The first two chapters update statistics on the incidence of child sexual abuse and incorporate new research findings on child victims as witnesses. Topics covered under the latter subject are needs related to immaturity, children's reactions to victimization, children's memory, jurors' perceptions of children's credibility, and the impact of criminal prosecution on child victims. A chapter that explores the pros and cons of certain interviewing techniques with children focuses on the use of anatomical dolls, the use of leading questions, and the videotaping of interviews. The remaining seven chapters address legal issues and practical concerns in innovative practices. Topics covered are the competency of child witnesses, alternatives to traditional courtroom procedures, statutory exceptions to hearsay, restrictions on public access to the courtroom when child victim-witnesses are involved, the use of expert witnesses, the victim advocate, and the streamlining of the adjudication process. The final chapter reviews what has been learned through research and practice regarding the nature and prevalence of child sexual abuse as well as the societal response to it. Current challenges and directions for future research are discussed. 8 tables, 8 exhibits, and appended tables of statutory citations as well as selected legal readings.