The study found significant reductions in problematic sexual behavior with a large effect size (e.g., t(126) = 11.69, p < .001, d = 2.08) were found. There were no site differences, despite racial and regional diversity. Non-sexual behavioral problems, emotional problems, and trauma symptoms also significantly improved. Positive outcomes extended to caregivers. recommended next steps include rigorous strategies for examining the impact of widespread implementation of evidence-based early intervention programs on the prevention of sexual abuse, complemented with thoughtful efforts to develop and implement policies and procedures that improve the safety and well-being of all children in the community. (Publisher abstract modified)