In general, the twenty-eight adolescents report troubled family histories; their predominant memories being those of parental fighting, drinking, and neglect regardless of parental marital status. They report poor relationships with their families, adults, and friends. They perceive themselves as isolated, victimized, and unsuccessful in school and with peers. All this suggests that those concerned with providing treatment for this population should recognize that though the current sexual victimization of prostitution compounds treatment issues, it may not represent the principle issue of the youth's life. The primary therapeutic issues are not necessarily sexual nor typical adolescent issues. They are much more likely to be the more fundamental issues of arrested development. In conclusion, it is noted that survival needs must be met before more nuanced psychological problems can be addressed. (Author abstract)