only recently received significant attention in the United States and around the globe. While the U.S. Department of Justice estimated in 2012 that the number of children and adolescents (those under the age of 18) involved in prostitution, child pornography, and trafficking could be anywhere between 100,000 and 3,000,000, knowledge of this type of exploitation and public response to the problem was and is still evolving. There is a growing and compelling literature on domestic sex trafficking of girls in the United States and some about the commercial sexual exploitation of boys as well. Domestically trafficked youth comprise the majority of the victims of commercial sexual exploitation of children and adolescents in the U.S. More informally, survivors of commercial sexual exploitation of children and adolescents have also begun to speak out about the crime.

  • Target population: Youth aged 17-years old and younger who have engaged in, solicited for, or been forced to engage in sexual conduct or performance of sexual acts in return for a benefit
  • Services/types that fit: Outpatient, day treatment, and residential services in individual or group formats
  • Delivered by: Mental health professionals or trained paraprofessionals
  • In order to be included: Program must specifically target youth who have experienced commercial sexual exploitation
  • In order to be rated: There must be research evidence (as specified by the Scientific Rating Scale) that examines youth outcomes, such changes in symptom levels, behaviors, and functioning

Programs in this Topic Area

The programs listed below have been reviewed by the CEBC and, if appropriate, been rated using the Scientific Rating Scale.

11 Programs with a Scientific Rating of NR - Not able to be Rated:

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Why was this topic chosen by the Advisory Committee?


The Commercial Sexual Exploitation of Children and Adolescents: Services for Victims topic area is relevant to child welfare because foster youth are more vulnerable than the general population and more likely to become victims of such exploitation. The Commercially Sexually Exploited Children Task Force of the California Child Welfare Council released a report in early 2013, Ending the Commercial Sexual Exploitation of Children: A Call for Multi-System Collaboration in California, which addressed sex trade recruitment practices targeting foster youth. Foster youth who are struggling with their identity, feel like they do not belong, or are otherwise vulnerable can easily become identified targets by sex traffickers. Current information indicates that youth in group home placements are greatly at risk. The sex traffickers learn where the group homes are located and are known to recruit from them. Once they recruit one foster youth, they also use that youth to help recruit additional youth from the group home. In these cases, the first youth may convince another to run away. Both youth then run directly to the sex trafficker who begins the process of indoctrination into the world of sexual exploitation and prostitution. In addition to those in group homes, foster youth who are chronic runners or involved in substance abuse appear to be the most vulnerable. While the number of foster youth who may be involved in commercial sexual exploitation is unknown, as awareness increases, data will be more readily available. The need for the development of evidence-based interventions to correct and stem the spread of exploitation of foster youth is imperative.

Howard Himes, Director
County of Napa Health and Human Services Agency
Napa, CA

Topic Expert

The Commercial Sexual Exploitation of Children and Adolescents: Services for Victims topic area was added in 2013. Linda Williams, PhD was the topic expert and was involved in identifying and rating any of the programs with an original load date in 2013 (as found on the bottom of the program's page on the CEBC) or others loaded earlier and added to this topic area when it launched. The topic area has grown over the years and any programs added since 2013 were identified by CEBC staff, the Scientific Panel, and/or the Advisory Committee. For these programs, Dr. Williams was not involved in identifying or rating them.